A randomised controlled trial of expressive arts-based intervention for young stroke survivors
Abstract Background Stroke causes lasting brain damage that has numerous impacts on the survivor’s physical, psychosocial, and spiritual well-being. Young survivors (< 65 years old) tend to suffer more because of their longer overall survival time. Expressive arts-based intervention is considered...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | BMC Complementary Medicine and Therapies |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12906-020-03161-6 |
| _version_ | 1818964269928022016 |
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| author | Caitlin Kar Pui Chan Temmy Lee Ting Lo Adrian Ho Yin Wan Pamela Pui Yu Leung Marco Yiu Chung Pang Rainbow Tin Hung Ho |
| author_facet | Caitlin Kar Pui Chan Temmy Lee Ting Lo Adrian Ho Yin Wan Pamela Pui Yu Leung Marco Yiu Chung Pang Rainbow Tin Hung Ho |
| author_sort | Caitlin Kar Pui Chan |
| collection | DOAJ |
| description | Abstract Background Stroke causes lasting brain damage that has numerous impacts on the survivor’s physical, psychosocial, and spiritual well-being. Young survivors (< 65 years old) tend to suffer more because of their longer overall survival time. Expressive arts-based intervention is considered a holistic approach for stroke rehabilitation because it allows participants to express their thoughts and emotions through the arts. The group environment also promotes mutual support among participants. The creative art-making process helps expand participants’ creativity and imagination as well as promote a sense of aesthetic appreciation. Previous studies have shown the effectiveness of the arts-based intervention in managing stroke and its psychosocial-spiritual comorbidities. Nevertheless, a systematic study has not been conducted, including in young survivors. This trial plans to investigate the effectiveness of an expressive arts-based intervention on bio-psychosocial-spiritual outcomes in young Chinese stroke survivors. Methods/design A single-blind, two-arm cluster randomised control trial with a waitlist control design will be adopted. One hundred and fifty-four stroke survivors, aged 18–64 years with modified Rankin Scale scores of 1–4, will be screened and randomised to either an expressive arts-based intervention group or a treatment-as-usual waitlist control group. The intervention group will receive a 90-min session once a week for a total of 8 weeks. All participants will be assessed three times: at baseline, 8 weeks, and 8 months after the baseline. Study outcomes include measures of depression and anxiety, perceived stress, perceived social support, hope, spiritual well-being, quality of life, salivary cortisol, blood pressure, and heart rate. Discussion This study is expected to contribute to the current knowledge on the effectiveness of an arts-based intervention on the holistic wellness of young stroke survivors. The findings will help stroke survivors and healthcare professionals make better choices in selecting practices that will yield maximum benefits, satisfaction, adherence, and sustainability. In addition, the examination of the relationships between bio-psychosocial-spiritual variables will help contribute to the development of holistic care for the survivors. Trial registration ClinicalTrials.gov , NCT03729648 . Registered 31 October 2018 - Retrospectively registered, (329 words) |
| first_indexed | 2024-12-20T12:58:26Z |
| format | Article |
| id | doaj.art-6441b309bbb04d47a3f0576d8cb6f248 |
| institution | Directory Open Access Journal |
| issn | 2662-7671 |
| language | English |
| last_indexed | 2024-12-20T12:58:26Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary Medicine and Therapies |
| spelling | doaj.art-6441b309bbb04d47a3f0576d8cb6f2482022-12-21T19:39:59ZengBMCBMC Complementary Medicine and Therapies2662-76712021-01-0121111010.1186/s12906-020-03161-6A randomised controlled trial of expressive arts-based intervention for young stroke survivorsCaitlin Kar Pui Chan0Temmy Lee Ting Lo1Adrian Ho Yin Wan2Pamela Pui Yu Leung3Marco Yiu Chung Pang4Rainbow Tin Hung Ho5Centre on Behavioral Health, The University of Hong KongDepartment of Social Work & Social Administration, The University of Hong KongCentre on Behavioral Health, The University of Hong KongThe Hong Kong Society for RehabilitationDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic UniversityCentre on Behavioral Health, The University of Hong KongAbstract Background Stroke causes lasting brain damage that has numerous impacts on the survivor’s physical, psychosocial, and spiritual well-being. Young survivors (< 65 years old) tend to suffer more because of their longer overall survival time. Expressive arts-based intervention is considered a holistic approach for stroke rehabilitation because it allows participants to express their thoughts and emotions through the arts. The group environment also promotes mutual support among participants. The creative art-making process helps expand participants’ creativity and imagination as well as promote a sense of aesthetic appreciation. Previous studies have shown the effectiveness of the arts-based intervention in managing stroke and its psychosocial-spiritual comorbidities. Nevertheless, a systematic study has not been conducted, including in young survivors. This trial plans to investigate the effectiveness of an expressive arts-based intervention on bio-psychosocial-spiritual outcomes in young Chinese stroke survivors. Methods/design A single-blind, two-arm cluster randomised control trial with a waitlist control design will be adopted. One hundred and fifty-four stroke survivors, aged 18–64 years with modified Rankin Scale scores of 1–4, will be screened and randomised to either an expressive arts-based intervention group or a treatment-as-usual waitlist control group. The intervention group will receive a 90-min session once a week for a total of 8 weeks. All participants will be assessed three times: at baseline, 8 weeks, and 8 months after the baseline. Study outcomes include measures of depression and anxiety, perceived stress, perceived social support, hope, spiritual well-being, quality of life, salivary cortisol, blood pressure, and heart rate. Discussion This study is expected to contribute to the current knowledge on the effectiveness of an arts-based intervention on the holistic wellness of young stroke survivors. The findings will help stroke survivors and healthcare professionals make better choices in selecting practices that will yield maximum benefits, satisfaction, adherence, and sustainability. In addition, the examination of the relationships between bio-psychosocial-spiritual variables will help contribute to the development of holistic care for the survivors. Trial registration ClinicalTrials.gov , NCT03729648 . Registered 31 October 2018 - Retrospectively registered, (329 words)https://doi.org/10.1186/s12906-020-03161-6Young stroke survivorsExpressive arts-based interventionHolistic approachStroke rehabilitationSalivary cortisol |
| spellingShingle | Caitlin Kar Pui Chan Temmy Lee Ting Lo Adrian Ho Yin Wan Pamela Pui Yu Leung Marco Yiu Chung Pang Rainbow Tin Hung Ho A randomised controlled trial of expressive arts-based intervention for young stroke survivors BMC Complementary Medicine and Therapies Young stroke survivors Expressive arts-based intervention Holistic approach Stroke rehabilitation Salivary cortisol |
| title | A randomised controlled trial of expressive arts-based intervention for young stroke survivors |
| title_full | A randomised controlled trial of expressive arts-based intervention for young stroke survivors |
| title_fullStr | A randomised controlled trial of expressive arts-based intervention for young stroke survivors |
| title_full_unstemmed | A randomised controlled trial of expressive arts-based intervention for young stroke survivors |
| title_short | A randomised controlled trial of expressive arts-based intervention for young stroke survivors |
| title_sort | randomised controlled trial of expressive arts based intervention for young stroke survivors |
| topic | Young stroke survivors Expressive arts-based intervention Holistic approach Stroke rehabilitation Salivary cortisol |
| url | https://doi.org/10.1186/s12906-020-03161-6 |
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