Culturally Safe Life Review Through Illustrated Book Creation: A Qualitative Study with Indigenous Older Adults in Taiwan

Background and Objectives This qualitative study explores the impact of a culturally safe life review program using self-created picture books on the psychological and cultural well-being of Indigenous older adults in Taiwan. The study aims to understand how visual-narrative methods can support emotional healing, reinforce cultural identity, and promote narrative agency among Indigenous elders. Research Design and Methods Grounded in interpretivism and narrative inquiry, the study engaged 10 female participants from five Indigenous communities. The intervention included three life review interviews, five visual storytelling workshops, and one post-intervention reflection session. Data were analyzed using reflexive thematic analysis to capture participants’ experiences and outcomes. Results Three overarching themes emerged: emotional release and psychological healing, reinforcement of cultural identity, and enhanced narrative agency. Participants described renewed pride, reinterpretation of past struggles, and strengthened intergenerational connections. Cultural safety was fostered through language autonomy, symbolic inclusion, and participant-led storytelling. Discussion and Implications The study highlights the effectiveness of culturally safe, visual-narrative interventions in promoting psychological well-being and cultural resilience among Indigenous older adults. These findings underscore the importance of integrating culturally responsive approaches into long-term care policies and practices. By honoring Indigenous storytelling traditions, this research advances gerontology’s goals of equity, resilience, and culturally grounded care.