Implementing active care through (cultural) activities of daily living: A person-centred approach to achieve flourishing.

The study reports carers' written experiences, not patient outcomes or measured changes in health. The narratives were exam assignments, so participants may have written what they believed assessors wanted to read. Only a small set of narratives was analysed, and all narrators were female, so the themes may not represent all carers or services. The programme included lectures, discussion, visits, assignments, and local activities, so the contribution of any single component cannot be separated. The findings reflect experiences at the end of an education programme, not long-term effects in practice. The narratives were written in Norwegian and translated, so some meaning may have been lost.

The Department of Health commissioned the education programme, but the authors declare no conflicts of interest.

Do not read these themes as proof that cultural activities improve patient outcomes. The study analysed carers' written exam narratives and reported staff experiences, not measured patient changes.