Abstract

The prevalence of advanced medical treatment has led to global population aging, resulting in increased numbers of dementia patients. One of the most intractable symptoms of dementia is apathy, or lack of interest and enthusiasm, which can accompany memory and cognitive deterioration. Development of a novel method to ameliorate apathy is desirable. In this feasibility trial, we propose a series of digital art installations as a candidate dementia intervention approach. Seven, three-minute scenes of digital images and sounds were presented to visitors either passively or in response to their reactions (motion and sound). We evaluated the potential of this application as an intervention against apathy in an elderly living home. We collected the dementia global standard Mini-Mental State Examination (MMSE) and questionnaire scores of sensory pleasure and motivation along with behavioral motion data in twenty participants. We further compared responses between the first and second experiences in the thirteen participants that were present for both days. Overall, we found a significant increase in participants’ motivation. In these subjects, head and right hand motion increased over different scenes and MMSE degrees, but was most significant during passive scenes. Despite a small number of subjects and limited evaluations, this new digital art technology holds promise as an apathy intervention in the elderly and can be improved with use of wearable motion sensors.

Highlights

  • The world population is aging and with this, there is a concomitant increase in the number of dementia patients

  • No significant correlations were found between the question scores to Mini-Mental State Examination (MMSE) (Figure 2a)

  • The digital art installation was originally presented as an evening (17:00–21:00) illumination

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Summary

Introduction

The world population is aging and with this, there is a concomitant increase in the number of dementia patients. The persistent lack of motivation to do things, is known to occur with aging, and recent evidence suggests that it may be a behavioral marker for more rapidly progressing forms of dementia. Tools to measure “motive” and methods to support positive emotions in older people are of great importance for human mental health. J 2020, 3 intervention tools for apathy must be more powerful, but must be able to detect the early, preclinical condition. By designing home-use tools for this using information technology, there is the potential to promote novel cognition in ways that may be important for targeting decreased motivation associated with aging in this population. Sensor controls used in digital art, such as depth image sensors with three dimensional (3D) reconstructing applications and software libraries like

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