Art Therapy for Pain Relief in Breast Cancer Patients

NCT02680236 | Unknown

• 1 other identifier: CCR 4218
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Art therapy offers benefits and support for a range of psychological symptoms caused by cancer and its treatments, for example anxiety, stress, depression, sleeplessness, identity or end of life concerns. Persistent post treatment pain that adversely affects quality of life may be experienced by up to 50% of breast cancer patients. Factors such as depression, fear, anxiety or lack of sleep are shown to increase pain and suffering in people with cancer. A multitreatment approach treatment of cancer pain is therefore recommended. Art therapy offers an opportunity to communicate the experience of suffering in a non verbal mode and can be offered in addition to other treatment for pain. This pilot study proposes to explore the effect of art therapy on breast cancer patients' perception of pain, and its impact on daily functioning by offering four sessions of individual art therapy, spaced between one to three weeks apart.

Conditions

Pain

Keywords

Pain; Cancer; Chemotherapy; Anxiety; Depression; Isolation

Outcome Measures

Primary Outcomes (1)

• Percentage of patient showing change in Brief Pain Inventory pain interference score

  The percentage of patients who will demonstrate a 2 point change in Brief Pain Inventory pain interference score from baseline to end of study.

  From baseline to end of the study (approx six months)

Secondary Outcomes (1)

• Percentage of patient showing change in Brief Pain Inventory pain severity score

  From baseline to end of the study (approx six months)

Study Arms (1)

Breast Cancer Patients

This pilot study proposes to explore the effect of art therapy on breast cancer patients' perception of pain, and its impact on daily functioning by offering four sessions of individual art therapy, spaced between one to three weeks apart. The study will be open to breast cancer patients over the age of 18, who have been assessed by the Royal Marsden (RM) Pain Team, and who report having persistent post treatment pain of at least moderate intensity for the preceding two weeks despite having been optimally treated for their pain already, and who fulfil the inclusion criteria.

Other: Art Therapy Group

Interventions

Art Therapy Group OTHER

Patients fulfilling the inclusion criteria will be made an appointment with the art therapist for the Initial Assessment session. They will be given the following Reflect Interview session Final interview session An analgesic use form will be given to the patient to take home to note their actual analgesic use At the end of each of these art therapy sessions, patients will be given a Brief Pain Inventory form (BPI) with a stamped addressed envelope. This is to be completed twenty four hours after the appointment and returned by post.

Breast Cancer Patients

Eligibility Criteria

• Age: 18 Years - 85 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patient with breast cancer as assessed by the RM pain team.

You may qualify if:

• reporting pain of longer than three months duration post chemotherapy, surgical or radiation treatment
• aged 18 years or older
• with more than two months predicted life expectancy
• who has English fluency
• who has capacity to consent
• wishing to access art therapy
• who is assessed by the pain team as stable on their current medication

You may not qualify if:

• who is less than three months post their chemotherapy or radiation treatment, or who receives new chemotherapy or radiation treatment during the study.
• who has had pain reduction surgery less than three months before the study, or receives it during the study period
• who has had any change in medication for pain control less than two weeks prior to the study, or during the study period
• who scores less than moderate pain (less than 4 on a scale of 1 -10) in a verbal self-reported measure of their worst pain felt, for the preceding two weeks before the study period
• who intends to access art therapy outside the sessions offered within the study, for the duration of the study
• who receives other psychological therapies from another practitioner during the study period
• who receives physiotherapy for problems related to their breast cancer treatment during the study period
• who receives massage or reflexology treatments from the complementary therapy team during the study period

Sponsors & Collaborators

• Royal Marsden NHS Foundation Trust: lead

Study Sites (1)

The Royal Marsden NHS Foundation Trust

London, SW3 6JJ, United Kingdom

RECRUITING

MeSH Terms

Conditions

Pain; Neoplasms; Anxiety Disorders; Depression

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders; Behavioral Symptoms; Behavior

Study Officials

• Clare Shaw, BSc,RD,PhD

  Royal Marsden NHS Foundation Trust

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amyn A Lalji, BSc, MA

CONTACT

020 7811 8105; amyn.lalji@rmh.nhs.uk

Samantha Chilvers

CONTACT

020 7811 2811; samantha.chilvers@rmh.nhs.uk

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 5, 2016
• First Posted: February 11, 2016
• Study Start: June 1, 2015
• Primary Completion: March 1, 2019
• Study Completion: August 1, 2019
• Last Updated: May 1, 2018

Record last verified: 2018-04

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)