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

Roslyn G Poulos, Sally Marwood, Damian Harkin, Simon Opher, Stephen Clift, Andrew M D Cole, Joel Rhee, Kirsty Beilharz, Christopher J Poulos, Roslyn G Poulos, Sally Marwood, Damian Harkin, Simon Opher, Stephen Clift, Andrew M D Cole, Joel Rhee, Kirsty Beilharz, Christopher J Poulos

Abstract

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.

Keywords: ageing; art; community dwelling; community services for elder people; health; mental health.

Conflict of interest statement

No conflicts of interest have been declared

© 2018 The Authors. Health and Social Care in the Community Published by John Wiley & Sons Ltd.

References

    1. Australian Government . (2014). National Arts and Health Framework . Retrieved from
    1. Boyce, M. , Bungay, H. , Munn‐Giddings, C. , & Wilson, C. (2018). The impact of the arts in healthcare on patients and service users: A critical review. Health & Social Care in the Community, 26(4), 458–473. 10.1111/hsc.12502
    1. Braun, V. , & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. 10.1191/1478088706qp063oa
    1. Bungay, H. , & Clift, S. (2010). Arts on prescription: a review of practice in the UK. Perspectives in Public Health, 130, 277–281.
    1. Cann, P. L. (2017). Arts and cultural activity: A vital part of the health and care system. Australasian Journal on Ageing, 36(2), 89–95. 10.1111/ajag.12438
    1. Cattan, M. , White, M. , Bond, J. , & Learmouth, A. (2005). Preventing social isolation and loneliness among older people: a systematic review of health promotion interventions. Ageing and Society, 25(01), 41–67. 10.1017/S0144686X04002594
    1. Clift, S. (2012). Creative arts as a public health resource: moving from practice‐based research to evidence‐based practice. Perspectives in Public Health, 132(3), 120–127. 10.1177/1757913912442269
    1. Clift, S. , & Camic, P. M. (2016). Oxford textbook of creative arts, health, and wellbeing. Oxford: UK, Oxford University Press.
    1. Clift, S. , Morrison, I. , Skingley, A. , Page, S. , Coulton, S. , Treadwell, P. , … Shipton, M. (2013). An evaluation of community singing for with COPD (Chronic Obstructive Pulmonary Disease) Canterbury Christ Church University. UK: Sidney De Haan Research Centre for Arts and Health.
    1. Crone, D. M. , Sumner, R. C. , Baker, C. M. , Loughren, E. A. , Hughes, S. , & James, D. V. B. (2018). ‘Artlift’ arts‐on‐referral intervention in UK primary care: updated findings from an ongoing observational study. European Journal of Public Health, 28(3), 404–409. 10.1093/eurpub/cky021
    1. Department of Health . (2018). Commonwealth Home Support Programme. Program Manual 2018. Canberra: Australian Government.
    1. Fairhall, N. , Aggar, C. , Kurrle, S. E. , Sherrington, C. , Lord, S. , Lockwood, K. , … Cameron, I. D. (2008). Frailty Intervention Trial (FIT). BMC Geriatrics, 8(1), 27.
    1. Fried, L. P. , Tangen, C. M. , Walston, J. , Newman, A. B. , Hirsch, C. , Gottdiener, J. , … McBurnie, M. A. (2001). Frailty in Older Adults: Evidence for a Phenotype. The Journals of Gerontology: Series A, 56(3), M146–M157.
    1. Heiberger, L. , Maurer, C. , Amtage, F. , Mendez‐Balbuena, I. , Schulte‐Mönting, J. , Hepp‐Reymond, M.‐C. , & Kristeva, R. (2011). Impact of a weekly dance class on the functional mobility and on the quality of life of individuals with Parkinson’s Disease. Frontiers in Aging Neuroscience, 3, 14.
    1. Hickman, R. (2010). Why we make art and why it is taught. Briston, UK: Intellect Books.
    1. Jensen, A. , Stickley, T. , Torrissen, W. , & Stigmar, K. (2017). Arts on prescription in Scandinavia: a review of current practice and future possibilities. Perspectives in Public Health, 137(5), 268–274. 10.1177/1757913916676853
    1. Langer, S. K. (1966). The Cultural Importance of the Arts. Journal of Aesthetic Education, 1(1), 5–12. 10.2307/3331349
    1. MacGregor, N. (2011). A History of the World in 100 Objects. London UK: Penguin.
    1. McDaid, D. , & Park, A. (2013). Investing in Arts on Prescription: an economic perspective . Retrieved from
    1. National Health Scotland . (2015). Warwick ‐Edinburgh Mental Well‐being Scale (WEMWBS). User Guide Version 2, May 2015 Edinburgh, Scotland: NHS Health Scotland.
    1. Pinker, S. (2003). The blank slate: The modern denial of human nature. London, UK: Penguin.
    1. Ragonesi, M. , Parsons, H. , & Stewart‐Brown, S. (2013). The Warwick Edinburgh Mental Wellbeing Scale compared to clinical observation made using the Association of University and College Counseling Scale (AUCC): a preliminary analysis of change scores occurring during counseling . Retrieved from
    1. Rigby, T. (2004). Selling social inclusion through the arts. A Life in the Day, 8(3), 25–28. 10.1108/13666282200400026
    1. Ryan, R. M. , & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well‐being. Annual Review of Psychology, 52(1), 141–166. 10.1146/annurev.psych.52.1.141
    1. Rydstad, M. , Löfgren, M. , & Drakos, G. (2015). Rapport från ett pilot projekt: Kultur på recept vid långvarig smärta . Retrieved from
    1. Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well‐being. Journal of Personality and Social Psychology, 57(6), 1069–1081. 10.1037/0022-3514.57.6.1069
    1. Ryff, C. D. , & Singer, B. H. (2008). Know thyself and become what you are: A eudaimonic approach to psychological well‐being. Journal of Happiness Studies, 9(1), 13–39. 10.1007/s10902-006-9019-0
    1. Steed, L. , Boldy, D. , Grenade, L. , & Iredell, H. (2007). The demographics of loneliness among older people in Perth, Western Australia. Australasian Journal on Ageing, 26(2), 81–86. 10.1111/j.1741-6612.2007.00221.x
    1. Steger, M. F. , Kashdan, T. B. , & Oishi, S. (2008). Being good by doing good: Daily eudaimonic activity and well‐being. Journal of Research in Personality, 42(1), 22–42. 10.1016/j.jrp.2007.03.004
    1. Stickley, T. , & Hui, A. (2012). Social prescribing through arts on prescription in a UK city: Referrers' perspectives (part 2). Public Health, 126(7), 580–586. 10.1016/j.puhe.2012.04.001
    1. Tennant, R. , Hiller, L. , Fishwick, R. , Platt, S. , Joseph, S. , Weich, S. , … Stewart‐Brown, S. (2007). The Warwick‐Edinburgh Mental Well‐being Scale (WEMWBS): development and UK validation. Health and Quality of Life Outcomes, 5, 63.
    1. World Health Organization . (2014). Basic documents (48th edn). Retrieved from
    1. Xue, Q.‐L. (2011). The Frailty Syndrome: Definition and Natural History. Clinics in Geriatric Medicine, 27(1), 1–15. 10.1016/j.cger.2010.08.009

Source: PubMed

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