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| Id | 962 | |
| Author | Morris J.H., Kelly C., Toma M., Kroll T., Joice S., Mead G., Donnan P., Williams B. | |
| Title | Feasibility study of the effects of art as a creative engagement intervention during stroke rehabilitation on improvement of psychosocial outcomes: Study protocol for a single blind randomized controlled trial: The ACES study | |
| Reference | Morris J.H., Kelly C., Toma M., Kroll T., Joice S., Mead G., Donnan P., Williams B.; Feasibility study of the effects of art as a creative engagement intervention during stroke rehabilitation on improvement of psychosocial outcomes: Study protocol for a single blind randomized controlled trial: The ACES study ;Trials vol:15 issue: 1.0 page: |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908089217&doi=10.1186%2f1745-6215-15-380&partnerID=40&md5=b063d40487850cf56a628b2b8be96121 |
| Abstract | Background: Benefits of art participation after stroke are becoming increasingly recognized. Qualitative studies suggest that participation in visual arts creative engagement interventions (CEIs) during rehabilitation after stroke may improve mood, self-esteem, hope and some aspects of physical recovery. This study examines the feasibility of undertaking a randomized controlled trial of a CEI delivered by artists within in-patient stroke rehabilitation to test effectiveness.Methods/Design: This trial is a two arm, single-blind, randomized controlled feasibility trial within in-patient stroke rehabilitation. We will recruit 80 patients receiving stroke rehabilitation in two stroke units in a health board area of Scotland (40 patients in each arm). Intervention arm participants will receive a visual-arts based CEI facilitated by experienced artists. Artists will follow an intervention protocol with specific components that enable participants to set, achieve and review artistic goals. Participants will receive up to eight intervention sessions, four within a group and four one-to-one with the artist. Control group participants will receive usual care only. Data collection will occur at baseline, post-intervention and three-month follow-up. Stroke-related health status is the primary outcome; mood, self-esteem, self-efficacy, perceived recovery control and hope are secondary outcomes. Semi-structured interviews will be conducted with purposively selected patients, artists and healthcare staff to elicit views and experiences of the intervention and feasibility and acceptability of trial processes. Recruitment rates, retention rates and patient preference for art participation will also be collected. Data will indicate, with confidence intervals, the proportion of patients choosing or refusing participation in the CEI and will allow calculation of recruitment rates for a future definitive trial. Summary data will indicate potential variability, magnitude and direction of difference between groups. Findings will inform sample size calculations for a definitive trial. Thematic analysis of qualitative data will be managed using the Framework Approach. Framework is an analytical approach for qualitative data, commonly used in policy and medical research.Discussion: If shown to demonstrate effects, this intervention has the potential to address aspects of stroke recovery previously. Not routinely addressed in rehabilitation. Trial registration: Registered with Clinical Trials.Gov: NCT02085226 on 6th March 2014. © 2014 Morris et al.; licensee BioMed Central Ltd. |
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| A number of programs have been implemented to provide opportunities for survivors to participate in the creation of artwork using a range of visual arts media. . | Qualitative studies suggest that participation in visual arts creative engagement interventions (CEIs) during rehabilitation after stroke may improve mood, self-esteem, hope and some aspects of physical recovery. . | There is growing and convincing evidence that engaging in creative arts activities can promote improvements in perceived physical and mental health, social functioning and wellbeing in long-term conditions. . | For stroke survivors, arts programs have the potential within rehabilitation to address some of the psychosocial consequences of stroke and to improve post-stroke quality of life 25 . . | Evidence is also emerging that art participation can augment rehabilitation, help to address the psychosocial effects of stroke and prepare survivors for fulfilling lives after rehabilitation. . | Visual art interventions may achieve these effects by enhancing control over recovery through development of confidence, leading to enhanced self-esteem 25,26 . . | Confidence that personal rehabilitation goals and artspecific goals could be achieved was generated through the opportunities for skill acquisition that art provided. . | These materials present different approaches to art-making that the artist will tailor to match participants interests, abilities and impairments. . | The art itself provided ways in which survivors could use their upper limbs and try out activities for themselves. . | Similarly, the qualitative work demonstrated that stroke survivors perceive improved self-esteem through art participation, but more specifically from the final stage of the intervention, in which the artwork is displayed and viewed by others. . | Confidence was inferred by the qualitative study as a route by which art participation improved recovery, self-esteem and mood. . | Interactions with the artists and within the group provided an environment in which survivors could practice and regain control over their communication. . | Background: Benefits of art participation after stroke are becoming increasingly recognized. . | Benefits of art participation after stroke are becoming increasingly recognized. . | Professional artists lead the programs 25,26 and the focus of the activities is on the positive influence of engagement and participation in the art form. . | The scale examines communication, participation in life roles, physical status and mood, which were key outcomes indicated by the qualitative work as important benefits of art participation. . | Preferences, based on participants interests, occupation, life experiences and previous experience of art will be explored in the initial session and at each subsequent point of progression to ensure that the materials and the topic for creative exploration, is tailored to the individual. . |
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