The social value of place-based creative wellbeing: A rapid review and evidence synthesis.

Creative well-being is an increasing field of interest to which biomedical and social sciences have made uneven contributions. The instrumental value of culture and its subsequential public investment is grounded in the interplay of social, cultural and economic capital to attain and preserve wellbeing and health and foster social mobility. The current evidence addresses the effectiveness of arts interventions in improving illnesses. Little attention has been paid to the social value of creative wellbeing for the general population. This paper is a rapid review and evidence synthesis that aims to answer the question, 'What is the social value of place-based arts and culture interventions at individual (wellbeing) and community (social inequalities) levels in the UK and Europe?'. After a systematic search of five databases, search engines, and a call for evidence in August 2022, 14 out of 974 sources met the inclusion criteria. Studies were organised into three themes (Community, Events, Museums), and outcomes were analysed considering the indicators and dimensions of wellbeing (Office for National Statistics). The review evidenced that creative wellbeing leads to improvements in wellbeing outcomes and can contribute to alleviating social determinants of health. However, considering their impact on the underlying causes of structural social inequalities requires caution.

The benefits and hazards of psychodrama in the management of mental illness: qualitative study linked to nidotherapy.

Drama therapy is a popular form of management in mental illness, as it reaches out beyond many other therapies. Few studies have examined both the advantages and disadvantages of this medium. This qualitative study examines both, and finds gains and hazards.

Health-promoting effect for students from physical loads of speed and strength orientation.

OBJECTIVE: Aim: To investigate the impact of speed and strength physical loads on promoting health and reducing the biological age of student youth. PATIENTS AND METHODS: Materials and Methods: The research involved 180 students aged 18-19. The first stage provided for the study of the indicators of the biological age of 120 students, and the second stage covered substantiation of the methodology for martial arts training sessions, based on physical loads of speed and strength orientation. To test its effectiveness, 60 students were involved (30 were in the experimental group (EG), 30 - in the control group (CG)). RESULTS: Results: The methodology for martial arts training sessions was developed and tested. In the dynamics of the experiment, there is a tendency to a decrease in the difference between the biological and the passport age, but these changes were unreliable in the CG, while a statistically significant decrease in this difference was recorded in the EG. In addition, there were significant changes in the EG in the following indicators: inspiratory breath holding (11.6 %), subjective health assessment (38.5 %), and static balancing (20.0 %). CONCLUSION: Conclusions: The use of physical loads of speed and strength orientation in the course of martial arts training has established a health-promoting effect and positive dynamics of the biological age indicators of student youth. The results of the research can be implemented in physical education and the process of sports improvement of students in higher educational institutions.

The Museum as a Shared Space: Developing Contextual and Cross-Disciplinary Approaches to Arts-Based Education.

Introduction: Despite the growing evidence favoring use of context-based interdisciplinary pedagogies in medical education, museum learning remains underutilized as a low-cost, replicable tool for introducing such constructs. We describe a novel approach to museum-based education building off the existing pedagogy of Visual Thinking Strategies that heightens the role of context. Methods: Outside the Frame, an optional elective at Emory University School of Medicine, was piloted in two iterations for a total of 7 second-year medical students who voluntarily enrolled in the course for the fall 2022 and 2023 semesters. Participating students were transitioning from the preclinical classroom environment to clinical clerkships, a period associated with feelings of personal and professional instability that may particularly benefit from critical reflection. The course included didactic components, hands-on crafting activities, presentations, and discussion groups. Student feedback was collected through anonymous pre- and post-course surveys, as well as written narrative reflections. Results: All post-course responses ranked their experience of the course as being "valuable" or "very valuable". Narrative reflections were overall positive and highlighted the role of context and cross-disciplinary input in shaping metacognitive awareness and cultivating comfort with uncertainty. Discussion: This pilot innovation demonstrates that a methodical framework to arts-based learning can elevate the role of context in a standardized museum education curriculum. Future visual arts and medicine courses may incorporate this framework to chart more active collaborations with museum educators and humanities faculty, as well as engage a broader range of communities and professional disciplines beyond medicine.

Misfits Meet Art and Technology: Cripping Transmethodologies.

This article thinks with disability theory and artistic praxis to explore how disabled artists repurpose and invent technologies in artistic processes designed to enact care and access, extend embodiment, satiate the senses, and create crip culture. Drawing on four examples, we claim that disabled artists are creative technologists whose non-normative culture-making practices approach accessibility as a transmethodological process that requires and generates new forms of interconnected technology and artfulness. Disabled artists, as "creative users," change the uses and outcomes of technology, dis-using technologies in ways that lead to a more dynamic understanding of access and with it, of crip cultures as processual, artful, and political.

Peripheral nerve injuries in the performing artist.

Dancers and musicians have unique physical demands that can lead to injury of the peripheral nerves. Specific dance movements and specific instrument positions, combined with countless hours of practice and repetition, create an environment for potential nerve injury. Familiarity with these variables and recognition of the common presentations of neuropathic syndromes are essential in the evaluation of a performing artist with a suspected peripheral nerve injury. Assessment should include an understanding and analysis of their dance style or instrument playing posture, particularly in the position or motion that recreates the symptoms if possible. Practice and performance schedules should also be considered. Diagnosis may require electrodiagnostic testing, imaging, or diagnostic injections. Treatment should be comprehensive and may include modifications in practice schedule, posture/position, and technique in addition to consideration of medications, splints/orthoses, physical therapy, and injections. The instructor/teacher should be involved in the treatment plan if applicable. Complete rest in this population may not be realistic or necessary. Early and accurate diagnosis of nerve injury is important for safe return to dance or instrumental music.

On the Effectiveness of Visual Arts Therapy for Traumatic Experiences: A Systematic Review and Meta-Analysis.

Arts therapy is a popular intervention used to work through the effects of traumatic experience. We evaluate previous reviews and report a meta-analysis of the effectiveness of arts therapy following trauma for reducing symptoms of PTSD, enhancing positive outcomes (e.g., quality of life) and decreasing negative outcomes (e.g., depression). Database searches identified 21 (N = 868) randomised controlled trials (RCTs). Outcomes were categorised as PTSD specific, positive non-PTSD specific and negative non-PTSD specific. Several moderators were tested: age, diagnosis type, trauma type, intervention instruction, control type, therapy mode and therapy duration. Overall, random-effects analysis indicated that arts therapy was favoured relative to control for positive non-PTSD-specific outcomes (g = 1.53, p < 0.001), but not for negative non-PTSD-specific (p = 0.069) or PTSD-specific outcomes (g = 0.89, p = 0.052). Regression analyses indicated that arts therapy was effective in reducing PTSD-specific outcomes in children (Z = 2.81, df = 1, p = 0.005), positive non-PTSD-specific outcomes in group-based arts therapy (Z = -2.40, df = 1, p = 0.016, I2 = 57.33) and for reducing negative non-PTSD outcomes following acute traumas (e.g., combat-related trauma or sexual abuse) (Q = 10.70, df = 3, p = 0.013, I2 = 77.09). We highlight the need for additional RCTs and standardised protocols to address heterogeneity. Our review provides an important benchmark for gauging the effectiveness of arts therapy in the treatment of trauma.

POTENTIAL OF THE GRAPHIC NOVEL "BLUE PILLS" TO DEMYSTIFY STIGMAS ABOUT HIV THROUGH CURRICULAR CONTENT / POTENCIAL DE LA NOVELA GRÁFICA "PÍLDORAS AZULES" EN DESMITIFICAR ESTIGMAS SOBRE EL VIH ATRAVÉ DE CONTENIDOS CURRICULARES / POTENCIAL DO ROMANCE GRÁFICO "PÍLULAS AZUIS" EM DESMISTIFICAR ESTIGMAS SOBRE HIV ATRAVÉS DOS CONTEÚDOS CURRICULARES

Despite advances in public policy and health care, it is estimated that more than 1 million people in Brazil live with HIV. Health education is an important prophylactic measure that could help disseminate information to reduce the increase in cases. Among the various strategies used in educational processes, visual media are strong allies due to their significant communication potential. The objective of this study was to analyze the graphic novel "Blue Pills" to identify its potential for addressing HIV in science and biology education. "Blue Pills" is an autobiographical graphic novel by Frederik Peeters that depicts his challenges and anxieties upon discovering that his girlfriend, Cati, and her son are HIV positive. We conducted a content analysis of the work, examining both visual and textual elements to evaluate its potential use in teaching. Our analysis identified 67 excerpts related to the research topic, which we categorized into five themes: "Prejudices and Stigmas," "Care and Treatment," "Transmission and Reproduction of the Virus," "Emotional and Psychological Impacts," and "Social View of Science." Peeters effectively presents HIV in an empathetic and accessible manner, contextualizing complex and often stigmatized issues for readers. Consequently, we believe the material has potential for educational use, despite existing restrictions in the Brazilian National Common Curricular Base (BNCC). Additionally, it contributes to the social debate on issues pertinent to the daily lives of HIV-positive individuals, helping to demystify stigmas entrenched in the collective imagination.

A pesar de los avances en políticas públicas y atención sanitaria, se estima que en Brasil más de 1 millón de personas viven con VIH. La educación sanitaria es un proceso de profilaxis importante que puede contribuir a la difusión de información para mitigar el aumento de casos. Entre las diferentes estrategias utilizadas en los procesos educativos, los productos visuales son fuertes aliados debido a su gran potencial comunicativo. El objetivo de este trabajo fue analizar la novela gráfica "Píldoras Azules" con el fin de identificar su potencial para abordar el VIH en la educación en ciencias y biología. "Píldoras Azules" es una novela gráfica autobiográfica de Frederik Peeters que presenta sus desafíos y angustias al descubrir que su novia Cati y su hijo son VIH positivos. Realizamos un análisis de contenido de la obra, observando los elementos visuales y textuales que pueden posibilitar su uso en la docencia. Tras el análisis, identificamos 67 extractos con enfoques relacionados con el tema objeto de la investigación. Los extractos están organizados en 5 categorías: "Prejuicios y estigmas", "Cuidado y tratamiento", "Transmisión y reproducción del virus", "Impactos emocionales y psicológicos" y "Visión social de la ciencia". En su obra, Peeters logra abordar el VIH de una manera empática y fácil de entender, contextualizando temas complejos y reprimidos en la sociedad para el lector. Por lo tanto, entendemos que el material presenta posibilidades de uso en la enseñanza, a pesar de las restricciones existentes en el BNCC, además de aportar al debate social cuestiones pertinentes a la vida cotidiana de las personas VIH positivas, desmitificando estigmas presentes en el imaginario colectivo.

Apesar dos avanços em políticas públicas e atendimento à saúde, estima-se que no Brasil mais de 1 milhão de pessoas vivam com o vírus da imunodeficiência humana (HIV). A educação em saúde é um importante processo de profilaxia que pode contribuir na disseminação de informações que atenuam o aumento de casos. Dentre as diferentes estratégias utilizadas nos processos educativos, os produtos imagéticos são fortemente aliados devido ao seu grande potencial de comunicação. O objetivo deste trabalho foi analisar o Romance Gráfico (RG) Pílulas Azuis a fim de identificar seu potencial para abordagem sobre o HIV no ensino de ciências e biologia. Pílulas Azuis é um RG autobiográfico de Frederik Peeters que apresenta seus desafios e angústias ao descobrir que sua namorada Cati e seu filho são soropositivos. Realizamos Análise de Conteúdo na obra demonstrando os elementos imagéticos e textuais que podem possibilitar seu uso no ensino. Após a análise, identificamos 67 trechos com abordagens relacionadas ao tema alvo da pesquisa. Os trechos foram organizados em 5 categorias: "preconceitos e estigmas", "Cuidado e tratamento", "Transmissão e reprodução do vírus", "Impactos emocionais e psicológicos" e "Visão social da Ciência". Peeters consegue em sua obra trazer o HIV de forma empática e com fácil compreensão, contextualizando ao leitor temas complexos e reprimidos na sociedade. Assim, identificamos que o material apresenta potencial de utilização no ensino, apesar das restrições existentes na BNCC, assim como trazer para o debate questões sociais pertinentes ao cotidiano de pessoas soropositivas, desmistificando estigmas presentes no imaginário coletivo.

Sense of safety or meaning in danger? Real-contact stick fighting as an imagistic ritual.

It is a common assumption that human behavior is guided by a desire to feel safe and avoid harm. However, this view is challenged by the popularity of high-risk leisure sport and other practices that involve subjecting oneself to a considerable danger with no apparent gain. By using real-contact stick fighting as an example, I suggest that the attractiveness of at least some such practices can be explained by cognitive dynamics that are typical of affectively intense rituals such as initiations. Affectively intense rituals are known to enhance personal meaning-making and foster identity fusion, that is, the overlapping of personal and social identities. The sense of meaning thus engendered effectively satisfies common identity motives and thus elicits positive affect. By introducing ritual studies perspectives into the edgework paradigm that is commonly used to conceptualize voluntary risk taking, I contribute to an increased understanding of the cognitive processes motivating participation in extreme leisure sport.

The impact of arts on prescription on individual health and wellbeing: a systematic review with meta-analysis.

Introduction: The evidence-base for the impact of participating in the arts for different aspects of health and wellbeing is growing. Arts on Prescription has gained increasing recognition as a method for fostering connections among individuals and communities, however, to date no systematic review of the impact on individual health and wellbeing has been conducted. This review aims to provide an understanding of individual health and wellbeing outcomes from participation in Arts on Prescription programmes. Methods: Major electronic databases were systematically searched, including Cochrane Library; Web of Science; ProQuest; CINAHL; Arts & Humanities; Ebsocohost; Pubmed; PsycINFO. Other databases were also used: Google Scholar and websites of specific organizations, e.g., NHS Evidence, Kings Fund, Health foundation, Nuffield Trust and NESTA and University of Florida Arts-in Medicine Repository. The review used PRISMA reporting structures. Critical Appraisal Skills Programme (CASP) templates were used for qualitative and quantitative studies, and the Mixed Methods Appraisal Tool (MMAT) for studies with a mixed methods protocol to assess quality and risk of bias. A narrative review of the qualitative data was conducted. For quantitative outcomes, a meta-analysis for studies that met inclusion criteria was conducted, and a narrative review made of secondary and heterogeneous outcomes and approaches. Results: 7,805 records were identified but only 25 records were included as studies with a focus on the impact on individual health and wellbeing. Studies were conducted in Australia, Denmark, Sweden, United Kingdom, and the United States. Programmes were held in community settings, arts venues, GP surgeries, primary healthcare settings, and one school. Most interventions varied from 8 to 10 weeks and included a wide range of different arts activities. Qualitative themes included social benefits, psychological benefits and progression opportunities. The meta-analysis showed a statistically significant improvement in wellbeing, and the narrative review identified promising outcomes that require further evidential support (e.g., reductions in anxiety and depression). Discussion: Arts on Prescription programmes are an appropriate intervention for improving psychosocial wellbeing, providing both social and psychological benefits as well as progression opportunities. We discuss the various qualitative and quantitative outcomes, along with potential 'active ingredients' and barriers to participation (physical, psychological and social). Systematic review registration: PROSPERO, identifier CRD42023408974, https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023408974.

Is it premature to formulate recommendations for policy and practice, based on culture and health research? A robust critique of the CultureForHealth (2022) report.

Introduction: Arts and health practice and research has expanded rapidly since the turn of the millennium. A World Health Organization scoping review of a large body of evidence claims positive health benefits from arts participation and makes recommendations for policy and implementation of arts for health initiatives. A more recent scoping review (CultureForHealth) also claims that current evidence is sufficient to form recommendations for policy and practice. However, scoping reviews of arts and health research-without critical appraisal of included studies-do not provide a sound basis for recommendations on the wider implantation of healthcare interventions. Methods: We performed a detailed assessment of 18 Randomised Controlled Trials (RCTs) on arts-based interventions included in Section 1 of the CultureForHealth report using the Joanna Briggs Institute Critical Appraisal Tool for RCTs (2023). Results: The 18 RCTs included demonstrated considerable risks of bias regarding internal and statistical conclusion validity. Moreover, the trials are substantially heterogeneous with respect to settings, health-issues, interventions, and outcomes, which limits their external validity, reliability, and generalisability. Conclusions: The absence of a critical appraisal of studies included in the CultureForHealth report leads to an overinterpretation and overstatement of the health outcomes of arts-based interventions. As such, the CultureForHealth review is not a suitable foundation for policy recommendations, nor for formulating guidance on implementation of arts-based interventions for health.

'You come as a human being ': exploring sense of equality in arts interventions through an ethnographic study of Shared Reading.

Research shows that the arts hold a particular potential for promoting health, well-being and social inclusion for vulnerable people. However, the use and consumption of the arts tend to be socially skewed in favour of people with high cultural, social and economic capital. While extensive research has been conducted on how to create equal access to arts activities for vulnerable groups, little research has investigated how to ensure meaningful engagement with the arts by this group. Shared Reading (SR) has had considerable success in engaging vulnerable groups in collective literary practices, and research suggests that this may partly be due to the unique forms of social and literary engagement that the concept fosters. These forms of engagement, we suggest, lay the foundation for a sense of equality among participants that may promote social connectedness and well-being. On this basis, the present study aims to investigate whether and how a sense of equality may play a role in SR practices. The study found that SR promotes a sense of equality by creating a space where social interaction and relatedness does not hinge on social roles, but rather on lived experiences-and vulnerabilities inherent to these-conveyed through literary texts and shared among participants. However, to promote a sense of equality in SR, meaningful engagement for all participants must be ensured, making facilitation an essential element of SR practices and an important focus in arts interventions in general. We conclude that SR, and arts interventions more generally, may be a promising way to promote a sense of equality, but further research is needed on the specific qualities of and potential contexts for the promotion of a sense of equality.

Branching out: mobilizing community assets to support the mental health and wellbeing of children in primary schools.

Introduction: Mobilizing existing creative, cultural and community assets is seen as a crucial pathway to improving public health. Schools have been identified as key institutional community assets and arts-in-nature practice has been shown to promote children's mental health. The 'Branching Out' research investigated how an established arts-in-nature practice called 'Artscaping' could be scaled up through the mobilization of community assets including school staff and local volunteers to reach more children in primary schools. Methods: The Branching Out model was piloted in six primary schools across Cambridgeshire with 'Community Artscapers' delivering 1.5-h Artscaping sessions with children outdoors for 8 weeks. Interviews were conducted with 11 Community Artscapers (six school staff and five volunteers) and four school leaders reflecting on their experiences of the Branching Out model and the data was subject to a reflexive thematic analysis. Results: The findings presented here discuss themes relating to mobilizing community assets, including framing the opportunity, recruiting and sustaining volunteers, training and supporting Community Artscapers, and tensions in roles and responsibilities. They also cover impacts for the children, including mental health provision, freedom in creativity and being outside, personal development, emotional impacts, and social connection, as well as impacts for the Community Artscapers, including making a difference, emotional wellbeing, personal and professional development, and connection and community. Discussion: These findings are considered in terms of their alignment with public health policy drivers and the potential for the Branching Out model to become replicable and self-sustaining across schools to promote children's mental health as a public health intervention.

An Empathy and Arts Curriculum During a Pediatrics Clerkship: Impact on Student Empathy and Behavior.

Introduction: Empathy is critical within medicine and improves patient outcomes and satisfaction. Empathy declines during the clerkship years due to the hidden curriculum, where students observe emotional distancing and desensitization by providers. Studies show arts curricula can preserve empathy but are limited by sample bias and preclerkship occurrence. We implemented and evaluated a brief pediatric clerkship arts curriculum to improve empathic behaviors. Methods: We created two 1-hour required small-group sessions for pediatric clerkship medical students. The first session paired arts observation techniques with various paintings. The students then applied these techniques to video-based simulated patient interactions in the second session. We used the Toronto Empathy Questionnaire (TEQ) and an empathy behavior checklist (EBC) as pre/post assessments to gauge self-reported empathy and empathetic behaviors. We compared responses of learners who attended the sessions (curriculum group) to learners unable to attend (control group). Results: Thirty-four students participated in the curriculum; 19 were in the control group. Neither the control nor the curriculum group had a significant change in pre/post TEQ scores. Students with pre-TEQ scores less than 45 who participated in the curriculum had significant improvement in post-TEQ scores compared to their control group counterparts (p = .02). On the EBC, there was a significant difference between the curriculum and control groups for those who explored more about the child/family's experience (p < .05). Discussion: Our work suggests that a brief clerkship arts curriculum is useful for improving self-reported empathy ratings and empathetic skills, particularly for students identified as having below-average empathy.

The role of psychological resilience and aggression in injury prevention among martial arts athletes.

Introduction: For martial artists, the ability to manage reactions in the face of adversity and bounce back after a stressful event can have major impact on performance. The scope of the research is to investigate martial artists' level of resilience and aggression (Go-ahead, Foul play, and Assertiveness factors), what is specific to athletes and who have suffered from moderate and/or severe injuries (in terms of resilience and three factors of aggression examined), and test the possibility that a psychological variable under investigation can predict athletes' injury severity. Materials and methods: A total sample of 154 athletes from striking combat sports-SC (karate, taekwondo, kickboxing, and boxing), grappling combat sports-GC (judo and BJJ), and mixed martial artists (MMA) participated in the research. For assessing resilience, the Romanian adaptation of the Brief Resilience Scale (BRS) was used, and for aggression, the Romanian adaptation of Makarowski's Sports Aggression Questionnaire was used. An injury report form was also created and applied to athletes. Results: The post-hoc tests (after running a single-factor multivariate analysis of variance) revealed significant differences for resilience and Foul (violent) play between the sports disciplines analyzed. A significant positive correlation was found between athletes' injury severity and assertiveness in SC and between injury severity and resilience in GC. Through the t-test for independent samples, it was highlighted that the average value for Foul (violent) play is significantly higher in athletes who have suffered mild, moderate, and/or severe injuries compared with martial arts athletes who have suffered from only mild/minor injuries. A binomial logistic regression was also performed to verify to what extent Foul play predicts athletes' injury severity. Conclusion: A low level of Foul (violent) play is linked with a decreased likelihood of moderate and/or severe injuries in martial arts athletes. The study findings suggest that resilience, foul play, and assertiveness have an important role in injury prevention among martial artists.