Evaluating the health impacts of participation in Australian community arts groups.
This study evaluates the impacts of three well-established community arts programmes in Victoria, Australia, on the mental health and well-being outcomes of participants typically from disadvantaged backgrounds during 2006-07. It employs a theoretical framework that reconciles evidence-based practice in health and the phenomenological nature of community arts practice. Self-determination theory (SDT) was used to do this with SDT-derived psychometric instruments [arts climate and Basic Psychological Needs Scales (BPNS)]. Self-administered surveys using these instruments as well as a measure of social support were undertaken on two occasions. Two overlapping but distinct samples were defined and analysed cross-sectionally. These were a (pre-)survey at the commencement of rehearsals for the annual performance (n = 103) and a (post-)survey following the performance (n = 70). The most significant change (MSC) technique was used to study the arts-making process and how it contributes to outcomes. Using these mixed-methods approach, impacts on the climate of the arts organizations, participant access to supportive relationships and participant's mental health and well-being were studied. There were positive changes in the BPNS (p = 0.00), as well as its autonomy (p = 0.04) and relatedness (p = 0.00) subscales. Social support increased from 65.3% in the pre-survey to 82.4% in the post-survey (p = 0.03). MSC data indicated that the supportive, collaborative environment provided by the arts organizations was highly valued by participants and was perceived to have mental health benefits.Overall, the study demonstrated the potential health promoting effects of community arts programmes in disadvantaged populations. Its multi-method approach should be further studied in evaluating other community arts programmes.
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia mkelaher@unimelb.edu.au.
Margaret
M
Kelaher
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia.
David
D
Dunt
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia.
Naomi
N
Berman
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia.
Steve
S
Curry
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia.
Lindy
L
Joubert
Population Health, University of Melbourne, 207 Bouverie St Carlton, Melbourne, Vic., Australia.
Victoria
V
Johnson
D001154:Art; D003153:Community Health Services / Q000458:organization & administration*; D003256:Community Participation; D003405:Creativity; D003430:Cross-Sectional Studies; D055317:Evidence-Based Practice; D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008603:Mental Health; D016730:Program Development; D015397:Program Evaluation; D011594:Psychometrics; D012944:Social Support; D066269:Social Theory; D011795:Surveys and Questionnaires; D014739:Victoria
evaluation challenges; inequalities; most significant change technique; social cognitive theory