Davies Christina R, Knuiman Matthew, Wright Peter, Rosenberg Michael
School of Population Health and School of Sport Science, Exercise & Health (M431), The University of Western Australia, Crawley, Western Australia, Australia.
BMJ Open. 2014 Apr 25;4(4):e004790. doi: 10.1136/bmjopen-2014-004790.
In recent years the health-arts nexus has received increasing attention; however, the relationship is not well understood and the extent of possible positive, negative and unintended outcomes is unknown. Guided by the biopsychosocial model of health and theories of social epidemiology, the aim of this study was to develop a framework pertaining to the relationship between arts engagement and population health that included outcomes, confounders and effect modifiers. A health-arts framework is of value to researchers seeking to build the evidence base; health professionals interested in understanding the health-arts relationship, especially those who use social prescribing for health promotion or to complement treatments; in teaching medical, nursing and health-science students about arts outcomes, as well as artists and health professionals in the development of policy and programmes.
A qualitative study was conducted. Semistructured interviews were analysed thematically.
Western Australia.
33 Western Australian adults (18+ years). Participants were randomly selected from a pool of general population nominees who engaged in the arts for enjoyment, entertainment or as a hobby (response rate=100%).
A thematic analysis was conducted using QSR-NVivo10. The resulting framework contained seven outcome themes and 63 subthemes. Three themes specifically related to health, that is, mental, social and physical health, while economic, knowledge, art and identity outcomes were classified as health determinants. Within each theme, positive, negative and unintended outcomes (subthemes) were identified and categorised as relating to the individual and/or to the community. A list of confounding and/or effect modifying factors, related to both the arts and health, was identified.
Given the increasing pressure on health resources, the arts have the potential to assist in the promotion of health and healing. This framework expands on current knowledge, further defines the health-arts relationship and is a step towards the conceptualisation of a causal health-arts model.
近年来，健康与艺术的联系受到了越来越多的关注；然而，这种关系尚未得到充分理解，可能的积极、消极和意外结果的程度也不清楚。在生物心理社会健康模型和社会流行病学理论的指导下，本研究的目的是建立一个与艺术参与和人群健康之间的关系相关的框架，其中包括结果、混杂因素和效应修饰因素。健康与艺术框架对于寻求建立证据基础的研究人员、对理解健康与艺术关系感兴趣的健康专业人员（特别是那些使用社会处方促进健康或补充治疗的人员）、在向医学、护理和健康科学专业学生传授艺术成果方面，以及在政策和项目制定方面的艺术家和健康专业人员都具有价值。
进行了一项定性研究。对半结构化访谈进行了主题分析。
西澳大利亚。
33名西澳大利亚成年人（18岁及以上）。参与者从一群将艺术用于娱乐、消遣或作为爱好的普通人群被提名者中随机挑选（回复率 = 100%）。
使用QSR-NVivo10进行了主题分析。所得框架包含七个结果主题和63个子主题。三个主题专门与健康相关，即心理、社会和身体健康，而经济、知识、艺术和身份结果被归类为健康决定因素。在每个主题中，确定了与个人和/或社区相关的积极、消极和意外结果（子主题）并进行了分类。确定了一份与艺术和健康相关的混杂和/或效应修饰因素清单。
鉴于健康资源压力不断增加，艺术有潜力促进健康和康复。该框架扩展了现有知识，进一步定义了健康与艺术的关系，是迈向因果健康与艺术模型概念化的一步。
