Education and Social Relationships between Museums and Older People: A Scoping Review

: Rapidly ageing population increases the demand for activities with learning and social stimulation. Museums are well placed to provide such a function. Objective: How

search retrieved 810 potential sources (2002-2020), 39 sources met the inclusion criteria.They focused on the educational aspects of museums and were produced by disciplines like psychology and gerontology, museology, arts and education.Museums play an important role on health (emphasis on psychological and physical wellbeing), socialization (discussing stereotypes, reducing isolation, redefining social roles), socioeconomic aspects (with local focus on services, partnerships) and on creative aging (promoting non-formal education with lifelong learning at different levels).KEYWORDS: Ageing.Audience engagement.Lifelong learning.Museum Studies.Human Development.Older populations.

INTRODUCTION/BACKGROUND
The rapid aging of the population is accompanied by an increase in demand for sociocultural activities.Museums, as unique spaces for promoting socialization, inclusion 4 lifelong learning 5 and well-being despite some disease experience, 6 can thrive through interaction with older audiences.Living longer opens up new opportunities: as part of the process of population active aging, 7 the challenges arising from the new demographic scenario 8 must be addressed.
Within musealization, a process that means working with collections but also heritage and society, there is the possibility of engagement with the community and of partnerships between diverse older audiences and a range of museum activities. 9ngagement in socio educational activities and museum visits can represent positive outcomes for active participative aging if the environment allows these opportunities to be nurtured and can flourish.
It is important to understand context dimensions of museums to promote docility/proactivity in cultural spaces to maintain or extend physical environment and also sense of belonging, social possibilities, security, socioeconomic accessibility and technological dimensions, 10 creating more age-friendly spaces. 11e stance of social museology is important, based on guidelines which have evolved since the 1970s.In a recent synthesis, museums seek to define themselves as: democratizing, inclusive and polyphonic spaces, oriented for critical dialogue about the past and future, […], guaranteeing equal rights and access to heritage for all people […] they are participatory and transparent, and work in active partnership with and for diverse communities to collect, preserve, research, interpret, exhibit, and enhance understandings of the world, aiming to contribute to human dignity and social justice, global equality and planetary wellbeing. 12e importance of wellbeing, quality of life and self-esteem are variables addressed by psychology and gerontology and can be explored by areas that bring together interdisciplinary knowledge like museology.Generativity 13 is a concept involving the theory of lifespan with respect to lifelong human development 14 much more than a stage it is relevant refer the legacy and contributions to future generations, as component of personality that can influence cultural postures, intergenerational contacts and adaptation thought lifelong learning. 15seum relationships allow learning processes to be devised within nonformal education 16 or in broader ways through generic learning. 17Understanding the interaction between museums and older audiences allows interdisciplinary insights to be gained which can render museum practices friendlier 18 and accessible for all ages.
Exploratory studies about museum programs and activities for older audiences in Latin America also look about these interactions.For example, in Mexico the access and use of museums with social determinant variables, like rural or urban origin, but also personal determinants like satisfaction results, and physical environment supporting active ageing was analyzed 19 and in Brazil where conducted studies to understand institutional proposals to engage with people aged over 60 in this vast geographic region and across multiple museum settings. 20pulation data for Brazil shows the country has an estimated more than 30 million people aged 60 or older (almost 15% of total population). 21Projections show that, by 2030, older adults will outnumber children and adolescents aged 0-14 by 2.28 million and by 2050, over 60s will represent around 30% of the overall population. 22e rise in the number of proposed interventions for older audiences over the past decade justifies a review of the literature on evaluation programs or actions that have engaged older audiences.A seminal Australian study started to look at this with socio demographic interest; leisure; learning interest; internet access and usage to understand older audience and possibilities that could be developed 23 after these other countries developed studies with this same profile of audiences, for example Portugal, 24 USA. 25is review plots the current evidence and identifies gaps and state of the field.We have included any evaluations that might inform the evidence base as these include actions, activities, products and services, methods, research instruments and strategies as part of museography or museum practice.We included this from searching the grey literature often produced by museum professionals and housed in digital repositories. 26With research conducted with museum studies they look to communicate the relevance of actions and outcomes, becomes the focus of many museum studies is about interconnecting the encompassing administration, assessment and part of curatorial process (acquisition, safekeeping and communication). 27study 28 extended beyond theories of education in museums and was a starting point that indicates that it allows us to connect other areas that deal with potential older audiences.This includes domains of psychology and educational gerontology, 29 environmental studies. 30The interdisciplinarity found in these studies influenced the need for a broader review of the literature that explores museum as educational and socio-cultural spaces.This review helps to inform policy makers, museums and curators along with others involved in this growing sector to consider aspects that can suggest how best to engage older audiences (those over 60) as well as the curators, museum staff and policy makers who offer and operate museum services.

Conducting the review
The present review was conducted according to the scoping review methodology of the Joanna Briggs Institute (JBI) and employed the PRISMA-ScR checklist (Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Reviews).Systematic reviews based on the PRISMA-ScR help systematize scoping analyses, a useful approach for answering broader questions, such as that explored in the present review: "How and in what form are museums engaging with older populations"?The approach seeks to map evidence in the literature on the topic and locate knowledge gaps and innovative approaches being used within a given discipline.This is conducted to identify sources and types of evidence addressing the issue, cataloguing the knowledge in political and practical terms. 31Such reviews allow the inclusion of a body of quantitative and qualitative literature 32 and help map where the research being undertaken and which disciplines are conducting the work. 33 accordance with the review procedure adopted, the search was based on a protocol research applying the study question, search strategy, article selection and extraction of data reported in available published literature. 34

Review question and objectives
Our review questions are: 1. How and in what form are museums engaging with older populations?2. To identify evidence on interactions between museums and older audiences (aged over 60) either within the museum or in a community engagement setting internationally.
The review will focus on the following aspects: Identifying the frameworks and tools being used by and in museums with older people 1. Identifying the characteristics or variables used by museums 2. Mapping work conducted with older adults and identifying which disciplines are engaged in conducting research.

Search strategy
We conducted searches on 8 databases including VHL -Virtual Health Library; Embase; Scopus; Web of Science; Scielo; Lilacs; Ageline and APA PsycInfo.We were aware that in many countries work may be conducted in this arena but not published in academic journals so academic databases (IBICT and RCAAP) for

Population
The area of interest was older populations, although chronological age did not serve as an exclusion criterion in our searches.This is because the chronical definition of age varies from country to country.There is also no consensus on the chronological age that indicates elderly status.Many studies adopt a cut-off of 50 or over, while others use 65 years of age.Consequently, older audiences comprise a wide array of individuals, where this can be discussed according to the chronological contexts adopted by different countries.Therefore, chronological age cut-off was not a selection criterion in the search for publications, given this limit is defined according to context.The age of 60 or over is a reference for classifying older adults in countries like Brazil, as stipulated by the World Health Organization (WHO) for developing or emerging countries. 35This chronological age, however, may differ in international studies, where 65 years is more commonly used as the cut-off in Europe.Some studies justify a younger age because citizens accept early retirement and have incentives to join older groups. 36Another important factor is what a population cut-off can represent within a population in general, for example, 25% of the population of Europe is over 55. 37 Thus, chronological cut-off age was not a criteria for exclusion or inclusion of the studies selected, bearing in mind that this concept serves merely as a reference, 38 with more weight given to the complex construction of age, whose "categorization is subject to change, as society and this group adapt according to the practical application of norms and actual experience, and not stereotyped over time". 39Concerning gender, the samples of the studies reviewed comprised both men and women.Studies that considered or included one gender were still included as this was not a gendered focused review.

Concept
Relationships with older audiences supported by the areas in focus of museum studies, encompassing management, safeguard and communication.

Context
This review included studies which involved older people and established a relationship with museums as lifelong learning, cultural or social environments conducted within different settings (community, hospitals, long-term care facilities, and autonomous visitors) in literature with English or Portuguese language.

Study types
This review encompassed systematic reviews and other observational (crosssectional and cohort), interventional (non-randomized and randomized controlled trials) empirical studies including qualitative and mixed methods studies.Reports, discussion documents and expert opinions were not included.

Selection process
The search process was performed in two stages.First, a general survey of articles matching descriptors and respective reading of titles and abstract was carried out by 2 reviewers (AO and CM) independently.The assessment of each article was conducted by two reviewers (AO and CM) with an agreed criterion and with regular interactions and use of a spreadsheet to capture any queries or disagreements.Articles meeting the inclusion criteria and focusing on programs implemented by or in museums involving older audiences were selected (see Appendix A).

Data presentation
A specific chart was devised for this review, recording the following bibliographic details: article title, authors, year of publication, country, general or specific audience (e.g. in community, hospital, primary care, long-term care settings, individuals with dementia, cancer, pain etc.), museum area, study objectives, all study types (qualitative, quantitative, mixed methods), knowledge area, study design, museum and audience sample (size and age), research setting (local, regional, national, transnational) and reported results.A data presentation table was produced, based on the extracted data, grouped according to publication year and aspects like identifying the frameworks and tools being used by and in museums with older people.
Studies that met the inclusion criteria were retrieved in full and their details placed into Appendix A of the present article.References were imported into the Endnote Web library database and are available in the Appendix containing the research material.

FINDINGS
This review investigated how museums engage with older audiences, searching for all related articles published during the period spanning from 2002 to May 2020.A total of 39 articles met the inclusion criteria and were published from 2010 onwards, of which 85% were published between 2014-2019 demonstrating the growing interest in this area.
In reviewing the 39 articles identified key interests of what type of engagement and geographic location, methodologies applied and the reported relationship and interactions between museums and older adults.
In terms of participant characteristics across the 39 included studies, there was a wide variance in what was classed as an older audience.
And 18 studies drew on samples from the general population of older adults involved with proposals of museums.Diverse context sample characteristics are relevant as they demonstrate the diversity of the target population.Of the studies 13 focused on older adults with different types of dementia, while 3 publications were conducted with residents in long-term care facilities. 40Other studies focused on samples of individuals from day-care centers, 41 older adults as volunteers in museum activities, 42 participants with low education, 43 retired/pensioners 44 and patients receiving treatment for cancer 45 or chronic pain. 46It is difficult to report the overall  age demographic of the included studies as only 18 of the 39 reported this so no conclusions can be drawn.Over half of the 39 studies (54%) involved only one museum setting with the remainder exploring 2 to 9 sites (n=11), one study had over 10 museums, 47 whilst another study recruited and engaged with over 100 museums in a literature review of programs implemented based in museum programs presented by museum professionals. 48In our review, we included systematic reviews in order to compile the latest evidence and to provide a map of the work undertaken in this sector.In terms of geographical spread, the location of museums across the 39 sources varied.Twenty-five studies took place in one location, eight had more than one City location and covered a region, and three conducted exploratory studies in a national panorama in UK, Spain and Brazil. 49A further three developed research that had an international dimension focusing on productions or programs for older people in more than one country which was an international panorama using digital resources in museum sites. 50he number of participants also the study location were not uniformly included in the 39 included studies these characteristics were more clear in the mixed methods studies and in the systematic review about dementia. 51ross the 39 articles a range of population/audience samples were: four studies with less than 10 individuals are qualitative research. 52garding sample size: 16 publications contain samples involving 11 and 50 individuals; five contain studies with 51 and 100 individuals; 53 three articles involved samples of 100 individuals to 500. 54e article drew on the English Longitudinal Study of Ageing (ELSA), a seminal interdisciplinary study in gerontology and based on a large database sample of over 3400 individuals and involving museums as part of cultural engagement. 55he review includes 10 articles that did articles did not provide any demographic sample details (some because are literature or program reviews).
The 39 included articles focused on museum studies as a knowledge area that deals with heritage, territory and society looking at all topics areas, but also in practices that occur in museum institutions 56 helping to show which sectors within the institutions engage with older audiences.Figure 2 provides an overview of the different aspects of a museum engaged with older audiences in different museum studies areas.Museum practice areas summarizes the different areas identified in these 3 boxes: museum management (administration), safeguarding (conservation, documentation) and communication (exhibitions, educational work, publications).In the review, the studies were grouped identifying which were produced with this focus.
All the included studies (n=39) related broadly to differing aspects of communication; exhibitions, educational programs, publications with 22 offering an educational offering with older audiences such as guided visits, artistic activities, conversation circles, analysis of works or objects, testimonials and games.
The key focus for the literature appears to be in the area of dementia within older populations.Fourteen articles report interventions across seven countries working in this area. 57Of these, two based in the UK, had an art gallery-based intervention for older people with dementia and their cares. 58A further topic explored was that of health and well-being.For example, the study by Thomson et al. (2012)  with hospitalized cancer patients discussing museum objects with a facilitator on a one-to-one bedside approach.Another UK study 59 used museum objects handling sessions to achieve clinical evaluation in long term care house and hospitals.
Eight articles approach to general audience of older populations interacting with the education sector: two are publications from the same study in seven UK museums about psychological well-being; 60 one about education in community as a successful aging strategy; 61 two about art-education programs in museums; 62 two articles about education programs review 63 and one about retirement people. 64ilst nine focused on double relations between exhibitions but also what would be classified as educational activities: about mediations of exhibition and activities for older adults with lower education level; 65 also one focused in people that live in long term care house; 66 understanding the involvement of general older audiences with both exhibitions and educational programs in border approaches, 67 a comparation of presential activities with digital approaches, 68 and a systematic review focus on both museums communications ways and dementia. 69Another four studies analyzed the audience within exhibitions only. 70udies were also found with a focus on museum management and administration issues for engaging with older audiences.For example, discussing discounts structures, 71 visitation strategies and habits, 72 socio economic value of engaging with older adults as volunteers 73 and one study explored participation of heritage preservation and communication. 74

Discipline and Methodologies
The discipline areas that undertook analyses on the relationship of older adults with museums was psychology plus gerontology (14), museum studies including museum management (7), art together with health sciences and occupational therapy (5), interdisciplinary studies (5), followed by education (3) as long-standing partners of museums research.Other knowledge areas which featured in the review were social sciences (2), language (1), scientific publications (1) and information technology (1).
Studies from very different areas used mixed method or multimethod research: 18 articles were based on semi-structured interviews, questionnaires individually or via focus groups encompassing not only visitors but also museum professionals or caregivers, using content analysis as the data analysis method.Participatory or field ethnographic research was cited as the approach used in five publications normally use in qualitative research.7 publications were literature reviews on museum interventions programs with older adults important to understand the panorama of museum actions with older adults' audience.
Comparative focus is perceived in six articles reported pre-and postintervention assessments, while another two contained control groups.Previously validated scales and instruments were employed in the studies of 14 publications.
Only one study used a pre-existing database (ELSA-English Longitudinal Study of Ageing), whereas one study failed to report the assessment technique used.
Of the 39 included articles close to half were qualitative in design (18), a further 14 articles used a mixed methods approach and 7 were purely quantitative with different measures instruments and scales used like PANAS (Positive Affect Negative Affect Scale) and VAS (Visual Analogue Scale) and a scale developed for museum approaches Museum Wellbeing Measure for Older Adults scale (MWM-OA).

DISCUSSION AND CONCLUSION
This review shows relationships between populations with the museum sector is stimulated by an educational function in the broadest sense.Museums have traditionally greater engagement with a range of visitors with evidence for beneficial outcomes that we categorize in terms of socialization, wellbeing, learning and cognitive preservation.
The recent interest in how the relationship between museums and older adults is established, results in existing literature that appears promising for communities and museums as the review indicates.A rise in visitor numbers is expected, driven by the demographic expansion and increased demand for sociocultural activities, while various disciplines promote studies analyzing how this engagement promotes benefits in diverse audiences of older adults.
This scoping review provides a summary of evidence and catalogues the literature on study's emphasis on assessment instruments employed and types of studies and variables, allowed the definition of categories for conducting receptive studies, whilst mapping techniques and study sources used.Regarding studies design and instruments we point out that should be noted only one included study used several instruments.All choices used should be pondered for future research conducted as possible instruments.
Different profiles and subgroups of older adults were analyzed by the studies, showing that museum engagement can lead to improvements for individuals as well as society, as advocated by guidelines of social museology, all museums actuate in society but since the second half of 20st century the debate becomes important because some museums actions are committed with etic issues, especially with scientific and politic dimensions with specific groups. 75 the articles included, older populations were classed as one group regardless of age or health status but in some cases this was considered in the different categories of interaction, interests or specific health characteristics (e.g.residing in long-term care facility or attending day centers, pensioners, individuals seeking volunteer activities or patients with a particular clinical condition).

Check Chagas et al. (2018).
Gerontology supports the relationships with these audiences through both theory and practice in a diverse way to establish closer outcomes.
Analysis of the reported findings from the 39 included articles indicates that socialization was the most frequently reported outcome (21 studies), through reducing isolation/withdrawal, expanding social networks and increasing social inclusion.The wellbeing variable was commonly cited (15 studies) and found to be associated with the term's "satisfaction" and "improved mood". 76The opportunity to learn regardless of age was an aim of 12 studies, either as a lifelong learning strategy, occupation or as a way of increasing cultural capital (with references to artistic, digital and attitude capital), and not just with respect to visitors, but also encompassing professional teams and companions.Cognitive preservation was cited by nine studies, quality of life by four, increased self-esteem was an outcome in three studies, while the generativity concept was addressed in three publications.Lastly, 64% of the studies reported outcomes for two or more variables in the results.This leads us to understand or believe that positive psychological variables are fund in these relation.
Descriptive and experimental studies are of special relevance when mixed and quantitative measurements can be made that justify the impacts and investments.Well received by academia and policy makers, these methods of analysis (54% of studies) proved a common alternative to qualitative studies (46% of publications).The more quantitative analysis and research techniques elected can be complementary depending on objectives and settings.Although qualitative studies are more traditionally used, the use of instruments such as closed-ended type questionnaires and scales can enable this type of analysis.
The studies included in this scoping review allowed identification of four areas impacted when museums promote a process of relationship as friendly spaces for all ages which favor active aging.
The impacts of the relationships of museums with older adults interact to promote quality of life in individuals and the community, permeating several dimensions as depicted in Figure 3 -Impacts according to results found in studies.On a more individual level, the importance of the health aspect is evident a.) cognitive; 77 motor and communication stimulation, psychological 78 and physical wellbeing; particularly self-confidence and self-esteem. 79These spaces enable coping strategies for diseases through focus on the person as opposed to their clinical status bringing benefits. 80r the dimension of socioeconomic impact on the community c.) museum spaces contribute to the local economy, providing goods, services and tourism, but can also lead to public/private partnerships. 81Economic sustainability is achieved through jobs or activities 82 and salaries or economic possibilities. 83re visible in nature, the relationship in terms of d.) socialization/inclusion can reduce isolation, 84 promote spaces for interaction and intergenerational contact and with peers, 85 redefine social roles, 86 sharing knowledge and experiences, 87 revealing application of the generativity concept and discussion of stereotypes and prejudice, cohesion and respect. 88stly, through the tradition of studies on the link between museums and education, the relationship in the elderly population can support creative aging b.) through life-long learning in different styles and levels, 89 exploiting on-line and  on-site environments, 90 new skills, stimulus of the imagination, creativity, 91 inspiration, amazement and enjoyment. 92e review supports the devising of research instruments to characterize older people as a museum audience visiting or taking part in museum activities, to yield data to help address the lack of audience and receptive studies, much needed by the cultural and museum studies sector in Brazil.

Conclusion
How and in what form museums are engaging with older populations could be identified with evidence in the studies that reveal different types of interactions between museums and older audiences either within the museum or in a community engagement setting internationally.This review identifies relationships and the types of work conducted in this important area as outlined by the Organization for Economic Co-operation and Development (OECD) (2018).
The review enables a broader comprehension of the work conducted in this area and identifies the type of initiatives and gaps that can be plugged in this area.Older populations are set to grow and with a global ageing population predicted having the foresight to consider the beneficial effects to older populations can only aid the health and well-being of society.
In Brazil, the triangular shape of the pyramid population, with a broad base, has given way to a typical age pyramid of an aging population, with a reduction in the relative participation of children and young people and the proportional increase in adults and elderly people.Brazil is going through a period of accelerated demographic aging, with important implications for individuals, families and society.
The population segment that increases the most in the Brazilian population is that of elderly, with growth rates of more than 4% per year in the period from 2012 to 2022.Population aged 60 years and over increases from 14.2 million in 2000 to 19.6 million in 2010, expected to reach 41.5 million in 2030 and 73.5 million in 2060. 93e country has a predicted ageing population of 30% of people of 60 and over in 2050. 94This review has identified a lack of work conducted in Brazil or with these older populations.In a country that would have the 6 th largest older population in the World 95 there is much scope for the sector to develop a rigorous program of activities which not only stimulate older populations but engage with a wider audience long term.
Educational and social relationship between museums and older people should focus on proposals for potential of engagement also inclusion and participation to benefit the community and individuals.Findings show different approaches of interaction with the diversity of older audiences with different strategies in museum actions attending different levels of interests, autonomy, health, socio economic contexts.Mirroring innovative attitudes found in the international literature 96 could prove a winning formula for museums.There are museums already producing research to evaluate their programs including work and practices with publications in grey literature. 97is review is timely due to the changing demographic nature of populations in around the World.This is pertinent as many museums are seeing a decline in younger populations visiting museums except for purely educational purposes such as school visits.
The results of this review can bring information for policy makers, museums professionals that still don't work with older audiences but also involve this sector to consider aspects that can suggest how can best engage older people with museum services as possibilities of positive individual and social impacts.
In Latin America the researchers should look to understand who the older audiences and the non-visitors 60+ are to develop new approaches and look for findings of impacts after these relationships.
Polyphonic dialogues in museum, listening and engage different types of audiences and social identities can foster intergenerational activities and expand understanding of the world about the past, but also positively impact the future of of all ages and social diversity.
Masters and Doctoral repositories (Brazilian and Portuguese) museum studies were included so as to include studies in Portuguese or English from 2002 to May 2020.The combined search terms in both English and Portuguese included: (1) museu AND idoso (Brazilian Portuguese); (2) museu AND senior (Continental Portuguese); and (3) museum AND older people AND elderly AND aged.The preliminary work was commenced in 2019 and revised in May 2020.The review dates are online with the seminal work conducted in 2002, Energised, Engaged, Everywhere: Older Australians and Museums conducted in Australia by Kelly, Savage, Landman e Tonkin (2002) who presented their work on people with 65 years and museums with a mixed analysis of cultural habits, internet access, leisure participation and interviews about perceptions in museums activities and interests.
The search strategy and process of selecting eligible articles employed is depicted in the Prisma-ScR diagram of Figure1-Diagram PRISMA -ScR.Search strategy and studies selection process.