A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN
Loneliness has become a global major public health concern, with detrimental effects to the young and old. ARTISAN (Aspiration and Resilience Through Intergenerational Storytelling and Art-based Narratives) is a 5-week, 15-h participatory art and group-based intervention that focuses on resilience b...
| Main Authors: | , , , |
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| Format: | Journal Article |
| Language: | English |
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2022
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| Online Access: | https://hdl.handle.net/10356/154107 |
| _version_ | 1824454006016049152 |
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| author | Ho, Andy Hau Yan Ma, Stephanie Hilary Xinyi Tan, Michael Koon Boon Bajpai, Ram Chandra |
| author2 | School of Social Sciences |
| author_facet | School of Social Sciences Ho, Andy Hau Yan Ma, Stephanie Hilary Xinyi Tan, Michael Koon Boon Bajpai, Ram Chandra |
| author_sort | Ho, Andy Hau Yan |
| collection | NTU |
| description | Loneliness has become a global major public health concern, with detrimental effects to the young and old. ARTISAN (Aspiration and Resilience Through Intergenerational Storytelling and Art-based Narratives) is a 5-week, 15-h participatory art and group-based intervention that focuses on resilience building and loneliness alleviation among the young and old through a structured multimodal framework held at a museum space. Developed with a Participatory Action Research (PAR) approach, this intervention is evaluated using an open-label waitlist randomized controlled trial design (RCT) comprised of community-dwelling youth and older adults randomized into an intervention group (n = 35) or a waitlist-control group (n = 33). Participants were assessed on standardized self-reported psychometric measures including loneliness, resilience, quality of life, social support, life satisfaction and national identity at three time points. Qualitative data generated during each intervention session as well as acceptability focus groups were recorded and transcribed. Linear mixed modeling analyses revealed that participants in the intervention group experienced improvements in life satisfaction compared to participants in the waitlist-control group (95% CI: 0.22 to 0.77, p < 0.001, Cohen's d = 0.53) immediately after the completion of ARTISAN. Subgroup analyses for youth participants indicated improvements in quality of life (95% CI: 0.16 to 0.52, p < 0.001, d = 1.31) and national identity (95% CI: 0.18 to 0.80, p = 0.002, d = 0.43) in comparison to the waitlist-control group. At 5-weeks follow-up, the intervention group participants continued to experience high levels of life satisfaction (95% CI: 0.04 to 0.42, p = 0.017, d = 0.47), enhancements in resilience (95% CI: 0.07 to 0.55, p = 0.011, d = 0.46), as well as a significant reduction in loneliness (95% CI: -0.34 to -0.08, p = 0.001, d = 0.61) compared to baseline, reflecting the effectiveness and positive residual effects of the ARTISAN intervention. Similarly, the qualitative findings provided support for the intervention and additional insights to the quantitative findings. This holistic intervention framework that integrates stories, arts and heritage for bridging and empowering lives fills a critical gap in knowledge and practice between the arts, health and citizenship, paving the way for further research in creating a more caring and inclusive society with the arts. Clinical Trials Registration:www.ClinicalTrials.gov, identifier: NCT03048708. |
| first_indexed | 2025-02-19T03:15:26Z |
| format | Journal Article |
| id | ntu-10356/154107 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2025-02-19T03:15:26Z |
| publishDate | 2022 |
| record_format | dspace |
| spelling | ntu-10356/1541072023-03-05T15:34:54Z A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN Ho, Andy Hau Yan Ma, Stephanie Hilary Xinyi Tan, Michael Koon Boon Bajpai, Ram Chandra School of Social Sciences Lee Kong Chian School of Medicine (LKCMedicine) Action Research for Community Health Laboratory Science::Medicine Participatory Art Museum Loneliness has become a global major public health concern, with detrimental effects to the young and old. ARTISAN (Aspiration and Resilience Through Intergenerational Storytelling and Art-based Narratives) is a 5-week, 15-h participatory art and group-based intervention that focuses on resilience building and loneliness alleviation among the young and old through a structured multimodal framework held at a museum space. Developed with a Participatory Action Research (PAR) approach, this intervention is evaluated using an open-label waitlist randomized controlled trial design (RCT) comprised of community-dwelling youth and older adults randomized into an intervention group (n = 35) or a waitlist-control group (n = 33). Participants were assessed on standardized self-reported psychometric measures including loneliness, resilience, quality of life, social support, life satisfaction and national identity at three time points. Qualitative data generated during each intervention session as well as acceptability focus groups were recorded and transcribed. Linear mixed modeling analyses revealed that participants in the intervention group experienced improvements in life satisfaction compared to participants in the waitlist-control group (95% CI: 0.22 to 0.77, p < 0.001, Cohen's d = 0.53) immediately after the completion of ARTISAN. Subgroup analyses for youth participants indicated improvements in quality of life (95% CI: 0.16 to 0.52, p < 0.001, d = 1.31) and national identity (95% CI: 0.18 to 0.80, p = 0.002, d = 0.43) in comparison to the waitlist-control group. At 5-weeks follow-up, the intervention group participants continued to experience high levels of life satisfaction (95% CI: 0.04 to 0.42, p = 0.017, d = 0.47), enhancements in resilience (95% CI: 0.07 to 0.55, p = 0.011, d = 0.46), as well as a significant reduction in loneliness (95% CI: -0.34 to -0.08, p = 0.001, d = 0.61) compared to baseline, reflecting the effectiveness and positive residual effects of the ARTISAN intervention. Similarly, the qualitative findings provided support for the intervention and additional insights to the quantitative findings. This holistic intervention framework that integrates stories, arts and heritage for bridging and empowering lives fills a critical gap in knowledge and practice between the arts, health and citizenship, paving the way for further research in creating a more caring and inclusive society with the arts. Clinical Trials Registration:www.ClinicalTrials.gov, identifier: NCT03048708. Published version The ARTISAN pilot study (Grant no. NAC.GRT.R&D.010.001) and the ARTISAN 2.0 study (Grant no. NAC.GRT.R&D.010.003) are funded by the National Arts Council. 2022-06-08T08:58:03Z 2022-06-08T08:58:03Z 2021 Journal Article Ho, A. H. Y., Ma, S. H. X., Tan, M. K. B. & Bajpai, R. C. (2021). A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN. Frontiers in Psychology, 12, 730709-. https://dx.doi.org/10.3389/fpsyg.2021.730709 1664-1078 https://hdl.handle.net/10356/154107 10.3389/fpsyg.2021.730709 34552538 2-s2.0-85115154002 12 730709 en Frontiers in Psychology © 2021 Ho, Ma, Tan and Bajpai. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. application/pdf |
| spellingShingle | Science::Medicine Participatory Art Museum Ho, Andy Hau Yan Ma, Stephanie Hilary Xinyi Tan, Michael Koon Boon Bajpai, Ram Chandra A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title | A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title_full | A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title_fullStr | A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title_full_unstemmed | A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title_short | A randomized waitlist-controlled trial of an intergenerational arts and heritage-based intervention in Singapore: project ARTISAN |
| title_sort | randomized waitlist controlled trial of an intergenerational arts and heritage based intervention in singapore project artisan |
| topic | Science::Medicine Participatory Art Museum |
| url | https://hdl.handle.net/10356/154107 |
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