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Article: A randomised controlled trial of expressive arts-based intervention for young stroke survivors

TitleA randomised controlled trial of expressive arts-based intervention for young stroke survivors
Authors
KeywordsYoung stroke survivors
Expressive arts-based intervention
Holistic approach
Stroke rehabilitation
Salivary cortisol
Issue Date2021
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccomplementalternmed/
Citation
BMC Complementary Medicine and Therapies, 2021, v. 21 n. 1, p. article no. 7 How to Cite?
AbstractBackground: 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)
Persistent Identifierhttp://hdl.handle.net/10722/306170
ISSN
2023 Impact Factor: 3.3
2023 SCImago Journal Rankings: 0.673
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, CKP-
dc.contributor.authorLO, TLT-
dc.contributor.authorWan, AHY-
dc.contributor.authorLeung, PPY-
dc.contributor.authorPang, MYC-
dc.contributor.authorHo, RTH-
dc.date.accessioned2021-10-20T10:19:47Z-
dc.date.available2021-10-20T10:19:47Z-
dc.date.issued2021-
dc.identifier.citationBMC Complementary Medicine and Therapies, 2021, v. 21 n. 1, p. article no. 7-
dc.identifier.issn2662-7671-
dc.identifier.urihttp://hdl.handle.net/10722/306170-
dc.description.abstractBackground: 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)-
dc.languageeng-
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.biomedcentral.com/bmccomplementalternmed/-
dc.relation.ispartofBMC Complementary Medicine and Therapies-
dc.rightsBMC Complementary Medicine and Therapies. Copyright © BioMed Central Ltd.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectYoung stroke survivors-
dc.subjectExpressive arts-based intervention-
dc.subjectHolistic approach-
dc.subjectStroke rehabilitation-
dc.subjectSalivary cortisol-
dc.titleA randomised controlled trial of expressive arts-based intervention for young stroke survivors-
dc.typeArticle-
dc.identifier.emailChan, CKP: kpcchan@hku.hk-
dc.identifier.emailWan, AHY: awan@hku.hk-
dc.identifier.emailHo, RTH: tinho@hku.hk-
dc.identifier.authorityHo, RTH=rp00497-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1186/s12906-020-03161-6-
dc.identifier.pmid33407413-
dc.identifier.pmcidPMC7789770-
dc.identifier.scopuseid_2-s2.0-85098750085-
dc.identifier.hkuros327257-
dc.identifier.volume21-
dc.identifier.issue1-
dc.identifier.spagearticle no. 7-
dc.identifier.epagearticle no. 7-
dc.identifier.isiWOS:000610408400002-
dc.publisher.placeUnited Kingdom-

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