School of Nursing, Faculty of Science Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.
Illawarra Health and Medical Research Institute (IHMRI), University of Wollongong, Wollongong, New South Wales, Australia.
J Psychiatr Ment Health Nurs. 2023 Jun;30(3):361-374. doi: 10.1111/jpm.12882. Epub 2022 Nov 6.
WHAT IS KNOWN ON THE SUBJECT?: Arts-based research is an established and accepted research approach and systematic reviews have been published on this methodology. There are many possible data collection techniques and study designs within arts-based research, which have been implemented but not yet systematically reviewed. Rationales and challenges for arts-based research have covered participants' experiences of being in arts-based studies in health service research. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: The main results of this systematic review are that mental health recovery concepts are effectively communicated by visual arts-based research and participation in these studies is progressive and connecting for mental health consumers. This paper adds new knowledge about participants' experiences specifically in visual arts-based studies, where the participants are mental health consumers. The results are significant because they support visual arts-based research in its development and popularity, both as a research approach and as an empowerment intervention. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The results of this systematic review can enhance the fields of qualitative research methods and mental health nursing. Recommendations for professional development can be advanced from consumers' ideas and experiences of recovery reported in this review. Nurse scientists and consumer researchers can take into consideration visual arts-based data collection techniques for use as research and empowerment interventions with mental health consumer participants.
INTRODUCTION: Art creation has been found to be therapeutic to mental health consumers, making the prospect of art creation's conceivable benefits as a mental health research strategy worthy of consideration.
This systematic review aims to explore experiences of recovery among adults with a mental illness using visual art methods.
Following a comprehensive database search, 14 suitable studies were identified. These involved adult participants with a formal mental health diagnosis, or who self-identify as having a mental illness. The studies employed arts-based methodologies with participant-created, visual art as their data. Articles underwent data extraction and quality appraisal with the JBI-QARI (Qualitative Assessment and Review Instrument).
Results were categorised and further aggregated into two synthesised findings according to Joanna Briggs Institute (JBI) guidelines. The synthesised findings are: (1) Creative artmaking enables the use of visual metaphors which can aid expression of feelings, externalisation of identity, and personal learning, and (2) Interpersonal and self-connectedness through inclusion in community, receiving support when needed, and progressing through loss, are beneficial for mental health recovery.
These findings are comparable to those already existing in the literature, and suggest that visual arts-based research methods are as dependable as other qualitative research methods. Additionally, this systematic review reveals that when conducting research studies, there are benefits for mental health consumer participants when visual arts-based methods are used.
A visual arts-based research intervention can be concluded to have the effect of an empowerment intervention, as well as being a credible research method.
本系统评价旨在探讨使用视觉艺术方法的成年人的康复体验。
经过全面的数据库搜索,确定了 14 项合适的研究。这些研究涉及有正式精神健康诊断的成年参与者,或自我认同患有精神疾病的参与者。这些研究采用了艺术为基础的方法,参与者创作的视觉艺术作为他们的数据。文章经过数据提取和 JBI-QARI(定性评估和审查工具)的质量评估。
结果根据 Joanna Briggs 研究所(JBI)的指南进行了分类,并进一步汇总为两个综合发现。综合发现是:(1)创造性的艺术制作能够使用视觉隐喻,这有助于表达情感、外化身份和个人学习,(2)通过参与社区、在需要时获得支持以及通过失去来实现人际和自我联系,对精神健康康复有益。
这些发现与文献中已经存在的发现相似,这表明视觉艺术为基础的研究方法与其他定性研究方法一样可靠。此外,本系统评价还表明,在进行研究时,使用视觉艺术方法对精神健康消费者参与者有益。
可以得出结论,视觉艺术为基础的研究干预措施既具有赋权干预的效果,也是一种可靠的研究方法。