Feasibility Study of Visual Arts-based Intervention on Psychosocial Outcomes Among Community-dwelling Chinese Stroke Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Self-efficacy
研究概览
简要总结
Stroke is the major cause of disability worldwide and leads to psychosocial issues for community-dwelling stroke survivors in their recovery journey. Previous studies showed the benefits of visual arts-based interventions in enhancing self-efficacy and psychosocial functions. However, the interventions were not well designed with a theoretical framework. This study will investigate the effects of a theory-driven visual arts-based intervention on community-dwelling stroke survivors' psychosocial outcomes. A two-arm randomised controlled trial will be conducted. This is a feasibility trial to test the preliminary effects of this intervention and assess its feasibility and acceptability.
详细描述
Stroke is the second-leading cause of death and the major cause of disability worldwide. With advanced progress in stroke treatment, more people with stroke now survive longer than in past decades and become stroke survivors living in the community. Improvements in stroke rehabilitation services further boost physical outcomes and increase functional independence in stroke survivors after discharge. Whereas psychosocial issues commonly persist over the recovery journey in community-dwelling stroke survivors, such as psychological distress, low self-efficacy and social network.
Existing research suggested that enhancing self-efficacy is important to post-stroke psychosocial recovery, while the benefits of visual arts-based interventions in promoting post-stroke psychosocial functions have also been found. However, the current visual arts-based interventions were not well designed with a theoretical framework. Thus, this study will be conducted to contribute to current knowledge of the effectiveness of visual arts-based intervention grounded on Bandura's Self-Efficacy Theory on community-dwelling stroke survivors.
This current study will be conducted as a two-arm randomised controlled trial. Eligible participants will be randomised into either a four-week visual arts-based intervention group or a usual stroke care control group. The control group will continue with the usual stroke care provided by community healthcare services. Participants will be assessed 2 times at baseline (T0) and post-intervention (T1).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 years old or above
- •A clinical diagnosis of first-ever or recurrent ischaemic or haemorrhagic stroke
- •At least three months after stroke onset
- •Living at home
- •The total score of Hong Kong Montreal Cognitive Assessment (HK-MoCA) above the second percentile
- •At least stage four of upper limb function was assessed by Brunnstrom recovery stages (BRS)
- •Able to remain in a sitting position on a chair or wheelchair independently or with support
- •Able to communicate with Cantonese or Putonghua
- •Able to read traditional or simplified Chinese
- •Able to provide written informed consent
排除标准
- •Other diagnoses or diseases causing pre-existing physical disability or psychosocial problems
- •Dysphasia, hearing, or visual impairments
- •Any substance abuse affected their health status
- •Already taken a visual arts-based intervention for stroke recovery
- •Currently taking part in other research for psychosocial recovery
- •Currently receiving psychosocial therapy or intervention
结局指标
主要结局
Self-efficacy
时间窗: Change from baseline (T0) to immediately (T1) after completion of the intervention
The Chinese General Self-efficacy Scale (C-GSES) will be adopted to measure the participants' self-efficacy. Each item asks participants about their self-efficacy. Each item is rated on a four-point scale from 1 "Not at all true" to 4 "Exactly True". The total score is summed to give a range from 10 to 40, and the higher score represents greater self-efficacy. The C-GSES has a high Cronbach's alpha coefficient of 0.96, which indicates good reliability and validity.
次要结局
- Social Network(Change from baseline (T0) to immediately (T1) after completion of the intervention)
- Psychological distress(Change from baseline (T0) to immediately (T1) after completion of the intervention)
- Health-related quality of life(Change from baseline (T0) to immediately (T1) after completion of the intervention)
研究者
Mimi Wai Man Chan
Dr.
The Nethersole School of Nursing