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  11. Impacts Of Participatory Arts-based Interventions On Well-being Of Older Adults Without Dementia: An Umbrella Review And A Conceptual Artistic Participation Framework

Impacts of Participatory Arts-based Interventions on Well-being of Older Adults Without Dementia: An Umbrella Review and A Conceptual Artistic Participation Framework

Tianyin Liu1, Jessica Kang Qi Lee2, Hotinpo Sky Kanagawa3

  • 1Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China.

The Gerontologist
|November 23, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Participatory arts may benefit older adults

Area of Science:

  • Gerontology
  • Arts and Health
  • Well-being Studies

Background:

  • Existing evidence on participatory arts for older adults primarily focuses on those with dementia.
  • There is a need to synthesize evidence for non-demented older adults.
  • The Aesthetic-Engagement-Creativity (AEC) framework is proposed for conceptual organization.

Purpose of the Study:

  • To synthesize evidence from systematic reviews and meta-analyses on participatory arts for older adults without dementia.
  • To conceptually organize findings using the AEC framework.

Main Methods:

  • Umbrella review following PRIOR guidelines, searching multiple databases and grey literature.
  • Extraction of study characteristics and well-being outcomes.
  • Conceptual categorization using the AEC framework; assessment of study overlap (CCA) and methodological quality (AMSTAR 2).
Keywords:
AestheticsArts for older adultsCreativityEngagement

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Main Results:

  • Eighteen reviews were included, with minimal study overlap and a weak evidence base (12 of low/critically low quality).
  • Dance was the most studied modality, linked to improved physical well-being in moderate-to-high quality reviews.
  • Benefits for other domains and modalities were mixed; heterogeneity complicated comparisons. AEC framework application is speculative.

Conclusions:

  • Participatory arts show potential for older adults' well-being, but evidence quality is a limitation.
  • Underrepresented art modalities and heterogeneity hinder robust conclusions.
  • The AEC framework requires empirical validation.
Meta-review