Research register

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Find studies, reviews and background material. Each record brings together its findings, limitations and sources.

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Three ways into the library. These are editorial starting points, rather than a ranking of evidence quality.

Start with a review

Get an overview of research on viewing visual art in healthcare, including the review’s scope and limitations.

Read the healthcare art review

78 records, including studies, reviews and background material. Some records refer to the same publication. How records are counted

· 1984 · United States

Nature views and postoperative recovery

Adjacent evidenceObservational / experimentalReported benefit

Finding. A retrospective comparison of 23 matched patient pairs associated a tree view with shorter recovery and less strong analgesic use.

Limitation. Nature exposure; a small observational study, not an artwork intervention.

Methods and verification

Ulrich RS. View through a window may influence recovery from surgery. Science. 1984;224(4647):420–421.

Verification level: Abstract checked

Structured summary

Population
Adults recovering from cholecystectomy in a suburban Pennsylvania hospital, 1972–1981
Sample
46 patients: 23 matched pairs
Exposure
Room window with a view of trees
Comparator
Similar rooms with a window facing a brick wall
Outcome measures
Postoperative length of stay, nurses’ notes, analgesic use (from records)
Timing
Retrospective records of the postoperative stay
Result
Shorter postoperative stays, fewer negative evaluative comments in nurses’ notes and fewer potent analgesics with the tree view
Uncertainty
Small observational matched comparison; no randomisation
Design
Retrospective matched-pair records review
Sample / scope
46 patients (23 matched pairs)
Setting
Inpatient room
Art form
Window view (nature)

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 1993 · Sweden

Nature and abstract images after cardiac surgery

Healthcare artRandomised trialConference abstractReported benefit

Finding. A frequently cited 1993 conference abstract reported differences in anxiety and analgesic use between image conditions.

Limitation. Full trial reporting was not located. This abstract cannot establish a general rule against abstract art.

Methods and verification

Ulrich RS, Lundén O, Eltinge JL. Effects of exposure to nature and abstract pictures on patients recovering from heart surgery. Paper, 33rd meeting of the Society for Psychophysiological Research, Rottach-Egern. Abstract in Psychophysiology. 1993;30(Suppl 1):7.

Verification level: Not yet assigned

Design
Randomised allocation, intensive care unit (Sweden)
Sample / scope
Not reported in the published abstract
Setting
Intensive care
Art form
Pictures

Conference abstract not accessible for checking, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2015 · International

A surgical arts review mainly concerned music

Policy & contextReviewContext / synthesis

Finding. A 2015 review included 48 studies, of which 47 concerned music and one sunlight.

Limitation. Useful for identifying the scope of the literature; it supplies no pooled estimate for installed visual art.

Methods and verification

Vetter D, Barth J, Uyulmaz S, et al. Effects of art on surgical patients: a systematic review and meta-analysis. Ann Surg. 2015;262(5):704–713.

Verification level: Abstract checked

Design
Systematic review and meta-analysis (PRISMA)
Sample / scope
1,101 records screened; 48 studies included
Setting
Perioperative
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

Art viewing in healthcare: the 2025 scoping review

Healthcare artReviewContext / synthesis

Finding. The review mapped 68 publications: 35 peer-reviewed and 33 grey-literature items. It describes promising patient-experience findings alongside mixed and null results.

Limitation. No formal critical appraisal or pooled effect estimate. The 2026 correction reports 534 visitors, not 32, within 6,006 participants.

Methods and verification

Foster MW, Sanhueza C, Bahr E, et al. The effects of viewing visual artwork on patients, staff, and visitors in healthcare settings: a scoping review. PLoS One. 2025;20(8):e0328215. Correction: PLoS One. 2026;21(4):e0347506.

Verification level: Abstract checked

Design
Scoping review (JBI / PRISMA-ScR), no critical appraisal
Sample / scope
68 publications; 6,006 participants (3,133 patients, 1,343 staff, 534 visitors, 996 other/unspecified)
Setting
Corridors, entrances, waiting areas, inpatient rooms
Art form
Several or unspecified

Citation and abstract checked against PubMed Central, 29 September 2026; review and formal correction checked, 9 September 2026 · Verification source

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

These five records cite the same review. PAH-026 also cites a separate accessibility paper. The 2026 correction belongs to this review and is not a new study. The underlying studies included by the review have not been matched against every other record.

Linked records: PAH-005, PAH-006, PAH-007, PAH-026 · Publication

How records are counted

· 2025 · International

Staff and visitors remain less studied than patients

Healthcare artResearch gapContext / synthesis

Finding. The 2025 scoping review found substantially more patient research than research on staff or visitors.

Limitation. A description of research coverage, not evidence that staff benefit less. Visitors, rather than staff, form the smallest named participant group.

Methods and verification

Foster MW, Sanhueza C, Bahr E, et al. PLoS One. 2025;20(8):e0328215.

Verification level: Full text assessed

Design
Evidence about the literature, drawn from a scoping review
Sample / scope
Peer-reviewed subset: 2,689 patient participants against 1,003 staff
Setting
All
Art form
Several or unspecified

Checked against the full text of the 2025 scoping review in PubMed Central, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

These five records cite the same review. PAH-026 also cites a separate accessibility paper. The 2026 correction belongs to this review and is not a new study. The underlying studies included by the review have not been matched against every other record.

Linked records: PAH-004, PAH-006, PAH-007, PAH-026 · Publication

How records are counted

· 2025 · International

Null and negative findings need equal visibility

Healthcare artResearch gapIncludes null findingsIncludes unfavourable findings

Finding. The healthcare review includes reports of no detectable benefit and some less favourable responses to visual-art interventions.

Limitation. Lack of reported adverse clinical events does not establish universal safety. Proposed explanations such as siting and consultation remain hypotheses.

Methods and verification

Foster MW, Sanhueza C, Bahr E, et al. PLoS One. 2025;20(8):e0328215.

Verification level: Full text assessed

Design
Null and negative findings reported within a scoping review
Sample / scope
Nine articles reporting null findings; six reporting some negative effect
Setting
Various
Art form
Several or unspecified

Checked against the full text of the 2025 scoping review in PubMed Central, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

These five records cite the same review. PAH-026 also cites a separate accessibility paper. The 2026 correction belongs to this review and is not a new study. The underlying studies included by the review have not been matched against every other record.

Linked records: PAH-004, PAH-005, PAH-007, PAH-026 · Publication

How records are counted

· 2025 · International

The gap in evidence specific to hospital sculpture

Healthcare artResearch gapContext / synthesis

Finding. The reviewed literature does not establish a causal health effect for permanent hospital sculpture isolated from its surroundings.

Limitation. This is a bounded conclusion about the material reviewed, not a claim that no sculpture research exists anywhere. See PAH-050 and PAH-055.

Methods and verification

Foster MW, Sanhueza C, Bahr E, et al. PLoS One. 2025;20(8):e0328215.

Verification level: Full text assessed

Design
Absence identified across the located review literature
Sample / scope
Not applicable
Setting
All
Art form
Sculpture

Checked against the full text of the 2025 scoping review in PubMed Central, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

These five records cite the same review. PAH-026 also cites a separate accessibility paper. The 2026 correction belongs to this review and is not a new study. The underlying studies included by the review have not been matched against every other record.

Linked records: PAH-004, PAH-005, PAH-006, PAH-026 · Publication

How records are counted

· 2008 · United States

Healthcare design provides context for art research

Policy & contextReviewContext / synthesis

Finding. Research on hospital design examines lighting, acoustics, ventilation and room configuration, among other variables.

Limitation. Effects of these building features cannot be assigned to an artwork within the building.

Methods and verification

Ulrich RS, Zimring C, Zhu X, et al. A review of the research literature on evidence-based healthcare design. HERD. 2008;1(3):61–125.

Verification level: Abstract checked

Design
Structured literature review, screened for relevance and quality
Sample / scope
Extends a 2004 review; several hundred studies screened
Setting
Whole facility
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2019 · WHO European Region

The WHO arts-and-health review has a broader scope

Policy & contextReviewContext / synthesis

Finding. The 2019 WHO review covers receptive and participatory activities across prevention, health promotion and treatment.

Limitation. Its overall findings cannot be presented as evidence for murals or sculpture alone. Art-making and arts therapies are outside this site's core scope.

Methods and verification

Fancourt D, Finn S. What is the evidence on the role of the arts in improving health and well-being? A scoping review. Copenhagen: WHO Regional Office for Europe; 2019. Health Evidence Network synthesis report 67.

Verification level: Not yet assigned

Design
Scoping review commissioned by WHO Regional Office for Europe
Sample / scope
Over 900 publications and 200 reviews, covering more than 3,000 studies
Setting
All
Art form
Several or unspecified

Source page could not be accessed for checking on 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2023 · Italy

Hospital gardens and outdoor space

Adjacent evidenceReviewContext / synthesis

Finding. A review of acute-care green spaces describes associations with restorative experience and lower reported stress.

Limitation. Gardens combine planting, outdoor access and other design features; the contribution of sculpture is not isolated.

Methods and verification

Brambilla A, Del Pio M, Ravegnani Morosini R, Capolongo S. Green space in hospital built environment: a literature review about therapeutic gardens in acute care healthcare settings before Covid-19. Acta Biomed. 2023;94(S3):e2023137.

Verification level: Abstract checked

Design
Literature review across Scopus, PubMed and Cochrane
Sample / scope
25 documents reviewed (2000–2020)
Setting
Hospital grounds and courtyards
Art form
Outdoor / green space

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2023 · United Kingdom

Creative health in UK policy

Policy & contextPolicy / contextContext / synthesis

Finding. The Creative Health inquiry and subsequent review document policy interest and recommendations for arts and health.

Limitation. Policy endorsement is context, not an evaluation of the health effects of installed art.

Methods and verification

All-Party Parliamentary Group on Arts, Health and Wellbeing. Creative Health: The Arts for Health and Wellbeing. London; 2017. National Centre for Creative Health and APPG AHW. Creative Health Review: How Policy Can Embrace Creative Health. London; December 2023.

Verification level: Abstract or primary source checked

Design
Parliamentary inquiry and policy review
Sample / scope
Two-year inquiry; 16 roundtables
Setting
National policy
Art form
Several or unspecified

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · United Kingdom

Long-running hospital art programmes

PracticeProgramme / guidanceContext / synthesis

Finding. CW+ and Paintings in Hospitals document sustained collection-building and arts programming in healthcare.

Limitation. Institutional programme records demonstrate practice. Collection size and longevity do not establish health outcomes.

Methods and verification

CW+ Arts in Health programme; Paintings in Hospitals.

Verification level: Abstract or primary source checked

Design
Programme reporting
Sample / scope
See source for sample and design
Setting
Acute hospital trusts
Art form
Art collections

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · United States

Percent-for-art as a funding route

Policy & contextPolicy / contextContext / synthesis

Finding. Some jurisdictions allocate part of eligible public-construction budgets to art; hospital projects may qualify.

Limitation. Rules vary. The available sources do not establish that this is the predominant funding mechanism for hospital art nationwide.

Methods and verification

National Assembly of State Arts Agencies, state percent-for-art programs; New York City Department of Cultural Affairs, Percent for Art.

Verification level: Abstract or primary source checked

Design
Policy record
Sample / scope
See source for sample and design
Setting
Public capital projects
Art form
Several or unspecified

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

The Jameel Arts & Health Lab

Policy & contextPolicy / contextContext / synthesis

Finding. The Lab brings together arts-and-health research and institutional partnerships, including work on hospital art viewing.

Limitation. Research infrastructure and institutional context; no endorsement of this repository is implied.

Methods and verification

Jameel Arts & Health Lab; Community Jameel.

Verification level: Abstract or primary source checked

Design
Institutional record
Sample / scope
See source for sample and design
Setting
Global
Art form
Several or unspecified

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2010 · United Kingdom

Visual art in hospitals: review and Scottish cases

Healthcare artReviewContext / synthesis

Finding. Lankston and colleagues describe generally favourable responses to hospital art alongside limitations in the available evidence.

Limitation. A narrative review and case discussion; it does not establish a uniform clinical effect.

Methods and verification

Lankston L, Cusack P, Fremantle C, Isles C. Visual art in hospitals: case studies and review of the evidence. J R Soc Med. 2010;103(12):490-499.

Verification level: Abstract checked

Design
Narrative review with three hospital case studies
Sample / scope
Three Scottish hospitals: Royal Infirmary of Edinburgh, new Stobhill Hospital, new Victoria Infirmary
Setting
Whole hospital
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2018 · United States

Room artwork improved perceptions, with no detected clinical benefit

Healthcare artRandomised trialMixed findingsIncludes null findings

Finding. In a randomised trial of 186 cancer inpatients, paintings improved perceptions of the hospital environment. Psychological and clinical outcomes did not differ across groups.

Limitation. A single-site trial of room paintings. The null outcomes are central to the result, not evidence that the environmental benefit is unimportant.

Methods and verification

George DR, de Boer C, Hammer J, Hopkins M, King T, Green MJ. Evaluating the benefits of hospital room artwork for patients receiving cancer treatment: a randomized controlled trial. J Hosp Med. 2018;13(8):558-561. doi:10.12788/jhm.2915

Verification level: Abstract checked

Structured summary

Population
Adult inpatients with cancer diagnoses at the Penn State Cancer Institute, Hershey, admitted for treatment requiring at least a three-day stay
Sample
186 enrolled, 2014–2016; three randomised groups
Intervention
A painting by a local artist in the patient’s line of vision, either chosen by the patient or randomly selected
Comparator
No painting
Outcome measures
Anxiety, mood, depression, sense of control; self-reported pain, quality of life and length of stay; perceptions of the hospital environment
Timing
Anxiety and control at baseline and before discharge; emotional state every 1–2 days; perceptions of the room once, before discharge
Result
No differences in psychological or clinical outcomes; both painting groups reported significantly better perceptions of the hospital environment
Uncertainty
Effect sizes and confidence intervals are not given in the abstract; the authors note that other room décor could not be fully controlled
Design
Randomised controlled trial
Sample / scope
186 inpatients
Setting
Inpatient room
Art form
Pictures

Citation (authors, title, journal, volume, pages, DOI) and result checked against PubMed and the author-institution record, 29 September 2026 · Verification source

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · International

Possible pathways between leisure and health

MechanismsTheoryContext / synthesis

Finding. A theoretical framework maps biological, psychological, social and behavioural pathways linking leisure activities and health.

Limitation. Proposed mechanisms across broad activities; not proof of a mechanism or outcome for permanent sculpture.

Methods and verification

Fancourt D, Aughterson H, Finn S, Walker E, Steptoe A. How leisure activities affect health: a narrative review and multi-level theoretical framework of mechanisms of action. Lancet Psychiatry. 2021;8(4):329-339.

Verification level: Abstract checked

Design
Narrative review and theoretical framework
Sample / scope
See source for sample and design
Setting
All
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2022 · International

Describing the components of an arts intervention

MechanismsTheoryContext / synthesis

Finding. The INNATE framework identifies components of arts-and-health activities to improve description and comparison.

Limitation. Developed around broader arts participation. Adapting it to installed art would require explicit methodological work.

Methods and verification

Warran K, Burton A, Fancourt D. What are the active ingredients of 'arts in health' activities? Development of the INgredients iN ArTs in hEalth (INNATE) Framework. Wellcome Open Res. 2022;7:10.

Verification level: Abstract checked

Design
Framework development from qualitative and consultative work
Sample / scope
See source for sample and design
Setting
All
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2023 · International

Arts and health in public policy

Policy & contextReviewContext / synthesis

Finding. A review of policy documents examines opportunities for collaboration between arts and health agencies.

Limitation. A policy analysis, not a study of patients or a test of installed art.

Methods and verification

Dow R, Warran K, Letrondo P, Fancourt D. The arts in public health policy: progress and opportunities. Lancet Public Health. 2023;8(2):e155-e160.

Verification level: Abstract checked

Design
Scoping review of policy documents
Sample / scope
See source for sample and design
Setting
National policy
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · International

Art viewing and stress: promising, uneven evidence

Adjacent evidenceReviewContext / synthesis

Finding. Law and colleagues reviewed 14 studies of art viewing and stress, finding promising results across heterogeneous methods and settings.

Limitation. Only four studies were randomised trials. Findings from museums and laboratories require care when applied to hospitals.

Methods and verification

Law M, Karulkar N, Broadbent E. Evidence for the effects of viewing visual artworks on stress outcomes: a scoping review. BMJ Open. 2021;11(6):e043549.

Verification level: Abstract checked

Design
Scoping review
Sample / scope
Studies of art viewing and stress outcomes across settings
Setting
Multiple
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · International

Visual arts in children's hospitals

Healthcare artReviewContext / synthesis

Finding. A dedicated scoping review examines how visual art contributes to children's and families' experiences of hospital environments.

Limitation. Different art forms, settings and study designs are combined; individual installations need their own evaluation.

Methods and verification

Ullán AM, Belver MH. Visual arts in children's hospitals: scoping review. HERD. 2021;14(4):339-367.

Verification level: Abstract checked

Design
Scoping review
Sample / scope
Studies of visual arts in children's hospital settings
Setting
Paediatric hospital
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2019 · United States

Nature-themed window murals in paediatric rooms

Healthcare artRandomised trialReported benefit

Finding. A study of 90 paediatric patients compared aquatic murals, tree murals and rooms without murals, reporting differences in physiological measures.

Limitation. Small, single-site study. Its results do not establish that every mural or subject will reduce heart rate or blood pressure.

Methods and verification

Pearson M, Gaines K, Pati D, Colwell M, Motheral L, Adams NG. The physiological impact of window murals on pediatric patients. HERD. 2019;12(2):116-129.

Verification level: Abstract checked

Structured summary

Population
Paediatric inpatients
Sample
90 patients
Intervention
Aquatic or tree-themed window mural in the room
Comparator
Room without a mural
Outcome measures
Heart rate and blood pressure from medical data
Timing
During the stay, from admission
Result
Improvements in heart rate and systolic blood pressure in mural rooms compared with control rooms; tree murals associated with the most outcomes
Uncertainty
Effect sizes not given in the abstract; single site
Design
Patients randomly assigned to one of three room conditions; physiological measurement
Sample / scope
90 paediatric patients; see paper for allocation and analysed sample
Setting
Paediatric inpatient
Art form
Murals

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2014 · United States

Patient responses to the Cleveland Clinic collection

Healthcare artObservational / experimentalReported benefit

Finding. A collection-level survey examined patient-reported mood, stress, comfort and perceptions of care.

Limitation. A self-selected institutional survey with no control condition; do not treat invitation counts as respondent counts or apply results to one sculpture.

Methods and verification

Karnik M, Printz B, Finkel J. A hospital's contemporary art collection: effects on patient mood, stress, comfort, and expectations. HERD. 2014;7(3):60-77. Related: Finkel J, Printz B, Gallagher LM, et al. HERD. 2021.

Verification level: Abstract checked

Structured summary

Population
Members of an online patient panel who had visited Cleveland Clinic’s main campus in the previous 12 months
Sample
Survey sent to 4,376 panel members; respondent number not given in the abstract
Exposure
The hospital’s contemporary art collection
Comparator
None
Outcome measures
Self-reported mood, stress, comfort, satisfaction and impression of the hospital
Timing
Single survey
Result
A majority of respondents noticed the art and reported improved mood and stress and a positive effect on satisfaction
Uncertainty
Self-selected respondents; no control condition
Design
Survey study within an institutional art collection
Sample / scope
See source for sample and design
Setting
Inpatient and public areas
Art form
Art collections

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

Both records cite the same 2014 paper. PAH-024 also mentions a 2021 paper; PAH-033 also discusses a 2024 institutional survey. Those additional sources are not treated as the same study. Participant overlap has not been established.

Linked records: PAH-033 · Publication

How records are counted

· 2008 · United Kingdom

Art within mental-health environments

Adjacent evidenceReviewContext / synthesis

Finding. A systematic review considered art alongside broader design and environmental factors in mental-health settings.

Limitation. The review combines different environmental interventions and predates much current practice.

Methods and verification

Daykin N, Byrne E, Soteriou T, O'Connor S. The impact of art, design and environment in mental healthcare: a systematic review of the literature. J R Soc Promot Health. 2008;128(2):85-94.

Verification level: Abstract checked

Design
Systematic review
Sample / scope
Studies of art, design and environment in mental healthcare
Setting
Mental health facilities
Art form
Several or unspecified

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2023 · International

Accessible art is a research priority

Healthcare artResearch gapContext / synthesis

Finding. The healthcare scoping review found a gap in evaluated receptive-art experiences for people with visual impairment. A separate perspectives paper addresses accessibility.

Limitation. Absence of outcome studies in a review is not absence of accessible practice. Touch-based access requires a suitable work and setting.

Methods and verification

Foster MW, Sanhueza C, Bahr E, et al. PLoS One. 2025;20(8):e0328215. Context: Palityka D, Chrysikou E, Murtagh N. Accessible art in healthcare facilities: exploring perspectives of healthcare art for visually impaired people. Front Med Technol. 2023;5:1205361.

Verification level: Full text assessed

Design
Absence identified within a scoping review that permitted such studies
Sample / scope
Not applicable
Setting
All
Art form
Several or unspecified

Checked against the full text of the 2025 scoping review in PubMed Central and the abstract of the perspectives paper, 29 September 2026 · Verification source

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

These five records cite the same review. PAH-026 also cites a separate accessibility paper. The 2026 correction belongs to this review and is not a new study. The underlying studies included by the review have not been matched against every other record.

Linked records: PAH-004, PAH-005, PAH-006, PAH-007 · Publication

How records are counted

· 2020 · United Kingdom

Practical guidance for commissioning and care

PracticeProgramme / guidanceContext / synthesis

Finding. Professional resources address artist selection, commissioning and the long-term care of art in healthcare.

Limitation. Practice guidance is distinct from clinical evidence; technical and procurement advice must fit the project and jurisdiction.

Methods and verification

Public Art Online / ixia: Guidelines for Commissioning and Selecting Artists and Craftspeople; When the Architects Leave: Maintaining artwork in the hospital environment. Arts + Health Ireland: The Arts Health Handbook.

Verification level: Not yet assigned

Design
Professional guidance
Sample / scope
Not applicable
Setting
Capital projects
Art form
Several or unspecified

Publisher site checked; the specific guidance titles cited were not located there, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2008 · United States

Evidence-informed art-selection guidance

PracticeProgramme / guidanceContext / synthesis

Finding. The Center for Health Design provides guidance translating research into art-selection decisions.

Limitation. Guidance inherits the limits of its underlying studies. It is not a new trial or an independent effect estimate.

Methods and verification

Nanda U, Hathorn K. A Guide to Evidence-Based Art. Concord, CA: The Center for Health Design; 2008. Related: Nanda U, Eisen S, Baladandayuthapani V. Undertaking an art survey to compare patient versus student art preferences. Environ Behav. 2008;40(2):269-301.

Verification level: Not yet assigned

Design
Professional guidance derived from research
Sample / scope
Not applicable
Setting
Whole facility
Art form
Several or unspecified

Source page could not be accessed for checking on 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2017 · Denmark

Patients describe how they experience hospital art

Healthcare artObservational / experimentalReported benefit

Finding. Qualitative research describes art as a source of interest, relief and a more welcoming hospital environment.

Limitation. Patient accounts help explain experience; they do not establish a causal clinical benefit.

Methods and verification

Nielsen SL, Fich LB, Roessler KK, Mullins MF. How do patients actually experience and use art in hospitals? The significance of interaction: a user-oriented experimental case study. Int J Qual Stud Health Well-being. 2017;12(1):1267343.

Verification level: Abstract checked

Design
User-oriented experimental qualitative case study
Sample / scope
Hospital patients
Setting
Inpatient and public areas
Art form
Art collections

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · United Kingdom

UCL arts-and-health research infrastructure

Policy & contextPolicy / contextContext / synthesis

Finding. UCL's Social Biobehavioural Research Group documents a programme of research on arts engagement and population health.

Limitation. Institutional context. The group's work is wider than permanent visual art; its inclusion does not imply a partnership.

Methods and verification

University College London news, March 2026; UCL Social Biobehavioural Research Group. Related: Fancourt D. Art Cure: The Science of How the Arts Transform Our Health.

Verification level: Not yet assigned

Design
Institutional record
Sample / scope
See source for sample and design
Setting
Global
Art form
Several or unspecified

Source page could not be accessed for checking on 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · Nigeria, Slovenia, United Kingdom, United States

Hospital murals across four countries: a 2026 preprint

Healthcare artCross-sectional mixed-methods studyPreprintMixed findingsIncludes null findings

Finding. HoME collected 525 responses through surveys, interviews and participatory photography. Surveys reported favourable patient associations and favourable staff associations in the UK and USA, with null staff findings in Nigeria and Slovenia.

Limitation. The source is a preprint. Correlations cannot show that murals caused improved wellbeing or that consultation explains differences between sites.

Methods and verification

Sajnani N, Foster MW, Oshodi Y, et al. The Hospital Murals Evaluation: a mixed-methods evaluation of the impact of murals on patients, healthcare workers, and visitors. medRxiv. 2026. doi:10.64898/2026.04.09.26350479

Verification level: Full text assessed

Structured summary

Population
Patients (adult psychiatric and paediatric), staff and visitors at four hospitals with established mural programmes in Nigeria, Slovenia, the United Kingdom and the United States
Sample
525 responses: 229 patients, 245 staff, 49 visitors, 2 undisclosed; surveys 327, interviews 115, participatory photography 83
Exposure
Viewing existing hospital murals, as reported by participants
Comparator
None; correlational, cross-sectional design
Outcome measures
Mural Experience Survey (developed for the study) and validated scales for well-being, positive and negative emotions, social connection and workplace belonging
Timing
Single time point; data collected April–July 2025
Result
Moderate positive correlations for patients with positive emotions; for UK and US staff with well-being, positive emotions, social connection and workplace belonging; no significant correlations for staff in Nigeria and Slovenia; no correlation with negative emotions at any site
Uncertainty
Bonferroni-corrected correlations; modest site samples; varied recruitment and translated scales; possible recall bias; preprint not peer reviewed
Design
Mixed-methods cross-sectional evaluation, four countries (preprint)
Sample / scope
525 responses: 229 patients, 245 staff, 49 visitors, 2 undisclosed
Setting
Hospital public areas
Art form
Murals

Full preprint text (version posted 10 April 2026) read for sample, methods, results and limitations, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · United States

Community murals at NYC Health + Hospitals

PracticeProgramme / guidanceContext / synthesis

Finding. The programme documents murals developed with artists, patients, staff and communities.

Limitation. The creation process involves active participation. Subsequent viewing of the installed mural is receptive exposure; these are different interventions.

Methods and verification

NYC Health + Hospitals Arts in Medicine, Community Mural Project; Luftglass R, Rothschild J. Healing Walls: New York City Health + Hospitals Community Mural Project 2019–2021. Laurie M Tisch Illumination Fund; 2022.

Verification level: Abstract or primary source checked

Design
Programme record
Sample / scope
See source for sample and design
Setting
Public areas across a municipal health system
Art form
Murals

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2024 · United States

Cleveland Clinic's reported collection surveys

Healthcare artObservational / experimentalReported benefit

Finding. The institution reports patient-perceived benefits from its collection; the published 2014 study is also catalogued at PAH-024.

Limitation. These records overlap. Self-reported perceptions are valuable but do not demonstrate reduced clinical pain or effects of a particular work.

Methods and verification

Karnik M, Printz B, Finkel J. A hospital's contemporary art collection: effects on patient mood, stress, comfort, and expectations. HERD. 2014;7(3):60-77. Cleveland Clinic, Our Art Collection (2024 survey).

Verification level: Abstract or primary source checked

Design
Institutional survey, self-report
Sample / scope
See source for sample and design
Setting
Whole campus
Art form
Art collections

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

Both records cite the same 2014 paper. PAH-024 also mentions a 2021 paper; PAH-033 also discusses a 2024 institutional survey. Those additional sources are not treated as the same study. Participant overlap has not been established.

Linked records: PAH-024 · Publication

How records are counted

· 1940 · United States

Historic hospital murals in New York

PracticeProgramme / guidanceContext / synthesis

Finding. New Deal-era hospital murals document an established civic tradition of art within healthcare.

Limitation. Historical intentions and clinicians' impressions are not controlled outcome evidence.

Methods and verification

Roosevelt House Public Policy Institute at Hunter College, Healing Walls: Health and Art in New Deal New York.

Verification level: Not yet assigned

Design
Historical record
Sample / scope
See source for sample and design
Setting
Public hospitals
Art form
Murals

Source page could not be accessed for checking on 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

Nature imagery, visual art and neuroaesthetics

Healthcare artReviewContext / synthesis

Finding. A 2025 review brings healthcare-design studies into dialogue with neuroaesthetics.

Limitation. Different evidence types are discussed together. Proposed neural explanations should not be presented as measured clinical effects.

Methods and verification

Cardillo ER, Chatterjee A. Benefits of nature imagery and visual art in healthcare contexts: a view from empirical aesthetics. Buildings. 2025;15(7):1027. doi:10.3390/buildings15071027

Verification level: Abstract checked

Design
Review
Sample / scope
See source for sample and design
Setting
Healthcare contexts
Art form
Several or unspecified

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2011 · United States

Nature imagery and as-needed medication on one psychiatric unit

Healthcare artObservational / experimentalReported benefit

Finding. A changing-image study associated a realistic nature photograph with fewer as-needed medication events than comparison conditions.

Limitation. One unit, short periods and no patient-level randomisation. The financial figures were local projections, not a general return on investment.

Methods and verification

Nanda U, Eisen S, Zadeh RS, Owen D. Effect of visual art on patient anxiety and agitation in a mental health facility and implications for the business case. J Psychiatr Ment Health Nurs. 2011;18(5):386–393.

Verification level: Abstract checked

Structured summary

Population
Patients in the multi-purpose lounge of an acute psychiatric unit
Sample
One unit; nurse interviews
Intervention
Realistic nature photograph or abstract art displayed in rotation
Comparator
No art
Outcome measures
Rate of as-needed (PRN) medication per patient census; nurse feedback
Timing
Rotating display periods
Result
PRN rate significantly lower on days with the nature photograph than with no art or abstract art; nurses reported agitation in response to the abstract image
Uncertainty
No patient-level randomisation; cost savings were a local projection
Design
Within-unit comparison across rotating art conditions, with nurse interviews
Sample / scope
One acute psychiatric unit; 21-day no-art control period; 22 nursing staff interviewed
Setting
Inpatient psychiatric unit
Art form
Pictures

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2012 · United States

Nature art in two emergency waiting rooms

Healthcare artObservational / experimentalReported benefit

Finding. Before-and-after observations reported reductions in several restless behaviours after still and video nature art were introduced.

Limitation. No concurrent control site. A combined visual intervention and observed behaviour, rather than a direct clinical outcome.

Methods and verification

Nanda U, Chanaud C, Nelson M, Zhu X, Bajema R, Jansen BH. Impact of visual art on patient behavior in the emergency department waiting room. J Emerg Med. 2012;43(1):172–181.

Verification level: Abstract checked

Structured summary

Population
Patients and visitors in emergency department waiting rooms at two hospitals
Sample
Thirty hours of observation before and after installation at each site
Intervention
Still and video art depicting nature
Comparator
Same waiting rooms before installation
Outcome measures
Systematic behavioural observation: restlessness, noise, staring, front-desk queries, social interaction
Timing
Four months
Result
Significant reductions in restlessness, noise and staring at both sites; fewer front-desk queries and more social interaction at one site
Uncertainty
Pre–post design without a concurrent control site
Design
Pre–post systematic behavioural observation at two hospitals
Sample / scope
Thirty hours of observation before and after installation at each site
Setting
Emergency department waiting room
Art form
Pictures

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · United States

Hospital gallery visits after cancer surgery

Adjacent evidenceRandomised trialMixed findingsIncludes null findings

Finding. A randomised study of 80 patients reported benefits for hope, anxiety and mental wellbeing after gallery visits; pain did not significantly differ.

Limitation. Receptive art viewing, but visits also involve movement, attention and a change of setting. This is not an isolated sculpture study.

Methods and verification

Lone Z, Hussein AA, Khan H, et al. Art Heals: randomized controlled study investigating the effect of a dedicated in-house art gallery on the recovery of patients after major oncologic surgery. Ann Surg. 2021;274(2):264–270. doi:10.1097/SLA.0000000000004059

Verification level: Abstract checked

Structured summary

Population
Patients undergoing major oncologic surgery at Roswell Park Comprehensive Cancer Center, Buffalo, New York
Sample
80 patients randomised to two arms
Intervention
Exposure to a dedicated in-house art gallery during the perioperative period (the hospital describes 15-minute daily visits)
Comparator
Standard of care
Outcome measures
Pain Rating Scale; Herth Hope Index; State-Trait Anxiety Inventory; Warwick-Edinburgh Mental Wellbeing Scale
Timing
Post-study questionnaires; exact time points not yet extracted from the full text
Result
Hope +2.4 vs +0.05 points (P = 0.004); anxiety −8 vs −0.9 points (P < 0.0001); mental wellbeing +5.23 vs −0.05 points (P < 0.0001); no significant difference in pain
Uncertainty
P values reported; confidence intervals not given in the abstract; single centre; visits combine art viewing with movement and a change of setting
Design
Randomised controlled trial, single centre
Sample / scope
80 patients
Setting
Post-surgical inpatient care
Art form
Art collections

Citation and abstract results checked against PubMed and the publisher’s abstract, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2022 · United States

Guided bedside art observation

Adjacent evidenceRandomised trialReported benefit

Finding. A randomised pilot of 73 haematology inpatients found lower state anxiety for guided art observation than for usual care.

Limitation. The discussion and personal attention are part of the intervention. Screen-based guided viewing does not isolate ambient art exposure.

Methods and verification

Gore E, Daiss SD-P, Liesveld JL, Mooney CJ. The therapeutic potential of bedside art observation in hematologic cancer inpatients: a randomized controlled pilot study. Support Care Cancer. 2022;30(4):3585–3592.

Verification level: Abstract checked

Structured summary

Population
Inpatients with haematologic cancer
Sample
73 patients, three arms
Intervention
Bedside observation of an electronic selection of artwork, with or without guided discussion
Comparator
No dedicated art observation
Outcome measures
State anxiety (abbreviated STAI Y-6)
Timing
Around the sessions; exact time points not yet extracted
Result
Lower mean anxiety with guided art observation than without (8.92 vs 12.1 on a 6–24 scale; p = 0.009)
Uncertainty
Pilot sample; guided discussion and personal attention are part of the intervention
Design
Randomised controlled pilot, three arms
Sample / scope
73 inpatients
Setting
Inpatient haematology unit
Art form
Pictures (screen)

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2003 · United States

A nature mural with sound during bronchoscopy

Adjacent evidenceRandomised trialMixed findingsIncludes null findings

Finding. A trial of 80 adults found better rated pain control with a nature mural plus nature sounds; anxiety did not significantly differ.

Limitation. A combined audiovisual intervention. The separate effect of the mural cannot be determined.

Methods and verification

Diette GB, Lechtzin N, Haponik E, Devrotes A, Rubin HR. Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia. Chest. 2003;123(3):941–948.

Verification level: Abstract checked

Structured summary

Population
Consecutive adults undergoing flexible bronchoscopy with conscious sedation, teaching hospital in Baltimore
Sample
80 patients
Intervention
Nature scene mural at the bedside plus recorded nature sounds before, during and after the procedure
Comparator
Neither mural nor sounds
Outcome measures
Patient ratings of pain control (5-point scale) and anxiety
Timing
Around the procedure
Result
Greater odds of better pain control (OR 4.76, 95% CI 1.35–16.7); no difference in anxiety (OR 0.87, 95% CI 0.39–1.96)
Uncertainty
Wide confidence interval; combined audiovisual intervention
Design
Randomised controlled trial
Sample / scope
80 adults undergoing flexible bronchoscopy
Setting
Procedure room
Art form
Murals

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · International

Nature exposure and self-reported pain

Adjacent evidenceReviewContext / synthesis

Finding. A meta-analysis pools studies of nature exposure and pain, including images, sound and real environments.

Limitation. Adjacent evidence about nature. Comparator choice and risk of bias affect interpretation; do not transfer the pooled estimate to sculpture.

Methods and verification

Steininger MO, Nitschke JP, White MP, Lamm C. Nature exposure reduces self-reported pain: a systematic review and meta-analysis. Nat Ment Health. 2026;4(1):165–180. doi:10.1038/s44220-025-00569-2

Verification level: Abstract checked

Design
Systematic review and meta-analysis
Sample / scope
62 studies (96 effects), 4,439 participants, 21 countries
Setting
Mixed clinical and laboratory
Art form
Several or unspecified

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

Art viewing and wellbeing: the 2025 systematic review

Adjacent evidenceReviewMixed findingsIncludes null findings

Finding. Across 38 papers and 6,805 participants, convergent evidence was found for eudemonic wellbeing—meaning, purpose and personal development. Other wellbeing outcomes lacked strong support.

Limitation. Settings and activities varied. The authors call for stronger methods and provide RAARR reporting guidance.

Methods and verification

Trupp MD, Howlin C, Fekete A, Kutsche J, Fingerhut J, Pelowski M. The impact of viewing art on well-being—a systematic review of the evidence base and suggested mechanisms. J Posit Psychol. 2025;20(6):978–1002. doi:10.1080/17439760.2025.2481041

Verification level: Abstract checked

Design
Systematic review
Sample / scope
38 papers; 6,805 participants
Setting
Galleries, hospitals, laboratories, online
Art form
Several or unspecified

Volume and pages added from the published citation, 29 September 2026; conclusion checked against author-institution abstract, 9 September 2026 · Verification source

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2019 · Italy

Brief art viewing and blood pressure in a museum

Adjacent evidenceObservational / experimentalReported benefit

Finding. A small experiment compared responses to figurative art, modern art and an office setting, reporting a systolic blood-pressure reduction in the figurative condition.

Limitation. Healthy museum participants, not hospital patients. One experiment cannot determine a universal preference or clinical art-selection rule.

Methods and verification

Mastandrea S, Maricchiolo F, Carrus G, Giovannelli I, Giuliani V, Berardi D. Visits to figurative art museums may lower blood pressure and stress. Arts Health. 2019;11(2):123–132.

Verification level: Abstract checked

Structured summary

Population
Museum visitors without hypertension
Sample
77 participants, randomly assigned
Intervention
Visit to figurative art or modern art
Comparator
Museum office
Outcome measures
Blood pressure and heart rate
Timing
Before and after the visit
Result
Systolic blood pressure decreased for most participants exposed to figurative art compared with modern art and the office; no heart-rate differences
Uncertainty
Small sample of healthy participants in a museum
Design
Randomised allocation, pre–post physiological measurement
Sample / scope
77 participants
Setting
Art museum (Rome)
Art form
Pictures

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2006 · United Kingdom

Cortisol after a lunchtime gallery visit

Adjacent evidenceObservational / experimentalReported benefit

Finding. A small uncontrolled study reported lower cortisol and self-reported stress after a gallery visit.

Limitation. Time of day, the break from work and other factors were not controlled. The linked 2019 review is a secondary account of Clow and Fredhoi's 2006 study.

Methods and verification

Clow A, Fredhoi C. Normalisation of salivary cortisol levels and self-report stress by a brief lunchtime visit to an art gallery by London City workers. Journal of Holistic Healthcare. 2006;3(2):29–32. Secondary account: Mastandrea et al. (2019).

Verification level: Not yet assigned

Design
Pre–post physiological study
Sample / scope
28 healthy adults
Setting
Art gallery (London)
Art form
Art collections

Only the secondary account (2019 review) could be checked; the original article was not accessible, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2019 · United Kingdom

Cultural attendance and mortality in older adults

Adjacent evidenceObservational / experimentalReported benefit

Finding. A longitudinal cohort associated more frequent cultural attendance with lower subsequent mortality after statistical adjustment.

Limitation. Attendance included theatre and concerts as well as museums and galleries. Observational findings cannot establish causality or a benefit from installed art.

Methods and verification

Fancourt D, Steptoe A. The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English Longitudinal Study of Ageing. BMJ. 2019;367:l6377.

Verification level: Abstract checked

Structured summary

Population
Community-dwelling adults aged 50 and over, English Longitudinal Study of Ageing
Sample
6,710 adults
Exposure
Frequency of receptive arts engagement (museums, galleries, exhibitions, theatre, concerts, opera)
Comparator
Never engaging
Outcome measures
Mortality through NHS register linkage
Timing
Baseline 2004–05; 14-year follow-up
Result
Infrequent engagement: HR 0.86 (95% CI 0.77–0.96); frequent engagement: HR 0.69 (0.59–0.80), after adjustment
Uncertainty
Observational; residual confounding possible
Design
Prospective cohort (English Longitudinal Study of Ageing)
Sample / scope
6,710 adults aged 50 and over
Setting
Population, not healthcare
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

This record and PAH-046 use the ELSA cohort. They are distinct publications with different outcomes; participant overlap has not been quantified.

How records are counted

· 2019 · United Kingdom

Cultural attendance and later depression

Adjacent evidenceObservational / experimentalReported benefit

Finding. An older-adult cohort associated more frequent cultural attendance with lower subsequent depression incidence.

Limitation. A broad, voluntary cultural activity. Residual confounding remains possible and permanent-art exposure was not isolated.

Methods and verification

Fancourt D, Tymoszuk U. Cultural engagement and incident depression in older adults: evidence from the English Longitudinal Study of Ageing. Br J Psychiatry. 2019;214(4):225–229.

Verification level: Abstract checked

Structured summary

Population
Adults aged 50 and over free from depression at baseline, English Longitudinal Study of Ageing
Sample
2,148 adults
Exposure
Frequency of cultural engagement (including museums, theatre and cinema)
Comparator
Less frequent or no engagement
Outcome measures
Incident depression (CES-D combined with physician diagnosis)
Timing
10-year follow-up
Result
Dose-response association: OR 0.68 (95% CI 0.47–0.99) for attending every few months and OR 0.52 (0.34–0.80) for monthly or more, compared with less frequent engagement
Uncertainty
Observational; residual confounding possible
Design
Prospective cohort (English Longitudinal Study of Ageing)
Sample / scope
2,148 adults aged 50 and over
Setting
Population, not healthcare
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

This record and PAH-045 use the ELSA cohort. They are distinct publications with different outcomes; participant overlap has not been quantified.

How records are counted

· 2023 · United Kingdom, United States

Population-health research on arts engagement

Policy & contextPolicy / contextContext / synthesis

Finding. A UCL report synthesises cohort findings on arts engagement and population health.

Limitation. Secondary synthesis; some underlying studies are already listed at PAH-045 and PAH-046. Do not double-count the report as independent evidence.

Methods and verification

Fancourt D, Bone JK, Bu F, Mak HW, Bradbury A. The Impact of Arts and Cultural Engagement on Population Health: Findings from Major Cohort Studies in the UK and USA 2017–2022. London: UCL; 2023.

Verification level: Abstract or primary source checked

Design
Research synthesis report
Sample / scope
Multiple national cohorts (ELSA, HRS and others)
Setting
Population, not healthcare
Art form
Several or unspecified

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · Greece

Greece's Arts on Prescription programme

Policy & contextPolicy / contextContext / synthesis

Finding. Programme and conference accounts describe a national referral-based arts initiative involving cultural institutions.

Limitation. Facilitated participation is outside core scope. Conference-reported treatment outcomes are not used here as evidence for permanent sculpture or murals.

Methods and verification

Stefanis N. Presentation to the EU Culture and Health webinar "Scaling up Arts on Prescription Models", June 2026; Ministry of Culture / UMHRI programme documentation, artonprescription.gr.

Verification level: Abstract or primary source checked

Design
National pilot with an embedded randomised controlled trial (results presented; peer-reviewed publication not yet located)
Sample / scope
See source for sample and design
Setting
Museums, theatres, concert halls and cultural institutions, Greece
Art form
Several or unspecified

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2024 · Austria

Art installations and greenery in urban streets

Adjacent evidenceObservational / experimentalReported benefit

Finding. A field study compares short-term responses to art and greenery in street installations, reporting favourable changes in wellbeing measures.

Limitation. Public-space evidence rather than healthcare evidence. Similar observed results do not establish statistical equivalence.

Methods and verification

Mikuni J, Dehove M, Dörrzapf L, et al. Art in the city reduces the feeling of anxiety, stress, and negative mood: a field study examining the impact of artistic intervention in urban public space on well-being. Wellbeing Space Soc. 2024;7:100215.

Verification level: Abstract checked

Structured summary

Population
Passers-by in urban streets
Sample
Not extracted from the abstract
Intervention
Street installation of laminated art prints
Comparator
Street installation of green elements
Outcome measures
Subjective and physiological well-being
Timing
Before and after interaction with the installation
Result
Reduced anxiety, stress and negative mood after the art installation, as after the green installation
Uncertainty
Short-term field experiment outside healthcare
Design
Field experiment with within-subject measures, two Vienna streets
Sample / scope
See source for sample and design
Setting
Urban street, not healthcare
Art form
Public art

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2014 · United States

Sculpture and perceived restorativeness of plazas

Adjacent evidenceObservational / experimentalReported benefit

Finding. In an experiment using manipulated plaza images, sculpture was associated with higher ratings of perceived restorativeness.

Limitation. Ratings of simulated spaces by a small sample, not measured recovery or health in a hospital. Relevant to siting hypotheses.

Methods and verification

Abdulkarim D, Nasar JL. Are livable elements also restorative? J Environ Psychol. 2014;38:29–38.

Verification level: Not yet assigned

Design
Photo-simulation experiment, factorial design
Sample / scope
60 participants rating three plazas
Setting
Urban plazas, not healthcare
Art form
Sculpture

Citation metadata checked against Crossref; abstract not accessible, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2014 · Japan

Public art and its landscape setting

Adjacent evidenceObservational / experimentalReported benefit

Finding. Image-rating experiments found that responses to public art differed between urban and natural settings.

Limitation. Scene preferences are not clinical outcomes. The findings support testing the artwork within its intended setting.

Methods and verification

Motoyama Y, Hanyu K. Does public art enrich landscapes? The effect of public art on visual properties and affective appraisals of landscapes. J Environ Psychol. 2014;40:14–25.

Verification level: Not yet assigned

Design
Two rating experiments with manipulated landscape images
Sample / scope
University students (numbers not extracted)
Setting
Urban and natural landscapes, not healthcare
Art form
Public art

Citation metadata checked against Crossref; abstract not accessible, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2010 · United Kingdom

Art, plants and choice in office environments

Adjacent evidenceObservational / experimentalReported benefit

Finding. Experiments comparing office conditions found benefits from enrichment and from participants' control over decoration.

Limitation. Art and plants were combined. Office tasks and worker choice differ from exposure to hospital sculpture.

Methods and verification

Knight C, Haslam SA. The relative merits of lean, enriched, and empowered offices: an experimental examination of the impact of workspace management strategies on well-being and productivity. J Exp Psychol Appl. 2010;16(2):158–172.

Verification level: Abstract checked

Structured summary

Population
Office workers in experimental settings
Sample
Two experiments: 112 and 47 participants
Intervention
Offices decorated by the experimenter with plants and art, or self-decorated
Comparator
Lean office
Outcome measures
Organisational identification, well-being and productivity measures
Timing
Within each experimental session
Result
Better outcomes in decorated than lean offices; further improvements when workers decorated their own space
Uncertainty
Art and plants combined; office tasks, not healthcare
Design
Two experiments, one in a laboratory office and one in a commercial city office
Sample / scope
112 and 47 participants
Setting
Workplace, not healthcare
Art form
Pictures

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Germany

A street-level exhibition and neighbourhood connection

Adjacent evidenceObservational / experimentalReported benefit

Finding. A field study reports changes in neighbourhood connectedness and wellbeing after engagement with a public exhibition.

Limitation. Adjacent public-space evidence. The original record was based on the abstract; no hospital application was tested.

Methods and verification

Kühnapfel C, Trupp MD, Pelowski M, Fingerhut J. On the impact of public art: how engaging a pedestrian-level exhibition improves neighborhood connectedness and well-being. Wellbeing Space Soc. 2025;8:100252. doi:10.1016/j.wss.2025.100252

Verification level: Abstract checked

Design
Field study of a pedestrian-level exhibition
Sample / scope
Not extracted from the published abstract
Setting
Urban street, not healthcare
Art form
Public art

Citation checked against Crossref and abstract against the publisher or OpenAlex record, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 1991 · United States

Supportive design and positive distraction

MechanismsTheoryContext / synthesis

Finding. Ulrich's supportive-design framework proposes that control, social support and positive distraction can support coping in healthcare environments.

Limitation. A theoretical framework. Its relevance to commissioning does not prove that any particular artwork produces the proposed effect.

Methods and verification

Ulrich RS. Effects of interior design on wellness: theory and recent scientific research. J Health Care Inter Des. 1991;3:97–109.

Verification level: Abstract checked

Design
Theory paper
Sample / scope
Not applicable
Setting
Healthcare design
Art form
Several or unspecified

Citation and abstract checked against PubMed, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Study location not established

A sculpture-specific paper with incomplete methods

Healthcare artQualitative study (as described)Context / synthesis

Finding. A 2025 paper discusses sculpture in hospital design, but the accessible description does not establish a clear sample, comparison or measured effect.

Limitation. Not used to support health claims. The limitation is the available methodology, not whether the journal charges publication fees.

Methods and verification

Tamilarasan SS, Rajesh R. Healing through art: analyzing the psychological effects of sculptures in hospital design. SEEJPH. 2025;XXVI(S1):3895–3901.

Verification level: Abstract checked

Design
Qualitative, interviews and observation (as described in abstract)
Sample / scope
Not reported
Setting
Hospitals (unspecified)
Art form
Sculpture

Editorially reviewed; original source retained

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · United States

Roswell Park's permanent Art Heals Gallery

PracticeProgramme / guidanceContext / synthesis

Finding. The institution documents the permanent gallery associated with the trial at PAH-038.

Limitation. A practice record of the same project, not an additional independent trial. No claim that it is the only such example is made.

Methods and verification

Roswell Park Comprehensive Cancer Center. Art Heals Gallery installed at Roswell Park. Cancer Talk, January 2021.

Verification level: Abstract or primary source checked

Design
Documented institutional practice
Sample / scope
Not applicable
Setting
Cancer centre
Art form
Art collections

Primary source page checked, 29 September 2026

Last full editorial audit: 2026-09-09 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Not recorded

Personalised paintings for hospitalised children

Healthcare artObservational / experimentalReported benefit

Finding. Ten hospitalised children viewed an original painting and then a version altered with personalised content. Well-being and involvement scores were high and slightly higher afterwards, and joy ratings for the personalised version were high.

Limitation. A pilot with ten children and no control group. Personalising the painting makes this more than ambient exposure.

Methods and verification

Rollins J. A visit to David’s World: exploring the impact of a passive art intervention on hospitalized children’s wellbeing, engagement, and joy. Arts Health. 2025;17(3):254–276.

Verification level: Abstract or primary source checked

Design
Exploratory mixed-methods pilot (grounded theory)
Sample / scope
10 hospitalised children aged 4–12
Setting
Paediatric inpatient care
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Not recorded

Children’s preferences for ceiling-tile artwork

Healthcare artObservational / experimentalReported benefit

Finding. Children generally reported feeling better when viewing painted ceiling tiles. Realistic nature, realistic animals and cartoon content, and bright colour tones, were preferred; younger children reported the best experience.

Limitation. One health system; self-report collected by nursing staff; no comparison condition.

Methods and verification

Biddle KS, Boggs LM, Wolfe ML, et al. Healing ceilings: a collaborative exploration of pediatric preferences in ceiling tile artwork. J Pediatr Nurs. 2025;81:e96–e105.

Verification level: Abstract or primary source checked

Design
Survey of patient experience and preference
Sample / scope
65 paediatric patients aged 4–17
Setting
Paediatric clinical areas
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Not recorded

Patients and physicians choose different art for patient rooms

Healthcare artObservational / experimentalContext / synthesis

Finding. Both patient groups chose figurative art more often (65–67%) than physicians chose for their patients (42%). Views with natural elements were preferred across groups.

Limitation. Stated preference among a fixed set of images, not a measured health effect.

Methods and verification

Balandin A, Wallenfang M, Wagener K, et al. Comparison of art preferences in patient rooms between chronic pain patients, palliative care patients and physicians. Wien Med Wochenschr. 2025;175(9–10):237–244.

Verification level: Abstract or primary source checked

Design
Comparative preference study
Sample / scope
79 chronic pain patients, 79 palliative care patients, 79 physicians
Setting
Patient rooms (image selection)
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · China

Waiting-area art and patient satisfaction in China

Healthcare artObservational / experimentalReported benefit

Finding. Satisfaction with the visual art on the walls was one of the significant predictors of overall satisfaction, alongside sound level, the size of the waiting area and signage.

Limitation. Cross-sectional association; art is one of several environmental factors and its effect is not isolated.

Methods and verification

Xuan X, Li Z, Chen X, Cao Y, Feng Z. Study of the physical environment of waiting areas and its effects on patient satisfaction, experience, perceived waiting time, and behavior in China. HERD. 2021;14(3):108–123.

Verification level: Abstract or primary source checked

Design
Environmental measurement, observation and questionnaire survey
Sample / scope
Sample size not stated in the abstract
Setting
Outpatient waiting areas
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2021 · Not recorded

Nature views, artwork content and nurse burnout

Adjacent evidenceObservational / experimentalReported benefit

Finding. The share of perceived nature views was among the strongest predictors of emotional exhaustion and depersonalisation scores. Artwork content was included as an explanatory variable but was not among the leading predictors reported.

Limitation. Small cross-sectional sample; primarily evidence about nature views rather than artwork.

Methods and verification

Mihandoust S, Pati D, Lee J, Roney J. Exploring the relationship between perceived visual access to nature and nurse burnout. HERD. 2021;14(3):258–273.

Verification level: Abstract or primary source checked

Design
Cross-sectional regression study
Sample / scope
51 nurses in six units of one tertiary hospital
Setting
Nurse work and break areas
Art form
Window view (nature)

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2024 · International

Built environment in inpatient mental health facilities

Adjacent evidenceReviewContext / synthesis

Finding. The review identified the inclusion of artwork in units among the factors associated with a therapeutic environment, alongside privacy, daylight, communal areas and homelike design.

Limitation. Art is one design factor among many; its contribution is not isolated.

Methods and verification

Rodríguez-Labajos L, Kinloch J, Grant S, O’Brien G. The role of the built environment as a therapeutic intervention in mental health facilities: a systematic literature review. HERD. 2024;17(2):281–308.

Verification level: Abstract or primary source checked

Design
Systematic literature review with SIGN50 appraisal
Sample / scope
44 studies from nine countries
Setting
Adult inpatient mental health units
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · Not recorded

Age-specific design of art in paediatric rooms

MechanismsTheoryContext / synthesis

Finding. The authors argue that artwork and views should be calibrated by age rather than assumed to comfort every child, reporting that visual features produced divergent responses across age groups.

Limitation. A framework supported by simulated observations, not clinical outcomes.

Methods and verification

Sathyanarayanan H, Caldas L. Beyond one-size-fits-all: sensory regulation and age-specific design in pediatric healthcare environments. Front Pediatr. 2026;14:1790826.

Verification level: Abstract or primary source checked

Design
Conceptual paper with virtual-reality observations
Sample / scope
Children 8–11, adolescents 12–17 and parents (VR evaluation)
Setting
Simulated paediatric patient rooms
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · Mexico

The art collection of Mexico’s social security institute

PracticePolicy / contextContext / synthesis

Finding. Describes IMSS’s collection of murals, sculptures and architectural works across its facilities as an expression of institutional identity and of the values of Latin American social medicine.

Limitation. Historical and documentary; no health outcomes are measured.

Methods and verification

Pacheco-Zavala MDP, Hernández-Ordóñez R, Smolinski-Kurek RL. Murales, medicina y memoria: el patrimonio cultural del IMSS como generador de identidad institucional. Rev Med Inst Mex Seguro Soc. 2025;63(5):e6710.

Verification level: Abstract or primary source checked

Design
Documentary and reflective review
Sample / scope
Not applicable
Setting
IMSS medical, administrative and social facilities
Art form
Art collections

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

A critique of the evidence for arts-based interventions

Adjacent evidenceReviewContext / synthesis

Finding. Argues that the evidence cited for arts-based interventions is weaker than claimed: many studies do not define the artistic component, randomise allocation, control for concurrent interventions or report analyses appropriately.

Limitation. Addresses arts-based interventions broadly, most of them participatory, rather than installed art. Contested: see PAH-066.

Methods and verification

Skov M, Nadal M. Can arts-based interventions improve health? A conceptual and methodological critique. Phys Life Rev. 2025;53:239–259.

Verification level: Abstract or primary source checked

Design
Conceptual and methodological critique
Sample / scope
Studies cited as evidence for arts-based interventions
Setting
Clinical and health-policy contexts
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2025 · International

A response to the critique of arts-and-health evidence

Adjacent evidenceReviewContext / synthesis

Finding. Arts-and-health researchers respond to PAH-065, arguing for a more nuanced evaluation of current research on the health outcomes of arts-based interventions.

Limitation. Commentary rather than new data; like PAH-065, it concerns arts-based interventions broadly.

Methods and verification

Karkou V, Sacco PL, Pelowski M, et al. Comment on ‘Can arts-based interventions improve health? A conceptual and methodological critique’ by Skov and Nadal – a critique of the critique. Phys Life Rev. 2025;54:147–151.

Verification level: Abstract or primary source checked

Design
Published commentary
Sample / scope
Not applicable
Setting
Arts-and-health research
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · International

A model of how passers-by experience street and public art

MechanismsTheoryContext / synthesis

Finding. Proposes a model of the street art experience. The authors define street art broadly, including public art, and suggest the model may help explain inconsistent findings.

Limitation. Developed for urban settings and not tested in healthcare. The breadth of definition was confirmed by the author in correspondence.

Methods and verification

Ho R, Szubielska M. Life or art? A model of street art experience. Psychol Aesthet Creat Arts. 2026. Advance online publication.

Verification level: Abstract or primary source checked

Design
Theoretical model
Sample / scope
Not applicable
Setting
Urban public space
Art form
Public art

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 1985 · United Kingdom

Population-level thinking about health exposures

MechanismsTheoryContext / synthesis

Finding. Distinguishes the causes of individual cases from the causes of incidence in a population, and argues that the population strategy, which shifts exposure for everyone, deserves priority.

Limitation. Included as context for thinking about environments that everyone passes through; the paper does not concern art.

Methods and verification

Rose G. Sick individuals and sick populations. Int J Epidemiol. 1985;14(1):32–38.

Verification level: Abstract or primary source checked

Design
Theoretical epidemiology paper
Sample / scope
Not applicable
Setting
Population health
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2011 · United Kingdom

Improving environments for care at the end of life

PracticeProgramme / guidanceContext / synthesis

Finding. Describes nurse-led projects to improve environments for end-of-life care under the King’s Fund Enhancing the Healing Environment programme, including findings of an independent evaluation by the University of Nottingham.

Limitation. Environmental improvements broadly; the contribution of artwork is not isolated.

Methods and verification

The King’s Fund. Environments for care at end of life: the King’s Fund’s Enhancing the Healing Environment Programme 2008–2010. London: The King’s Fund; 2011.

Verification level: Abstract or primary source checked

Design
Programme case studies with independent evaluation
Sample / scope
Projects in 19 NHS trusts and one prison
Setting
Hospital and prison end-of-life care environments
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 1997 · Ireland

Ireland’s Per Cent for Art Scheme

Policy & contextPolicy / contextContext / synthesis

Finding. Allows up to 1% of the cost of publicly funded capital projects, subject to limits, to be allocated to commissioning art. Available across all government departments since 1997, with national guidelines from 2004 and higher limits from 2020.

Limitation. A funding mechanism, not evidence of effect. Its uptake in the health sector is not quantified in the sources reviewed.

Methods and verification

Government of Ireland. Per Cent for Art. Department of Culture, Communications and Sport.

Verification level: Abstract or primary source checked

Design
Government policy
Sample / scope
Not applicable
Setting
Publicly funded capital projects, including hospitals
Art form
Several or unspecified

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2017 · Germany

Art and history at the Dresden-Friedrichstadt hospital

PracticePolicy / contextContext / synthesis

Finding. Describes the history of the Dresden-Friedrichstadt hospital, its Neptune fountain and its connections to Vienna.

Limitation. Historical; no health outcomes are measured.

Methods and verification

Wollina U, Hunger S, Koch A, et al. Between history, art and medicine: the Dresden-Friedrichstadt hospital, its Neptune fountain and connections to Vienna. Wien Med Wochenschr. 2017;167(Suppl 1):20–24.

Verification level: Abstract or primary source checked

Design
Historical account
Sample / scope
Not applicable
Setting
Hospital grounds, Dresden
Art form
Art collections

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2022 · Libya

Preferences for hospital rooms in North Africa, including art

Healthcare artObservational / experimentalReported benefit

Finding. Participants preferred an aesthetically pleasing room that included art and bright colours, window views and personalisation, which they associated with greater satisfaction and happiness.

Limitation. Stated preferences in a simulated design exercise at one centre; art is one of several features.

Methods and verification

Gashoot MM. Revisiting healing environments: Islamic interior elements in hospital rooms in North Africa. HERD. 2022;15(1):315–332.

Verification level: Abstract or primary source checked

Design
Prospective preference study using 3D design software
Sample / scope
Volunteers recruited by advertisement; sample size not stated in the abstract
Setting
Single-occupancy rooms, Tripoli Medical Center
Art form
Pictures

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2022 · Jordan

Psychologically supportive design in a Jordanian public hospital

Adjacent evidenceObservational / experimentalContext / synthesis

Finding. Proposes a framework of psychologically supportive design features drawn from healing-environment theory and finds the studied hospital moderately supportive, with connection to nature the weakest aspect.

Limitation. Single hospital; the framework covers design broadly and does not isolate artwork.

Methods and verification

Al-Bqour N, Rababeh S, Al-Rabady R. The psychological supportive design features in hospitals: case of a public Jordanian hospital in Amman. HERD. 2022;15(1):173–188.

Verification level: Abstract or primary source checked

Design
Mixed methods: framework from literature, site inventory and inpatient questionnaire
Sample / scope
One large public hospital in Amman
Setting
Inpatient environment
Art form
Window view (nature)

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2024 · Saudi Arabia

Families, staff and inpatient room design in Saudi Arabia

Adjacent evidenceObservational / experimentalContext / synthesis

Finding. Respondents strongly preferred single rooms (74.5%), natural light (77.6%), comfortable seating (85.8%) and a family zone by the window with views of nature (50.5%), and saw family presence as supporting the healing environment.

Limitation. Does not address artwork. Included because it documents what patients, families and staff in Saudi hospitals value in the room environment.

Methods and verification

Hussein MFF, Abubakar IR. Perspectives of families and healthcare staff on the design of inpatient hospital rooms in Saudi Arabia. HERD. 2025;18(1):122–141.

Verification level: Abstract or primary source checked

Design
Questionnaire survey
Sample / scope
359 patients, family visitors and healthcare professionals in three hospitals
Setting
Inpatient rooms
Art form
Window view (nature)

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2022 · Qatar

The art collection inside Sidra Medicine, Doha

PracticePolicy / contextContext / synthesis

Finding. Qatar Foundation reports that Sidra Medicine holds more than sixty artworks, including models, paintings and interactive works, and quotes an art specialist on art’s role in humanising hospitals.

Limitation. An institutional account, not an evaluation. The individual works are not listed in the source.

Methods and verification

Qatar Foundation. How do Sidra’s art pieces improve healthcare? 13 June 2022.

Verification level: Abstract or primary source checked

Design
Institutional account
Sample / scope
More than sixty artworks
Setting
Women’s and children’s hospital, Education City, Doha
Art form
Art collections

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2017 · United Arab Emirates

Cleveland Clinic Abu Dhabi: art and regional design references

PracticePolicy / contextContext / synthesis

Finding. Cleveland Clinic states that its art collection extends to its Abu Dhabi hospital. The architects describe interiors that integrate arabesque patterns and regional colour palettes to give patients a sense of familiarity.

Limitation. Institutional and design-firm descriptions; no evaluation of the art or of the regional design references was located.

Methods and verification

Cleveland Clinic. Viewing the art collection; HDR. Cleveland Clinic Abu Dhabi (project description).

Verification level: Abstract or primary source checked

Design
Institutional and architect accounts
Sample / scope
Not applicable
Setting
Multispecialty hospital, Abu Dhabi
Art form
Art collections

Abstract or primary source checked, 28 September 2026 · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · Japan

Student sculpture maquettes exhibited in a hospital museum

Healthcare artDescriptive surveyContext / synthesis

Finding. A month-long exhibition in March 2025 showed sculpture maquettes by second-year sculpture students at the YHRP museum inside Hiroshima University Hospital. A questionnaire was completed by 37 people: 13 hospital users, 9 companions or family members, 3 hospital staff, 5 students, 5 members of the public and 2 others.

Limitation. A temporary exhibition of maquettes, not permanent installed sculpture. A descriptive questionnaire of a self-selected audience, with no comparison. Findings beyond the abstract and respondent table await a checked translation of the methods and results.

Methods and verification

Hitokuwada T. 病院における彫刻・立体造形作品の可能性と課題に関する研究II [Research on the possibilities and tasks of sculptures and three-dimensional works in hospitals II]. Studies in Art Education (美術教育学研究). 2026;58(1):177–184. doi:10.19008/uaesj.58.177

Verification level: Abstract checked

Design
Descriptive questionnaire at a temporary exhibition
Sample / scope
37 respondents (13 hospital users, 9 companions or family, 3 hospital staff, 5 students, 5 public, 2 other)
Setting
YHRP museum, Hiroshima University Hospital
Art form
Sculpture

Abstract and respondent table checked against the J-STAGE record and article PDF, 28 September 2026. Full appraisal awaits a checked translation. · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2019 · France

Le Louvre à l’Hôpital: statues, reproductions and guided sessions

Adjacent evidenceUncontrolled evaluationReported benefit

Finding. Over one year, four large statues were placed in the hospital gardens and reproductions of paintings were shown in shared areas and patient rooms, alongside 83 guided small-group art discussions attended by 451 patients. Of 201 patients assessed, 160 (79.6%) reported decreased anxiety after the art sessions.

Limitation. A multi-component programme with no comparison group reported in the abstract. The anxiety result follows the guided sessions and cannot be attributed to the statues or to any single component.

Methods and verification

Monsuez JJ, François V, Ratiney R, et al. Museum moving to inpatients: Le Louvre à l’Hôpital. Int J Environ Res Public Health. 2019;16(2):206.

Verification level: Abstract checked

Design
Programme evaluation with post-session self-report; no comparator reported
Sample / scope
451 patients attended sessions; 201 assessed for anxiety
Setting
Hospital gardens, shared areas and patient rooms (Hôpital R. Muret, Sevran, per author affiliations)
Art form
Sculpture, Pictures

Abstract checked on PubMed, 28 September 2026. Measurement method, participant flow and timing are to be extracted from the full text. · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted

· 2026 · United Kingdom

Guided-viewing videos at the National Gallery: a randomised trial

Adjacent evidenceRandomised trialMixed findingsIncludes null findings

Finding. In a pre-registered study of 281 participants and a laboratory follow-up of 33, wellbeing improved from before to after viewing in all conditions. Neither a guided-viewing video nor a mindful-breathing video produced greater overall wellbeing change than the comparison conditions; guided viewing raised positive mood more than the mindfulness video.

Limitation. A museum study of paintings, not permanent sculpture or a hospital. Relevant to whether interpretation adds value to viewing, not to the effect of an installed work.

Methods and verification

Trupp MD, Yin S, Landau R, et al. Evaluating guided viewing strategies to enhance well-being effects of art viewing: a three-arm randomised controlled trial. Sci Rep. 2026;16:28690.

Verification level: Abstract checked

Design
Three-arm randomised controlled trial with laboratory follow-up (mixed methods)
Sample / scope
281 participants; laboratory follow-up 33
Setting
National Gallery, London, and laboratory
Art form
Pictures

Abstract checked on the publisher’s page, 28 September 2026 (published 23 June 2026). · Verification source

Editorial review: 2026-09-28 · Verification policy

Publications and overlap

No confirmed shared-publication match is recorded for this entry in Edition 4.11. Source-by-source and participant-level reconciliation is incomplete; this does not establish an independent study.

How records are counted