목적 : 미술치료가 치매 노인에 미치는 효과를 파악하기 위해 가장 높은 수준의 근거수준으로 분류되는 체계적 문헌고찰 및 메타분석을 실시하여 종합적이고 과학적인 근거를 제시함으로써 치매 노인을 위한 근거 기반의 미술치료 중재 프로그램의 개발 방향을 제시하는 데 있다. 방법 : 치매 노인을 대상으로 한 미술치료의 효과성을 보고한 국내 데이터베이스 Koreamed, KMBASE, RISS, NDSL 4개, 국외 데이터베이스 PubMed, EMBASE, Cochrane Library, Web of science 4개를 이용하여 체계적 문헌고찰을 수행하였다. 최종 선정 문헌 10편의 대상, 중재, 비교, 결과를 비교·분석하고 RCT의 RoB2.0 비뚤림위험 평가를 수행하였다. 또한, 최종 문헌의 이질성을 파악하기 위해 Cochran’s Q-test를 사용하였고 R studio 프로그램을 이용하여 메타분석을 수행하였다. 결과 : RoB2.0를 통한 10개 연구에 대한 비뚤림 평가 결과, ‘전반적인 비뚤림 위험’은 6편에서 높은 위험(high), 3편에서 일부 우려(some concerns), 1편에서 낮은 위험(low)을 보였다. 치매 노인에게 적용한 미술치료의 전체 표준화된 효과크기는 변량효과모형(random model)에 따라 0.764(95% CI: 0.182~1.345, P
Purpose: In this study, we aim to discover the effect of an art therapy on elderly people with dementia, by carrying out tests with highest level of evidence: a systematic review and meta-analysis. Especially, by analyzing different amplitudes of effects done by each subgroups, we intend to lay the groundwork for following studies. Method : Papers, concerning the effect of an art therapy on elderly people with dementia, were pooled out from four Korean databases (Koreamed, KMBASE, RISS, NDSL) and four international databases (PubMed, EMBASE, Cochrane Library, Web of science). Selected 10 papers were compared and analyzed by sample group, types of intervention, comparisons and results. Furthermore, these 10 RCTs were put through RoB2.0 risk assessment of bias. After going through Cochran's Q-test in order to apprehend the heterogeneous nature, the papers were finally ready for R studio program for meta-analysis. Result : RoB2.0 risk assessment of bias analysis proved 6 out of 10 papers highly biased(high), 3 out of 10 papers somewhat biased(some concerns) and 1 out of 10 papers non-biased(low). The standardized effect size of art therapy applied to elderly dementia people, based on the random effects model, was found to be 0.764 (95% CI: 0.182–1.345, P < 0.05), indicating a statistically significant moderate effect. In other words, art therapy applied to elderly dementia people has been statistically proven to have a positive effect. The mean effect sizes for different dependent variables were as follows: cognition (0.248), emotion (1.411), quality of life (0.326), social/psychological factors (0.340), and quality of life (1.032). Consequently based on Cohen's d values, art therapy showed high effect sizes in improving emotion and activities of daily living among dementia people, while demonstrating lower effect sizes in enhancing cognition, quality of life, and social/psychological aspects.