Art as Creative Engagement for Stroke
ACES
Can an Arts Based Creative Engagement Intervention Following Stroke Improve Psychosocial Outcomes? A Feasibility Trial of a Creative Engagement Intervention for In-patient Rehabilitation
2 other identifiers
interventional
81
1 country
2
Brief Summary
Title: A C E S Study: Can an arts based creative engagement intervention (CEI) following stroke improve psychosocial outcomes? A feasibility trial of a creative engagement intervention for inpatient rehabilitation. This is a feasibility randomised controlled trial of a novel intervention for stroke rehabilitation examining effects of participation in visual arts activities on psychosocial outcomes after stroke. The investigators hypothesise that participation in a visual arts based intervention (CEI) will improve stroke recovery variables, mood and self-esteem in stroke survivors receiving in-patient rehabilitation compared to viewing a portfolio of artwork. The results of the study will inform a sample size calculation for a full trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable stroke
Started Jul 2013
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 1, 2013
CompletedFirst Submitted
Initial submission to the registry
March 6, 2014
CompletedFirst Posted
Study publicly available on registry
March 12, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2014
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2014
CompletedMay 7, 2019
May 1, 2019
1.1 years
March 6, 2014
May 3, 2019
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Stroke Impact Scale
Assessed at end of intervention at 4 weeks
Secondary Outcomes (2)
Positive and Negative Affect Schedule (PANAS)
Assessed at end of intervention at 4 weeks
Visual Analogue Self-Esteem Scale (VASES)
Assessed at end of intervention at 4 weeks
Other Outcomes (11)
Trait Hope Scale
Assessed at end of intervention at 4 weeks
General Self Efficacy Scale
Assessed at end of intervention at 4 weeks
Self-Efficacy for Art Scale
Assessed at end of intervention at 4 weeks
- +8 more other outcomes
Study Arms (2)
Creative Engagement Intervention
EXPERIMENTALCreative Engagement Intervention participants will receive 4-8 art sessions over 3-5 weeks, depending on length of inpatient stay. Sessions will be delivered as 1:1 sessions with the artist lasting up to one hour (depending on patient fatigue levels) and group sessions, with up to 5 participants, lasting up to two hours (depending on patient fatigue levels). Participant with receive one group and one individual session per week of inpatient stay. The sessions will cover 5 activity stages of the intervention, taking the participant through a progressive artwork development process. Participants will explore basic visual art materials and processes and progress to creating artworks with a personal context that they have directed and controlled.
Portfolio Group
PLACEBO COMPARATORThe Portfolio group will receive conventional rehabilitation activity at each site. In addition, to control for effects of art related attention received by the intervention group, after baseline assessment and randomisation, this group will receive from the research assistant, a portfolio of work produced by previous participants of the Tayside CEI, with details of community programmes that people with stroke can attend after hospital discharge. Participants will be invited to view the portfolio during their stay. Prior to outcome assessment, the research assistant will visit participants again to answer questions and to discuss options for community programmes, if the person is interested.
Interventions
The CEI has 5 component stages which map the participant's journey with the Artist 1. Meeting with Artist, discuss interests, stroke and explore initial creative goals. 2. Introduction to materials and mark making to create interpretations of established images. 3. From mark making and interpretations to developing personal project ideas. 4. Turning personal project ideas into creative finished pieces. 5. Review of completed work, mounting and display of work, future plans. It is recognised that participants will progress differently. Components may be repeated or retuned to or may be addressed simultaneously. Participants may progress rapidly and so move from stage 5 back to stages 2, 3 or 4 to progress new work or experience new materials or processes.
The Portfolio group will receive conventional rehabilitation activity at each site. In addition, to control for effects of art related attention received by the intervention group, after baseline assessment and randomisation, this group will receive from the research assistant, a portfolio of work produced by previous participants of the Tayside CEI, with details of community programmes that people with stroke can attend after hospital discharge. Participants will be invited to view the portfolio during their stay. Prior to outcome assessment, the research assistant will visit participants again to answer questions and to discuss options for community programmes, if the person is interested.
Eligibility Criteria
You may qualify if:
- Diagnosis of Stroke
- Medically stable and referred for rehabilitation
- Able to sit upright in chair
- or more weeks of rehabilitation planned
You may not qualify if:
- Diagnosis of Transient Ischemic Attack
- Patinet in acute medical need
- Patient unable to provide informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Dundeelead
- University of Stirlingcollaborator
- University of Edinburghcollaborator
Study Sites (2)
NHS (National Health Service) Tayside, Stroke Rehab Unit, Stracathro Hospital
Brechin, Angus, DD9 7QA, United Kingdom
NHS Tayside, PRI Stroke Unit, Perth Royal Infirmary
Perth, Perth & Kinross, PH1 1NX, United Kingdom
Related Publications (3)
Morris J, Toma M, Kelly C, Joice S, Kroll T, Mead G, Williams B. Social context, art making processes and creative output: a qualitative study exploring how psychosocial benefits of art participation during stroke rehabilitation occur. Disabil Rehabil. 2016;38(7):661-72. doi: 10.3109/09638288.2015.1055383. Epub 2015 Jun 18.
PMID: 26084571BACKGROUNDMorris JH, Kelly C, Toma M, Kroll T, Joice S, Mead G, Donnan P, Williams B. Feasibility study of the effects of art as a creative engagement intervention during stroke rehabilitation on improvement of psychosocial outcomes: study protocol for a single blind randomized controlled trial: the ACES study. Trials. 2014 Sep 28;15:380. doi: 10.1186/1745-6215-15-380.
PMID: 25262168BACKGROUNDMorris JH, Kelly C, Joice S, Kroll T, Mead G, Donnan P, Toma M, Williams B. Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial. Disabil Rehabil. 2019 Jan;41(1):9-18. doi: 10.1080/09638288.2017.1370499. Epub 2017 Aug 30.
PMID: 28853296RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jacqui H Morris, PhD
University of Dundee
- STUDY CHAIR
Brian Williams, PhD
University of Stirling
- STUDY CHAIR
Thilo Kroll, PhD
University of Dundee
- STUDY CHAIR
Gillian Mead, PhD
University of Edinburgh
- STUDY CHAIR
Peter Donnan, PhD
University of Dundee
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 6, 2014
First Posted
March 12, 2014
Study Start
July 1, 2013
Primary Completion
August 1, 2014
Study Completion
November 1, 2014
Last Updated
May 7, 2019
Record last verified: 2019-05