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      ‘Will I wear purple?’—a school arts-based research project in the UK to disseminate findings from a qualitative evidence synthesis about living to an extreme age

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          Abstract

          Background

          a change in attitude towards ageing is needed. Arts-based research (ABR) refers to the use of any creative art in research. ABR can provide an environment to reflect on challenging social issues and has the potential to make lasting impressions.

          Objective

          we aimed to explore the use of ABR to disseminate findings from a qualitative evidence synthesis exploring what it means to live well beyond the age of 80.

          Design

          ABR using art as a stimulus for recorded discussions and written annotations.

          Setting

          a mixed catchment state secondary school in the UK.

          Subjects

          fifty-four secondary school pupils aged 14–15. The majority identified as female (ratio 5:1).

          Methods

          school pupils created artwork to represent themes about ageing drawn from a qualitative evidence synthesis. The artwork was a stimulus for recorded discussions. We used thematic analysis to develop themes about children’s response to ageing.

          Results

          we developed six themes. Pupils found comfort in recognising that old age can be lived well; they began to see themselves in the older person; they explored the ambiguous nature of memory; they highlighted the dangers of disconnection; they affirmed a need to restore connection with elders and they recognised the need to cherish time and live meaningfully.

          Conclusions

          this project encouraged pupils to think about what it means to grow old. ABR has the potential to contribute to a more positive relationship with older people and towards ageing. Research stakeholders should not undervalue the potential power of shifts in perspective for powering social change.

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          Most cited references21

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          Mapping new theoretical and methodological terrain for knowledge translation: contributions from critical realism and the arts

          Background Clinical practice guidelines have been a popular tool for the improvement of health care through the implementation of evidence from systematic research. Yet, it is increasingly clear that knowledge alone is insufficient to change practice. The social, cultural, and material contexts within which practice occurs may invite or reject innovation, complement or inhibit the activities required for success, and sustain or alter adherence to entrenched practices. However, knowledge translation (KT) models are limited in providing insight about how and why contextual contingencies interact, the causal mechanisms linking structural aspects of context and individual agency, and how these mechanisms influence KT. Another limitation of KT models is the neglect of methods to engage potential adopters of the innovation in critical reflection about aspects of context that influence practice, the relevance and meaning of innovation in the context of practice, and the identification of strategies for bringing about meaningful change. Discussion This paper presents a KT model, the Critical Realism and the Arts Research Utilization Model (CRARUM), that combines critical realism and arts-based methodologies. Critical realism facilitates understanding of clinical settings by providing insight into the interrelationship between its structures and potentials, and individual action. The arts nurture empathy, and can foster reflection on the ways in which contextual factors influence and shape clinical practice, and how they may facilitate or impede change. The combination of critical realism and the arts within the CRARUM model promotes the successful embedding of interventions, and greater impact and sustainability. Conclusion CRARUM has the potential to strengthen the science of implementation research by addressing the complexities of practice settings, and engaging potential adopters to critically reflect on existing and proposed practices and strategies for sustaining change.
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            What is Wrong with Social Theory?

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              Arts-based methods in health research: A systematic review of the literature

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                Author and article information

                Contributors
                Journal
                Age Ageing
                Age Ageing
                ageing
                Age and Ageing
                Oxford University Press
                0002-0729
                1468-2834
                June 2023
                26 June 2023
                26 June 2023
                : 52
                : 6
                : afad051
                Affiliations
                Physiotherapy Research Unit , Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust , Oxford, UK
                Nuffield Department of Orthopaedics , Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford , Oxford, UK
                Art Department, Cheney School , Oxford, UK
                Physiotherapy Research Unit , Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust , Oxford, UK
                Nuffield Department of Orthopaedics , Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford , Oxford, UK
                Author notes
                Address correspondence to: Francine Toye, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford, and Physiotherapy Research Unit, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Windmill Road, Oxford OX3 7HE, UK. Email: francine.toye@ 123456ouh.nhs.uk
                Article
                afad051
                10.1093/ageing/afad051
                10294293
                e81eec09-35c8-4c8f-bdbc-b7a5e0f1df5f
                © The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 October 2022
                : 11 February 2023
                Page count
                Pages: 9
                Categories
                Qualitative Paper
                AcademicSubjects/MED00280
                ageing/15

                Geriatric medicine
                qualitative research,arts-based research,ageing,school,community,older people
                Geriatric medicine
                qualitative research, arts-based research, ageing, school, community, older people

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