Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies
Abstract Background As the population ages, older people account for a larger proportion of the health and social care budget. A significant body of evidence suggests that arts and creativity interventions can improve the physical, mental and social wellbeing of older adults, however the value and/o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-023-17369-x |
| _version_ | 1797388035085565952 |
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| author | Grainne Crealey Laura McQuade Roger O’Sullivan Ciaran O’Neill |
| author_facet | Grainne Crealey Laura McQuade Roger O’Sullivan Ciaran O’Neill |
| author_sort | Grainne Crealey |
| collection | DOAJ |
| description | Abstract Background As the population ages, older people account for a larger proportion of the health and social care budget. A significant body of evidence suggests that arts and creativity interventions can improve the physical, mental and social wellbeing of older adults, however the value and/or cost-effectiveness of such interventions remains unclear. Methods We systematically reviewed the economic evidence relating to such interventions, reporting our findings according to PRISMA guidelines. We searched bibliographic databases (MEDLINE, EMBASE, Econlit and Web of Science and NHSEED), trial registries and grey literature. No language or temporal restrictions were applied. Two screening rounds were conducted independently by health economists experienced in systematic literature review. Methodological quality was assessed, and key information extracted and tabulated to provide an overview of the published literature. A narrative synthesis without meta-analysis was conducted. Results Only six studies were identified which provided evidence relating to the value or cost-effectiveness of arts and creativity interventions to improve health and wellbeing in older adults. The evidence which was identified was encouraging, with five out of the six studies reporting an acceptable probability of cost-effectiveness or positive return on investment (ranging from £1.20 to over £8 for every £1 of expenditure). However, considerable heterogeneity was observed with respect to study participants, design, and outcomes assessed. Of particular concern were potential biases inherent in social value analyses. Conclusions Despite many studies reporting positive health and wellbeing benefits of arts and creativity interventions in this population, we found meagre evidence on their value or cost-effectiveness. Such evidence is costly and time-consuming to generate, but essential if innovative non-pharmacological interventions are to be introduced to minimise the burden of illness in this population and ensure efficient use of public funds. The findings from this review suggests that capturing data on the value and/or cost-effectiveness of such interventions should be prioritised; furthermore, research effort should be directed to developing evaluative methods which move beyond the confines of current health technology assessment frameworks, to capture a broader picture of ‘value’ more applicable to arts and creativity interventions and public health interventions more generally. PROSPERO registration CRD42021267944 (14/07/2021). |
| first_indexed | 2024-03-08T22:34:53Z |
| format | Article |
| id | doaj.art-fb1006f7e28448318632307e5032268c |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-03-08T22:34:53Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-fb1006f7e28448318632307e5032268c2023-12-17T12:32:40ZengBMCBMC Public Health1471-24582023-12-0123111210.1186/s12889-023-17369-xArts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studiesGrainne Crealey0Laura McQuade1Roger O’Sullivan2Ciaran O’Neill3Clinical Costing SolutionsInstitute of Public HealthInstitute of Public HealthCentre for Public Health, Institute of Clinical Sciences, Royal Victoria HospitalAbstract Background As the population ages, older people account for a larger proportion of the health and social care budget. A significant body of evidence suggests that arts and creativity interventions can improve the physical, mental and social wellbeing of older adults, however the value and/or cost-effectiveness of such interventions remains unclear. Methods We systematically reviewed the economic evidence relating to such interventions, reporting our findings according to PRISMA guidelines. We searched bibliographic databases (MEDLINE, EMBASE, Econlit and Web of Science and NHSEED), trial registries and grey literature. No language or temporal restrictions were applied. Two screening rounds were conducted independently by health economists experienced in systematic literature review. Methodological quality was assessed, and key information extracted and tabulated to provide an overview of the published literature. A narrative synthesis without meta-analysis was conducted. Results Only six studies were identified which provided evidence relating to the value or cost-effectiveness of arts and creativity interventions to improve health and wellbeing in older adults. The evidence which was identified was encouraging, with five out of the six studies reporting an acceptable probability of cost-effectiveness or positive return on investment (ranging from £1.20 to over £8 for every £1 of expenditure). However, considerable heterogeneity was observed with respect to study participants, design, and outcomes assessed. Of particular concern were potential biases inherent in social value analyses. Conclusions Despite many studies reporting positive health and wellbeing benefits of arts and creativity interventions in this population, we found meagre evidence on their value or cost-effectiveness. Such evidence is costly and time-consuming to generate, but essential if innovative non-pharmacological interventions are to be introduced to minimise the burden of illness in this population and ensure efficient use of public funds. The findings from this review suggests that capturing data on the value and/or cost-effectiveness of such interventions should be prioritised; furthermore, research effort should be directed to developing evaluative methods which move beyond the confines of current health technology assessment frameworks, to capture a broader picture of ‘value’ more applicable to arts and creativity interventions and public health interventions more generally. PROSPERO registration CRD42021267944 (14/07/2021).https://doi.org/10.1186/s12889-023-17369-xArtsCreativityEconomic evaluationHealthWellbeingOlder adults |
| spellingShingle | Grainne Crealey Laura McQuade Roger O’Sullivan Ciaran O’Neill Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies BMC Public Health Arts Creativity Economic evaluation Health Wellbeing Older adults |
| title | Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies |
| title_full | Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies |
| title_fullStr | Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies |
| title_full_unstemmed | Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies |
| title_short | Arts and creativity interventions for improving health and wellbeing in older adults: a systematic literature review of economic evaluation studies |
| title_sort | arts and creativity interventions for improving health and wellbeing in older adults a systematic literature review of economic evaluation studies |
| topic | Arts Creativity Economic evaluation Health Wellbeing Older adults |
| url | https://doi.org/10.1186/s12889-023-17369-x |
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