Including drawings in future dementia research: identification and modification of negative stereotyping

Abstract

AbstractBackgroundMost countries in Western civilization are segregated societies with little or no contact between generations. Elementary schools and nursing homes are separated worlds in proximity. Children alienate further from the elderly and rely on indirect experiences with old age and dementia. The elderly can embody negative stereotypes from media and society leading to disparities in health care, social isolation and loss of functional ability.MethodIn this study we collected 796 drawings from 98 children in 4 elementary schools in Belgium and The Netherlands. The 10‐y‐old pupils made portraits of grandparents and the elderly in neutral, happy and unhappy conditions. The standardized drawing assignments were repeated after a psychosocial intervention program of 16 weeks to connect generations. The effects of non‐pharmacological interventions in Alzheimer’s research are mostly studied with classical questionnaires. These tools are insufficient to detect unconscious motives and subtle mental representations of old age and dementia. Before and after drawings are an added value to the field of research. The implicit measurements circumvent social desirability, go beyond the level of awareness and give a clearer picture of negative stereotypes of old age and dementia.ResultThe content analysis of the drawings demonstrated that children represent ‘happy elderly people’ as: outdoors, active, and surrounded by others, while ‘unhappy elderly people’ are generally portrayed indoors, sedentary and lonely.ConclusionChildren’s drawings as implicit measurement are an added value for non‐pharmacological interventions. The act of drawing is pleasant, easy and effective for the identification and modification negative stereotyping of old age and dementia.