Enhancing holistic well-being in chronic stroke older people using visual art intervention: A comprehensive literature review.

Chui Ping Phyllis Pang, Sze Ki Cheung, Chung Lim Vico Chiang

Research output: Unpublished conference presentation (presented paper, abstract, poster)PosterAcademic researchpeer-review


Stroke anticipates sudden weakness/numbness of the body. It is an adverse life event that can result in consequences affecting physical, psycho-social and/or spiritual well-being. These consequences/impacts may be perceived as demanding, which may cause turbulence between the person and their environment. Disharmony and disconnection of holistic well-being may be provoked for the person after a stroke. When physical losses/impacts after a stroke may not be reversed, enhancement of the holistic well-being is an alternative to optimise the utmost of remaining function of the person to live in holism. Older people are experiencing functional decline as part of the ageing process, where they may feel more vulnerable and desperate when they relocate to a residential home after a stroke. Art therapy/intervention have been used in health care in recent decades. Visual art is the most common art form employed and more applicable for people with stroke.

This comprehensive literature review was conducted to identify the knowledge gap about the use of visual art interventions for people/older people with stroke. This review was undertaken, and seven electronic databases were searched including Pubmed, MEDLINE, CINHAL, PsycINFO, Science Direct, Cochrane Library, and Cochrane Reviews, plus additional institutional library search for any grey literature. Three sets of keywords were used: “stroke/post-stroke”; “art*therapy/visual art*/art*making/art*-based intervention/creative art*/expressive art*”; and “well*being/wellness/holistic well*being/mental health”. Out of the 116 identified papers, ten studies met the inclusion criteria from 1996 to 2019.

The findings indicate there is preliminary evidence showing that visual art interventions may benefit the physiological, psycho-social, and/or spiritual well-being for people with stroke. However, little is known about the benefits to holistic well-being. Two studies recruited older people with stroke as participants, while one study explored benefit on holistic well-being as the outcome. All of the included studies were conducted in the rehabilitation/community settings. Result of this review are discussed in terms of consensus in intervention modalities, variability in outcome measures, clarity of theoretical application, and methodological issues. Further study is warranted to explore the potential of using visual art interventions to enhance the holistic well-being of older people with chronic stroke in a residential care setting.

Original languageEnglish
Publication statusNot published / presented only - 27 Oct 2020
EventThe National Harvard Gerontological Nursing Excellence (NHCGE) Virtual Leadership Conference - Virtual, online, United States
Duration: 27 Oct 202029 Oct 2020


ConferenceThe National Harvard Gerontological Nursing Excellence (NHCGE) Virtual Leadership Conference
Country/TerritoryUnited States


  • Visual art
  • Older people with stroke
  • Holistic well-being


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