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Article

Effects of a Digital, Person-Centered, Photo-Activity Intervention on the Social Interaction of Nursing Home Residents with Dementia, Their Informal Carers and Formal Carers: An Explorative Randomized Controlled Trial

by
Josephine Rose Orejana Tan
1,*,
Teake P. Ettema
1,
Adriaan W. Hoogendoorn
1,
Petra Boersma
2,3,
Sietske A. M. Sikkes
4,5,6,7,
Robbert J. J. Gobbens
2,8,9,10 and
Rose-Marie Dröes
1
1
Department of Psychiatry, Amsterdam Public Health Research Institute, Amsterdam University Medical Centers, Location Vrije Universiteit/ De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands
2
Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Pina Bauschplein 4, 1095 PN Amsterdam, The Netherlands
3
Ben Sajet Centrum, Zwanenburgwal 206, 1011 JH Amsterdam, The Netherlands
4
Department of Clinical, Neuro- & Developmental Psychology, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands
5
Neurology, Alzheimer Center Amsterdam, Vrije Universiteit Amsterdam, Amsterdam University Medical Centers, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands
6
Amsterdam Neuroscience, Neurodegeneration, De Boelelaan 1105, 1081 HV Amsterdam, The Netherlands
7
Kennemerhart, Diakenhuisweg 41, 2033 AP Haarlem, The Netherlands
8
Zonnehuisgroep Amstelland, Groenelaan 7, 1186 AA Amstelveen, The Netherlands
9
Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, 2610 Antwerp, Belgium
10
Tranzo, Tilburg University, Warandelaan 2, 5037 AB Tilburg, The Netherlands
*
Author to whom correspondence should be addressed.
Behav. Sci. 2025, 15(8), 1008; https://doi.org/10.3390/bs15081008
Submission received: 9 June 2025 / Revised: 21 July 2025 / Accepted: 22 July 2025 / Published: 24 July 2025
(This article belongs to the Special Issue Psychosocial Care and Support in Dementia)

Abstract

To enhance social interaction of residents living with dementia and their (in)formal carers in nursing homes, we examined the effects of a digital, person-centred, Photo-Activity (PA) versus a conversation activity (control). An explorative randomized controlled trial was conducted in 81 resident-informal carer (IC) dyads and 51 formal carers (FC) with three measurements (pre/post-test, 2-week follow-up). Intervention effects were tested using Mann–Whitney U’s, and ANCOVA’s with pre-test scores as covariates. Interaction effects were examined between dementia severity (DS; less/more) and condition (PA/control). A post-test effect was observed in social interaction (INTERACT-subscale: Mood [p = 0.037, ηp2 = 0.07]), with PA residents showing better mood than controls. Residents with less DS showed more positive effects of PA than residents with more DS (interaction effects: INTERACT-subscales Mood [p = 0.017, ηp2 = 0.092], Stimulation Level [p = 0.011, ηp2 = 0.106], and Need for Prompting [p = 0.013, ηp2 = 0.099]). Higher QUALIDEM Positive Affect scores were observed in the PA group, post-test (p = 0.025, ηp2 = 0.082), and follow-up (p = 0.042, d = 0.39). PA FC showed less empathy (IRI; p = 0.006, ηp2 = 0.185;) than controls, but reported getting to know the residents better (p = 0.035, r = 0.299). PA improved mood and positive affect of residents with dementia and led to FC knowing the residents better. Less empathy was observed in FC providing PA, requiring further investigation.
Keywords: dementia; nursing homes; technology; photos; psychosocial intervention; artistic intervention dementia; nursing homes; technology; photos; psychosocial intervention; artistic intervention

Share and Cite

MDPI and ACS Style

Tan, J.R.O.; Ettema, T.P.; Hoogendoorn, A.W.; Boersma, P.; Sikkes, S.A.M.; Gobbens, R.J.J.; Dröes, R.-M. Effects of a Digital, Person-Centered, Photo-Activity Intervention on the Social Interaction of Nursing Home Residents with Dementia, Their Informal Carers and Formal Carers: An Explorative Randomized Controlled Trial. Behav. Sci. 2025, 15, 1008. https://doi.org/10.3390/bs15081008

AMA Style

Tan JRO, Ettema TP, Hoogendoorn AW, Boersma P, Sikkes SAM, Gobbens RJJ, Dröes R-M. Effects of a Digital, Person-Centered, Photo-Activity Intervention on the Social Interaction of Nursing Home Residents with Dementia, Their Informal Carers and Formal Carers: An Explorative Randomized Controlled Trial. Behavioral Sciences. 2025; 15(8):1008. https://doi.org/10.3390/bs15081008

Chicago/Turabian Style

Tan, Josephine Rose Orejana, Teake P. Ettema, Adriaan W. Hoogendoorn, Petra Boersma, Sietske A. M. Sikkes, Robbert J. J. Gobbens, and Rose-Marie Dröes. 2025. "Effects of a Digital, Person-Centered, Photo-Activity Intervention on the Social Interaction of Nursing Home Residents with Dementia, Their Informal Carers and Formal Carers: An Explorative Randomized Controlled Trial" Behavioral Sciences 15, no. 8: 1008. https://doi.org/10.3390/bs15081008

APA Style

Tan, J. R. O., Ettema, T. P., Hoogendoorn, A. W., Boersma, P., Sikkes, S. A. M., Gobbens, R. J. J., & Dröes, R.-M. (2025). Effects of a Digital, Person-Centered, Photo-Activity Intervention on the Social Interaction of Nursing Home Residents with Dementia, Their Informal Carers and Formal Carers: An Explorative Randomized Controlled Trial. Behavioral Sciences, 15(8), 1008. https://doi.org/10.3390/bs15081008

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