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Sutherland J, Herrington I, Makarski J, Tindall J, Hynes M, Kastner M. Evaluation of an online arts-based platform to support the health and well-being of older adults during the COVID-19 pandemic: a cross-sectional survey. BMC Public Health 2024; 24:1232. [PMID: 38702646 PMCID: PMC11069133 DOI: 10.1186/s12889-024-18720-6] [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: 10/20/2023] [Accepted: 04/26/2024] [Indexed: 05/06/2024] Open
Abstract
OBJECTIVES The objective of this study was to conduct a formative evaluation of the Art Your Service (AYS) arts-based program to determine the program's potential for improving the social and physical well-being of older adults during the COVID-19 pandemic. DESIGN, SETTINGS AND PARTICIPANTS An online questionnaire was administered to the AYS members who consented to be invited to participate in the study. Questionnaire items consisted of a Likert scale and open-ended questions delivered using an online platform (SurveyMonkey). Participants provided feedback on their perceptions and experiences of the AYS program, such as its impact on their health and well-being during the COVID-19 pandemic, the benefits and challenges of participating, and any suggestions for program improvement. OUTCOME MEASURES AND ANALYSIS Quantitative data were analyzed using descriptive statistics (frequencies, means with standard deviations), and open-ended questions (qualitative data) were analyzed using content analysis. Outcomes included participant demographics, perceptions about the program, usability (System Usability Scale [SUS]), eHealth literacy (eHealth Literacy Scale), and social isolation (Lubben Social Network Scale; LSNS-6). RESULTS Program participants revealed consistent patterns of their perceptions and experiences about the program, including a high satisfaction rate (95%) and a perceived positive impact on participants' health and well-being. The program sessions were perceived to be a well-organized, convenient, and safe way to engage with one another socially during the COVID-19 pandemic. The program usability was also perceived to be high (SUS mean score 86.2). Participants felt a sense of connectedness and had reduced feelings of social isolation. Most participants (75%) reported that the program improved their physical health. CONCLUSIONS Findings from this formative evaluation study identified key strengths and opportunities to improve the Art Your Service arts-based program, which can be used to help enhance the program's functioning and long-term sustainability potential.
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Affiliation(s)
| | - Isabella Herrington
- University of Toronto, Toronto, ON, Canada
- Research and Innovation, North York General Hospital, Toronto, ON, Canada
| | - Julie Makarski
- Research and Innovation, North York General Hospital, Toronto, ON, Canada
| | | | - Mary Hynes
- Institute of Medical Sciences, University of Toronto, Toronto, ON, Canada
| | - Monika Kastner
- Knowledge Translation and Implementation, Research and Innovation, North York General Hospital, Toronto, ON, Canada.
- Dalla Lana School of Public Health, Management, and Evaluation (IHPME), Institute of Health Policy, University of Toronto, Toronto, ON, Canada.
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Malka M, Edelstein OE, Huss E, Hillel Lavian R. Boosting Resilience: Photovoice as a Tool for Promoting Well-Being, Social Cohesion, and Empowerment Among the Older Adult During the COVID-19 Pandemic. J Appl Gerontol 2024:7334648241234488. [PMID: 38390846 DOI: 10.1177/07334648241234488] [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: 02/24/2024] Open
Abstract
This paper examines how older adults who participated in an online photovoice-based group intervention program reported their experience. In a qualitative-phenomenological study, in which 13 older-adult people participated, data were collected through semi-structured in-depth interviews and analyzed through content analysis. The findings point to three central themes: a) Challenges-technical difficulties, difficulties in finding a subject for photography, investing time in photography, and an emotional-intellectual effort to put their experience into photography; b) Growth: New knowledge and skills-acquiring new knowledge, acquiring skills, experiencing skills regardless of age, and empowerment; c) Meaning-reflexivity, the ability to project feelings onto images, connection to the outside world, mindfulness, ability to choose, creativity, and critical consciousness. The findings share the way in which the use of creative visual engagement with photography contributed to coping with various challenges and enabled various gains within the process among the older-adult participants.
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Affiliation(s)
- Menny Malka
- Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | | | - Ephrat Huss
- Ben-Gurion University of the Negev, Beer-Sheva, Israel
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Payne M, Galery K, Plonka A, Lemaire J, Derreumaux A, Fabre R, Mouton A, Sacco G, Guerin O, Manera V, Robert P, Beauchet O, Gros A. Productive art engagement in a hybrid format: effects on emotions of older adults during COVID-19 pandemic. Front Public Health 2024; 12:1257411. [PMID: 38344232 PMCID: PMC10853412 DOI: 10.3389/fpubh.2024.1257411] [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: 08/04/2023] [Accepted: 01/08/2024] [Indexed: 02/15/2024] Open
Abstract
Introduction Previous studies have shown benefits of productive art-activity on frail older adults' mental and physical health. In this study, we investigated the effects of art-producing activities in a hybrid format (in-person and online) in a context of lockdown compared with previous studies taking place in museums and their effects on wellbeing, quality of life, physical frailty, and apathy in older adults. Methods We conducted a randomized unicentric control trial on a sample of 126 seniors older than 65 years (mean age 71.9 ± 2.3, 81% women) living in Nice (France). Participants were randomized in two parallel groups (intervention group with n = 62 vs. control group with n = 64) conducted during pandemic, between March and May 2021. The intervention group involved participatory art-based activities conducted in a hybrid format, either in-person or online, once a week for 2 h over a 12-week period. No specific intervention was proposed to the control group. The main aim was to evaluate how this hybrid format would impact the wellbeing, quality of life, and physical frailty of participants. The secondary aim was to compare our results with the previous studies conducted by Beauchet et al., and the third aim was to evaluate the impact of the intervention on apathy. Validated scales were implemented in RedCap and administered at baseline (M0) and at the end of the third month (M3). Results The intervention group showed significant improvement in their quality of life (p = 0.017) and their level of apathy (p = 0.016) after intervention. Emotional blunting increased significantly in the control group (p = 0.016) while it remained stable in the intervention group. No significant improvement was observed on the frailty, and wellbeing scores remained constant in both groups. Conclusion This randomized control trial confirmed emotional effects on seniors practicing an art-based activity in a hybrid format during pandemic on a weekly basis for 3 months. Clinical Trial Registration ClinicalTrials.gov, identifier: NCT04570813.
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Affiliation(s)
- Magali Payne
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
- Département d'Orthophonie de Nice, Faculté de Médecine de Nice, Nice, France
| | - Kevin Galery
- Research Center of the Institut Universitaire en Geriatrie de Montreal, University of Montreal, Montreal, QC, Canada
| | - Alexandra Plonka
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
- Département d'Orthophonie de Nice, Faculté de Médecine de Nice, Nice, France
| | - Justine Lemaire
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
| | - Alexandre Derreumaux
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
| | - Roxane Fabre
- Département de Santé Publique, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France
- Fédération Hospitalo-Universitaire INOVPAIN, Centre Hospitalier Universitaire de Nice, Université Côte d'Azur, Nice, France
| | - Aurélie Mouton
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
| | - Guillaume Sacco
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
| | - Olivier Guerin
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
- Université Côte d'Azur, CNRS UMR7284/INSERM U108, Institute for Research on Cancer and Aging Nice, Nice, France
| | - Valeria Manera
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Département d'Orthophonie de Nice, Faculté de Médecine de Nice, Nice, France
| | - Philippe Robert
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
- Département d'Orthophonie de Nice, Faculté de Médecine de Nice, Nice, France
| | - Olivier Beauchet
- Research Center of the Institut Universitaire en Geriatrie de Montreal, University of Montreal, Montreal, QC, Canada
- Department of Medicine, University of Montreal, Montreal, QC, Canada
- Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis Jewish General Hospital, Lady Davis Institute for Medical Research, McGill University, Montreal, QC, Canada
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
| | - Auriane Gros
- CoBTeK Lab (Cognition Behavior and Technology), Université Cote d'Azur, Nice, France
- Centre Hospitalier Universitaire de Nice, Service Clinique Gériatrique du Cerveau et du Mouvement, Centre Mémoire Ressources et Recherche, Université Côte d'Azur, Nice, France
- Département d'Orthophonie de Nice, Faculté de Médecine de Nice, Nice, France
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Clift S, Grebosz-Haring K, Thun-Hohenstein L, Schuchter-Wiegand AK, Bathke A, Kaasgaard M. The need for robust critique of arts and health research: the treatment of the Gene Cohen et al. (2006) paper on singing, wellbeing and health in subsequent evidence reviews. Arts Health 2024:1-19. [PMID: 38180011 DOI: 10.1080/17533015.2023.2290075] [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: 06/29/2023] [Accepted: 11/27/2023] [Indexed: 01/06/2024]
Abstract
BACKGROUND This paper considers weaknesses in a study by Cohen et al. (2006) on the impacts of community singing on health. These include high demand characteristics, lack of attention to attrition, flawed statistical analysis, and measurement. Nevertheless, the study is uncritically cited, in evidence reviews, with findings taken at face value. METHODS Google Scholar, SCOPUS and BASE citation functions for Cohen et al. identified 32 evidence reviews in peer-reviewed journals. Eleven of these reviews, published between 2010 and 2023, focused on creative arts interventions. RESULTS We demonstrate limitations in the Cohen et al. research which undermine the conclusions they reach regarding the health benefits of group singing. Subsequent evidence reviews take the findings at face value and offer little critical commentary. DISCUSSION We consider what is needed to improve evidence reviews in the field of creative arts and health research. CONCLUSIONS A more robust approach is needed in reviewing research evidence in the field of arts and health. The Cohen et al. paper is not suitable for inclusion in future evidence reviews.
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Affiliation(s)
- Stephen Clift
- Sidney De Haan Research Centre for Arts and Health, Canterbury Christ Church University, Canterbury, UK
| | - Katarzyna Grebosz-Haring
- Grebosz-Haring Department of Art History, Musicology and Dance Studies, Paris Lodron University, Salzburg/University Mozarteum, Salzburg, Austria
| | - Leonhard Thun-Hohenstein
- Grebosz-Haring Department of Art History, Musicology and Dance Studies, Paracelsus Medical University, Salzburg, Austria
| | | | - Arne Bathke
- Grebosz-Haring Department of Art History, Musicology and Dance Studies, Paris Lodron University, Salzburg, Austria
| | - Mette Kaasgaard
- Institute of Regional Health Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
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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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Chen LK. Mapping the trajectory of healthy aging: Insights from longitudinal cohort studies examining lifestyle factors. Exp Gerontol 2023; 178:112222. [PMID: 37244374 DOI: 10.1016/j.exger.2023.112222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Affiliation(s)
- Liang-Kung Chen
- Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan; Center for Healthy Longevity and Aging Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan; Taipei Municipal Gan-Dau Hospital (Managed by Taipei Veterans General Hospital), Taipei, Taiwan.
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Ettinger T, Berberian M, Acosta I, Cucca A, Feigin A, Genovese D, Pollen T, Rieders J, Kilachand R, Gomez C, Kaimal G, Biagioni M, Di Rocco A, Ghilardi FM, Rizzo JR. Art therapy as a comprehensive complementary treatment for Parkinson's disease. Front Hum Neurosci 2023; 17:1110531. [PMID: 37250693 PMCID: PMC10215005 DOI: 10.3389/fnhum.2023.1110531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 04/11/2023] [Indexed: 05/31/2023] Open
Abstract
Introduction Parkinson's disease (PD) is the second most prevalent neurodegenerative disease. Complementary and alternative therapies are increasingly utilized to address its complex multisystem symptomatology. Art therapy involves motoric action and visuospatial processing while promoting broad biopsychosocial wellness. The process involves hedonic absorption, which provides an escape from otherwise persistent and cumulative PD symptoms, refreshing internal resources. It involves the expression in nonverbal form of multilayered psychological and somatic phenomena; once these are externalized in a symbolic arts medium, they can be explored, understood, integrated, and reorganized through verbal dialogue, effecting relief and positive change. Methods 42 participants with mild to moderate PD were treated with 20 sessions of group art therapy. They were assessed before and after therapy with a novel arts-based instrument developed to match the treatment modality for maximum sensitivity. The House-Tree-Person PD Scale (HTP-PDS) assesses motoric and visuospatial processing-core PD symptoms-as well as cognition (thought and logic), affect/mood, motivation, self (including body-image, self-image, and self- efficacy), interpersonal functioning, creativity, and overall level of functioning. It was hypothesized that art therapy will ameliorate core PD symptoms and that this will correlate with improvements in all other variables. Results HTP-PDS scores across all symptoms and variables improved significantly, though causality among variables was indeterminate. Discussion Art therapy is a clinically efficacious complementary treatment for PD. Further research is warranted to disentangle causal pathways among the aforementioned variables, and additionally, to isolate and examine the multiple, discrete healing mechanisms believed to operate simultaneously in art therapy.
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Affiliation(s)
- Tom Ettinger
- Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United States
| | - Marygrace Berberian
- Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United States
| | - Ikuko Acosta
- Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United States
| | - Alberto Cucca
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
- Doctoral Program in Neural and Cognitive Neurosciences, Department of Life Sciences, University of Trieste, Trieste, Italy
| | - Andrew Feigin
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
| | - Danilo Genovese
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
| | - Travis Pollen
- Department of Exercise Science, Thomas Jefferson University, Philadelphia, PA, United States
| | - Julianne Rieders
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
| | - Rohita Kilachand
- Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United States
| | - Clara Gomez
- Steinhardt Graduate Art Therapy Program, New York University, New York, NY, United States
| | - Girija Kaimal
- Creative Arts Therapies, Drexel University, Philadelphia, PA, United States
| | - Milton Biagioni
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
| | | | - Felice M. Ghilardi
- Department of Neurology, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, New York University Grossman School of Medicine, New York, NY, United States
| | - John-Ross Rizzo
- Department of Rehabilitation Medicine, New York University Grossman School of Medicine, New York, NY, United States
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