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Pang CPP, Cheung DSK, Chiang VCL. A visual art intervention program for older people with stroke in residential care settings: A feasibility study. Scand J Caring Sci 2024; 38:334-346. [PMID: 38235535 DOI: 10.1111/scs.13233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 11/24/2023] [Accepted: 12/29/2023] [Indexed: 01/19/2024]
Abstract
INTRODUCTION Stroke poses challenges to the physiological, psychosocial and spiritual well-being of affected individuals. As the impacts of stroke might not be reversible, a shift in focus to providing care is desirable. Visual art interventions using visual and symbolic art can help participants to express their feelings, give them a sense of choice and the feeling that they are retaining a sense of control, promote insights, restructure their sense of cognition and instil hope. There have been few studies on visual art interventions involving older people with stroke and none in residential care homes (RCHs). Theoretical support and rigorous research designs on the subject are lacking. Thus, this study seeks to address this research gap by examining the feasibility of a visual art intervention for older people in RCHs and exploring the impacts on their holistic well-being. METHODS This was a single-blinded, two-arm, randomised controlled feasibility study grounded on Watson's Caring Theory. The Holistic Well-Being Scale and Caring Factor Survey were used in the study, with three assessment time-points: before the intervention (T1), at the mid-point of the intervention (T2) and immediately after the intervention (T3). RESULTS Sixty-one older people with stroke were recruited from 14 RCHs and randomised into the intervention and control groups. The recruitment rate was 44.53%, and the retention rate for the intervention group was 93.55%. Implementing the programme was affordable (at approximately US$126/head), the duration was acceptable (721 min) and the feedback from participants and staff of the RCHs was positive. CONCLUSIONS The visual art intervention programme proved to be clinically feasible. This study adds new insights to the development of visual art interventions and to the caring sciences. The efficacy of the programme on holistic well-being has yet to be confirmed.
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Gezgin Yazici H, Utaş Akhan L, Karabulut E, Özlü A. The effect of clay therapy on hopelessness and depression levels in chronic stroke patients in addition to physical therapy. J Clin Neurosci 2024; 123:186-193. [PMID: 38599032 DOI: 10.1016/j.jocn.2024.04.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Revised: 03/29/2024] [Accepted: 04/03/2024] [Indexed: 04/12/2024]
Abstract
BACKGROUND Clay art therapy can be used as part of rehabilitation for chronic stroke patients. OBJECTIVE The objective of this study is to examine the effect of clay therapy on hopelessness and depression levels in chronic stroke patients who receive physical therapy and compare them to patients who only receive physical therapy. METHODS This randomized controlled study was conducted between August 1st - September 28th, 2022 in Turkiye, with 60 patients who agreed to participate in the study and met the inclusion criteria, which were chronic stroke patients who received physical therapy. The patients were divided into two groups (30 in the experimental group, 30 in the control group) with the control group receiving only their routine physical therapy and rehabilitation (5 days a week, 40 sessions in total), while the experimental group received their routine physical therapy and rehabilitation program as well as clay therapy twice a week, 60 min per session, for 8 weeks. Demographic information of all the participants was recorded, and the Beck Depression Inventory and Beck Hopelessness Scale were administered before and after treatment. RESULTS The patients' depression posttest scores (t(58) = -11.386; p = 0.000 < 0,05), and hopelessness posttest scores (t(58) = -10.247; p = 0.000 < 0,05) differed significantly based on their groups. The control group's depression posttest scores (x¯ =25,033) and hopelessness posttest scores (x¯ =15,000) were higher than the experimental group's depression posttest scores (x¯ =9,067) and hopelessness posttest scores (x¯ =8,000). The control group's feeling about the future posttest scores (x¯ =2,967) were higher than the experimental group's posttest scores (x¯ =0,967). The control group's loss of motivation posttest scores (x¯ =6,400) were higher than the experimental group's posttest scores (x¯ =2,667). CONCLUSION It was seen that clay therapy, in addition to physical therapy, was effective in reducing depression and hopelessness in chronic stroke patients.
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Affiliation(s)
- Havva Gezgin Yazici
- Kutahya Health Sciences University, Faculty of Health Sciences, Mental Health Nursing Department, 43000 Kutahya, Turkey.
| | - Latife Utaş Akhan
- Bandırma On Yedi Eylül University, Mental Health Nursing Department, 10900 Balıkesir, Turkey.
| | - Esra Karabulut
- Kutahya Health Sciences University, Faculty of Health Sciences, Mental Health Nursing Department, 43000 Kutahya, Turkey.
| | - Aysun Özlü
- Kutahya Health Sciences University, Faculty of Health Sciences, Medical Department, 43000 Kutahya, Turkey.
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Liu S, Huang X, Liu Y, Yue J, Li Y, Chen L. A scoping review of the use of creative activities in stroke rehabilitation. Clin Rehabil 2024; 38:497-509. [PMID: 38232974 DOI: 10.1177/02692155241227049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
OBJECTIVE Clarifying the distinctions between art-based creative activities in the domains of occupational therapy and art therapy in the context of stroke rehabilitation, while also describing the effects of art-based creative activities on stroke rehabilitation. DESIGN Scoping review. DATA SOURCE A systematic search was performed in nine databases (Web of Science, PubMed, EMBASE, Cochrane Library, CINAHL and four Chinese database) from their inception to December 2023. REVIEW METHODS The study included randomized and non-randomized controlled trials involving art-based creative activities, as well as qualitative research providing detailed intervention measures. The study focused on stroke patients, with primary outcomes related to patients' physiological recovery, psychological well-being, ADL, etc. Data extraction included information on intervention strategies and study results. RESULTS Seventeen studies were included, extracting six similarities and differences in creative activity between two domains. Creative activities were observed to have positive impacts on daily living activities, limb motor function, fine motor ability, and emotional well-being in stroke patients. CONCLUSION Creative activities, whether in occupational therapy or art therapy, involve providing participants with tangible crafting materials for the creation of artistic works. Future stroke rehabilitation practices should tailor activities and intervention focus based on patients' rehabilitation needs, preferences, and cultural background. The current comprehensive analysis provides initial support for the potential positive role of creative activities in stroke rehabilitation, but further in-depth research is needed to confirm their effectiveness.
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Affiliation(s)
- Shuang Liu
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - XianYi Huang
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Yan Liu
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Jie Yue
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
| | - Yu Li
- The Oncology Department, Southwest Medical University Affiliated Hospital, Luzhou, Sichuan, China
| | - Li Chen
- School of Nursing, Southwest Medical University, Luzhou, Sichuan, China
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Khalil R, Demarin V. Creative therapy in health and disease: Inner vision. CNS Neurosci Ther 2024; 30:e14266. [PMID: 37305955 PMCID: PMC10915997 DOI: 10.1111/cns.14266] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 04/21/2023] [Accepted: 05/03/2023] [Indexed: 06/13/2023] Open
Abstract
Can we better understand the unique mechanisms of de novo abilities in light of our current knowledge of the psychological and neuroscientific literature on creativity? This review outlines the state-of-the-art in the neuroscience of creativity and points out crucial aspects that still demand further exploration, such as brain plasticity. The progressive development of current neuroscience research on creativity presents a multitude of prospects and potentials for furnishing efficacious therapy in the context of health and illness. Therefore, we discuss directions for future studies, identifying a focus on pinpointing the neglected beneficial practices for creative therapy. We emphasize the neglected neuroscience perspective of creativity on health and disease and how creative therapy could offer limitless possibilities to improve our well-being and give hope to patients with neurodegenerative diseases to compensate for their brain injuries and cognitive impairments by expressing their hidden creativity.
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Affiliation(s)
- Radwa Khalil
- School of Business, Social and Decision SciencesConstructor UniversityBremenGermany
| | - Vida Demarin
- International Institute for Brain HealthZagrebCroatia
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Chan MWM, Lo SHS, Sit JWH, Choi KC, Tao AA. Effects of visual arts-based interventions on physical and psychosocial outcomes of people with stroke: A systematic review and meta-analysis. INTERNATIONAL JOURNAL OF NURSING STUDIES ADVANCES 2023. [DOI: 10.1016/j.ijnsa.2023.100126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2023] Open
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Anolak H, Lau F, Davis D, Browne J, Watt B. Creative arts intervention in support of women experiencing a high-risk pregnancy: A qualitative descriptive thematic analysis. SEXUAL & REPRODUCTIVE HEALTHCARE 2023; 36:100830. [PMID: 36898309 DOI: 10.1016/j.srhc.2023.100830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2022] [Revised: 02/09/2023] [Accepted: 02/27/2023] [Indexed: 03/06/2023]
Abstract
BACKGROUND Mental illness can have negative effects on both the pregnant woman and her unborn child. Studies that use the creative arts as interventions have proven to be beneficial to women's antenatal mental health and wellbeing, however, these studies are limited and emergent. Music, drawing and narrative (MDN) is an established music therapy intervention, stemming from guided imagery and music (GIM), that has the potential to support positive mental health and wellbeing. Yet, to date, there have been limited studies on the use of this form of therapy with inpatient antenatal women. AIM To describe antenatal inpatient women's experiences of participating in a MDN session. METHODS Qualitative data were collected from a sample of 12 inpatient pregnant women who participated in MDN group sessions of drawing to music. Post intervention interviews explored the mental and emotional health of participants. A thematic analysis of the transcribed interview data was performed. FINDINGS Through reflection women were supported to acknowledge both the positives and difficulties of pregnancy as well as establish meaningful connections through shared experience. These thematic findings highlighted that MDN enabled this group of pregnant women to better communicate their feelings, validate emotions, engage in positive distractions, develop greater connections, improve optimism, experience calmness, and learn from others. CONCLUSION This project demonstrates that MDN may offer a viable method for supporting women experiencing high risk pregnancies.
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Affiliation(s)
- Helena Anolak
- Federation University, Mt Helen, PO Box 663, Ballarat, VIC 3353, Australia.
| | - Farrah Lau
- Flinders University, Sturt Rd, Bedford Park, S.A 5042, Australia.
| | - Deborah Davis
- University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
| | - Jenny Browne
- University of Canberra, 11 Kirinari St, Bruce, ACT 2617, Australia.
| | - Bec Watt
- Flinders University, Sturt Rd, Bedford Park, S.A 5042, Australia.
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Qian J, Sun S, Wang M, Sun X, Yu X. Art-based interventions for women's mental health in pregnancy and postpartum: A meta-analysis of randomised controlled trials. Front Psychiatry 2023; 14:1112951. [PMID: 36873226 PMCID: PMC9976780 DOI: 10.3389/fpsyt.2023.1112951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 01/26/2023] [Indexed: 02/17/2023] Open
Abstract
OBJECTIVE Pregnant and postpartum women are vulnerable to psychological problems with a high estimated prevalence. To date, there is no meta-analysis that specifically assesses the effectiveness of art-based interventions to improve mental health in pregnant and postpartum women. The objective of this meta-analysis was to assess the efficacy of art-based interventions when delivered to pregnant and postpartum women. METHODS Systematic literature searches were conducted from the inception to 6 March 2022 in seven English databases, including PubMed, Embase, Cochrane Central Register, CINAHL, ProQuest, Scopus, and Web of Science. Randomised controlled trials (RCTs) reporting art-based interventions targeting the improvement of women's mental health in pregnancy and postpartum were included. Cochrane risk of bias tool was applied to assess evidence quality. RESULTS Twenty-one randomised controlled trials (RCTs) involving 2,815 participants were eligible for data analysis. A pooled analysis demonstrated that art-based interventions significantly reduced anxiety (SMD = -0.75, 95% CI = -1.10 to -0.40) and depression symptoms (MD = -0.79, 95% CI = -1.30 to -0.28). However, art-based interventions did not alleviate stress symptoms as expected in our findings. Subgroup analysis demonstrated that intervention implementation time, intervention duration and music selected by the participants vs. not could have influence on the efficacy of art-based intervention for anxiety. CONCLUSION In perinatal mental health, art-based interventions may be effective in alleviating anxiety and depression. In the future, we still need to conduct high-quality RCTs to validate our findings and enrich clinical application of art-based interventions.
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Affiliation(s)
- Jialu Qian
- Faculty of Nursing, School of Medicine, Zhejiang University, Hangzhou, China
| | - Shiwen Sun
- Department of Obstetrics, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China
| | - Man Wang
- Faculty of Nursing, School of Medicine, Zhejiang University, Hangzhou, China
| | - Xiangyu Sun
- Faculty of Nursing, School of Medicine, Zhejiang University, Hangzhou, China
| | - Xiaoyan Yu
- Department of Obstetrics, Women's Hospital School of Medicine, Zhejiang University, Hangzhou, China
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Christiansen A, Scythes M, Ritsma BR, Scott SH, DePaul V. Art skill-based rehabilitation training for upper limb sensorimotor recovery post-stroke: A feasibility study. Clin Rehabil 2022; 36:1476-1488. [PMID: 35642286 PMCID: PMC9515518 DOI: 10.1177/02692155221105586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective The objective of this study was to assess the feasibility of delivering Art
skill-based Rehabilitation Training (ART), a novel upper limb motor training
program, to patients with stroke as an adjunct to standard care in an
inpatient setting. Design Feasibility study. Setting Inpatient stroke rehabilitation unit at a university hospital. Participants Thirty-eight patients admitted to a stroke rehabilitation unit with upper
limb motor impairment were enrolled in the ART program facilitated by
trained non-healthcare professionals between December 2017 and June
2021. Intervention The ART program included nine, one-hour sessions of supervised tracing and
freehand drawing tasks completed with both hands. This program was intended
to be delivered at a frequency of three times per week over a duration of 3
weeks or for the length of inpatient stay. Main outcome measures Feasibility outcomes included ART program adherence, acceptability, and
safety. Results Thirty-two (84%) participants with subacute stroke completed the ART program
and 30 (79%) were included in the study analysis. Participants completed
93–100% of the ART tasks in a median [IQR] of 8 [6–10] ART sessions over a
median [IQR] duration of 15 [7–19] days. ART program facilitators
effectively provided upper limb assistance to patients with more severe
upper limb impairments. Adherence and acceptability were high and no
study-related adverse events occurred. Conclusion The ART program was feasible to deliver and highly acceptable to patients
with stroke. Further research is warranted to explore the impact of ART on
upper limb sensorimotor function and use.
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Affiliation(s)
- April Christiansen
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada
| | - Marta Scythes
- Haliburton School of Art and Design, 125171Fleming College, Haliburton, ON, Canada
| | - Benjamin R Ritsma
- Department of Physical Medicine and Rehabilitation, 4257Queen's University, Kingston, ON, Canada
| | - Stephen H Scott
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.,Department of Biomedical and Molecular Sciences, 4257Queen's University, Kingston, ON, Canada.,Department of Medicine, Queen's University, Kingston, ON, Canada
| | - Vincent DePaul
- Centre for Neuroscience Studies, Queen's University, Kingston, ON, Canada.,School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada
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Chea M, Pichon B, Migeot H, Bayen E. Art, as a hyphen between health professionals and individuals in rehabilitation after stroke. Ann Phys Rehabil Med 2022; 65:101658. [PMID: 35272064 DOI: 10.1016/j.rehab.2022.101658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Revised: 02/01/2022] [Accepted: 02/19/2022] [Indexed: 10/18/2022]
Affiliation(s)
- Maryane Chea
- Department of Physical and Rehabilitation Medicine, Pitié-Salpêtrière hospital, APHP, Paris, France; GRC 24, Sorbonne Université, Paris, France
| | - Bertrand Pichon
- Department of Physical and Rehabilitation Medicine, Pitié-Salpêtrière hospital, APHP, Paris, France; GRC 24, Sorbonne Université, Paris, France
| | - Hélène Migeot
- Department of Physical and Rehabilitation Medicine, Pitié-Salpêtrière hospital, APHP, Paris, France; GRC 24, Sorbonne Université, Paris, France
| | - Eléonore Bayen
- Department of Physical and Rehabilitation Medicine, Pitié-Salpêtrière hospital, APHP, Paris, France; GRC 24, Sorbonne Université, Paris, France; Laboratoire d'Imagerie Biomédicale - Inserm U1146, Sorbonne Université, Paris, France; Global Brain Health Institute, Memory and Aging Center, University of California San Francisco, USA.
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Estevao C, Baldellou Lopez M, Davis RE, Jarret L, Soukup T, Bakolis I, Healey A, Harrington J, Woods A, Crane N, Jones F, Pariante C, Fancourt D, Sevdalis N. Evaluation of a community-based performance arts programme for people who have experienced stroke in the UK: protocol for the SHAPER-Stroke Odysseys study. BMJ Open 2022; 12:e057805. [PMID: 35277410 PMCID: PMC8919447 DOI: 10.1136/bmjopen-2021-057805] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
INTRODUCTION Stroke survivors, once in the community, face challenges with their long-term rehabilitation care and present higher levels of loneliness, depression and anxiety than the rest of the population. A community-based performance arts programme, Stroke Odysseys (SO), has been devised to tackle the challenges of living with stroke in the UK. In this study, we aim to evaluate the implementation, impact and experiences of SO for stroke survivors. METHODS AND ANALYSIS Scaling-up Health Arts Programmes: Implementation and Effectiveness Research (SHAPER)-SO aims to scale-up SO to 75 participants and 47 stakeholders, while simultaneously evaluating the effectiveness and implementation of the programme. The main research aim is to evaluate the implementation, effectiveness, impact and experiences of a community-based performance arts programme (SO for stroke survivors). This mixed-methods study will evaluate the experience and impact of SO on those participating using mixed methods (interviews, observations and surveys) before and after each stage and carry out non-participant observations during a percentage of the workshops, training and tour. Data will be analysed using quantitative and qualitative approaches. This is a study within the SHAPER programme. ETHICS AND DISSEMINATION Ethical approval has been granted by the King's College London PNM Research Ethics Panel, REC reference: LRS/DP-20/21-21549. Written informed consent will be sought for participants and stakeholders. The results of the study will be reported and disseminated at international conferences and in peer-reviewed scientific journals. TRIAL REGISTRATION NUMBER NCT04864470.
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Affiliation(s)
- Carolina Estevao
- Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
| | - Maria Baldellou Lopez
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
| | - Rachel E Davis
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
| | | | - Tayana Soukup
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
- Centre for Implementation Science, King's College London, London, UK
| | - Ioannis Bakolis
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
- Department of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, London, UK
| | - Andy Healey
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
- Health Service and Population Research Department, King's Health Economics, King's College London, London, UK
| | - Jean Harrington
- Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Psychological Medicine, King's College London, London, UK
| | - Anthony Woods
- Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Department of Psychological Medicine, King's College London, London, UK
| | - Nikki Crane
- Culture Team, King's College London, London, UK
| | - Fiona Jones
- Faculty of Health, Social Care and Education, Kingston University and St George's, University of London, London, UK
| | - Carmine Pariante
- Psychological Medicine, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK
- Psychological Medicine, King's College London, London, UK
| | - Daisy Fancourt
- Department of Behavioural Science and Health, University College London, London, UK
| | - Nick Sevdalis
- Centre for Implementation Science, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK
- Culture Team, King's College London, London, UK
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Morse N, Thomson LJ, Elsden E, Rogers H, Chatterjee HJ. Exploring the Potential of Creative Museum-led Activities to Support Stroke In-patient Rehabilitation and Wellbeing: A Pilot Mixed-methods Study. Arts Health 2022; 15:135-152. [PMID: 35094642 DOI: 10.1080/17533015.2022.2032224] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND This paper proposes a framework for studying the potential of museum-led interventions for supporting stroke rehabilitation goals. METHODS The intervention was based on Kirvevold et al.'s model for interventions for post-stroke wellbeing. Mixed-methods data was collected to review benefits in a pilot study, including retrospective video observations for six sessions with four patients; interviews with patients, carers and facilitators; pre-post patient assessments; and facilitator diaries. RESULTS Systematic analysis of videos showed high levels of concentration and engagement with museum objects, low levels of social interaction, and positive or neutral mood throughout. Thematic qualitative analysis suggested patients felt engaged in meaningful activities, which lifted negative mood, provided positive distraction from the ward, and increased self-esteem, including belief in patient abilities. CONCLUSION Further research is needed to fully establish the potential of museum-led interventions for stroke rehabilitation.
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Affiliation(s)
- Nuala Morse
- School of Museum Studies, University of Leicester, Leicester, U.K
| | - L J Thomson
- Division of Biosciences, University College London, London, U.K
| | - E Elsden
- Department of Arts and Sciences, University College London, London, U.K, (note current affiliation: Institute of Epidemiology and Public Health, University College London, London, U.K
| | - H Rogers
- Patient Safety & Clinical Governance, Manchester University NHS Foundation Trust, Manchester, UK
| | - H J Chatterjee
- Division of Biosciences, University College London, London, U.K
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Lafiatoglou P, Ellis-Hill C, Gouva M, Ploumis A, Mantzoukas S. A systematic review of the qualitative literature on older individuals' experiences of care and well-being during physical rehabilitation for acquired brain injury. J Adv Nurs 2021; 78:377-394. [PMID: 34397112 PMCID: PMC9291982 DOI: 10.1111/jan.15016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2021] [Revised: 06/24/2021] [Accepted: 08/05/2021] [Indexed: 11/29/2022]
Abstract
Aims To acquire an in‐depth understanding of how older individuals diagnosed with acquired brain injury (ABI) experience their well‐being and care when undergoing physical rehabilitation. Design Systematic literature review. Data sources The electronic databases of PubMed, CINAHL, APA PsycInfo, ASSIA and SCOPUS were searched from 2005 to 2020. Extensive reference checking was also conducted. Review methods A systematic review was conducted following PRISMA guidelines, including predominantly qualitative studies. Studies’ quality was appraised using the critical apraisal skills programme (CASP) tool. Results Seventeen studies met the inclusion criteria. Following methods of thematic synthesis, four overarching interpretive themes were identified: (a) Rehabilitation processes and their impact on older individuals’ well‐being; (b) Identity and embodiment concerns of older individuals during rehabilitation; (c) Institutional factors affecting older individuals’ care and well‐being experiences; and (d) Older individuals’ participation in creative activities as part of rehabilitation. Conclusion Organizational and structural care deficiencies as well as health disparities can adversely impact older individuals’ autonomous decision‐making and goal‐setting potentials. The discrepancy between older individuals’ expectations and the reality of returning home along with the illusionary wish to return to a perceived normality, can further negatively affect older individuals’ sense of well‐being. Constructive communication, emotional support, family involvement in rehabilitation and creating a stimulating, enriching social environment can humanize and facilitate older individuals’ adjustment to their new reality following ABI. Impact There is a lack of qualitative research on older individuals’ ABI rehabilitation experiences, especially traumatic brain injury incidents. Further study should consider patients’ concerns over their involvement in decision‐making and goal setting about their care. Overall, this review reveals the need to examine further the significance of humanizing care and the factors that affect older individuals’ sense of well‐being.
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Affiliation(s)
| | | | - Mary Gouva
- Department of Nursing, University of Ioannina, Ioannina, Greece
| | - Avraam Ploumis
- Department of Medicine, University of Ioannina, Ioannina, Greece
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Pang PCP, Cheung DSK, Chiang VCL. Visual Art Intervention for People With Stroke on Holistic Well-Being: A Critical Review. J Holist Nurs 2021; 40:123-145. [PMID: 34279129 DOI: 10.1177/08980101211032062] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Background: After a stroke, a person usually experiences physical, psychosocial, and spiritual consequences, causing distortion of holistic well-being. Existing studies using visual art interventions found some benefits to physiological, psychosocial, and/or spiritual well-being of people with stroke, but little is known about holistic well-being. Objectives: This critical review to identify how visual art interventions are delivered to people with stroke on holistic well-being. Methods: Databases were searched up to September 30, 2019, for published studies on "stroke" AND "art*/visual art*," AND "holistic well*being." Results: Ten studies were included. Heterogeneity was found in study characteristics, intervention modalities, outcome measures, and methodology issues or a lack of clarity in theoretical application. Most participants were people with stroke, with only two studies recruited older people with stroke. All studies were conducted in rehabilitation units or communities, and none in residential care settings. One study reported the effects on holistic well-being. The appraised quality of the included studies was variable. Conclusion: Stroke impacts the holistic well-being of a person, but little has been known for older people with stroke. It remains unclear how visual art interventions can be delivered and benefit the holistic well-being of older people with stroke in residential care settings.
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Chan CKP, Lo TLT, Wan AHY, Leung PPY, Pang MYC, Ho RTH. A randomised controlled trial of expressive arts-based intervention for young stroke survivors. BMC Complement Med Ther 2021; 21:7. [PMID: 33407413 PMCID: PMC7789770 DOI: 10.1186/s12906-020-03161-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2020] [Accepted: 11/19/2020] [Indexed: 11/23/2022] Open
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).
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Affiliation(s)
| | - Temmy Lee Ting Lo
- Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong
| | - Adrian Ho Yin Wan
- Centre on Behavioral Health, The University of Hong Kong, Pokfulam, Hong Kong
| | | | - Marco Yiu Chung Pang
- Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong
| | - Rainbow Tin Hung Ho
- Centre on Behavioral Health, The University of Hong Kong, Pokfulam, Hong Kong.
- Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong.
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