Display candidate transaction variables for article
| Id | 707 | |
| Author | Koebner I.J., Fishman S.M., Paterniti D., Sommer D., Witt C.M., Ward D., Joseph J.G. | |
| Title | The art of analgesia: A pilot study of art museum tours to decrease pain and social disconnection among individuals with chronic pain | |
| Reference | Koebner I.J., Fishman S.M., Paterniti D., Sommer D., Witt C.M., Ward D., Joseph J.G.; The art of analgesia: A pilot study of art museum tours to decrease pain and social disconnection among individuals with chronic pain ;Pain Medicine (United States) vol:20 issue: 4.0 page:681 |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064190528&doi=10.1093%2fpm%2fpny148&partnerID=40&md5=26f0776fda8046846488c86a5b6b56f6 |
| Abstract | Objective. This mixed-methods study examines the feasibility of art museum tours (Art Rx) as an intervention for individuals with chronic pain. Methods. Art Rx provided 1-hour docent-led tours in an art museum to individuals with chronic pain. Survey data were collected pre-tour, immediately post-tour, and at three weeks post-tour. Pain intensity and unpleasantness were measured with a 0-10 numerical rating scale. Social disconnection was measured with a 12-item social disconnection scale. Participants also reported percent pain relief during the tour and program satisfaction in the post-tour survey. Change in pain and social disconnection was analyzed with paired t tests, bias-corrected and accelerated bootstrap confidence intervals (BCa CIs), and Cohens d. Thematic analysis of semistructured interviews with participants explored the feasibility and perceived impact of the program. Results. Fifty-four individuals participated in this study (mean age SD ¼ 59 14.5 years, 64.8% female), and 14 were interviewed. Fifty-seven percent of participants reported pain relief during the tour, with an average pain relief (SD) of 47% (34.61%). Participants reported decreased social disconnection and pain unpleasantness pre- to post-tour (3.65, BCa 95% CI ¼ 1.70-5.73, P < 0.001, d ¼ 0.37; and 0.49, BCa 95% CI ¼ 0.06-0.90, P ¼ 0.016, d ¼ 0.20, respectively). Participants indicated high satisfaction with the program. Interviewees remarked on the isolating impact of chronic pain and how negative experiences with the health care system often compounded this sense of isolation. Participants experienced Art Rx as a positive and inclusive experience, with potential lasting benefit. Conclusions. Art museum tours for individuals with chronic pain are feasible, and participants reported positive effects on perceived social disconnection and pain. © 2018 American Academy of Pain Medicine. All rights reserved. |
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| Participants indicated high satisfaction with the program. . | Program satisfaction was high. . | Nevertheless, interviewees comments were largely positive. . | Among interviewees who indicated a beneficial response to the intervention, several noted that it also raised awareness that social connection could mitigate the burden of their chronic pain in the longer term. . | One possibility is to develop interventions that target the social context in which pain is suffered through public health partnerships with organizations outside of the health care sector that may facilitate a sense of social connection, such as museums. . | In addition, given the observation that pain can be modulated at cortical levels by the aesthetic content of stimuli, the museums art collection itself may help to reduce pain 24 . . | Although ambulation in any context may aggravate certain pain conditions, considering the potential of museums to facilitate a sense of social connection and that social connection may have analgesic properties 9-11,25 , we hypothesize that tours of a museum offered to individuals with chronic pain may decrease perceived social disconnection and pain. . | Socially based interventions for individuals with chronic pain supported by health care organizations, such as Art Rx, may help to mitigate not only the experience of isolation, but also the distressing associations that many individuals with chronic pain have with the health care system. . | The art objects viewed changed each tour in an effort to foster inclusivity and appeal to the broadest audience possible. . | Ultimately, many participants found that the program and the sense of social connection it facilitated provided distraction from their pain. . | The program was also felt to facilitate a new and enhanced relationship to art: I give more consideration of what was the intention of the artists.. | Furthermore, many museums offer free or reduced fees for children, students, older adults, and special populations, a practice that lowers barriers to access and encourages regular attendance, two additional characteristics favorable to public health interventions 17 . . | Experience During the Tour Participants generally experienced Art Rx as a positive experience that facilitated a sense of social connection, citing it as aesthetic, validating, engaging, educational, and restorative. . | Participants highlighted three specific components of the group dynamic as contributing to a sense of social connection: the ability to bring family members or friends, the docent-facilitated discussion of the art works, which involved hearing new perspectives, and the encouragement to express ones own views. . |
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