定期的に更新される|Regularly updated and revised。

高齢社会における芸術の役割 | The Role of the Arts in Our Aging Societies

Arts in Health Research Literature Review 2003-2010

Europe and America
(Japanese Literature Review in Preparation)

People involved in the ever growing field of arts in health continue to express the need for rigorous academically based scientific research clearly demonstrating the positive role the arts can play in healthcare. Administrators of hospital and elderly homes and other health and welfare facilities, as well as grant giving organizations, continue to seek proof in terms of medical outcomes and economic benefits for arts in healthcare projects. The fact of the matter is, however, as the late Gene Cohen expressed to me in 2002, an abundance of research exists that does indeed demonstrate just such evaluations. People just do not know about it, or prefer to ignore it. To help remedy this situation this list of recent scholarly publications in the arts in health field includes literature reviews, state of the field reports, project surveys, research findings.

Francois Matarasso,
Use or Ornament? The Social Impact of Participation in the Arts
Gloucestershire UK: Comedia 1997 .

Based on case studies, this report takes evaluation of the arts beyond the aesthetic and financial. Of great interest to all those involved in participatory arts work and those who need to make the case for the arts. Chapters cover personal development, social cohesion, community empowerment and self-determination, local image and identity, imagination and vision, health and well-being. (pdf file, 100pp)

Dolores Kazanjian (President KCI Research and Evaluation)
“Final Report: Satisfaction and Outcomes Assessment: Hospital Artist-in-Residence Program of The Creative Center: Arts for People with Cancer,”
New York: Creative Center, December 6, 2002, 18pp

Lynn Knable,
Caring for Caregivers: A Grassroots USA-Japan Initiative
Published by Society for Arts in Healthcare and Tanpopo no Ie, January 2003
Japanese Translation: 編集 リン・ケイブル (Lynn Knable)
『ケアする人のためのケア: 日米における草の根的率先活動』
発行: アメリカ・アーツ・イン・ヘルスケア学会(SAH, 2003年11月発行

“Journeys in Culture: An Exploration of Grassroots Approaches to Caring for Caregivers in Hospitals, Institutions, and Homes in the USA and JAPAN.” A record of the exchange of visits of members of US-based Society for the Arts in Healthcare (SAH)and the Japan Association for the Arts and Healthcare(JSAH), renamed the Arts Meets Care Society.

Devlin, A. and Arneill, A.B. (2003)
“Health care environments and patient outcomes - a review of the literature.”
Environment and Behavior, 35(5), 665-694.

White, M. and Angus, J. (2003)
“Arts and adult mental health literature review.”
Durham: Centre for Arts and Humanities in Health and Medicine (CAHHM), University of Durham.

Angela Everitt and Ruth Hamilton (2003)
Arts, Health and Community: A Study of Five Arts in Community Health Projects
University of Durham Centre for Arts and Humanities in Health and Medicine (CAHHM)

The University of Durham’s Centre for Arts and Humanities in Health and Medicine (CAH HM) focuses on the role of art in the health of the community, that is the role of art in public health. This report evaluates 5 such community art programs.

Helen Jermyn
The Art of Inclusion
Pub Arts Council of England 2004

This report presents the findings of a three-year research project to explore social inclusion in the arts. Twenty eight arts organizations took part in the research, which was funded by Arts Council England. (171pp)
In addition to the report, 15 detailed case studies are available online.
For pdf file www.artscouncil.org.uk/documents/publications/phpyAtV3b.pdf

Dr. Rosalia Lelchuk Staricoff
“Arts in Health: A review of the medical Literature”
Research Report 36, Research at the Chelsea and Westminster Hospital
Arts Council England 2004

Arts in health: a review of the medical literature explores the relationship of the arts and humanities to healthcare, and the influence and effects of the arts on health. The report focuses on studies published from 1990 to 2004, looking at 385 papers from the medical literature. The aim of the study was to add to and strengthen the evidence base, including anecdotal and qualitative information, demonstrating the impact that the arts can have on health. Specifically, the findings highlight the importance of the arts and humanities on: clinical outcomes, mental healthcare, practitioners, staff morale and job satisfaction.

R. Staricoff, J. Duncan, M. Wright
“A Study of the Effects of Visual and Performing Arts in Health Care”
Chelsea and Westminster Hospital, 2004

This research was carried out at Chelsea and Westminster Hospital from 1999-2002. The research project has designed a unique approach to scientifically evaluate the effect of visual and performing arts in health care. This is a subject of concern for a wide range of professional including health authorities, policy makers, medical and nursing staff, architects, artists, and administrators. The research explores whether visual and performing arts could have an effect on psychological, physiological and biological outcomes of clinical significance. The results of this research provide the evidence that the integration of visual and performing arts into the health care environment induce psychological, physiological and biological outcomes which could have clinical significance. (pdf file, 65pp)

Also see the following Staricoff research:

Dr Rosalia Lelchuk Staricoff
“Can the arts have a positive effect on health?  A review of the medical literature”.
Research Report 36 Arts Council England 2004.  (pdf file, 90pp)

This reviews includes the following highlights -- The effect of the arts on clinical outcomes, mental healthcare, promoting better relationships between health practitioners and patients.

For an earlier paper, see
Staricoff, R.L., Duncan, J., Wright, M., Loppert, S. and Scott, J. (2001)
“A study of the effects of the visual and performing arts in health care,”
Hospital Development, 32(6), 25-28.

Ulrich, Roger S. (1984)
“View through a window may influence recovery from Surgery,”
Science, Washington, 224, 420-421.

This is the study that changed the way hospitals are designed. Providing a view of nature through a hospital room window does make a difference!

Other Urlich papers include the following:
Ulrich R , Gilpin L.
“Healing artsnutrition for the soul.”
In: Charmel PM,. Frampton SB, Gilpin L, eds. Putting Patients First—Designing and Practicing.
Patient–Centered Care. San Francisco: Jossey-Bass, 2003; 117–146.
San Francisco, CA: John Wiley & Sons.

This research cites more than 30 rigorous studies that show how exposure to nature quickly decreases stree and reduces pain, slowing respiration and lowering blood pressure.

Urlich, R.
“The Effect of Healthcare Architecture and Art on Medical Outcomes,”
Arts Council England Architecture Week Event, 25 June 2003
(“public art online” website  pdf file, 20pp)

Ulrich, R., Quan, X., Zimring, C., Joseph, A. and Choudhary, R. (2004)
“The role of the physical environment in the hospital of the 21st century: a once-in-a-lifetime opportunity.”
Report to the Center for Health Design for the Designing the 21st Century Hospital Programme.
Concord, Ca: Center for Health Design.

Urlich, R. & Zimring, C.
“The Role of the physical environment in the hospital of the 21st century”
Center for Health Design, 2004 USA

This study found some 700 peer–reviewed robust studies demonstrating the beneficial impact of the environment on health outcomes. Many have also demonstrated economic saving as well as higher patient and service user satisfaction levels.

Jane Waggoner Deschner,
“White Paper No. 1, Arts in Healthcare Programs and Practitioners: Sampling the Spectrum in the US and Canada”
Center Colloquium Group, Summer 2005

This report is comprised of 2 sections, an Overview of the arts in healthcare movement and a Sampling of arts in medicine programs and practitioners. Literature review and research not included. (pdf file, 55pp)

Jane Macnaughton, Mike White, Peter Collins, Simon Coleman, Geoffrey Purves, Peter Kellett, Anu Suokas, Karen Taylor.
Designing for Health: Architecture, Art and Design at the James Cook University Hospital -Final Report to NHS Estates Department of Health, Universities of Durham and Newcastle upon Tyne, February 2005  (254pp) (pdf file)

“The Centre for Arts and Humanities in Health and Medicine (CAHHM) at the University of Durham evaluated the arts project at the new James Cook University Hospital in Middlesbrough. The aim of the study was to evaluate the extent to which a planned approach to architecture, art and design in a major tertiary care NHS hospital has beneficial effect on patients’ and visitors’ experiences of the hospital and on patient and staff wellbeing.”

Gene Cohen
“The Creativity and Aging Study: The Impact of Professionally Conducted Cultural Programs on Older Adults: Final Report,”
National Endowment for the Arts , April 2006

In 2001, the National Endowment for the Arts developed a cooperative agreement with The George Washington University to conduct a multisite national study with the aim of measuring the impact of professionally conducted community based cultural programs on the general health, mental health, and social activities of older persons, age 65 and older.
This is the first study of this nature using an experimental design and a control group. The study takes place in three different sites across the country—the metro Washington, DC area; Brooklyn; and San Francisco. Each site involves two groups—(1) the Intervention Group, comprised of older individuals involved in a weekly participatory art program, and (2) those involved in a Control Group, comprised of individuals involved in their ongoing activities as usual. The average age in all three sites, Intervention and Control Groups alike, was approximately 80 years of age, The age range has been 65-103 years. Approximately 30 percent of the participants reflect racial and ethnic minorities. The groups were very well matched in level of functioning at the start of study, with very similar physical health, mental health, and level of activity profiles. They were all interviewed three times by research assistants—(1) at the start of the study to establish a baseline; (2) a year later; and finally (3) two years after the baseline assessment. Results reveal strikingly positive differences in the intervention group (those involved in intensive participatory art programs) as compared to a control group not involved in intensive cultural programs. Compared to the Control Group, those involved in the weekly participatory art programs, at the one and two year follow-up assessments, reported: (A) better health, fewer doctor visits, and less medication usage; (B) more positive responses on the mental health measures; (C) more involvement in overall activities. (from the Executive Summary)

Other studies by Gene Cohen include the following:
Gene Cohen, “Research on Creativity and Aging: The Positive Impact of the Arts on Health and Illness,”
Generations Vol. XXX, No. I, pp. 7-15, 2006

Gene Cohen, et al.,
“The Impact of Professionally Conducted Cultural Programs on the Physical Health, Mental Health and Social Functioning of Older Adults,”
The Gerontologist Vol. 46, No. 6, pp. 726-734

Harry Cayton
“Report of the Review of Arts and Health Working Group”
Department of Health, 2006.

Based on over 1000 studies, the case is made for investing in arts and health.
Mentions specifically some 11 studies that demonstrate the power case for arts in healthcare. States that the Department of Health should a clear statement supporting this. References also included. (pdf file, 20pp)

Department of Health
A Prospectus for Arts and Health
Arts Council England, 2007

This prospectus has been produced to celebrate and promote the benefits of the arts in improving everyone’s wellbeing, health and healthcare, and its role in supporting those who work in and with the Health Service. In it, we show that the arts can, and do, make a major contribution to key health and wider community issues. The five sections include “Arts in health: research and evidence” and “The arts and health in action.” (pdf file, 118pp)

Norma Daykin, Ellie Byrne, Tony Soteriou, Susan O’Connor,
Building on the Evidence: qualitative Research on the Impact of Arts in Mental Health Care, Final Report,
Bristol University of the West of England, Center for Public Health Research, January 2008. (pdf file, 222pp)

The main messages of the report include the following:
• The introduction of artworks can contribute to modern, ‘fit for purpose’ healthcare environments, generating identified benefits and opportunities for service users and staff as well as diminishing negative perceptions of institutional environments. When successfully introduced, high quality artworks are widely perceived as offering value for money and representing a good investment for healthcare organizations.

・The evidence base surrounding arts for health is in development and there is an ongoing need for high quality outcomes studies. This study has also demonstrated the value of robust qualitative research in generating insights into the impact of arts strategies as well as factors affecting their successful implementation in a particular context.

Includes: Norma Daykin and Ellie Byrne,“The Impact of art, design and environment in mental healthcare: a systematic review of the literature, The Journal of the Royal Society for the Promotion of Health, Vol.128, no. 2, 85-94, 2006.

A systematic review of over 600 papers published between 1985 and 2005 on the impact of arts, design and environments in mental health. Includes 19 reports on quantitative and qualitative studies that met inclusion criteria. Also addresses methodological challenges. And indicates that more research is needed.

Kathy Hathorn, MA, and Upali Nanda, Ph.D.
“Guide to Evidence-Based Art”
A Position Paper for The Center for Health Design's Environmental Standards Council, 2008
http://www.healthdesign.org/chd/research/guide-evidence-based-art?page=show )

Includes numerous examples and references to evidence-based art research.

National Endowment for the Arts (NEA)
“Arts in Healthcare: Best Practices”
Compiled and Edited by Anthony Heaphy, Intern and Anita Bansal,
November 2008

The Arts in Healthcare have grown into an international movement that works to infuse the full spectrum of the arts into healthcare settings—including design, visual, performing and literary arts—resulting in programs and healthcare environments that are welcoming and uplifting for caregivers, patients, their families, and visitors. Introduces 16 outstanding programs all across the United States. Does not include a literature review and research.

Olivia Goodman and Elaine Sims, eds.
“2009 State of the Field Report: Arts in Healthcare”
State of the Field Committee.
Washington, DC: Society for the Arts in Healthcare, 2009 USA

A March 2003 symposium, hosted by the National Endowment for the Arts (NEA) and the Society for Arts in Healthcare, brought together 40 experts in medicine, the arts, social services, media, business, and government to develop a strategic plan for advancing cultural programming in healthcare. The strategic plan aimed to help advocates raise awareness of the benefits of arts in healthcare, better document and disseminate research demonstrating its value, move toward a national funding base, and develop adequate training to educate and train healthcare workers and administrators. This State of the Field Report offers information about progress in the field since the symposium. Includes “The Benefits of the Arts in Healthcare--A sampling of Research Findings, ”pp. 12-24. Here you can find solid research supporting the role art can play in healthcare, as well as ideas on how to conduct such research. (pdf file, 43pp)

Koenraad Cuypers, Steinar Krokstad, Turid Lingaas Holmen, Margunn Skjei Knudtsen, Lars Olov Bygren, Jostein Holmen,
“Patterns of receptive and creative cultural activities and their association with perceived health, anxiety, depression and satisfaction with life among adults: the HUNT study, Norway,” Journal of Epidemiology & Community Health, 2010

  Cultural participation has been used both in governmental health policies and as medical therapy, based on the assumption that cultural activities will improve health. Previous population studies and a human intervention study have shown that religious, social and cultural activities predict increased survival rate. The aim of this study was to analyse the association between cultural activity and perceived health, anxiety, depression and satisfaction with life in both genders. This population-based study suggests gender-dependent associations between cultural participation and perceived health, anxiety, depression and satisfaction with life. The results support hypotheses on the effect of cultural activities in health promotion and healthcare, but further longitudinal and experimental studies are warranted to establish a reliable cause–effect relationship.

This research reconfirms Prof. Olov Bygren’s earlier research in Sweden which found that participation in culture activities is associated with a longer life. For Lars Olov Bygren’s earlier research see Kaken Report Chapter 8:

Bygren, Lars Olov; Konlaan, Boinkum Benson; Johansson, Sven-Erik,
“Attendance at cultural Events, reading books or periodicals, and making music or singing in a choir as determinants for survival: Swedish interview survey of living conditions,”
British Medical Journal (BMJ),1996(21-28December)Vol. 313, pp. 1577-80.

Follow up research from 2000 and 2001 includes the following:
Sven Erik Johansson, Boinkum Benson Konlaan, and Lars Olov Bygren,
“Sustaining habits of attending cultural events and maintenance of health: a longitudinal study,”
Health Promotion International (Oxford University Press 2001)
http://heapro.oupjournals.org/cgi/content/full/16/3/229 (2001年11月15日アクセス)

Boinkum Benson Konlaan, Lars Olov Bygren, and Sven Erik Johansson,
“Visiting the cinema, concerts, museums or art exhibitions as determinant of survival: a Swedish fourteen-year cohort follow-up,”
Scandinavian Journal of Public Health (2000), 28, pp.174-178

BB Konlaan, N Bjorby, LO Bygren, G. Weissglas, LG Karlsson and M Widmark,
“Attendance at cultural events and physical exercise and health: a randomized controlled study,”
Public Health (2000), 114, pp. 316-319

Heather L. Stuckey, DEd and Jeremy Nobel, MD, MPH
“The Connection Between Art, Healing and Public Health: A Review of Current Literature,”
American Journal of Public Health, February 2010, Vol 100, No 2, pp 254-263

This literature review explores the relationship between engagement with creative arts and health outcomes, specifically the health effects of music engagement, visual arts therapy, movement-based creative expression, and expressive writing.

“Recent Research – Arts in Healthcare” (on the “public art online” website)
By Joanna Morland, March 2010

Arts in healthcare has been a growing sector in the UK for more than 20 years. However it is only in the last 10 years that significant robust research has been carried out to provide evidence of the claimed benefits of incorporating art in healthcare settings. The selection of research studies in this roundup which all date from the first decade of 2000.
( http://www.publicartonline.org.uk/resources/research/artsandhealthmarch2010.php )

The “public art online” website has many other useful sections that include art in health links. (http://www.publicartonline.org.uk/)

Ilene A. Serlin, ed.
Whole Person Healthcare Volume 3, The Arts and Health
Praeger Perspectives
Westport, Connecticut & London: Praeger, 2007

Fourteen chapters on various aspects of arts in healthcare by 20 knowledgeable contributors, including doctors, nurses, psychologists, art therapists, art historians, anthropologists, artists. The various chapters discuss the growing fields of arts for health and arts therapies as they apply to three areas of western healthcare: clinical practice, education, and research-both qualitative and quantitative.  Highly recommended.

Also, the Society for Arts in Healthcare (SAH) annual publication Arts & Health: An International Journal for Research, Policy and Practice includes states of the field in different countries as well as research findings. The SAH website also provides an abundance information on arts in health organizations, practitioners, projects and research publications.
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