Caulfield Alexandra, Ferrey Anne, Roberts Nia, Leslie-Spinks Jeremy, Mölsted Alvesson Helle, Wong Geoff, Greenhalgh Trish
University of Oxford Nuffield Department of Primary Care Health Sciences, Oxford, England, UK.
University of Oxford Bodleian Libraries, Oxford, England, UK.
NIHR Open Res. 2025 Jun 16;5:19. doi: 10.3310/nihropenres.13746.2. eCollection 2025.
In recent years, there has been growing interest at national and international policy level in the potential of creative arts to support individual and community wellbeing. Creative arts encompass a wide range of activities, including performing arts, visual arts, design and craft, literature, culture and digital and electronic arts. Participation in creative arts has been linked to lower mental distress, increased social connection, improved quality of life, personal growth and empowerment. Despite this, it remains unclear exactly how participation in creative arts interventions can improve wellbeing in older individuals. This realist review aims to synthesize evidence on how elements of creative arts interventions improve wellbeing amongst older people, in particular when, how, for whom and to what extent they work.
This review will follow the RAMESES (Realist And Meta-narrative Evidence Syntheses: Evolving Standards) quality standards and Pawson's five iterative stages to locate existing theories, search for evidence, select literature, extract data, and draw conclusions. It will be guided by stakeholder engagement with policymakers, practitioners, commissioners, and people with lived experience. A realist approach will be used to analyse data and develop causal explanations, in the form of context-mechanism-outcome-configurations (CMOCs), which explain how creative arts interventions impact wellbeing in older people. The CMOCs will be organised into one or more programme theories. Our refined programme theory will then be used to develop guidance for service providers of creative arts who want to use their services to improve wellbeing of older people.
This research will comply with the UK Policy Framework for Health and Social Care Research. Dissemination will be guided by our stakeholder group, building on links with policymakers, commissioners, providers, and the public. A final stakeholder event focused on knowledge mobilisation will aid development of recommendations.PROSPERO registration CRD42024580770.
近年来，国家和国际政策层面越来越关注创意艺术在促进个人和社区福祉方面的潜力。创意艺术涵盖广泛的活动，包括表演艺术、视觉艺术、设计与工艺、文学、文化以及数字和电子艺术。参与创意艺术与较低的心理困扰、增强的社会联系、改善的生活质量、个人成长和赋权相关联。尽管如此，参与创意艺术干预究竟如何改善老年人的福祉仍不清楚。本现实主义综述旨在综合关于创意艺术干预的要素如何改善老年人福祉的证据，特别是它们在何时、如何、针对谁以及在何种程度上起作用。
本综述将遵循RAMESES（现实主义与元叙事证据综合：不断发展的标准）质量标准以及帕森的五个迭代阶段，以定位现有理论、搜索证据、选择文献、提取数据并得出结论。它将以与政策制定者、从业者、委托方和有实际经验的人进行利益相关者参与为指导。将采用现实主义方法来分析数据并形成因果解释，以情境 - 机制 - 结果配置（CMOCs）的形式，解释创意艺术干预如何影响老年人的福祉。CMOCs将被组织成一个或多个项目理论。然后，我们完善后的项目理论将用于为希望利用其服务改善老年人福祉的创意艺术服务提供者制定指导。
本研究将符合英国健康与社会护理研究政策框架。传播将以我们的利益相关者群体为指导，基于与政策制定者、委托方、提供者和公众的联系。一个专注于知识动员的最终利益相关者活动将有助于制定建议。PROSPERO注册号CRD42024580770。
