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O'Connor CM, Poulos RG, Heldon M, Preti C, Beattie E, Poulos CJ. Implementing Arts on Prescription at Home for People Living With Dementia: A Hybrid-Effectiveness Feasibility Study. J Geriatr Psychiatry Neurol 2024:8919887241267335. [PMID: 39042824 DOI: 10.1177/08919887241267335] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/25/2024]
Abstract
Arts on prescription at home (AoP@Home) is a participatory art-based approach involving a professional artist engaging a person with dementia (and their family carer) in art-making in their own home. This study evaluated the implementation of AoP@Home within a real-world community aged care context. A hybrid effectiveness-implementation design was used to simultaneously test both the AoP@Home intervention and the implementation process. AoP@Home program outcomes included person with dementia and family carer (dyad) health and wellbeing, and personal goal attainment. Implementation outcomes were evaluated according to feasibility, fidelity, acceptability, uptake, and costs via routinely collected data, artist notes, and interviews with program managers, artists, and participant dyads. Four dyads completed an AoP@Home program during the study period. All participants with dementia reported improvements in their overall health and wellbeing, and wellbeing scores improved for all carers from baseline to post-program. Implementation was feasible using existing government funding mechanisms, and programs were acceptable to all stakeholders. It is possible to deliver participatory arts programs for community-dwelling people with dementia and their family, in their home, using sustainable and available funding models. Programs such as AoP@Home should be made more accessible alongside broader allied health and care services.
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Affiliation(s)
- Claire Mc O'Connor
- School of Psychology, University of New South Wales, Sydney, NSW, Australia
- Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia
- Neuroscience Research Australia, Sydney, NSW, Australia
- Ageing Futures Institute, University of New South Wales, Sydney, NSW, Australia
| | - Roslyn G Poulos
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
| | - Michelle Heldon
- Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia
| | - Costanza Preti
- Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia
| | - Elizabeth Beattie
- School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia
| | - Christopher J Poulos
- Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia
- School of Population Health, University of New South Wales, Sydney, NSW, Australia
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Jensen A, Holt N, Honda S, Bungay H. The impact of arts on prescription on individual health and wellbeing: a systematic review with meta-analysis. Front Public Health 2024; 12:1412306. [PMID: 39045154 PMCID: PMC11264378 DOI: 10.3389/fpubh.2024.1412306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 06/26/2024] [Indexed: 07/25/2024] Open
Abstract
Introduction The evidence-base for the impact of participating in the arts for different aspects of health and wellbeing is growing. Arts on Prescription has gained increasing recognition as a method for fostering connections among individuals and communities, however, to date no systematic review of the impact on individual health and wellbeing has been conducted. This review aims to provide an understanding of individual health and wellbeing outcomes from participation in Arts on Prescription programmes. Methods Major electronic databases were systematically searched, including Cochrane Library; Web of Science; ProQuest; CINAHL; Arts & Humanities; Ebsocohost; Pubmed; PsycINFO. Other databases were also used: Google Scholar and websites of specific organizations, e.g., NHS Evidence, Kings Fund, Health foundation, Nuffield Trust and NESTA and University of Florida Arts-in Medicine Repository. The review used PRISMA reporting structures. Critical Appraisal Skills Programme (CASP) templates were used for qualitative and quantitative studies, and the Mixed Methods Appraisal Tool (MMAT) for studies with a mixed methods protocol to assess quality and risk of bias. A narrative review of the qualitative data was conducted. For quantitative outcomes, a meta-analysis for studies that met inclusion criteria was conducted, and a narrative review made of secondary and heterogeneous outcomes and approaches. Results 7,805 records were identified but only 25 records were included as studies with a focus on the impact on individual health and wellbeing. Studies were conducted in Australia, Denmark, Sweden, United Kingdom, and the United States. Programmes were held in community settings, arts venues, GP surgeries, primary healthcare settings, and one school. Most interventions varied from 8 to 10 weeks and included a wide range of different arts activities. Qualitative themes included social benefits, psychological benefits and progression opportunities. The meta-analysis showed a statistically significant improvement in wellbeing, and the narrative review identified promising outcomes that require further evidential support (e.g., reductions in anxiety and depression). Discussion Arts on Prescription programmes are an appropriate intervention for improving psychosocial wellbeing, providing both social and psychological benefits as well as progression opportunities. We discuss the various qualitative and quantitative outcomes, along with potential 'active ingredients' and barriers to participation (physical, psychological and social). Systematic review registration PROSPERO, identifier CRD42023408974, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023408974.
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Affiliation(s)
- Anita Jensen
- Clinical Research Center, Social Medicine and Health Policy, Department of Clinical Science and Centre for Primary Health Care, Lund University and Region Skåne, Malmö, Sweden
- National Competence Center for Culture, Health and Care, Nord Universitet, Levanger, Norway
| | - Nicola Holt
- Department of Health and Social Sciences, University of the West of England, Bristol, United Kingdom
| | - Sayaka Honda
- General Internal Medicine, St Luke’s International Hospital, Tokyo, Japan
| | - Hilary Bungay
- Faculty of Health, Education, Medicine, Social Care, and Education, School of Allied and Public Health, Anglia Ruskin University, Chelmsford, United Kingdom
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O'Connor CMC, Poulos RG, Heldon M, Preti C, Beattie E, Poulos CJ. Implementation of an Arts at Home program for people living with dementia: Learnings from key stakeholders. Health Promot J Austr 2024. [PMID: 38952243 DOI: 10.1002/hpja.897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 05/20/2024] [Accepted: 06/14/2024] [Indexed: 07/03/2024] Open
Abstract
ISSUE ADDRESSED This study explores experiences of people with dementia and family carers who participated in an Arts on Prescription at Home (AoP@Home) program, artists who delivered the AoP@Home program and the managers who coordinated the AoP@Home programs. METHODS Semi structured interviews were conducted with the three stakeholder groups to explore experiences around implementation of AoP@Home. Interview questions were specific to each stakeholder group, and designed to capture the varied experiences around coordinating, delivering and participating in AoP@Home programs when delivered as a standard service offering. Qualitative content analysis was applied to evaluate the transcripts. RESULTS A total of 13 stakeholders participated in interviews: four people living with dementia and four family carers, three artists and two AoP program managers. Three overarching themes emerged across the stakeholder groups: 'what worked well', 'challenges' and 'moving forward'. CONCLUSIONS AoP@Home has potential as an important offering for community-dwelling people with dementia who may no longer be able to access group-based community programs. As AoP@Home is expanded, ongoing implementation monitoring and quality improvement will be essential to ensure maximal applicability of the program across the community aged care sector. SO WHAT?: The implementation of a new AoP@home service has been examined, and finds consumer satisfaction (person with dementia and their carer), and support from staff (artists and program managers). The novel nature of the service, however, requires considerable work to educate service referrers about the service and its benefits.
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Affiliation(s)
- Claire M C O'Connor
- School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
- University of New South Wales, Ageing Futures Institute, Sydney, New South Wales, Australia
| | - Roslyn G Poulos
- University of New South Wales, School of Population Health, Sydney, New South Wales, Australia
| | - Michelle Heldon
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Costanza Preti
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Elizabeth Beattie
- Queensland University of Technology, Brisbane, Queensland, Australia
| | - Christopher J Poulos
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- University of New South Wales, School of Population Health, Sydney, New South Wales, Australia
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4
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Sirisena M, Cheetham M. "You're sort of building community in a bigger way": exploring the potential of creative, nature-based activities to facilitate community connections. Arts Health 2024:1-16. [PMID: 38402628 DOI: 10.1080/17533015.2024.2319666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2023] [Accepted: 02/12/2024] [Indexed: 02/27/2024]
Abstract
BACKGROUND This paper explores the opportunities that creative, nature-based activities offer for mobilising social connections via community-centred approaches to improve individual and collective wellbeing. METHODS The study involved ethnographic methods and data was gathered from a nature for wellbeing project implemented in a rural village in North East England. RESULTS The findings indicate creative, nature-based activities delivered within an environment marked by an ethic of care and kindness enabled the project to engage with participants at individual and collective levels simultaneously, which enhanced the project's ability to mobilise community skills and assets, and affect connectedness, equity and control within social groups facing significant disadvantages. CONCLUSION Creative, nature-based activities, delivered with an ethic of care, present an opportunity to recognise and engage complex and, at times, opposing undercurrents inherent in social connections between individuals and social groups.
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Affiliation(s)
- Mihirini Sirisena
- Population Health Science Institute, Newcastle University, Newcastle, UK
| | - Mandy Cheetham
- Department of Nursing, Midwifery and Health, Northumbria University, Newcastle, UK
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Watson B, Das A, Maguire S, Fleet G, Punamiya A. The little intervention that could: creative aging implies healthy aging among Canadian seniors. Aging Ment Health 2024; 28:307-318. [PMID: 37602435 DOI: 10.1080/13607863.2023.2246416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Accepted: 02/20/2023] [Indexed: 08/22/2023]
Abstract
OBJECTIVES Through a process of 'creative ageing', there is increased interest in how active participation in the arts can help promote health and well-being among seniors. However, few studies have quantitatively examined the benefits of a foray into artistic expression, and even fewer employ rigorous identification strategies. Addressing this knowledge gap, we use a series of quantitative techniques (ordinary least squares and quantile regression) to analyze the impact of an arts-based intervention targeting the elderly. METHODS Recruited from Saint John, New Brunswick (a city of about 125,000 people in Eastern Canada), 130 seniors were randomly assigned to the programme, with the remaining 122 serving as the control. This intervention consisted of weekly 2-h art sessions (i.e. drawing, painting, collage, clay-work, performance, sculpting, and mixed media), taking place from January 2020 until April 2021. RESULTS Relative to the control group, the intervention tended to reduce participant loneliness and depression, and improve their mental health. Outcomes were more evident toward the latter part of the programme, were increasing in attendance, and most efficacious among those with initially low levels of well-being. CONCLUSION These findings imply that creative ageing promotes healthy ageing, which is especially noteworthy given COVID-19 likely attenuated our results.
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Affiliation(s)
| | - Alekhya Das
- University of New Brunswick, Saint John, Canada
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O'Connor CMC, Poulos RG, Preti C, Heldon M, Barclay L, Beattie E, Poulos CJ. Steps to implementation: Understanding barriers and enablers for implementing Arts on Prescription at Home for people impacted by dementia. Health Promot J Austr 2024; 35:110-121. [PMID: 36964997 DOI: 10.1002/hpja.720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 03/06/2023] [Accepted: 03/21/2023] [Indexed: 03/27/2023] Open
Abstract
ISSUE ADDRESSED Arts on Prescription at Home (AoP@Home) involves a professional artist visiting a person with dementia and their informal carer(s) in their own home to engage them in participatory art making. While there is evidence for the use of these programs, more work is needed to facilitate effective implementation. This study explored contextual barriers and enablers to implementation of AoP@Home within a real-world community aged care service. METHODS Two remote focus groups were conducted at a community aged care provider in Sydney, Australia. Key stakeholders (n = 14) were recruited, representing: people with dementia, informal (family) carers, AoP artists, service referrers and community service managers. Focus group transcripts were analysed using qualitative content analysis and mapped onto the Consolidated Framework for Implementation Research (CFIR). Outcomes were reviewed against the Expert Recommendations for Implementing Change (ERIC) strategy compilation to inform development of a tailored implementation strategy. RESULTS Four overarching themes described the range of barriers and enablers to AoP@Home implementation: (1) "I don't know enough about it" (awareness and engagement within the sector), (2) artists delivering programs, (3) awareness and engagement of people impacted by dementia, (4) practicalities of implementation. All five domains of the CFIR were represented across the four themes. The ERIC compilation provided a list of practical strategies for implementation of AoP@Home. CONCLUSIONS The implementation of psychosocial interventions for people living with dementia within a community aged care service is complex and multifactorial. So what?: Organisations planning implementation should consider conducting their own pre-implementation analysis to identify context-specific strategies.
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Affiliation(s)
- Claire M C O'Connor
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Roslyn G Poulos
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Costanza Preti
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Michelle Heldon
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Linda Barclay
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Elizabeth Beattie
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Christopher J Poulos
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
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Dhokai N, Matto H, Ihara ES, Tompkins CJ, Caswell SV, Cortes N, Davis R, Coogan SM, Fauntroy VN, Glass E, Lee JM, Baraniecki-Zwil G, Ambegaonkar JP. Community arts engagement supports perceptions of personal growth in older adults. J Aging Stud 2023; 66:101142. [PMID: 37704284 DOI: 10.1016/j.jaging.2023.101142] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 04/06/2023] [Accepted: 05/18/2023] [Indexed: 09/15/2023]
Abstract
PURPOSE The effects of arts engagement on older adults have been well-documented. However, the ways older adults overcome common situational and dispositional barriers to enhance personal growth and well-being are less known. METHODS Fifty-six community dwelling older adults (71.3 ± 4.6 years) took part in dance, music, or a control workshop two times/week for ten weeks. Participants' personal growth was examined through focus groups and surveys in this mixed-methods study. RESULTS Focus group and survey results revealed participants experienced personal growth through engaging in the dance and music arms of the experiment. Participants, especially those in arts workshops, described personal growth experiences aligning with four themes: increased social connections, developed new skills, utilized a growth mindset, and used creativity to overcome situational and dispositional barriers to participation. The barriers included musculoskeletal challenges, hearing impairments, and difficulty retaining new information. CONCLUSIONS The study yielded high adherence and retention rates, and participants reported increased engagement within their communities. Our observations provide avenues for future practitioners and facilitators to create programming that empowers older adults and utilizes participants' ongoing feedback to support access, inclusion, and sense of community.
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Affiliation(s)
- Niyati Dhokai
- Veterans and the Arts Initiative, Hylton Performing Art Center, George Mason University, Manassas, VA, United States.
| | - Holly Matto
- Department of Social Work, George Mason University, Fairfax, VA, United States.
| | - Emily S Ihara
- Department of Social Work, George Mason University, Fairfax, VA, United States.
| | | | - Shane V Caswell
- Sports Medicine Assessment, Research, and Testing (SMART) Laboratory, George Mason University, Manassas, VA, United States.
| | - Nelson Cortes
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Wivenhoe Park, Colchester, Essex, United Kingdom.
| | - Rick Davis
- Veterans and the Arts Initiative, Hylton Performing Art Center, George Mason University, Manassas, VA, United States.
| | - Sarah M Coogan
- Sports Medicine Assessment, Research, and Testing (SMART) Laboratory, George Mason University, Manassas, VA, United States.
| | - Victoria N Fauntroy
- Sports Medicine Assessment, Research, and Testing (SMART) Laboratory, George Mason University, Manassas, VA, United States.
| | - Elizabeth Glass
- Veterans and the Arts Initiative, Hylton Performing Art Center, George Mason University, Manassas, VA, United States.
| | - Judy Moon Lee
- Veterans and the Arts Initiative, Hylton Performing Art Center, George Mason University, Manassas, VA, United States.
| | - Gwen Baraniecki-Zwil
- Department of Physical Medicine and Rehabilitation, University of Pennsylvania School of Medicine, Philadelphia, PA, United States.
| | - Jatin P Ambegaonkar
- Sports Medicine Assessment, Research, and Testing (SMART) Laboratory, George Mason University, Manassas, VA, United States.
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Fioranelli M, Roccia MG, Garo ML. The role of arts engagement in reducing cognitive decline and improving quality of life in healthy older people: a systematic review. Front Psychol 2023; 14:1232357. [PMID: 37671109 PMCID: PMC10475943 DOI: 10.3389/fpsyg.2023.1232357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/03/2023] [Indexed: 09/07/2023] Open
Abstract
In recent years, arts engagement has been proposed as a non-pharmacological approach to reduce cognitive decline and increase well-being and quality of life in specific populations such as the elderly or patients with severe disease. The aim of this systematic review was to assess the effects of receptive or active arts engagement on reducing cognitive decline and improving quality of life and well-being in healthy populations, with a particular focus on the role of arts engagement in the long term. A comprehensive search strategy was conducted across four databases from February to March 2023. Ten studies with a total of 7,874 participants were incorporated in accordance with the PRISMA guidelines. Active and receptive arts engagement was found to be an effective approach to reduce cognitive decline and improve well-being and quality of life in healthy populations. The role of the positive effects of arts engagement could be determined by the combination of several factors such as exposure to cultural activities and the group effect. There is limited evidence of the protective effects of active arts engagement over a long period of time. Given the increasing demand for preventive programmes to reduce the negative effects of population ageing, more research on arts engagement should be conducted to identify its mechanisms and long-term effects.
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Affiliation(s)
| | | | - Maria Luisa Garo
- Istituto Terapie Sistemiche Integrate, Casa di Cura Sanatrix, Rome, Italy
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9
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Davies M, Elliott M, Wallace S, Wallace C. Enhancing Student Wellbeing Through Social Prescribing: A Rapid Realist Review. Public Health Rev 2023; 44:1605189. [PMID: 37614322 PMCID: PMC10442486 DOI: 10.3389/phrs.2023.1605189] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 07/17/2023] [Indexed: 08/25/2023] Open
Abstract
Objectives: A Rapid Realist Review of social prescribing in Higher Education (HE) was undertaken to determine what works, for whom, how, why, and within what circumstances. The review resulted in the development of a Realist Programme Theory articulating the way in which social prescribing can be implemented within the HE environment. Methods: Searches of 12 electronic databases were supplemented by citation chaining and grey literature surfaced by the Project Advisory Group. The RAMESES Quality Standards for Realist Review were followed, and the retrieved articles were systematically screened and iteratively analysed to develop Context-Mechanism-Outcome Configurations (CMOCs) and an overarching Realist Programme Theory. Results: A total of 57 documents were included. The overarching programme theory was developed from the analysis of these documents and comprised of a social prescribing pathway with the following components: (1) An Accessible Gateway, (2) A Skilled Peer, (3) Trusted-Safe-Credible Resources, and (4) A Healthy Setting. Conclusion: A Realist Programme Theory was developed-this model and associated principles will provide a theoretical basis for the implementation of social prescribing pathways within higher education. Whilst the direct project outputs are of particular significance to the UK HE audience, the underpinning principles can support practice within the global arena.
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Affiliation(s)
- Mark Davies
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
| | - Megan Elliott
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
- Wales School for Social Prescribing Research (WSSPR), University of South Wales, Pontypridd, United Kingdom
| | - Sarah Wallace
- Welsh Institute for Health and Social Care, University of South Wales, Pontypridd, United Kingdom
| | - Carolyn Wallace
- PRIME Centre Wales, University of South Wales, Pontypridd, United Kingdom
- Wales School for Social Prescribing Research (WSSPR), University of South Wales, Pontypridd, United Kingdom
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Fotopoulou A, Barratt H, Marandet E. A data-based participatory approach for health equity and digital inclusion: prioritizing stakeholders. Health Promot Int 2023; 38:daab166. [PMID: 34967901 DOI: 10.1093/heapro/daab166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
This article starts from the premise that projects informed by data science can address social concerns, beyond prioritizing the design of efficient products or services. How can we bring the stakeholders and their situated realities back into the picture? It is argued that data-based, participatory interventions can improve health equity and digital inclusion while avoiding the pitfalls of top-down, technocratic methods. A participatory framework puts users, patients and citizens as stakeholders at the centre of the process, and can offer complex, sustainable benefits, which go beyond simply the experience of participation or the development of an innovative design solution. A significant benefit for example is the development of skills, which should not be seen as a by-product of the participatory processes, but a central element of empowering marginalized or excluded communities to participate in public life. By drawing from different examples in various domains, the article discusses what can be learnt from implementations of schemes using data science for social good, human-centric design, arts and wellbeing, to argue for a data-centric, creative and participatory approach to address health equity and digital inclusion in tandem.
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Affiliation(s)
- Aristea Fotopoulou
- School of Art and Media, University of Brighton, Watts Building, Lewes Road, Brighton BN2 4GJ, UK
| | - Harriet Barratt
- School of Art and Media, University of Brighton, Watts Building, Lewes Road, Brighton BN2 4GJ, UK
| | - Elodie Marandet
- School of Art and Media, University of Brighton, Watts Building, Lewes Road, Brighton BN2 4GJ, UK
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11
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Bone JK, Fancourt D, Fluharty ME, Paul E, Sonke JK, Bu F. Associations between participation in community arts groups and aspects of wellbeing in older adults in the United States: a propensity score matching analysis. Aging Ment Health 2023; 27:1163-1172. [PMID: 35470723 DOI: 10.1080/13607863.2022.2068129] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 04/07/2022] [Indexed: 11/01/2022]
Abstract
Objectives: There is a social gradient in both arts engagement and wellbeing that may have led to an overestimation of the impact of arts engagement on wellbeing. We tested whether participation in community arts groups was associated with wellbeing after removing confounding by demographic, socioeconomic, and health-related factors.Methods: Using propensity score matching, we analyzed data from 12,055 older adults in the Health and Retirement Study. We measured community arts groups participation and concurrent life satisfaction (evaluative wellbeing), positive and negative affect (experienced wellbeing), and purpose in life, constraints on personal control, and mastery (eudaimonic wellbeing).Results: After matching, arts group participation was associated with higher positive affect (average treatment effect on the treated [ATT] = 0.18, 95% CI = 0.12-0.24), life satisfaction (ATT = 0.09, 95% CI = 0.04-0.15), purpose in life (ATT = 0.07, 95% CI = 0.02-0.13), and mastery (ATT = 0.07, 95% CI = 0.01-0.14) than not participating. Participation was not associated with negative affect or constraints on personal control. In sensitivity analyses, these associations were maintained four years later.Conclusion: Arts group participation was associated with the positive elements of evaluative, experienced, and eudaimonic wellbeing. Facilitating participation in community arts groups could help to promote healthy aging, enabling a growing segment of the population to lead more fulfilling and satisfying lives.
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Affiliation(s)
- Jessica K Bone
- Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK
| | - Daisy Fancourt
- Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK
| | - Meg E Fluharty
- Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK
| | - Elise Paul
- Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK
| | - Jill K Sonke
- Center for Arts in Medicine, University of Florida, Gainesville, Florida, USA
| | - Feifei Bu
- Research Department of Behavioural Science and Health, Institute of Epidemiology & Health Care, University College London, London, UK
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Roberts A. Live Well, Die Well: The Development of an Online, Arts-Based Palliative Care Programme in the Shadow of the COVID-19 Pandemic. OMEGA-JOURNAL OF DEATH AND DYING 2023; 86:1349-1370. [PMID: 33840273 PMCID: PMC9902991 DOI: 10.1177/00302228211009753] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The Covid-19 crisis led to an increase in the 'total pain' of many terminally ill patients who faced a reduction in support, due to the temporary closure of front-line palliative day therapy services. A hospice volunteer, I instigated an online day therapy programme for patients previously attending face-to-face day therapy. Participant feedback revealed the importance of providing a space for ongoing peer support for participants' changing sense of identity, an issue for time-limited day therapy programmes. An exploration of key concepts associated with palliative care established the multiple connections between such changing identity and arts-based approaches to living well. This article charts how I used this understanding to develop an alternative, online arts-based support programme, Live well, die well. It explores the links between ongoing mutual support, arts-based activity and the reactions to a shifting identity in patients with a life-limiting illness.
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Affiliation(s)
- Amanda Roberts
- Visiting Lecturer,University of Hertfordshire, Hatfield, UK,Amanda Roberts, University of Hertfordshire, Hatfield, UK.
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13
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Evaluation of art making activity as a pain management strategy for older adults and their experience using an art making intervention. Geriatr Nurs 2023; 50:109-116. [PMID: 36774677 DOI: 10.1016/j.gerinurse.2023.01.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 01/03/2023] [Accepted: 01/05/2023] [Indexed: 02/13/2023]
Abstract
Chronic pain is a common and bothersome experience for older adults. Consequently, pain management is critical to maintaining their function and well-being. Art making, a non-pharmacological approach, has gained empirical support and is used for functional and cognitive improvement in older adults. However, it has rarely been used to manage chronic pain. The purpose of this descriptive qualitative study was to understand older adults' experience using a newly designed art making intervention and its influence on their pain. Overall, 11 older adults used the intervention and reported its quality to be appropriate. Moreover, older adults reported that art making was an engaging, diversional activity which reduced their pain severity and improved their mood. The findings of this study will be used to inform a future pilot study to assess the impact of art making on pain management in older adults with chronic pain.
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Tierney S, Potter C, Eccles K, Akinyemi O, Gorenberg J, Libert S, Wong G, Turk A, Husk K, Chatterjee HJ, Webster E, McDougall B, Warburton H, Shaw L, Mahtani KR. Social prescribing for older people and the role of the cultural sector during the COVID-19 pandemic: What are link workers' views and experiences? HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e5305-e5313. [PMID: 35869795 PMCID: PMC9349870 DOI: 10.1111/hsc.13949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 06/16/2022] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
Older people's well-being can be bolstered by engaging with cultural activities and venues. They may be encouraged to try cultural offers by a link worker as part of social prescribing. However, the cultural sector, like all parts of life, was affected by the COVID-19 pandemic; this has had implications for cultural offers available to link workers. A study was conducted to explore the views and experiences of link workers in using the cultural sector within social prescribing, particularly for older people (aged 60+) during the pandemic. An online questionnaire was distributed to and completed by link workers in the UK. Data were analysed mainly using descriptive statistics. Open text responses were clustered into similar ideas to create key concepts. Useable responses were received from 148 link workers. They highlighted a general lack of interaction between link workers and the cultural sector about how the latter could support social prescribing. Results suggested that personal familiarity with cultural offers might prompt link workers to refer to them. Some respondents proposed that cultural offers were regarded as elitist, which deterred them from referring there. However, there was a general acknowledgement that the cultural sector could contribute to social prescribing. Link workers need to regard the cultural sector as accessible, appropriate, adequate, affordable and available before referring older people to cultural offers as part of social prescribing. Link workers may benefit from becoming more familiar with cultural sector staff and offers, including online resources, so they can then propose them to patients with confidence.
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Affiliation(s)
- Stephanie Tierney
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Caroline Potter
- Nuffield Department of Population HealthUniversity of OxfordOxfordUK
| | | | - Oluwafunmi Akinyemi
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Jordan Gorenberg
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Sebastien Libert
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Geoff Wong
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Amadea Turk
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
| | - Kerryn Husk
- Peninsula Medical SchoolUniversity of PlymouthPlymouthUK
| | | | - Emma Webster
- Gardens, Libraries and MuseumsUniversity of OxfordOxfordUK
| | - Beth McDougall
- Gardens, Libraries and MuseumsUniversity of OxfordOxfordUK
| | | | - Lucy Shaw
- Gardens, Libraries and MuseumsUniversity of OxfordOxfordUK
| | - Kamal R. Mahtani
- Nuffield Department of Primary Care Health SciencesUniversity of OxfordOxfordUK
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15
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Galassi F, Merizzi A, D’Amen B, Santini S. Creativity and art therapies to promote healthy aging: A scoping review. Front Psychol 2022; 13:906191. [PMID: 36225688 PMCID: PMC9549330 DOI: 10.3389/fpsyg.2022.906191] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2022] [Accepted: 09/02/2022] [Indexed: 11/13/2022] Open
Abstract
The purpose of this scoping review is to investigate the value of creative arts therapies in healthy older adults. This article aims to shed light on current knowledge concerning the effectiveness of art therapies (ATs) for the prevention of common age-related conditions using the definition of art therapy provided by the American Art Therapy Association (AATA), as well as Cohen’s conceptual framework for the psychological conceptualization of the relationship between the arts and health in later life. The objective is to carefully capture subthreshold situations of distress, which are often not taken into account and primarily involve psychological aspects that are crucial in the multidimensional perspective of healthy aging. Twelve articles were selected and examined following an initial electronic search on 3 databases. A thematic analysis of the results identified four major themes: improving cognitive performance and proprioception; enhancing self-identity and meaningful life; reducing feelings of loneliness and depressive symptoms; and the importance of socialization. All these aspects constitute the basis for preventing psychological distress and enhancing mental well-being for healthy aging.
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Davies CR, Clift S. Arts and Health Glossary - A Summary of Definitions for Use in Research, Policy and Practice. Front Psychol 2022; 13:949685. [PMID: 35936315 PMCID: PMC9354682 DOI: 10.3389/fpsyg.2022.949685] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Accepted: 06/23/2022] [Indexed: 11/13/2022] Open
Affiliation(s)
- Christina R. Davies
- School of Allied Health, University of Western Australia, Perth, WA, Australia
- *Correspondence: Christina R. Davies
| | - Stephen Clift
- Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury, United Kingdom
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Molewyk Doornbos M, Zandee GL, Greidanus A, Timmermans B, Miller K, Quist M, Heitsch E, Hammond E, Houskamp C, VanWolde A. Women Supporting Women: The Use of Art With Anxious/Depressed, Urban, Impoverished, Ethnically Diverse Women. J Am Psychiatr Nurses Assoc 2022; 28:271-282. [PMID: 35815659 DOI: 10.1177/10783903221104097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND: Depression and anxiety disproportionately affect urban, ethnically diverse, impoverished women-particularly when access to culturally sensitive care is limited. Using community-based participatory research in the context of long-term, academic/community partnerships, women supporting women, a supportive/educative group intervention piloting an art project, was offered. AIMS: The purpose of this study was to examine the impact of an artist book-making project on diverse women struggling with anxiety and depression. METHODS: A descriptive qualitative approach was used within this mixed-method study. Thirty-one participants, aged 18 to 86 years, were asked: (1) How does this book tell your story? (2) How did creating this book impact you personally? (3) How would you describe the experience of creating your book alongside women from our group? (4) How did this project help you with anxiety and depression? (5) What did you do with the book that you made? The framework method for analysis of qualitative data in multidisciplinary health research was used. RESULTS: Four themes, with corresponding subthemes, were identified: (1) personal story entailed expression of past, present, and future journey and mediums to depict the story; (2) method of coping included relaxation, diversion, and self-care; (3) creative impact encompassed affirmation of identity, empowerment, healing, pride in work, and a vehicle to connect; and (4) creating in community incorporated inspiration, sharing, and solidarity. CONCLUSIONS: These results suggest that an art project provides a culturally sensitive, clinically relevant, and cost-effective self-care intervention for vulnerable women struggling with anxiety and depression.
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Affiliation(s)
| | | | - Anna Greidanus
- Anna Greidanus, MFA, Calvin University, Grand Rapids, MI, USA
| | | | - Katherine Miller
- Katherine Miller, PhD, RN, University of Wyoming, Laramie, WY, USA
| | - Morgan Quist
- Morgan Quist, BSN, RN, Calvin University, Grand Rapids, MI, USA
| | - Emily Heitsch
- Emily Heitsch, BSN, RN, Calvin University, Grand Rapids, MI, USA
| | - Erica Hammond
- Erica Hammond, BSN, RN, Calvin University, Grand Rapids, MI, USA
| | - Christa Houskamp
- Christa Houskamp, BSN, RN, Calvin University, Grand Rapids, MI, USA
| | - Anna VanWolde
- Anna VanWolde, BSN, RN, Calvin University, Grand Rapids, MI, USA
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Bild E, Pachana NA. Social prescribing: A narrative review of how community engagement can improve wellbeing in later life. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022. [DOI: 10.1002/casp.2631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- Elena Bild
- School of Psychology The University of Queensland Brisbane Queensland Australia
| | - Nancy A. Pachana
- School of Psychology The University of Queensland Brisbane Queensland Australia
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19
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Purpose in Life in Older Adults: A Systematic Review on Conceptualization, Measures, and Determinants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19105860. [PMID: 35627396 PMCID: PMC9141815 DOI: 10.3390/ijerph19105860] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/01/2022] [Accepted: 05/06/2022] [Indexed: 02/08/2023]
Abstract
Purpose in life (PIL) is a psychological construct that reflects one’s life goals and the desire or determination to pursue them. Having a purpose provides an intrinsic motivation to adopt healthy behaviors as we age, which will help us to achieve positive health outcomes. Thus, promoting PIL is the cornerstone for successful aging and better health outcomes. This systematic review aims to identify how PIL is conceptualized, measured in the existing literature and what are the determinants of PIL in older adults (≥65 years). Electronic searches were conducted in five databases (Medline, PsychInfo, Embase, CINAHL and Web of Science). A total of 44 studies were included in the review. PIL was conceptualized in six different ways: health and well-being, meaningful goals and purpose, inner strength, social relationships, mattering to others, and spirituality and religiousness. There were six main questionnaires and semi structured interviews used to capture PIL. Female gender, higher education and income, being married, ethnicity, health and well-being, inner strength, social integration and spirituality were associated with PIL. Majority of the included studies had low to moderate Risk of Bias (RoB) assuring confidence in the results. The conceptual frameworks of PIL identified in the review underscore the complexity of the construct. Several sociodemographic and other determinants of PIL were identified.
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Abstract
OBJECTIVE The evidence base for social prescribing is inconclusive, and evaluations have been criticised for lacking rigour. This realist review sought to understand how and why social prescribing evaluations work or do not work. Findings from this review will contribute to the development of an evidence-based evaluation framework and reporting standards for social prescribing. DESIGN A realist review. DATA SOURCES ASSIA, CINAHL, Embase, Medline, PsycINFO, PubMed, Scopus Online, Social Care Online, Web of Science and grey literature. ELIGIBILITY CRITERIA Documents reporting on social prescribing evaluations using any methods, published between 1998 and 2020 were included. Documents not reporting findings or lacking detail on methods for data collection and outcomes were excluded. ANALYSIS Included documents were segregated into subcases based on methodology. Data relating to context, mechanisms and outcomes and the programme theory were extracted and context-mechanism-outcome configurations were developed. Meta-inferences were drawn from all subcases to refine the programme theory. RESULTS 83 documents contributed to analysis. Generally, studies lacked in-depth descriptions of the methods and evaluation processes employed. A cyclical process of social prescribing evaluation was identified, involving preparation, conducting the study and interpretation. The analysis found that coproduction, alignment, research agency, sequential mixed-methods design and integration of findings all contributed to the development of an acceptable, high-quality social prescribing evaluation design. Context-mechanism-outcome configurations relating to these themes are reported. CONCLUSIONS To develop the social prescribing evidence base and address gaps in our knowledge about the impact of social prescribing and how it works, evaluations must be high quality and acceptable to stakeholders. Development of an evaluation framework and reporting standards drawing on the findings of this realist review will support this aim. PROSPERO REGISTRATION NUMBER CRD42020183065.
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Affiliation(s)
- Megan Elliott
- Wales School for Social Prescribing Research, PRIME Centre Wales, Faculty of Life Sciences & Education, University of South Wales, Pontypridd, UK
| | - Mark Davies
- Wales School for Social Prescribing Research, PRIME Centre Wales, Faculty of Life Sciences & Education, University of South Wales, Pontypridd, UK
| | - Julie Davies
- Valleys Regional Park, Bridgend County Borough Council, Bridgend, UK
| | - Carolyn Wallace
- Wales School for Social Prescribing Research, PRIME Centre Wales, Faculty of Life Sciences & Education, University of South Wales, Pontypridd, UK
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Kim KS, Lor M. Art Making as a Health Intervention: Concept Analysis and Implications for Nursing Interventions. ANS Adv Nurs Sci 2022; 45:155-169. [PMID: 35020607 PMCID: PMC9064896 DOI: 10.1097/ans.0000000000000412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
Art making has been adopted across multiple disciplines as a health intervention. However, our understanding of art making as a health intervention and how it differs from art therapy is still limited. Therefore, we conducted a concept analysis to better understand art making as a health intervention guided by Walker and Avant's approach. We examined 85 studies in which we found 4 defining attributes, 4 antecedents, and physical, cognitive, emotional, and psychological consequences. We suggest several nursing research and practical implications for nurse researchers and clinicians to aid in designing and implementing art making health interventions.
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Affiliation(s)
- Kyung Soo Kim
- University of Iowa College of Nursing, Iowa City (Dr Kim); and University of Wisconsin-Madison School of Nursing, Madison (Dr Lor)
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22
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Abstract
The many changes that occur in the lives of older people put them at an increased risk of being socially isolated and lonely. Intergenerational programs for older adults and young children can potentially address this shortfall, because of the perceived benefit from generations interacting. This study explores whether there is an appetite in the community for intergenerational programs for community dwelling older adults. An online survey was distributed via social media, research team networks, and snowballing recruitment with access provided via QR code or hyperlink. Semi-structured interviews were undertaken with potential participants of a pilot intergenerational program planned for the Eastern Suburbs of Sydney, Australia in 2020. The interviews were thematically analyzed. Over 250 people completed the survey, and 21 interviews took place with older adults (10) and parents of young children (11). The data showed that participants were all in favor of intergenerational programs, but there were different perceptions about who benefits most and how. The study highlighted considerations to be addressed in the development of effective and sustainable intergenerational programs. For example, accessing people in the community who are most socially isolated and lonely was identified as a primary challenge. More evidence-based research is needed to support involvement of different cohorts, such as those who are frail, or living with physical or cognitive limitations.
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23
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Art Heals: Randomized Controlled Study Investigating the Effect of a Dedicated In-house Art Gallery on the Recovery of Patients After Major Oncologic Surgery. Ann Surg 2021; 274:264-270. [PMID: 33630460 DOI: 10.1097/sla.0000000000004059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION We sought to investigate the effect of exposure to a dedicated art gallery during the perioperative period on the recovery of patients undergoing major oncologic procedures. METHODS Eighty patients were randomized into 2 arms; standard of care versus exposure to art. All patients completed a survey assessing their baseline art knowledge, and 4 poststudy validated questionnaires assessing their pain (Pain Rating Scale), hope (Herth Hope Index), anxiety (State-Trait Anxiety Inventory for Adults), and mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale). A linear model adjusted for baseline scores was run comparing the scores among the 2 study arms. Stepwise multivariate regression analyses were used to identify predictors of improved pain, hope, anxiety, and wellbeing. RESULTS Both groups were comparable in terms of demographics, passion, and knowledge about art. There was no statistically significant difference in pain scores between the 2 groups. The exposure to art group experienced higher hope (2.4 points higher vs 0.05, P = 0.004), lower anxiety (8 points lower vs -0.9, P < 0.0001), and higher mental well-being scores (5.23 points higher vs -0.05, P < 0.0001) in comparison to the standard of care group. On multivariate analyses, exposure to art was significantly associated with improved hope, anxiety, and mental well-being after adjusting for patient and disease characteristics. CONCLUSIONS Dedicated exposure to art was associated with improved hope, anxiety, and mental well-being of patients after major oncologic surgery.
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Efstathopoulou L, Bungay H. Mental health and resilience: Arts on Prescription for children and young people in a school setting. Public Health 2021; 198:196-199. [PMID: 34481274 DOI: 10.1016/j.puhe.2021.07.021] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Revised: 07/19/2021] [Accepted: 07/21/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES Arts on Prescription (AoP) programmes were among the first forms of social prescribing in the UK. Most of the studies of AoP programmes focus on adults and currently there is no published research on the impact of AoP on children and young people. This study investigates the impact of 10 weekly AoP workshops delivered in a school setting on the mental well-being and resilience of adolescents aged 13-16 years at risk of emotional or behavioural problems. STUDY DESIGN The study design used is a longitudinal cohort study of an AoP programme implemented in 10 schools in the East of England. METHODS Changes in mental well-being and resilience of school children were assessed using the Warwick-Edinburgh Mental Well-being Scale (WEMWBS), and the True Resilience Scale applied pre- and post-intervention, with follow-up at 3 months. In total, 91 young people participated in the programme and 65 completed pre- and post-intervention measures. RESULTS Data from the WEMWBS and True Resilience Scale indicated that the AoP Programme had a positive impact on both well-being and resilience of participants with a statistically significant increase recorded immediately post-intervention. However, these improvements were not sustained upon observation at 3-month follow-up. CONCLUSION This article presents the first indication of the effectiveness of a programme of AoP workshops on the mental well-being and resilience of children and young people. It suggests the potential of AoP as a means of support the mental health and well-being of secondary school aged children.
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Affiliation(s)
| | - H Bungay
- School of Allied and Public Health, Anglia Ruskin University, UK.
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25
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Tan WJ, Lim XYH, Lee T, Wong SC, Koh HJ, Yeo D. The impact of the Arts and Dementia Program on short-term well-being in older persons with dementia from Singapore. Australas J Ageing 2021; 41:81-87. [PMID: 34382719 DOI: 10.1111/ajag.12992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 07/23/2021] [Accepted: 07/26/2021] [Indexed: 10/20/2022]
Abstract
OBJECTIVE To investigate the impact of a locally developed Arts and Dementia Program on the short-term well-being of older persons with dementia in Singapore. METHODS Single-arm study with 21 persons with dementia. Behavioural tendencies and mood and engagement values were assessed using Dementia Care Mapping at baseline and during the program. The averaged mood and engagement value over the mapping period produced a well-/ill-being score for each person with dementia. RESULTS Well-/ill-being scores were significantly higher during the program compared to at baseline. The behavioural tendencies most frequently captured during the program were creative expression, reminiscence and leisure. In contrast, there were more eating or drinking behaviours during the baseline. Analyses revealed that the changes in occurrences of reminiscence, leisure, and eating or drinking behaviours across time were significant. CONCLUSION The present study suggests potential benefits of the Arts and Dementia Program in enhancing the well-being of persons with dementia.
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Affiliation(s)
- Wan Jie Tan
- Dementia Singapore Ltd, Singapore, Singapore
| | | | - Theresa Lee
- Dementia Singapore Ltd, Singapore, Singapore
| | | | | | - Donald Yeo
- KALL Psychological & Counselling Services Pte Ltd, Singapore, Singapore
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26
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Story KM, Yang Z, Bravata DM. Active and receptive arts participation and their association with mortality among adults in the United States: a longitudinal cohort study. Public Health 2021; 196:211-216. [PMID: 34274695 DOI: 10.1016/j.puhe.2021.05.034] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2020] [Revised: 01/26/2021] [Accepted: 05/27/2021] [Indexed: 02/08/2023]
Abstract
OBJECTIVES The aim of the study was to explore associations between active and receptive arts participation and all-cause mortality among adults in the United States population. STUDY DESIGN This was a prospective cohort study. METHODS Data were derived from the Health and Retirement Study. Separate Cox proportional hazards models were constructed for two cohorts (2012 and 2014) to examine associations between arts participation and mortality. RESULTS Independent of sociodemographic and health factors, participants aged ≥65 years had a higher mortality risk if they did not engage in music listening, hazard ratio (HR) 1.39 (95% confidence interval [CI]: 1.12-1.71); singing/playing an instrument, HR 1.49 (95% CI: 1.07-2.0); or doing arts and crafts, HR 1.39 (95% CI: 1.00-1.92). For participants aged <65 years, there was a higher mortality risk if they did not listen to music, HR 1.79 (95% CI: 1.07-3.01). Older participants from the 2014 cohort had a higher mortality risk if they did not engage in active arts, HR 1.73 (95% CI: 1.08-2.77). CONCLUSIONS Engagement in the arts was associated with lower risk of mortality even after risk adjustment, especially for adults aged ≥65 years. Greater access and integration of arts in everyday life is recommended.
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Affiliation(s)
- Kristin M Story
- VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA.
| | - Ziyi Yang
- Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA; Department of Biostatistics, Indiana University School of Medicine Indianapolis, IN, USA
| | - Dawn M Bravata
- VA HSR&D Center for Health Information and Communication (CHIC), Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA; Department of Veterans Affairs (VA) Health Services Research and Development (HSR&D) Precision Monitoring to Transform Care (PRISM) Quality Enhancement Research Initiative (QUERI), Indianapolis, IN, USA; Medicine Service, Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA; Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Neurology, Indiana University School of Medicine Indianapolis, IN, USA; Regenstrief Institute, Indianapolis, IN, USA
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An exploration of engagement in community based creative activities as an occupation for older adults. IRISH JOURNAL OF OCCUPATIONAL THERAPY 2021. [DOI: 10.1108/ijot-05-2020-0009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Purpose
The purpose of this study was to explore the experiences of older adults (aged 60 and over) participating in community-based creative arts. With an ever increasing ageing population, understanding the benefits of leisure occupations such as community creative arts will be vital for Occupational Therapists in facilitating participation and active engagement.
Design/methodology/approach
An empirical qualitative research design with an interpretive phenomenological approach was undertaken. A purposive sampling method enlisted four older adult volunteers whose experiences of creative arts were explored through semi-structured interviews. Interview data were analysed thematically.
Findings
Participants identified many benefits of engaging in community creative arts. Four main themes were identified, namely, “personal benefits”, “choice” in their occupation, “encouragement” to and from others, with the environment facilitating “socialising”. These resulted in improved occupational performance and positive well-being outcomes.
Originality/value
The study complements national policy and extends evidence-based practice on the potential well-being benefits on older adults. In support of the preventative agenda, occupational therapists may apply these findings to increase social prescribing within practice.
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Vidovic D, Reinhardt GY, Hammerton C. Can Social Prescribing Foster Individual and Community Well-Being? A Systematic Review of the Evidence. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5276. [PMID: 34063543 PMCID: PMC8156788 DOI: 10.3390/ijerph18105276] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 04/29/2021] [Accepted: 05/11/2021] [Indexed: 11/16/2022]
Abstract
Social prescribing programmes (SP) are person-centred coaching schemes meant to help participants improve individual circumstances, thereby to reduce demand on health and social care. SP could be an innovative means to improve preventive and public health in the pursuit of universal financially sustainable healthcare. Given its potential, our systematic review assesses type, content, and quality of evidence available regarding SP effectiveness at the individual, system, and community levels. We examine the impact of SP on addressing loneliness, social isolation, well-being, and connectedness, as well as related concepts, which are not yet considered jointly in one study. Following PRISMA, we search: EBSCOHost (CINAHL Complete; eBook Collection; E-Journals; MEDLINE Full Text; Open Dissertations; PsycARTICLES; PsycINFO); Web of Science Core Collection; and UK National Institute for Health and Care Excellence. Excluding systematic reviews and articles without impact evaluations, we review 51 studies. Several studies do not distinguish between core concepts and/or provide information on the measures used to assess outcomes; exactly one peer-reviewed study presents a randomised controlled trial. If we wish to know the potential of social prescribing to lead to universal financially sustainable healthcare, we urge researchers and practitioners to standardise definitions and metrics, and to explore conceptual linkages between social prescribing and system/community outcomes.
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Affiliation(s)
- Dragana Vidovic
- Department of Government, Faculty of Social Sciences, University of Essex, Colchester CO4 3SQ, UK; (G.Y.R.); (C.H.)
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O'Donnell S, Lohan M, Oliffe JL, Grant D, Galway K. The acceptability, effectiveness and gender responsiveness of participatory arts interventions in promoting mental health and Wellbeing: a systematic review. Arts Health 2021; 14:186-203. [PMID: 33661710 DOI: 10.1080/17533015.2021.1894463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
Background:This mixed methods review synthesizes the evidence of acceptability, effectiveness and gender-responsiveness of participatory arts interventions (PAIs) in promoting mental health and wellbeing among adults. Methods: The search was restricted to empirical studies of PAIs that reported on outcomes relating to common mental health problems and wellbeing among adults aged ≥18 years old. The mixed methods appraisal tool was used for quality appraisal. A narrative synthesis was conducted. Results:Thirty-two studies were included (1,058 participants). Typical PAI features are discussed. The evidence for effectiveness is limited by methodological issues. PAIs are perceived to benefit mental health via improved connectedness; emotional regulation; meaning-making & re-defining identity; and personal growth & empowerment. Conclusion: The review highlights the dearth of studies focused on men. Research standards to establish the evidence of effectiveness and the need to expand the evidence of acceptability beyond the "perceived effectiveness" domain are discussed.
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Affiliation(s)
- Shane O'Donnell
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
| | - Maria Lohan
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
| | - John L Oliffe
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - David Grant
- School of Arts, English and Languages, Queen's University Belfast, 2 University Square, Belfast, UK
| | - Karen Galway
- School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, Belfast, UK
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Sumner RC, Crone DM, Hughes S, James DVB. Arts on prescription: observed changes in anxiety, depression, and well-being across referral cycles. Public Health 2021; 192:49-55. [PMID: 33631514 DOI: 10.1016/j.puhe.2020.12.008] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Revised: 10/07/2020] [Accepted: 12/16/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Arts on prescription (AoP) interventions are part of mainstream social prescribing provision in primary health care. Whilst the body of evidence for AoP interventions has been developing, this has primarily focused on well-being. STUDY DESIGN The present work is an observational longitudinal study on a community-based AoP social prescribing intervention in the South West UK. METHOD The present study assessed changes in anxiety, depression, and well-being in a cohort of patients participating in up to two eight-week cycles of AoP. The sample consisted of 245 individuals referred into the programme from 2017 to 2019, with a sub-sample of participants (N = 110) with identifiable multimorbidity. Outcomes were measured pre- and post-intervention at both initial and re-referral. RESULTS Anxiety, depression, and well-being were all significantly improved after initial referral, re-referral, and overall from initial to post re-referral for this intervention in the whole sample and multimorbid sub-sample. Multivariate analyses revealed that no participant variables appeared to account for the variance in outcome change scores. CONCLUSION The research provides further support for AoP interventions, finding associations with reduced anxiety and depression and increased well-being. Additionally, these outcomes are evidenced in those with multimorbidity, as well as across initial- and re-referral cycles.
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Affiliation(s)
- R C Sumner
- HERA Lab, School of Natural and Social Sciences, University of Gloucesterhire, Cheltenham, UK.
| | - D M Crone
- Cardiff School of Sport and Health Sciences, Cardiff Metropolitan University, Cardiff, UK
| | - S Hughes
- HERA Lab, School of Natural and Social Sciences, University of Gloucesterhire, Cheltenham, UK
| | - D V B James
- School of Sport and Exercise Science, University of Gloucestershire, Gloucester, UK
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Art making and expressive art therapy in adult health and nursing care: A scoping review. Int J Nurs Sci 2021; 8:102-119. [PMID: 33575451 PMCID: PMC7859537 DOI: 10.1016/j.ijnss.2020.09.011] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 08/25/2020] [Accepted: 09/24/2020] [Indexed: 11/23/2022] Open
Abstract
Objectives While receptive art engagement is known to promote health and wellbeing, active art engagement has not been fully explored in health and nursing care. This review is to describe the existing knowledge on art making and expressive art therapy in adult health and nursing care between 2010 and 2020. Methods Relevant studies and grey literature were searched and identified between March 17 and April 10, 2020 from EBSCO, CINAHL, Medline and ERIC databases and a general Internet search. Following data charting and extraction, the data (n = 42 papers) were summarized and reported in accordance with PRISMA-ScR guidelines. Results In the included papers, both art making and expressive art therapy were seen in different health care and nursing contexts: yet not the home care context. The emphasis of art activities were group activities for chronically or terminally ill residents, adults aged 65 years or older. A focus on personal narrative was often seen, which may explain why art activities appear to be linked to acknowledging and building new strengths and skills, making meaning of experiences, personal growth, symptom alleviation, and communication; all used to foster collaboration between patients, patients’ near-ones and health care professionals. Conclusions Art activities appear to be suitable for every context and can promote personcenteredness and the measurement of nursing outcomes, and they should be considered an essential part of health and nursing care, nursing education and care for health care personnel.
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Kim KS, Kwekkeboom KL, Roberts T, Ward E. Biopsychosocial characteristics associated with engagement in art making among older adults. Geriatr Nurs 2021; 42:727-733. [PMID: 33839591 PMCID: PMC9891234 DOI: 10.1016/j.gerinurse.2021.03.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Revised: 03/09/2021] [Accepted: 03/11/2021] [Indexed: 02/03/2023]
Abstract
In order to design patient-centered art making interventions for health and well-being, investigators need to understand the population of interest regarding their relationship to engagement in art making activities. This study, therefore, aimed to examine older adults' characteristics that were associated with engagement in art making activities, and to provide practical examples of how to use the identified characteristics. We conducted correlation analyses to evaluate such associations, using cross-sectional survey data from the 2014 Health and Retirement Study (n=731). Female sex, higher education, personality traits, positive attitude toward the arts, and a larger social network size were positively associated with engagement in art making activities (p<.05). Males and those with lower education could be targeted, while the type of art making activity could be tailored based on personality traits for patient-centered art making interventions. Future studies can use this information to empirically study art making interventions for older adults.
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Affiliation(s)
- Kyung Soo Kim
- University of Iowa College of Nursing, 50 Newton Rd, Iowa City, IA 52246, United States
| | - Kristine L Kwekkeboom
- University of Wisconsin School of Nursing, 701 Highland Ave, Madison, WI 53705, United States
| | - Tonya Roberts
- University of Wisconsin School of Nursing, 701 Highland Ave, Madison, WI 53705, United States
| | - Earlise Ward
- University of Wisconsin School of Nursing, 701 Highland Ave, Madison, WI 53705, United States
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Jensen A, Bonde LO. An Arts on Prescription Programme: Perspectives of the Cultural Institutions. Community Ment Health J 2020; 56:1473-1479. [PMID: 32100154 DOI: 10.1007/s10597-020-00591-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2019] [Accepted: 02/19/2020] [Indexed: 11/30/2022]
Abstract
Research on Arts on Prescription (AoP) programmes are on the increase and the participants' positive mental health outcomes are well-documented. However, there is insufficient research that considers the participating cultural institutions' perspectives. A qualitative focus group interview was conducted with the participating culture institutions in an AoP project in Denmark. Representatives from seven cultural institutions participated in the interview. The data was transcribed and analysed using Braun and Clark's (Qual Res Psychol 3(77):77-101. https://doi.org/10.1191/1478088706qp063oa , 2006) thematic approach. The cultural institutions were positive about the interdisciplinary collaboration with the Center for Mental Health and benefited from working with groups of people with mental health problems. They considered the collaboration to have encouraged skills development by working with groups that they did not regularly engaged with. If cultural institutions are to engage with the mental health wellbeing agenda then policy-driven initiatives can support collaborations that involve groups of people with mental health problems.
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Affiliation(s)
- Anita Jensen
- Department of Communication & Psychology, Aalborg University, Copenhagen, Denmark. .,Primary Healthcare, Region Skåne, Sweden.
| | - Lars Ole Bonde
- Professor Emeritus, Norwegian Academy of Music, Oslo, Norway
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Pohjola H, Vaajoki A, Välimäki T. Art intervention among Finnish older people and their caregivers: Experiences of art pedagogies. HEALTH & SOCIAL CARE IN THE COMMUNITY 2020; 28:1780-1786. [PMID: 32337789 DOI: 10.1111/hsc.13003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Revised: 03/19/2020] [Accepted: 03/25/2020] [Indexed: 06/11/2023]
Abstract
The benefits of art therapies on older people's health have been well documented. However, studies into the perspectives of pedagogues on conducting arts interventions are scarce and no empirical evidence of the views of professional pedagogues views have been published to date. In this study, seven professional art pedagogues were interviewed using a thematic interview approach focusing on the pedagogues' experiences of conducting arts interventions with a family caregiver and care recipient dyads. The interviews were analysed inductively using thematic content analysis. According to the analysis, three intersecting themes were found that both steered the pedagogical process and emerged from the process: holistic pedagogy, professional development and witnessing. The themes revealed a further understanding of approaches to the interviewees' teaching and the value of participatory community arts in practice. The pedagogues' experiences encourage art pedagogy to be acknowledged in a wider context within communities and healthcare environments. Further studies on interdisciplinary projects in collaboration with art pedagogues and healthcare professionals are encouraged.
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Affiliation(s)
- Hanna Pohjola
- Institute of Dentistry, University of Eastern Finland, Kuopio, Finland
- Department of Social Sciences, University of Eastern Finland, Kuopio, Finland
| | | | - Tarja Välimäki
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
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Beauchet O, Cooper-Brown L, Hayashi Y, Galery K, Vilcocq C, Bastien T. Effects of "Thursdays at the Museum" at the Montreal Museum of Fine Arts on the mental and physical health of older community dwellers: the art-health randomized clinical trial protocol. Trials 2020; 21:709. [PMID: 32787893 PMCID: PMC7422616 DOI: 10.1186/s13063-020-04625-3] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 07/26/2020] [Indexed: 12/02/2022] Open
Abstract
Background Recently, we demonstrated that the Montreal Museum of Fine Arts’ (MMFA) participatory art-based activity, known as “Thursdays at the Museum,” improved the well-being, quality of life, and physical health (i.e., frailty) of older community dwellers by using a pre-post intervention, single arm, prospective and longitudinal experimental design. The present randomized clinical trial (RCT), known as the Art-Health RCT (A-Health RCT), aims to compare changes in well-being, quality of life, frailty, and physiological measures in older community dwellers who participate in “Thursdays at the Museum” (intervention group) and in their counterparts who do not participate in this art-based activity (control group). Methods/design The current unicenter, randomized, clinical, controlled, comparative trial recruits 150 older community dwellers to two parallel arms (75 participants in the intervention group and 75 participants in the control group). The intervention is a 3-month cycle of weekly “Thursdays at the Museum,” which are structured 2-h-long art-based workshops performed in a group setting at the MMFA. The control group is composed of participants who do not take part in art-based activities, receive their usual health and/or social services, and commit to report any other activity practiced during the same time. Assessments of the primary outcome (well-being) and the secondary outcomes (quality of life, frailty, and physiological measures including heart rate, daily step count, sleep duration, and its phases) are performed on six occasions: at baseline, at the beginning of the second and third months, at the end of the third month, as well as 6 and 12 months after the last workshop. Statistical analyses are performed with the intention to treat and per protocol. Comparisons of changes in outcome measures between intervention and control groups use repeated measures tests. Discussion Art-based activities carried out at museums have been receiving increased interest from researchers and policy-makers because of their benefits to mental and physical health. There are few robust studies, such as RCTs, that focus on older community dwellers or assess the efficacy of these participatory museum activities. The A-Health RCT study provides an opportunity to confirm the benefits of a participatory art-based museum activity on the elderly population and to show the key role played by museums in public health promotion. Trial registration NCT03679715; Title: A-Health RCT: Effects of Participatory Art-Based Activity on Health of Older Community Dwellers; First posted date: September 20, 2018; prospectively registered.
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Affiliation(s)
- Olivier Beauchet
- Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, 3755 chemin de la Côte-Sainte-Catherine, Montréal, Quebec, H3T 1E2, Canada. .,Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada. .,Centre of Excellence on Longevity of the McGill Integrated University Health Network, Montreal, Quebec, Canada. .,Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore City, Singapore.
| | - Liam Cooper-Brown
- Centre of Excellence on Longevity of the McGill Integrated University Health Network, Montreal, Quebec, Canada
| | - Yoko Hayashi
- Faculty of Informatics for Arts Department of Information Expression, Shobi University, Kawagoe, Japan
| | - Kevin Galery
- Centre of Excellence on Longevity of the McGill Integrated University Health Network, Montreal, Quebec, Canada
| | - Christine Vilcocq
- Centre of Excellence on Longevity of the McGill Integrated University Health Network, Montreal, Quebec, Canada
| | - Thomas Bastien
- Education and Wellness Department of the Montreal Museum of Fine Arts, Montreal, Quebec, Canada
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Ellis V, Tully K, Gill N, McLewin A, Clift S. 'Creating health': evaluation of three arts for health training events for GP trainees. Perspect Public Health 2020; 141:287-294. [PMID: 32677856 DOI: 10.1177/1757913920924440] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND General practitioners (GPs) and other health professionals have a key role in signposting their patients to appropriate opportunities for engaging in arts and creative activities for the health and wellbeing benefits they may bring. Training is needed to ensure that GPs are aware of the evidence supporting the role of the arts, and the local availability of 'creative arts for health' activities for their patients. AIM This article describes the content and evaluation of three arts and health training events for trainee GPs conducted over the period 2016-2019. They took place in association with Guy's and St Thomas, Hillingdon and York and Scarborough General Practice Vocational Training Schemes (GPVTS). METHODS Evaluation was undertaken for the London events using a specially constructed questionnaire, with rating scales, completed before and after the training events. For the York event, a simple bespoke evaluation questionnaire was employed at the end of the training day. All participants gave consent for photography and filming during the events. RESULTS Feedback from GPs on the training events revealed increased awareness of the evidence for arts and health interventions, and more positive attitudes towards the role of creative arts in primary care in promoting the health and wellbeing of patients. An additional finding was a recognition by GP trainees that creative activities can enhance a holistic approach to patient care and play a positive part in supporting their own wellbeing. CONCLUSION Training events of the kind described, with opportunities for creative participation for GP trainees, can enhance awareness of the benefits of creative activity for patient health and wellbeing, and may motivate future GPs to signpost patients towards opportunities for engaging in creative activities. This training model is applicable for any health worker who can refer patients to arts for health activities and has potential to be scaled up nationally.
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Affiliation(s)
- Vivien Ellis
- Associate, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury, UK
| | | | - Nicola Gill
- Training Programme Director, York General Practice Vocational Training Scheme (GPVTS), York, UK
| | - Angus McLewin
- Associate, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury, UK
| | - Stephen Clift
- Director, Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, North Holmes Road, Canterbury CT1 1QU, UK
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Holt NJ. Tracking momentary experience in the evaluation of arts-on-prescription services: using mood changes during art workshops to predict global wellbeing change. Perspect Public Health 2020; 140:270-276. [PMID: 32441226 PMCID: PMC7498906 DOI: 10.1177/1757913920913060] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Aims: To measure the immediate impact of participating in
arts-on-prescription workshops on multiple dimensions of mood
and to evaluate whether improvement in mood is a mechanism for
change, predicting improvements in global wellbeing before and
after participation in arts-on-prescription programmes. Methods: The evaluation drew upon the experience sampling method, asking
participants to complete a six-item mood questionnaire at the
beginning and end of each workshop in a 12-week-long
arts-on-prescription programme. Participants also completed a
measure of global wellbeing at the beginning and end of the
programme. Results: Multilevel modelling was used to test hypotheses since the data
were hierarchical (with 1491 mood reports nested within 66
participants). There was a significant improvement in global
wellbeing across participation in the arts-on-prescription
programme. After each art workshop there was a significant
increase on all dimensions of mood: hedonic tone (contentment);
tense arousal (calmness); and energetic arousal (alertness).
There was also a significant improvement in these dimensions of
mood, over time, upon arrival at the art workshops each week.
Furthermore, reduction in tense arousal after art workshops
significantly predicted changes in global wellbeing. Conclusion: The findings suggest that a reduction in tense arousal (feeling
less nervous, anxious and stressed) is a crucial component of
arts-on-prescription services and make a direct link between
experiences during art workshops and changes in global wellbeing
for the first time. This strengthens the evidence base for
arts-on-prescription and suggests that tracking experience
across interventions is a useful evaluation tool, with much
potential.
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Affiliation(s)
- Nicola J Holt
- Senior Lecturer, Department of Health and Social Sciences, University of the West of England (UWE), Frenchay Campus, Coldharbour Lane, Bristol BS16 1QY, UK
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Riggins J, McLennon SM. Testing a Musical Game Activity for Community-Dwelling Older Adults. HOME HEALTH CARE MANAGEMENT AND PRACTICE 2020. [DOI: 10.1177/1084822319868703] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Leisure programs that combine music with active leisure activities are more common than music combined with passive activities. The latter offers alternatives for older adults with health declines. The purpose of this pilot study was to determine the effect of an innovative song bingo game on mood, satisfaction, and acceptability in community-residing older adults. The design was quasi-experimental. A convenience sample of 13 older adults (mean age = 74.4; 53.8% female, 38.5% black) were recruited from a community senior center. The intervention was an innovative song bingo program offered one time with staff assistance. A song list was created from age-appropriate music. Measures included a demographic survey, mood scale, and satisfaction and acceptability items. Data analysis was performed to compute descriptive items and compare mean mood scores before and after the program. Before the program, 33.4% of the participants reported their mood as “very happy” or “happy.” Afterwards, 61.5% reported their mood was either “very happy” or “happy.” When comparing the preprogram and postprogram mean mood scores, mean values increased from 5.0 (standard deviation [ SD] = 1.0) to 5.7 ( SD = 1.4), although the difference was not statistically significant ( t = −1.8, p = .09). Overall participants were satisfied and would play again. This program was cost-effective and improved mood in community-dwelling older adults. Replicating this study in a larger sample and different settings is recommended.
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