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Playback theater is a form of improvisational theater that combines artistic expression with an exploration of life stories in a group creative process. The goal of the current study was to examine an integrative intervention for older adults, which includes participation in playback theater in accordance with the life-review method. We examined the effect of the intervention on the positive and negative aspects of mental health among community-dwelling older adults in adult day centers. In a randomized controlled trial, data were collected from 78 participants consisting of older adults in 4 adult day centers (M age= 79.60 years, SD= 6.89: range= 63–96), randomly assigned to a 12-week playback theater group or care-as-usual group. The participants reported on aspects of mental health and mental illness before, immediately after, and 3 months after the intervention. The results show a significant Time× Group interaction …