The impact of the arts in healthcare on patients and service users: A critical review

Boyce, Melanie J.; Bungay, Hilary; Munn‐Giddings, Carol; Wilson, Ceri

doi:10.1111/hsc.12502

Cited by 31 publications

(31 citation statements)

References 70 publications

(94 reference statements)

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“…In the UK, community-based initiatives have gained prominence as a potential means to positively influence individuals' physical and psychological health (Adebayo, Salerno, Francillon, & Williams, 2018;Brunton et al, 2017). Used as a tool for promoting social inclusion, arts and music have been associated with the enhancement of wellbeing (Boyce, Bungay, Munn-Giddings, & Wilson, 2018). As such, participation in creative arts has been recognised by health policies as one possible instrument for reducing health inequalities and improving public health (Atkinson & Robson, 2012).…”

Section: Introductionmentioning

confidence: 99%

The impact of a community‐based music intervention on the health and well‐being of young people: A realist evaluation

Caló

Steiner

Millar

et al. 2020

Health Soc Care Community

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In recent years, music‐based interventions have been utilised as a tool for improving public health, reducing inequalities and promoting well‐being of young people. Although some researchers have begun to draw links between music‐related interventions and positive health outcomes, there is little understanding as to how such effects are produced. Realist evaluations—understanding what works, for whom and under what circumstances—are a particularly apt means by which we can open this ‘black box’. In this paper, we use a realist evaluation to assess a community‐based music initiative designed and implemented to support the well‐being of disadvantaged young people in Scotland. In order to gain perspectives on the range of contextual characteristics, mechanisms and outcomes, we collected quantitative and qualitative data in the form of pre‐ and post‐questionnaires, as well as conducting interviews with beneficiaries and stakeholders. Our findings show that the intervention achieved a positive impact on the self‐confidence, well‐being and engagement of disadvantaged young people. This impact was achieved via an approach personally tailored to the individual needs of the young people; and an organisational environment characterised by trust, whereby young people felt safe to express themselves.

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Section: Introductionmentioning

confidence: 99%

The impact of a community‐based music intervention on the health and well‐being of young people: A realist evaluation

Caló

Steiner

Millar

et al. 2020

Health Soc Care Community

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“…There is a growing body of evidence supporting the role of the arts in the enhancement of health and well‐being (Boyce, Bungay, Munn‐Giddings, & Wilson, ; Cann, ; Clift, ; Clift & Camic, ). Arts on Prescription (AoP), first delivered in the United Kingdom in 1995 (Rigby, ), is one vehicle by which participatory art has been delivered to people with health and wellness needs.…”

Section: Introductionmentioning

confidence: 99%

Arts on prescription for community-dwelling older people with a range of health and wellness needs

Poulos

Marwood

Harkin³

et al. 2018

Health Soc Care Community

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Published evidence for the role of participatory art in supporting health and well‐being is growing. The Arts on Prescription model is one vehicle by which participatory art can be delivered. Much of the focus of Arts on Prescription has been on the provision of creative activities for people with mental health needs. This Arts on Prescription program, however, targeted community‐dwelling older people with a wide range of health and wellness needs. Older people were referred to the program by their healthcare practitioner. Professional artists led courses in visual arts, photography, dance and movement, drama, singing, or music. Classes were held weekly for 8–10 weeks, with six to eight participants per class, and culminated with a showing of work or a performance. Program evaluation involved pre‐ and postcourse questionnaires, and focus groups and individual interviews. Evaluation data on 127 participants aged 65 years and older were available for analysis. We found that Arts on Prescription had a positive impact on participants. Quantitative findings revealed a statistically significant improvement in the Warwick–Edinburgh Mental Well‐being Scale (WEMWBS) as well as a statistically significant increase in the level of self‐reported creativity and frequency of creative activities. Qualitative findings indicated that the program provided challenging artistic activities which created a sense of purpose and direction, enabled personal growth and achievement, and empowered participants, in a setting which fostered the development of meaningful relationships with others. This evaluation adds to the evidence base in support of Arts on Prescription by expanding the application of the model to older people with a diverse range of health and wellness needs.

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“…An ongoing prospective observational study (2009–2016) of patients referred to an 8-week or 10-week ‘arts on referral’ programme in UK general practice (n=1297) found statistically significant improvements in well-being in those who completed their prescribed programme 42. Boyce et al ’s43 critical review of the value of arts in healthcare highlighted that, although findings are promising, research to date has been relatively narrow both in scope (a focus on music) and methodological approach. They called for methodologically rigorous research that considers different art forms in a variety of healthcare settings and their cost-effectiveness.…”

Section: Introductionmentioning

confidence: 99%

HeART of Stroke: randomised controlled, parallel-arm, feasibility study of a community-based arts and health intervention plus usual care compared with usual care to increase psychological well-being in people following a stroke

et al. 2019

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IntroductionPeople often experience distress following stroke due to fundamental challenges to their identity.ObjectivesTo evaluate (1) the acceptability of ‘HeART of Stroke’ (HoS), a community-based arts and health group intervention, to increase psychological well-being; and (2) the feasibility of a definitive randomised controlled trial (RCT).DesignTwo-centre, 24-month, parallel-arm RCT with qualitative and economic components. Randomisation was stratified by centre and stroke severity. Participant blinding was not possible. Outcome assessment blinding was attempted.SettingCommunity.ParticipantsCommunity-dwelling adults ≤2 years poststroke recruited via hospital clinical teams/databases or community stroke/rehabilitation teams.InterventionsArtist-facilitated arts and health group intervention (HoS) (ten 2-hour sessions over 14 weeks) plus usual care (UC) versus UC.OutcomesThe outcomes were self-reported measures of well-being, mood, capability, health-related quality of life, self-esteem and self-concept (baseline and 5 months postrandomisation). Key feasibility parameters were gathered, data collection methods were piloted, and participant interviews (n=24) explored the acceptability of the intervention and study processes.ResultsDespite a low recruitment rate (14%; 95% CI 11% to 18%), 88% of the recruitment target was met, with 29 participants randomised to HoS and 27 to UC (57% male; mean (SD) age=70 (12.1) years; time since stroke=9 (6.1) months). Follow-up data were available for 47 of 56 (84%; 95% CI 72% to 91%). Completion rates for a study-specific resource use questionnaire were 79% and 68% (National Health Service and societal perspectives). Five people declined HoS postrandomisation; of the remaining 24 who attended, 83% attended ≥6 sessions. Preliminary effect sizes for candidate primary outcomes were in the direction of benefit for the HoS arm. Participants found study processes acceptable. The intervention cost an estimated £456 per person and was well-received (no intervention-related serious adverse events were reported).ConclusionsFindings from this first community-based study of an arts and health intervention for people poststroke suggest a definitive RCT is feasible. Recruitment methods will be revised.Trial registration numberISRCTN99728983.

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The impact of the arts in healthcare on patients and service users: A critical review

Cited by 31 publications

References 70 publications

The impact of a community‐based music intervention on the health and well‐being of young people: A realist evaluation

The impact of a community‐based music intervention on the health and well‐being of young people: A realist evaluation

Arts on prescription for community-dwelling older people with a range of health and wellness needs

HeART of Stroke: randomised controlled, parallel-arm, feasibility study of a community-based arts and health intervention plus usual care compared with usual care to increase psychological well-being in people following a stroke

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