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Abstract

Purpose

While the value of art therapy is well-established and arts are increasingly leveraged to promote health and wellbeing more broadly, little is known about the impacts of non-clinical arts programs. In this preliminary investigation, we sought to fill this gap by exploring diverse stakeholders’ perspectives on the impacts of non-clinical arts programming on Veterans receiving care at the Veterans Health Administration (VA).

Design

Semi-structured qualitative interviews with Veterans, VA staff, and community partners.

Setting

Interviewees were recruited from 7 VA medical centers that have recently implemented non-clinical arts programming to promote Veterans’ health and wellbeing, some of them in partnership with community organizations.

Participants

33 individuals were interviewed, including 9 Veterans, 14 VA staff, and 10 community partners involved in non-clinical arts program implementation.

Method

Interview transcripts were analyzed using iterative rounds of qualitative content analysis.

Results

The following impacts on Veterans were described: (1) mental health improvements, (2) renewed sense of purpose; (3) increased social connectedness, (4) improved self-esteem, and (5) self-driven engagement in art activities.

Conclusion

Non-clinical arts programming was perceived by diverse stakeholders to offer important benefits for Veterans’ health and well-being. Offering non-clinical arts programming inside and outside healthcare facilities’ walls is a promising direction for the field of public health undergoing a shift towards holistic approaches to improving individual and population health outcomes.

Keywords

Veterans arts specific settings clinical community research methods qualitative research

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References

Staricoff

. Arts in Health: A Review of the Medical Literature. London: Arts Council England; 2004. https://archive.artsandhealth.org/public/Resources/Research_MedLitReview_Dr_Staricoff.pdf. Accessed April 10, 2024.

Fancourt

Finn

. What Is the Evidence on the Role of the Arts in Improving Health and Well-Being? A Scoping Review. Copenhagen: WHO Regional Office for Europe; 2019. Health Evidence Network synthesis report 67. https://www.ncbi.nlm.nih.gov/books/NBK553773/. Accessed April 10, 2024.

Stuckey

Nobel

. The connection between art, healing, and public health: a review of current literature. Am J Public Health. 2010;100(2):254-263.

Pesata

Colverson

Sonke

, et al. Engaging the arts for wellbeing in the United States of America: a scoping review. Front Psychol. 2021;12:791773.

Slayton

D’Archer

Kaplan

. Outcome studies on the efficacy of art therapy: a review of findings. Art Therapy. 2010;27(3):108-118.

Dileo

Bradt

. On creating the discipline, profession, and evidence in the field of arts and healthcare. Arts Health. 2009;1(2):168-182.

Sonke

B Lee

Helgemo

, et al. Arts in health: considering language from an educational perspective in the United States. Arts Health. 2018;10(2):151-164.

Swindells

Lawthom

Rowley

Siddiquee

Kilroy

Kagan

. Eudaimonic well-being and community arts participation. Perspect Public Health. 2013;133(1):60-65.

McNiff

. Developing arts and health – within creative-arts therapy or separately? J Appl Arts Health. 2014;4(3):345-353.

10.

Van Lith

Spooner

. Art therapy and arts in health: identifying shared values but different goals using a framework analysis. Art Therapy. 2018;35(2):88-93.

11.

Jensen

Bonde

. The use of arts interventions for mental health and wellbeing in health settings. Perspect Public Health. 2018;138(4):209-214.

12.

. Exploring the experiences of participants in short-term art-based support groups for adults living with eating disorders. Canadian Art Therapy Association Journal. 2011;24(2):1-13.

13.

Irwin

Rhodes

Boydell

. Evaluation of a gallery-based Arts Engagement program for depression. Aust Psychol. 2022;57(3):186-196.

14.

Nitzan

Orkibi

. “We’re all in the same boat” - the experience of people with mental health conditions and non-clinical community members in integrated arts-based groups. Front Psychol. 2021;12:661831.

15.

Kligler

Hyde

Gantt

Bokhour

. The Whole health transformation at the veterans health administration: moving from “what’s the matter with you?” to “what matters to you?”. Med Care. 2022;60(5):387-391.

16.

National Center for Healthcare Advancement and Partnerships . Americans for the arts and VHA focus on veterans’ wellness through the Whole health system. 2019. https://www.va.gov/healthpartnerships/updates/arts/11252019.asp. Accessed March 15, 2024.

17.

Elo

Kyngas

. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-115.

18.

Hansen

Sund

Skjei Knudtsen

Krokstad

Holmen

. Cultural activity participation and associations with self-perceived health, life-satisfaction and mental health: the Young HUNT Study, Norway. BMC Publ Health. 2015;15:544.

19.

Wang

Mak

Fancourt

. Arts, mental distress, mental health functioning & life satisfaction: fixed-effects analyses of a nationally-representative panel study. BMC Publ Health. 2020;20(1):208.

20.

Bone

Fancourt

Fluharty

Paul

Sonke

. Associations between participation in community arts groups and aspects of wellbeing in older adults in the United States: a propensity score matching analysis. Aging Ment Health. 2023;27(6):1163-1172.

21.

Bradfield

. Subjective experiences of participatory arts engagement of healthy older people and explorations of creative ageing. Publ Health. 2021;198:53-58.

22.

Davies

Knuiman

Wright

Rosenberg

. The art of being healthy: a qualitative study to develop a thematic framework for understanding the relationship between health and the arts. BMJ Open. 2014;4(4):e004790.

23.

Perruzza

Kinsella

. Creative arts occupations in therapeutic practice: a review of the literature. Br J Occup Ther. 2010;73(6):261-268.

24.

Kennett

. Participation in a creative arts project can foster hope in a hospice day centre. Palliat Med. 2000;14(5):419-425.

25.

Reynolds

Prior

. A lifestyle coat-hanger’: a phenomenological study of the meanings of artwork for women coping with chronic illness and disability. Disabil Rehabil. 2003;25(14):785-794.

26.

O'Donnell

Lohan

Oliffe

Grant

Galway

. The acceptability, effectiveness and gender responsiveness of participatory arts interventions in promoting mental health and Wellbeing: a systematic review. Arts Health. 2022;14(2):186-203.

27.

Lee

McIlfatrick

Fitzpatrick

. Arts engagement facilitated by artists with individuals with life-limiting illness: a systematic integrative review of the literature. Palliat Med. 2021;35(10):1815-1831.

28.

McConnell

Porter

. Music therapy for palliative care: a realist review. Palliat Support Care. 2017;15(4):454-464.

29.

Stickley

. The arts, identity and belonging: a longitudinal study. Arts Health. 2010;2(1):23-32.

30.

Perkins

Mason-Bertrand

Tymoszuk

Spiro

Gee

Williamon

. Arts engagement supports social connectedness in adulthood: findings from the HEartS Survey. BMC Publ Health. 2021;21(1):1208.

31.

Murthy

. Our epidemic of loneliness and isolation: the U.S. Surgeon general's advisory on the healing effects of social connection and community. Office of the U.S. Surgen General. 2023. https://www.hhs.gov/sites/default/files/surgeon-general-social-connection-advisory.pdf. Accessed April 10, 2024.

32.

Orazem

Frazier

Schnurr

, et al. Identity adjustment among Afghanistan and Iraq war veterans with reintegration difficulty. Psychol Trauma. 2017;9(Suppl 1):4-11.

33.

Resnik

Bradford

Glynn

Jette

Johnson Hernandez

Wills

. Issues in defining and measuring veteran community reintegration: proceedings of the working group on community reintegration, VA rehabilitation outcomes conference, Miami, Florida. J Rehabil Res Dev. 2012;49(1):87-100.

34.

Nitzan

Orkibi

. The contribution of integrated arts-based groups to people with mental health conditions and community members: processes and outcomes. Psychology of Aesthetics, Creativity, and the Arts. 2022. Advance online publication.

35.

Hebblethwaite

Curley

. Exploring the role of community recreation in stroke recovery using participatory action research and photovoice. Ther Recreat J 2015;49(1):1-17.

36.

Rojiani

Junn

Wood

Gordon

Sells

. Group drumming for incarcerated men may improve community reintegration: a mixed methods pilot study. J Exp Criminol. 2022;18:825-846.

37.

Putland

. Lost in translation: the question of evidence linking community-based arts and health promotion. J Health Psychol. 2008;13(2):265-276.

38.

Raw

Lewis

Russell

Macnaughton

. A Hole in the Heart: confronting the drive for evidence-based impact research in arts and health. Arts Health 2012;4(2):97-108.

39.

Fancourt

Aughterson

Finn

Walker

Steptoe

. How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action. Lancet Psychiatr. 2021;8(4):329-339.

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Promoting Health and Wellbeing Through Non-Clinical Arts Programming: Multi-Stakeholder Perspectives From the Veterans Health Administration

Abstract

Purpose

Design

Setting

Participants

Method

Results

Conclusion

Keywords

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References

Supplementary Material