Arts & Health Education to Improve Health, Resilience, and Well-Being
- Conditions
- HypertensionObesityHeart DiseasesDiabetesCHFHigh CholesterolStrokeChronic PainMultiple SclerosisDepression
- Interventions
- Behavioral: HeRe We EdBehavioral: HeRe We Arts
- Registration Number
- NCT04154579
- Lead Sponsor
- Lisa Gallagher
- Brief Summary
This is an 8-week randomized controlled trial to help address health, resilience, and well-being. Participants are randomized into either a health education group or an arts-based health education group. Both groups will attend for 8 weeks and various study assessments will be conducted in order to measure the experience and impact of the program. Anyone 18 years and older with a chronic health condition (for example, diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disorder, asthma, weight, anxiety, depression, cardiac, arthritis, multiple sclerosis, and many more) are eligible to participate.
- Detailed Description
Within the healthcare field today there is an increased concern with public health, population health, wellness, and prevention, all of which include focusing on physical health, obesity, chronic health conditions, unhealthy lifestyles, aging, and mental health issues. As healthcare professionals attempt to improve individuals' health outcomes, quality of life, well-being, coping skills, and health indicators, they also must try to promote behavior change that helps keep patients out of the hospital. These are concerns faced by individuals of all ages, genders, ethnicities, cultural backgrounds, socioeconomic statuses, and diagnoses. Therefore, it is important to find multiple means of addressing these concerns with the various populations as it is likely that no one particular method would be effective for every individual.
Programs and interventions have been created to address health, resilience, and well-being at the individual and the social level. They demonstrate the importance of providing support, encouraging behavior changes, and reinforcing objectives determined by the healthcare system. Many of these programs have focused on improving resilience and increasing participants' ability to thrive or recover from the illnesses and challenges they face.
The broad problem to be addressed by this study is to assess if arts-based programs are superior to non-arts-based health education programs at improving individuals' physical and mental health outcomes, quality of life, well-being, resilience, coping skills, stress, and health indicators while promoting behavior change and keeping them out of the hospital. Previous programs have focused on improving resilience. Individual arts interventions such as music, art, craft, choir singing, writing, theater, and movement have been utilized and in many cases found to be helpful in addressing resilience, coping, health, and well-being; however, it is not known what effect a program utilizing multiple arts-based interventions would have on adults with chronic health conditions. The primary benefit of conducting research into the effectiveness of different arts-based programs is the identification of the specific benefits of programs aimed at influencing health, resilience, and well-being in individuals with a variety of chronic health conditions.
The purpose of this randomized controlled study is to determine the outcomes of an 8-week arts-based program on the health, resilience, and well-being of individuals with chronic health conditions in an outpatient underserved community setting as compared to outcomes from individuals participating in a separate 8-week-non-arts-based health education program in the same setting. The purpose of including a variety of arts experiences is so that individuals will hopefully find at least one art form to which they can relate and will utilize in their lives to assist with their health, resilience, and well-being. The non-arts-based program will include educational topics related to health, resilience, and well-being.
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 60
- At least 18 years old
- Diagnosed with at least one chronic health condition (as reported by the participant)
- Able to participate safely in all program sessions
- Proficient in English
- Cognitively able to consent to participate
- Severe visual or auditory impairment
- Severe and/or uncontrolled comorbidity precluding safe participation in the program
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description HeRe We Ed (Health Education Group) HeRe We Ed This is an 8 week, non-arts-based health education session that includes educational \& some experiential components. Topics include: Introduction to Health, Resilience, \& Well-Being; Nutrition \& Healthy Eating; Exercise, Chair Yoga, \& Sleep; Mental Health, Stress Management, \& Life Satisfaction; Holistic Approaches: Wellness, Integrative Medicine, \& Complementary \& Alternative Medicine; Chronic Illnesses \& Chronic Pain; Health \& Behaviors; Summary \& Navigating the Healthcare System. HeRe We Arts HeRe We Arts This is an 8 week, arts-based session that includes educational \& experiential components. Topics include: Introduction to Arts \& Health; Music, Well-Being, \& Resilience; Movement \& Physical Activity; Art \& Well-Being; Writing \& Communication/Self-Expression; Theater \& Socialization; Art Appreciation \& a Healthy Brain; \& Summary/Integration of the Arts into Daily Lives.
- Primary Outcome Measures
Name Time Method Change in Short Depression-Happiness Scale from Week 8 to Week 16 Weeks 8 and 16 Means of assessing change in mood. Contains 6 items, 3 negative \& 3 positive. Participants think about how they felt in the past 7 days \& rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.
Change in Short Depression-Happiness Scale from Week 1 to Week 16 Weeks 1 and 16 Means of assessing change in mood. Contains 6 items, 3 negative \& 3 positive. Participants think about how they felt in the past 7 days \& rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.
Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 16 Weeks 1 and 16 Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.
Change in Brief Resilient Coping Scale from Week 1 to Week 8 Weeks 1 and 8 A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills and resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.
Change in Brief Resilient Coping Scale from Week 8 to Week 16 Weeks 8 and 16 A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills \& resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.
Change in Short Depression-Happiness Scale from Week 1 to Week 8 Weeks 1 and 8 Means of assessing change in mood. Contains 6 items, 3 negative \& 3 positive. Participants think about how they felt in the past 7 days \& rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.
Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 8 Weeks 1 and 8 Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.
Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 8 to Week 16 Weeks 8 and 16 Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.
Change in Brief Resilient Coping Scale from Week 1 to Week 16 Weeks 1 and 16 A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills \& resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.
Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 8 Weeks 1 and 8 Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.
Change in Systolic and Diastolic Blood Pressure from Week 8 to Week 16 Weeks 8 and 16 At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.
Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 16 Weeks 1 and 16 At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.
Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 8 to Week 16 Weeks 8 and 16 Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.
Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 8 Weeks 1 and 8 A self-report measure to identify symptoms, feelings, behaviors, \& functions in the areas of physical, mental, \& social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.
Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 16 Weeks 1 and 16 A self-report measure to identify symptoms, feelings, behaviors, \& functions in the areas of physical, mental, \& social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.
Change in Heart Rate from Week 1 to Week 8 Weeks 1 and 8 At the start of each session an investigator will take and document each participant's heart rate.
Change in Heart Rate from Week 8 to Week 16 Weeks 8 and 16 At the start of each session an investigator will take and document each participant's heart rate.
Change in Heart Rate from Week 1 to Week 16 Weeks 1 and 16 At the start of each session an investigator will take and document each participant's heart rate.
Change in Pulse Oximetry from Week 1 to Week 8 Weeks 1 and 8 At the start of each session an investigator will take and document each participant's pulse oximetry.
Change in Pulse Oximetry from Week 8 to Week 16 Weeks 8 and 16 At the start of each session an investigator will take and document each participant's pulse oximetry.
Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 16 Weeks 1 and 16 Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.
Change in PROMIS Scale v1.2 - Global Health from Week 8 to Week 16 Weeks 8 and 16 A self-report measure to identify symptoms, feelings, behaviors, \& functions in the areas of physical, mental, \& social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.
Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 8 Weeks 1 and 8 At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.
Change in Pulse Oximetry from Week 1 to Week 16 Weeks 1 and 16 At the start of each session an investigator will take and document each participant's pulse oximetry.
- Secondary Outcome Measures
Name Time Method Weekly Post-Session Survey Weeks 1-8 Completed by participants at the end of each session in order to obtain information on learning and satisfaction. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.
Change in HeRe We Arts Survey from Week 1 to Week 8 Weeks 1 and 8 A pre-test/post-survey utilized to test knowledge on arts and well-being, as well as satisfaction at endpoints. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.
Change in HeRe We Ed Survey from Week 1 to Week 8 Weeks 1 and 8 A pre-test/post-test utilized to test knowledge on health education \& well-being, as well as satisfaction, at endpoints. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.
Trial Locations
- Locations (1)
Cleveland Clinic Euclid Hospital
🇺🇸Euclid, Ohio, United States