Art Therapy Program in the Chronic Phase of Stroke: A Feasibility Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Université de Sherbrooke
- Enrollment
- 7
- Locations
- 1
- Primary Endpoint
- Adherence to the art therapy program
Study Overview
Brief Summary
INTRODUCTION: After stroke, perceptual impairments, such as negative body perception, contribute to social isolation and depression. In the subacute poststroke phase, art therapy is effective in improving depression, self-esteem, and community integration. Yet, no study has explored the effectiveness of art therapy at the chronic stage of a stroke; where motor recovery is slowed, and body image and self-esteem are deeply challenged.
OBJECTIVES: Primary; to assess the feasibility of an art therapy program (ATP) in the chronic phase of stroke. Secondary; to explore the effects of ATP on perceptual impairment (body image/self-esteem), mood and community integration.
METHOD: Nine adults (stroke ≥6 months) will participate in the ATP consisting of a thematic group visit to the Montreal Museum of Fine Arts followed by an art workshop, supervised by an art therapist (7 visits over 4 months). Feasibility will be evaluated by triangulating data from interviews and subject assessment questionnaires and by assessing retention and attendance. The effects of the ATP will be assessed by changes in perceptual and mood impairment questionnaires (Body Image States, Self-Esteem scales, Beck Depression Inventory-Short-Form) and community integration questionnaire (The Community Integration Questionnaire).
EXPECTED RESULTS AND OUTCOMES: The project will confirm the feasibility of ATP to improve perceptual impairment and community integration post-stroke.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 65 Years to 79 Years (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •be in the chronic stroke phase (≥ 6 months since diagnosis)
- •present a low score on the self-esteem scale (score < 32/40 on the French-Canadian Self Esteem Scale)
- •present mild to moderate degree of depression (score 4 to 15 in the Beck Depression Abbreviated Inventory)
Exclusion Criteria
- •unable to move autonomously and safely on their own
- •present aphasia (score < 28/35 in the communication section of the Stroke Impact Scale)
- •present severe hemineglect (score > 70% in the Line Cancelation Test)
- •present severe spasticity of the hemi-body (score ≥ 3 on the modified Ashworth scale)
- •present cognitive impairment (score ≤ 2/5 in the Mini-Cog)
Outcomes
Primary Outcomes
Adherence to the art therapy program
Time Frame: within 7 days after completion of the art therapy program
the number of art therapy sessions that participants took part in on a total of 7 visits
Participants' acceptability and perceptions of the effects of the art therapy program
Time Frame: within 7 days after completion of the art therapy program
Individualized semi-structured 50-minute interviews and a 2-hour focus group interview, conducted by a research assistant, gathered information on the participants acceptability of the art therapy program and its effects on their perceptual problems, mood and level of activity
Retention rate to the art therapy program
Time Frame: within 7 days after completion of the art therapy program
the number of participants enrolled at the end of the study divided by the number of participants recruited at the beginning of the study
Secondary Outcomes
- Change in community integration assessed with the Community Integration Questionnaire(baseline and within 7 days after completion of the art therapy program)
- Change in self esteem assessed with the Rosenberg Self-Esteem Scale(baseline and within 7 days after completion of the art therapy program)
- Change in mood assessed with the Beck Depression Abbreviated Inventory(baseline and within 7 days after completion of the art therapy program)
- Change in body image assessed with the Body Image States Scale(baseline and within 7 days after completion of the art therapy program)
Investigators
Marie-Hélène Milot
researcher and principal investigator
Université de Sherbrooke