Brushstrokes of Resilience: The Value of Participating in Arts-Based Research from the Perspective of Older Adults Living with HIV

BACKGROUND: Older adults living with HIV face intersecting challenges related to aging, stigma, and healthcare navigation. Arts-based research (ABR) has the potential to support resilience and well-being in this population. OBJECTIVE: To explore how participation in ABR supports older adults living with HIV in terms of empowerment, self-expression, and social connection. METHODS: A participatory qualitative study was conducted with adults aged 50+ living with HIV. Participants engaged in creative workshops incorporating word mapping, visual arts, and storytelling. Data were collected through group discussions and analysis of art work. Reflexive thematic analysis was used to identify key themes in participants' experiences. RESULTS: Participation in ABR fostered empowerment, self-understanding, and community connection. Four themes emerged: (1) Reclaiming narratives - challenging stereotypes of HIV and aging; (2) Creative resilience - expressing emotions and promoting healing; (3) Community and connection - reducing isolation and fostering belonging; and (4) Personal and artistic growth - skill development and therapeutic engagement. Creative expression enabled participants to communicate emotions difficult to verbalize, strengthening self-esteem and social bonds. CONCLUSIONS: ABR offers a valuable approach for promoting resilience, self-expression, and collective empowerment among older adults living with HIV. Incorporating creative engagement into HIV care may enhance psychosocial well-being and community connection in this population.