Evidence map›Paper›PMID 41275398›Full record

SynthesisThe Gerontologist2026

Impacts of participatory arts-based interventions on well-being of older adults without dementia: an umbrella review and a conceptual artistic participation framework.

Tianyin Liu, Jessica Kang Qi Lee, Hotinpo Sky Kanagawa, Lihong He, Anna Yan Zhang, Maggie Wai Shan Lo, Dara Kiu Yi Leung, Gloria Hoi Yan Wong, Terry Yat Sang Lum

Abstract readSystematic Review
In one paragraph

Synthesis in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tianyin LiuDepartment of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China.ORCID 0000-0002-8194-5342
Jessica Kang Qi LeeSchool of Nursing, The Hong Kong Polytechnic University, Hong Kong, China.ORCID 0000-0002-6528-9154
Hotinpo Sky KanagawaDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.
Lihong HeDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.
Anna Yan ZhangFelizberta Lo Padilla Tong School of Social Sciences, Saint Francis University, Hong Kong, China.ORCID 0000-0001-8566-521X
Maggie Wai Shan LoDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.
Dara Kiu Yi LeungDepartment of Social Work, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0002-7255-2790
Gloria Hoi Yan WongDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.ORCID 0000-0002-1331-942X
Terry Yat Sang LumDepartment of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China.ORCID 0000-0003-1196-5345

Funding

Jockey Club Holistic Support Project for Elderly Mental Wellness AR160026Jockey Club Holistic Support Project for Elderly Mental Wellness AR190017
6 · The paper itself

Abstract

BACKGROUND AND

objectivesWhile participatory arts are thought to benefit older adults' well-being, evidence has focused on dementia. This umbrella review synthesizes evidence from systematic reviews (SRs) and meta-analyses (MAs) on the impacts of participatory arts for older adults without dementia, and conceptually organizes findings using the proposed "Aesthetic-Engagement-Creativity" (AEC) framework. RESEARCH DESIGN AND

methodsFollowing PRIOR guidelines, we searched MEDLINE, PubMed, PsycINFO, The Cochrane Library of Systematic Reviews and gray literature to September 2023, with an update in June 2025. Study characteristics and well-being outcomes were extracted. We used the AEC framework for conceptual categorization, assessed primary study overlap using the corrected covered area (CCA) and the methodological quality with the AMSTAR 2.

resultsEighteen reviews were included, with minimal study overlap (CCA = 1.96%). However, the evidence base was weak; 12 reviews were of low or critically low quality. A synthesis of the six moderate-to-high quality reviews revealed that dance was the most studied modality, associated with improved physical well-being. The benefits for other well-being domains and art modalities were mixed, and significant heterogeneity in study designs and measures complicated comparisons. Our retrospective application of the AEC framework suggests that considering participants' aesthetic preferences and optimizing engagement and creativity levels may be important, but this link is speculative. DISCUSSION AND IMPLICATIONS: Participatory arts show potential for promoting well-being of older adults, but robust conclusions are constrained by the poor quality, underrepresented art modalities, and heterogeneity of the existing evidence. The AEC framework is offered as a conceptual tool requiring future empirical validation.

Indexed as

Art TherapyAgedCreativityDementiaHumansQuality of LifeAestheticsArts for older adultsCreativityEngagementMeta-review

Identifiers

PMID41275398
PMCPMC12854778

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.