Jensen Anita, Halling Anders, Pirouzifard Mirnabi, Lindström Martin
Department of Clinical Sciences in Malmö, Lund University, and Center for Primary Healthcare Research (CPF), Lund University and Region Skåne, Malmö, Sweden.
Nord University, Levanger, Norway.
BMC Prim Care. 2025 May 10;26(1):155. doi: 10.1186/s12875-025-02866-2.
Primary healthcare providers are increasingly challenged in supporting patients with psychosocial needs. Arts on Prescription (AoP) has been shown to improve primary healthcare patients' mental health wellbeing. The aim of the current study is to understand the psychosocial effect of participating in an Arts on Prescription programme.
A total of 112 primary healthcare patients from 18 primary healthcare centres in Scania with mental health diagnoses depression and anxiety or social isolation participated in a 10-week group-based arts programme, twice a week for 2 h. A questionnaire with the Short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS), the Salutogenic Health Indicator Scale (SHIS) (for baseline and follow-up) and 14 sociodemographic and self-rated health covariates were collected as baseline. We also conducted 28 semi-structured interviews. We analysed data using paired t-test and a general linear regression model for change in SWEMWBS and SHIS. Qualitative data was analysed using a thematic approach.
The paired t-test showed highly significant results (p < 0.001) for increase in both SWEMWBS and SHIS. The general linear regression. models show that women and participants with poorer self-rated health (SRH), more contacts with the healthcare system, other referrals from the primary healthcare centre, and no previous arts and culture engagement displayed significantly stronger associations with increase in SWEMWBS but not SHIS. Qualitative results highlight use of other interventions and difficulties navigating the health system.
Our findings support a proportionate universalism (scale and intensity proportionate to the degree of need) approach indicating that AoP programmes could be valuable additions to healthcare pathways enhancing wellbeing for vulnerable populations. Findings should be interpreted with caution due to small sample size.
基层医疗服务提供者在为有心理社会需求的患者提供支持方面面临着越来越大的挑战。“处方艺术”（AoP）已被证明能改善基层医疗患者的心理健康状况。本研究的目的是了解参与“处方艺术”项目的心理社会影响。
来自斯科讷18个基层医疗中心的112名被诊断患有抑郁症、焦虑症或社会隔离的基层医疗患者参加了一个为期10周的基于小组的艺术项目，每周两次，每次2小时。收集了一份包含简短沃里克-爱丁堡心理健康量表（SWEMWBS）、健康源健康指标量表（SHIS）（用于基线和随访）以及14个社会人口统计学和自评健康协变量的问卷作为基线数据。我们还进行了28次半结构化访谈。我们使用配对t检验和一般线性回归模型分析SWEMWBS和SHIS的变化数据。定性数据采用主题分析法进行分析。
配对t检验显示SWEMWBS和SHIS均有极显著的增加（p < 0.001）。一般线性回归模型表明，女性以及自评健康状况较差（SRH）、与医疗系统接触更多、来自基层医疗中心的其他转诊患者，且以前没有参与过艺术和文化活动的参与者，与SWEMWBS的增加有显著更强的关联，但与SHIS的增加无关。定性结果突出了其他干预措施的使用以及在医疗系统中导航的困难。
我们的研究结果支持一种相称的普遍主义方法（规模和强度与需求程度相称），表明“处方艺术”项目可能是医疗途径中有价值的补充，可增强弱势群体的幸福感。由于样本量小，研究结果应谨慎解读。
