Advertisement

Journal of Public Health

, Volume 20, Issue 5, pp 519–524 | Cite as

‘It helps me make sense of the world’: the role of an art intervention for promoting health and wellbeing in primary care—perspectives of patients, health professionals and artists

  • D. M. CroneEmail author
  • E. E. O’Connell
  • P. J Tyson
  • F. Clark-Stone
  • S. Opher
  • D. V. B. James
Original Article

Abstract

Background

Art interventions are increasingly used in public health for the enhancement of patients’ health and wellbeing. The present study investigated perceived outcomes and role of an art intervention from the collective perspectives of participants (patients who took part), deliverers (artists) and referrers (general practitioners and practice nurses).

Methods

A qualitative methodology, using interviews and focus groups, allowed investigation of participants (n = 18) perceived outcomes and role of the intervention. Participants included patients (n = 10), artists (n = 5), and referring health professionals (n = 3).

Results

Themes that emerged from the analysis included perceived benefits, role and value of the intervention, and setting and referral process. Central to these themes were psychological and mental health benefits, an appreciated holistic treatment option and the merits of the intervention being situated in the surgery setting.

Conclusions

The study showed that art interventions within primary care are valuable in the promotion of public health, and in particular, patients’ mental health. Interactions between other participants and the artist were central to achieving patients’ perceived health improvement. Locating the intervention in primary care facilitated patient participation and provided health professionals with a holistic treatment alternative. There is also some evidence that participation in the intervention encourages less dependence on the health professional.

Keywords

Art intervention Primary care Qualitative Psychological benefits Holistic well-being 

Notes

Acknowledgements

The authors would like to thank those patients who took part in the study, referring health professionals, artists, and Gloucestershire Art Lift Steering Group members.

Conflict of interest

This work was supported by Gloucestershire NHS PCT through its charitable funds. The authors declare that they have no conflict of interest.

References

  1. Angus J (2002) A review of evaluation in community-based art for health activity in the UK. http://www.dur.ac.uk/resources/cahhm/reports/CAHHM%20for%20HDA%20J%20Angus.pdf. Cited 29 January 2012
  2. Argyle E, Bolton G (2005) Art in the community for potentially vulnerable mental health groups. Heal Educ 105(5):340–354CrossRefGoogle Scholar
  3. Astin J (1998) Why patients use alternative medicine. JAMA 279(19):1548–1553PubMedCrossRefGoogle Scholar
  4. Bawden M, Maynard I (2001) Towards an understanding of the personal experience of the `yips’ in cricketers. J Sports Sci 19:937–953PubMedCrossRefGoogle Scholar
  5. Charmaz C (2006) Constructing grounded theory: a practical guide through qualitative analysis. Sage, LondonGoogle Scholar
  6. Clift S, Camic PM, Chapman B, Clayton G, Daykin N, Eades G, Parkinson C, Secker J, Stickley T, White M (2009) The state of arts and health in England. Arts Health 1(1):6–35CrossRefGoogle Scholar
  7. Daykin N, Feldtkeller B (2009) Arts @ Callington Road Project evaluation report. UWE [online]. hsc.uwe.ac.uk/net/research/Data/Sites/1/CallingRdFin%20(2).pdf. Cited 29 January 2012
  8. Daykin N, Byrne E, Soteriou T (2008) The impact of art, design and environment in mental health care: a systematic review of the literature. J R Soc Promot Heal 128(2):85–94CrossRefGoogle Scholar
  9. Department of Health (1999) National Service Framework for Mental Health. HMSO, LondonGoogle Scholar
  10. Department of Health (2011) Public mental health and well-being. Department of Health, LondonGoogle Scholar
  11. Department of Health with Arts Council England (2007) A prospectus for arts and health. Arts Council, LondonGoogle Scholar
  12. Eades G, Ager J (2008) Time Being: difficulties in integrating arts in health. Perspect Public Health 128(2):62–67Google Scholar
  13. Geanellos R (2004) Nursing based evidence: moving beyond evidence based practice in mental health nursing. J Eval Clin Pract 10(2):177–186PubMedCrossRefGoogle Scholar
  14. HM Government (2011) No health without mental health: a cross-government mental health outcomes strategy for people of all ages. Crown, LondonGoogle Scholar
  15. Grypdonck MH (2006) Qualitative health research in the era of evidence-based practice. Qual Health Res 16(10):1371–1385. doi: 10.1177/1049732306294089 PubMedCrossRefGoogle Scholar
  16. Hacking S, Secker J, Spandler H, Kent L, Shenton J (2008) Evaluating the impact of participatory art projects for people with mental health needs. Health Social Care Comm 16(6):638–648CrossRefGoogle Scholar
  17. Heenan D (2006) Art as therapy: an effective way of promoting positive mental health? Disability Soc 21(2):179–191CrossRefGoogle Scholar
  18. QSR International (2010 ) NVivo qualitative data analysis software QSR International Pty Ltd. Version 9, QSR Int., Victoria, AustraliaGoogle Scholar
  19. Macnaughton J, White M, Stacy R (2005) Researching the benefits of arts in health. Heal Educ 105(5):332–339CrossRefGoogle Scholar
  20. Parr H (2006) Arts and social capital. Mental Health Today June:23–25Google Scholar
  21. Powell RA, Single HM, Lloyd KR (1996) Focus groups in mental health research: Enhancing the validity of user and provider questionnaires. Int J Social Psychiatr 42:193–206Google Scholar
  22. Ryff CD (1989) Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Personal Soc Psychol 57(6):1069–1081. doi: 10.1037/0022-3514.57.6.1069 CrossRefGoogle Scholar
  23. Secker J, Hacking S, Spandler H, Kent L, Shenton J (2007) Mental health, social inclusion and arts: developing the evidence base. Social Inclusion, SydneyGoogle Scholar
  24. South J (2006) Community arts for health: an evaluation of a district programme. Heal Educ 106(2):155–168CrossRefGoogle Scholar
  25. Spandler H, Secker J, Hacking S, Shenton J (2007) Catching life: the contribution of arts initiatives to recovery approaches in mental health. J Psychiatr Ment Heal Nurs 14(8):791–799CrossRefGoogle Scholar
  26. Staricoff R (2004) Arts in health: a review of the medical literature. Research Report 36. Arts Council England, LondonGoogle Scholar
  27. Stickley T, Duncan K (2007) Art in Mind: implementation of a community arts initiative to promote mental health. J Public Mental Health 6(4):24–32CrossRefGoogle Scholar
  28. Tashakkori A, Teddlie C (1998) Mixed methodology: combining qualitative and quantitative approaches. Sage, Thousand Oaks, CAGoogle Scholar
  29. Telford R, Hutchinson A, Jones R, Rixa S, Howe A (2001) Obstacles to effective treatment of depression: a general practice perspective. Fam Pract 19(1):45–52CrossRefGoogle Scholar
  30. Tilford S (2000) Evidence based health promotion. Heal Educ Res 15(6):659–663CrossRefGoogle Scholar
  31. Wang PS, Gilman SE, Guardino M, Christiana JM, Morselli PL, Mickelson K, Kessler RC (2000) Initiation of and adherence to treatment for mental disorders: examination of patient advocate group members in 11 countries. Medical Care 38(9):926–936PubMedCrossRefGoogle Scholar
  32. Wilkinson S (1998) Focus groups in health research: exploring the meanings of health and illness. J Heal Psychol 3(3):329–348CrossRefGoogle Scholar
  33. Williams NH, Hendry M, France B, Lewis R, Wilkinson C (2007) Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review. Br J Gen Pract 57:979–986PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • D. M. Crone
    • 1
    Email author
  • E. E. O’Connell
    • 2
  • P. J Tyson
    • 3
  • F. Clark-Stone
    • 4
  • S. Opher
    • 5
  • D. V. B. James
    • 6
  1. 1.Faculty of Applied SciencesUniversity of Gloucestershire, Oxstalls CampusGloucesterUK
  2. 2.HPA Primary Care Unit, Microbiology LaboratoryGloucestershire Royal HospitalGloucesterUK
  3. 3.School of Sport, Health and Applied Social SciencesUniversity of Wales, Newport, Caerleon CampusCaerleonUK
  4. 4.NHS Gloucestershire, Public Health DirectorateGloucesterUK
  5. 5.May Lane Surgery, DursleyGloucestershireUK
  6. 6.Faculty of Applied SciencesUniversity of Gloucestershire, Oxstalls CampusGloucesterUK

Personalised recommendations