The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial
Background: Diabetes-induced anxiety, depression, and decreased self-efficacy lead to poor adherence to treatment in diabetic children. Since painting therapy seems to be helpful to express their feelings, this study aimed to investigate the effects of virtual directed painting therapy on anxiety, d...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Shiraz University of Medical Sciences
2022-07-01
|
| Series: | International Journal of Community Based Nursing and Midwifery |
| Subjects: | |
| Online Access: | https://ijcbnm.sums.ac.ir/article_48325_ca3bad3285a9fb0826e74627fffa89e5.pdf |
| _version_ | 1818156300989628416 |
|---|---|
| author | Mina Zamanifard Mitra Soltanian Mitra Edraki Hossein Moravej Nasrin Sharifi |
| author_facet | Mina Zamanifard Mitra Soltanian Mitra Edraki Hossein Moravej Nasrin Sharifi |
| author_sort | Mina Zamanifard |
| collection | DOAJ |
| description | Background: Diabetes-induced anxiety, depression, and decreased self-efficacy lead to poor adherence to treatment in diabetic children. Since painting therapy seems to be helpful to express their feelings, this study aimed to investigate the effects of virtual directed painting therapy on anxiety, depression, and self-efficacy in diabetic children.
Methods: This randomized controlled trial was conducted on 40 children with type 1 diabetes aged 8-12 years who were referred to Imam Reza Clinic of Diabetes in Shiraz, from July to October 2020. Children were randomly selected and assigned to intervention and control groups, using block randomization. The intervention group received the routine care plus virtual painting therapy directed by WhatsApp (six 2-hour group sessions once a week for six weeks). Spence Children’s Anxiety Scale, Maria Kovacs Children’s Depression Inventory, and Diabetes Management Self-Efficacy Scale were completed before and after the intervention. Data were analyzed through SPSS 23, using Chi-square, Mann-Whitney U, and Wilcoxon tests. P value <0.05 was considered as significant.
Results: After the intervention, the median (interquartile range) total scores for anxiety, depression, and self-efficacy in the intervention group were 48.50 (45.00-51.75), 7.00 (4.00-9.00), and 169.00 (154.00-178.00), and in the control group 55.00 (48.50-62.25), 13.00 (10.00-17.50), and 152.00, respectively (110.50-184.00). After the intervention, there was a significant difference between the groups regarding anxiety (P=0.02) and depression (P<0.001); however, the difference in self-efficacy was not significant (P=0.20).
Conclusion: Painting therapy should be considered as a part of care programs in diabetes centers and other community settings to control anxiety and depression of diabetic children.
Trial Registration Number: IRCT20200118046181N1. |
| first_indexed | 2024-12-11T14:56:07Z |
| format | Article |
| id | doaj.art-92d0348c239341da9614774f5d13a255 |
| institution | Directory Open Access Journal |
| issn | 2322-2476 2322-4835 |
| language | English |
| last_indexed | 2024-12-11T14:56:07Z |
| publishDate | 2022-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | International Journal of Community Based Nursing and Midwifery |
| spelling | doaj.art-92d0348c239341da9614774f5d13a2552022-12-22T01:01:20ZengShiraz University of Medical SciencesInternational Journal of Community Based Nursing and Midwifery2322-24762322-48352022-07-0110321022210.30476/ijcbnm.2022.93400.192748325The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical TrialMina Zamanifard0Mitra Soltanian1Mitra Edraki2Hossein Moravej3Nasrin Sharifi4Student Research Committee, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Community Based Psychiatric Care Research Center, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Department of Pediatrics, School of Medicine, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;Background: Diabetes-induced anxiety, depression, and decreased self-efficacy lead to poor adherence to treatment in diabetic children. Since painting therapy seems to be helpful to express their feelings, this study aimed to investigate the effects of virtual directed painting therapy on anxiety, depression, and self-efficacy in diabetic children. Methods: This randomized controlled trial was conducted on 40 children with type 1 diabetes aged 8-12 years who were referred to Imam Reza Clinic of Diabetes in Shiraz, from July to October 2020. Children were randomly selected and assigned to intervention and control groups, using block randomization. The intervention group received the routine care plus virtual painting therapy directed by WhatsApp (six 2-hour group sessions once a week for six weeks). Spence Children’s Anxiety Scale, Maria Kovacs Children’s Depression Inventory, and Diabetes Management Self-Efficacy Scale were completed before and after the intervention. Data were analyzed through SPSS 23, using Chi-square, Mann-Whitney U, and Wilcoxon tests. P value <0.05 was considered as significant. Results: After the intervention, the median (interquartile range) total scores for anxiety, depression, and self-efficacy in the intervention group were 48.50 (45.00-51.75), 7.00 (4.00-9.00), and 169.00 (154.00-178.00), and in the control group 55.00 (48.50-62.25), 13.00 (10.00-17.50), and 152.00, respectively (110.50-184.00). After the intervention, there was a significant difference between the groups regarding anxiety (P=0.02) and depression (P<0.001); however, the difference in self-efficacy was not significant (P=0.20). Conclusion: Painting therapy should be considered as a part of care programs in diabetes centers and other community settings to control anxiety and depression of diabetic children. Trial Registration Number: IRCT20200118046181N1.https://ijcbnm.sums.ac.ir/article_48325_ca3bad3285a9fb0826e74627fffa89e5.pdfvirtual directed paintings therapyanxietydepressionself-efficacytype 1 diabetes |
| spellingShingle | Mina Zamanifard Mitra Soltanian Mitra Edraki Hossein Moravej Nasrin Sharifi The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial International Journal of Community Based Nursing and Midwifery virtual directed paintings therapy anxiety depression self-efficacy type 1 diabetes |
| title | The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial |
| title_full | The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial |
| title_fullStr | The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial |
| title_full_unstemmed | The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial |
| title_short | The Effects of Virtual Directed Painting Therapy on Anxiety, Depression, and Self-efficacy of Children with Type 1 Diabetes: A Randomized Controlled Clinical Trial |
| title_sort | effects of virtual directed painting therapy on anxiety depression and self efficacy of children with type 1 diabetes a randomized controlled clinical trial |
| topic | virtual directed paintings therapy anxiety depression self-efficacy type 1 diabetes |
| url | https://ijcbnm.sums.ac.ir/article_48325_ca3bad3285a9fb0826e74627fffa89e5.pdf |
| work_keys_str_mv | AT minazamanifard theeffectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT mitrasoltanian theeffectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT mitraedraki theeffectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT hosseinmoravej theeffectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT nasrinsharifi theeffectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT minazamanifard effectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT mitrasoltanian effectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT mitraedraki effectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT hosseinmoravej effectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial AT nasrinsharifi effectsofvirtualdirectedpaintingtherapyonanxietydepressionandselfefficacyofchildrenwithtype1diabetesarandomizedcontrolledclinicaltrial |