Mental health and resilience: Arts on Prescription for children and young people in a school setting

Efstathopoulou, Lida; Bungay, Hilary

doi:10.1016/j.puhe.2021.07.021

Cited by 18 publications

(16 citation statements)

References 18 publications

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“…Nineteen studies evaluated art interventions, which included activities such as singing, music lessons, textiles, painting, drama classes, photography, fictional audiobooks and stand-up comedy (see Supplemental File S4C for study details) [ 156 , 157 , 158 , 159 , 160 , 161 , 162 , 163 , 164 , 165 , 166 , 167 , 168 , 169 , 170 , 171 , 172 , 173 , 174 ]. Art had a strong impact on wellbeing with significant improvements pre to post in more than 75% of the studies, including interventions such as stand-up comedy, listening to fictional audiobooks and two mixed visual arts classes [ 156 , 165 , 168 ].…”

Section: Resultsmentioning

confidence: 99%

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What Works to Improve Wellbeing? A Rapid Systematic Review of 223 Interventions Evaluated with the Warwick-Edinburgh Mental Well-Being Scales

Blodgett

Birch

Musella³

et al. 2022

IJERPH

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Introduction: The Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS) is a commonly used scale of mental wellbeing focusing entirely on the positive aspect of mental health. It has been widely used in a broad range of clinical and research settings, including to evaluate if interventions, programmes or pilots improve wellbeing. We aimed to systematically review all interventions that used WEMWBS and evaluate which interventions are the most effective at improving wellbeing. Methods: Eligible populations included children and adults, with no health or age restrictions. Any intervention study was eligible if the wellbeing outcome was measured using the 7 or 14-item WEMWBS scale assessed both pre- and post-intervention. We identified eligible intervention studies using three approaches: a database search (Medline, EMBASE, CINAHL, PyschInfo and Web of Science from January 2007 to present), grey literature search, and by issuing a call for evidence. Narrative synthesis and random-effects meta-analysis of standardised mean differences in the intervention group were used to summarise intervention effects on WEMWBS score. Results: We identified 223 interventions across 209 studies, with a total of 53,834 participants across all studies. Five main themes of interventions were synthesised: psychological (n = 80); social (n = 54); arts, culture and environment (n = 29); physical health promotion (n = 18); and other (n = 28). Psychological interventions based on resilience, wellbeing or self-management techniques had the strongest effect on wellbeing. A broad range of other interventions were effective at improving mental wellbeing, including other psychological interventions such as cognitive behavioural therapy, psychoeducation and mindfulness. Medium to strong effects were also seen for person-centred support/advice (social), arts-based, parenting (social) and social prescribing interventions. However, a major limitation of the evidence was that only 75 (36%) of studies included a control group. Conclusions: WEMWBS has been widely used to assess wellbeing across a diverse range of interventions, settings and samples. Despite substantial heterogeneity in individual intervention design, delivery and groups targeted, results indicate that a broad range of intervention types can successfully improve wellbeing. Methodological changes, such as greater use of control groups in intervention evaluation, can help future researchers and policy makers further understand what works for mental wellbeing.

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Section: Resultsmentioning

confidence: 99%

“… Forest plot indicating change in WEMWBS score from pre to post intervention for Theme 3: ( A ). Art [ 156 , 157 , 158 , 159 , 160 , 161 , 162 , 164 , 165 , 166 , 167 , 168 , 170 , 171 , 172 , 173 , 174 ] and ( B ). Environmental interventions [ 179 , 181 , 182 , 183 , 184 ].…”

Section: Figurementioning

confidence: 99%

What Works to Improve Wellbeing? A Rapid Systematic Review of 223 Interventions Evaluated with the Warwick-Edinburgh Mental Well-Being Scales

Blodgett

Birch

Musella³

et al. 2022

IJERPH

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Section: Narrative Synthesismentioning

confidence: 99%

“…Four studies employed measures of mental well‐being to evaluate the outcome of the PAB programmes (Archambault et al., 2020; Caló, Steiner, Millar, & Teasdale, 2020; Efstathopoulou & Bungay, 2021; Martin & Wood, 2017). Of these, three (Archambault et al., 2020; Efstathopoulou & Bungay, 2021; Martin & Wood, 2017) reported significant improvements in CYP's mental well‐being following completion of visual arts ( n = 1) and music programmes ( n = 2). The two studies (Efstathopoulou & Bungay, 2021; Martin & Wood, 2017) using the Warwick–Edinburgh Mental Well‐being Scale (WEMWBS) both found an increase of 4 points, which is above the level for clinical significance (3 points).…”

Section: Narrative Synthesismentioning

confidence: 99%

“…Of these, three (Archambault et al., 2020; Efstathopoulou & Bungay, 2021; Martin & Wood, 2017) reported significant improvements in CYP's mental well‐being following completion of visual arts ( n = 1) and music programmes ( n = 2). The two studies (Efstathopoulou & Bungay, 2021; Martin & Wood, 2017) using the Warwick–Edinburgh Mental Well‐being Scale (WEMWBS) both found an increase of 4 points, which is above the level for clinical significance (3 points). However, Efstathopoulou and Bungay (2021) found that this improvement was not sustained at the three‐month follow‐up.…”

Section: Narrative Synthesismentioning

confidence: 99%

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Practitioner Review: Effectiveness and mechanisms of change in participatory arts‐based programmes for promoting youth mental health and well‐being – a systematic review

Williams,

Glew,

Newman

et al. 2023

Child Psychology Psychiatry

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BackgroundParticipatory arts‐based (PAB) programmes refer to a diverse range of community programmes involving active engagement in the creation process that appear helpful to several aspects of children's and young people's (CYP) mental health and well‐being. This mixed‐methods systematic review synthesises evidence relating to the effectiveness and mechanisms of change in PAB programmes for youth.MethodStudies were identified following the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses approach. Eleven electronic databases were searched for studies of PAB programmes conducted with CYP (aged 4–25 years), which reported mental health and well‐being effectiveness outcomes and/or mechanisms of change. A mixed‐methods appraisal tool assessed study quality. A narrative synthesis was conducted of effectiveness and challenges in capturing this. Findings relating to reported mechanisms of change were integrated via a metasummary.ResultsTwenty‐two studies were included. Evidence of effectiveness from quantitative studies was limited by methodological issues. The metasummary identified mechanisms of change resonant with those proposed in talking therapies. Additionally, PAB programmes appear beneficial to CYP by fostering a therapeutic space characterised by subverting restrictive social rules, communitas that is not perceived as coercive, and inviting play and embodied understanding.ConclusionsThere is good evidence that there are therapeutic processes in PAB programmes. There is a need for more transdisciplinary work to increase understanding of context–mechanism–outcome pathways, including the role played by different art stimuli and practices. Going forward, transdisciplinary teams are needed to quantify short‐ and long‐term mental health and well‐being outcomes and to investigate optimal programme durations in relation to population and need. Such teams would also be best placed to work on resolving inter‐disciplinary methodological tensions.

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Benefits of an online group dance program for adolescents' social bonding and wellbeing

Tunçgenç,

Greig,

Cohen

2024

Journal of Adolescence

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IntroductionThe Covid‐19 pandemic and its ensuing effects on mental health made it clearer than ever that social bonds are critical for survival, flourishing, and mental wellbeing. Experimental laboratory‐based research with children and adults shows that activities involving movement alignment and joint action, such as dance, can facilitate social bonds.MethodsThis study examined whether an online group dance intervention positively affects social bonding and wellbeing using a randomized control design. Participants were 58 UK adolescents aged 11–16 years (N = 52 girls, 75% White, 7% Asian/Asian British, 18% Mixed‐Other), randomly assigned to an online intervention or waitlist control group. Participants in the intervention group completed an online 5‐week hip‐hop dance program during the Covid‐19 pandemic in January to February 2021. Measures of social bonding, wellbeing, and future orientation were taken at the beginning and end of the program.ResultsLinear mixed model analyses examining group × timepoint interaction showed greater increase in social bonding (p < .0001), and wellbeing (p < .0001) in the intervention vs control group. Moreover, increases in bonding significantly predicted increases in wellbeing (p < .0001), and increases in bonding (p = .03) and wellbeing (p = .0002) significantly predicted increases in the adolescents' hope for the future.ConclusionsThese data, collected at a time of mass social isolation, show that a 5‐week‐long online dance activity can help adolescents forge stronger social bonds, and improve their wellbeing and future orientation. Our findings suggest that the wellbeing and future orientation benefits of group dance may stem from having stronger social connectedness, opening up avenues for future research and interventions.

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Mental health and resilience: Arts on Prescription for children and young people in a school setting

Cited by 18 publications

References 18 publications

What Works to Improve Wellbeing? A Rapid Systematic Review of 223 Interventions Evaluated with the Warwick-Edinburgh Mental Well-Being Scales

What Works to Improve Wellbeing? A Rapid Systematic Review of 223 Interventions Evaluated with the Warwick-Edinburgh Mental Well-Being Scales

Practitioner Review: Effectiveness and mechanisms of change in participatory arts‐based programmes for promoting youth mental health and well‐being – a systematic review

Benefits of an online group dance program for adolescents' social bonding and wellbeing

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