The HARMONEE project: Using GenAI images for reminiscence with older adults in long-term care.

Journal: Geriatric nursing (New York, N.Y.)
Published Date: Jul 5, 2025

Abstract

Social isolation and demoralization in older adults in long-term care facilities are critical public health concerns linked to higher morbidity, mortality, and reduced quality of life. The HARMONEE project (Harnessing Artificial Intelligence Resources for Mental Well-being for Older Adults and Nurturing Empathy in Education) addressed these issues using AI-generated images based on participants' memories to support personalized reminiscence. This pilot study (n = 34) employed a mixed-methods feasibility design across two facilities over 60 days to evaluate the practicality and acceptability of the intervention. Findings revealed an 85 % retention rate with 100 % of participants expressing high satisfaction with the intervention. A statistically significant improvement in older adults' short-term mood (p < 0.05) was observed highlighting its ability to elicit positive emotions and memories. Qualitative data revealed the intervention evoked happiness, enjoyment, nostalgia, memory stimulation, and social connectedness. The HARMONEE intervention shows promise for enhancing mood, engagement, and emotional well-being in older adults.

Authors

  • J M Reed
    Assistant Professor, College of Nursing, Kent State University, 800 E. Summit St., Kent, OH 44242, USA. Electronic address: Jreed56@kent.edu.
  • T Dodson
    Associate Professor of Nursing, College of Nursing, Kent State University, Kent, OH, USA.
  • A Petrinec
    Interim Associate Dean of Research, College of Nursing, Kent State University, Kent, OH, USA.
  • J Hughes
    Professor, Department of Psychological Services, Kent State University, Kent, OH, USA.
  • R D Miller
    Program Director and Assistant Professor, Counseling and Art Therapy Program, Ursuline College, Pepper Pike, OH, USA.

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