“…A range of diverse occupational mediums were used throughout the literature to support social change, although photography and photovoice were in the majority in this review (46-53, 55, 58-60, 62, 64, 68-71). Other mediums included video (44,45,57,61,65,72) theatre and carnival (42,45,63,65,66) storytelling (64, 72) quilting (56) textile images (37) and circus arts (43,54). Special mention should be given to the article by Spiegel et al, (43) as this describes an unprecedented national social circus project initiated by the Government of Ecuador.…”