A Critical Review of the Effectiveness of the Therapeutic Use of Artistic Activity

对艺术活动治疗用途有效性的批判性回顾

• 批准号: AH/L014343/1
• 负责人: Shona Kelly
• 金额: $ 2.9万
• 依托单位: Sheffield Hallam University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2014
• 资助国家: 英国
• 起止时间: 2014 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=AH%2FL014343%2F1
• 关键词: Critical; Review; Effectiveness; Therapeutic; Use

Within the body of research on arts and healthcare, there have been attempts at measuring and valuing the effects of the arts on clinical outcomes although often this is context specific (e.g. for specific amenities or initiatives/programmes in specific locations) and lacking a policy purpose. Despite this, the role and value of the arts in healthcare continues to be recognised and carry weight in policy terms. Although there is also evidence of silos of knowledge, and critics point out that there is a split between individualised notions of maintaining health and a more socially determined appreciation of the impacts of health inequalities and social interactions on everyone. Both arts and health operate across both sides of this divide but rarely are seen in this dual context.We propose to conduct a multi-dimensional critical review of the effectiveness of art therapy for the patient, published in academic journal articles and articles written for a healthcare audience (e.g. practitioner, healthcare manager/provider or policy), that has the stated goal of providing evidence of therapeutic benefit from an artistic activity through measurement of a health state. We will follow the processes used within public health for conducting a critical review of literature on a body of mixed research-study designs. This will involve setting out pre-determined criteria for literature to be included in the study; double reading all the papers and classifying the literature by study design, health state, stated therapeutic mechanism; expert assessment of possible therapeutic mechanism; and finally providing a narrative summary of the findings based on the quality of evidence and the volume of available evidence. The approach we will adopt for reviewing the literature will enable the current state of knowledge about the value of arts and culture in clinical and therapeutic contexts to be consolidated in relation to the overall quality of evidence. By adopting a recognised public health process to review and synthesise a large body of low-quality evidence we are using the current body of research to best advantage rather than simply criticising the quality.This will provide a holistic and, up to date, picture of the state of knowledge in the area of arts and therapeutic and clinical interventions, which is robust and transparent. In addition we will provide new ways of classifying the techniques which move beyond the simple classifications based on the form of the media (eg, music based or fibre art based therapies).

在艺术和医疗保健的研究机构中，有人试图衡量和评估艺术对临床结果的影响，尽管这通常是特定的背景（例如特定地点的特定设施或倡议/计划），缺乏政策目的。尽管如此，艺术在医疗保健方面的作用和价值继续得到认可，并在政策方面具有重要意义。虽然也有证据表明存在知识孤岛，但批评者指出，在保持健康的个人化概念与对健康不平等和社会互动对每个人的影响的更社会化的理解之间存在分歧。艺术和健康都跨越了这条鸿沟的两边，但很少在这种双重背景下看到。我们建议对艺术治疗对患者的有效性进行多维度的批判性审查，发表在学术期刊文章和为医疗保健受众撰写的文章中（例如，从业者、医疗保健管理者/提供者或政策），其既定目标是通过测量健康状况，提供艺术活动的治疗益处的证据。我们将遵循公共卫生领域使用的流程，对混合研究设计的文献进行批判性综述。这将涉及设定纳入研究的文献的预定标准;加倍阅读所有论文并按研究设计、健康状态、所述治疗机制对文献进行分类;专家评估可能的治疗机制;最后根据证据质量和可用证据量提供结果的叙述性总结。我们将采用的文献综述方法将使目前关于艺术和文化在临床和治疗背景下的价值的知识状态与证据的整体质量相结合。通过采用公认的公共卫生程序来审查和综合大量低质量的证据，我们正在利用现有的研究机构，以最大限度地利用而不是简单地批评质量。这将提供一个全面的，最新的，在艺术和治疗和临床干预领域的知识状态的图片，这是强大的和透明的。此外，我们将提供新的方法来分类技术，这些技术超越了基于媒体形式的简单分类（例如，基于音乐或基于纤维艺术的疗法）。

项目成果

Reviewing art therapy research : a constructive critique

回顾艺术治疗研究：建设性批评

• 发表时间: 2015
• 作者: Kelly, SJ