Art Therapy Intervention for Older Adults Residing in Institutions

The present paper highlights the challenges in implementing art therapy intervention amongst older adults residing in institutions (OARI) of Lucknow, India. The paper highlights the barriers and facilitators of the implementation process. The study represents a portion of the implementation report from a parent study that is based upon a hybrid type II effectiveness-implementation design and follows a mixed-method approach. Semi-structured interviews and observational reports were used to collect data and develop a deeper understanding of the needs of and problems faced by older adults residing in institutions (OARI). Based on a thorough literature review and interview responses, an art therapy intervention (ATI) deemed fit to enhance the well-being of the IOA; hence, an ATI was adapted by a team of trained art therapists. Implementation was reported according to the Consolidated Framework for Implementation Research (CFIR). Findings suggested that the characteristics of the intervention and the inner setting of the old‑age home served as facilitators of the implementation, while the outer settings (resources, policies and incentives) were considered as a barrier. The characteristics of the participants served both as a facilitator (their willingness and motivation to adapt) as well as a barrier (physical constraints, perception towards mental health and gender barrier). Reflections on practical concerns and solutions are discussed.