Barriers and enablers to engagement in participatory arts activities amongst individuals with depression and anxiety: quantitative analyses using a behaviour change framework
Barriers and enablers to engagement in participatory arts activities amongst individuals with depression and anxiety: quantitative analyses using a behaviour change framework
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DOI：
10.1186/s12889-020-8337-1
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发表时间：
2020-02-27
影响因子：
4.5
通讯作者：
Lorencatto, Fabiana
中科院分区：
文献类型：
--
作者：
Fancourt, Daisy;Baxter, Louise;Lorencatto, Fabiana
背景有大量的文献关于参与艺术对健康的益处。然而，在确保公平参与这些活动方面也存在公认的挑战。具体而言，目前尚不清楚心理健康状况不佳的人是否会遇到更多的参与障碍。这项研究使用了一个行为改变的框架，以探讨参与艺术活动的障碍，无论是抑郁症或焦虑症的人。方法数据来自一个大型的公民科学实验，重点是参与创造性活动。参与者报告不经常从事表演艺术，视觉艺术，设计和手工艺，文学相关活动，以及在线，数字和电子艺术，并被归类为没有心理健康问题（n = 1851），抑郁但不焦虑（n = 873）和焦虑但不抑郁（n = 808）。参与的障碍和使能因素采用基于COM-B自我评估问卷的18项量表进行测量，其中子量表评估心理和身体能力，社交和身体机会以及自动和反思动机。Logistic回归分析用于确定患有抑郁症或焦虑症的人是否比没有任何心理健康问题的人在六个领域中的任何一个领域都报告了更大的障碍。在发现差异的地方，我们计算了各种人口统计学，社会经济，社会，物理或地理因素解释的保护性协会的百分比。结果抑郁和焦虑的个体认为，如果他们有更大的心理和身体能力，更多的社会机会，更强的自动和反思的动机，从事艺术活动，他们将更有可能从事。然而，他们并不认为更多的身体机会会影响他们的参与。协变量只解释了有和没有焦虑和抑郁的人之间反应差异的8 - 37%。结论研究结果表明，对于心理健康状况不佳的个人，有一定的参与障碍，没有任何心理健康问题的人不会感到强烈。将行为改变领域映射到潜在的干预措施，重点关注提高感知能力的活动，提供社会机会，并加强自动和反思的参与动机，有可能帮助纠正精神健康状况不佳者参与艺术的不平衡。
Background There is a large literature on the health benefits of engagement with the arts. However, there are also well-recognised challenges in ensuring equity of engagement with these activities. Specifically, it remains unclear whether individuals with poor mental health experience more barriers to participation. This study used a behaviour change framework to explore barriers to engagement in participatory arts activities amongst people with either depression or anxiety. Methods Data were drawn from a large citizen science experiment focused on participation in creative activities. Participants who reported engaging infrequently in performing arts, visual arts, design and crafts, literature-related activities, and online, digital and electronic arts were included and categorised into no mental health problems (n = 1851), depression but not anxiety (n = 873) and anxiety but not depression (n = 808). Barriers and enablers to engagement were measured using an 18-item scale based on the COM-B Self-Evaluation Questionnaire, with subscales assessing psychological and physical capabilities, social and physical opportunities, and automatic and reflective motivations. Logistic regression analyses were used to identify whether individuals with either depression or anxiety reported greater barriers across any of the six domains than individuals without any mental health problems. Where differences were found, we calculated the percentage of protective association explained by various demographic, socio-economic, social, physical or geographical factors. Results Individuals with depression and anxiety felt they would be more likely to engage in arts activities if they had greater psychological and physical capabilities, more social opportunities, and stronger automatic and reflective motivations to engage. However, they did not feel that more physical opportunities would affect their engagement. Covariates explained only 8-37% of the difference in response amongst those with and without anxiety and depression. Conclusions Findings suggest that for individuals with poor mental health, there are certain barriers to participation that are not felt as strongly by those without any mental health problems. Mapping the behaviour change domains to potential interventions, activities that focus on increasing perceived capabilities, providing social opportunities, and reinforcing both automatic and reflective motivations to engage has the potential to help to redress the imbalance in arts participation amongst those with poor mental health.