Project ARTISAN: Fostering Aspiration and Resilience Through Intergenerational Storytelling and Arts-based Narratives

NCT03593967 | Unknown

• 1 other identifier: IRB-2018-01-005
• Study Type: interventional
• Target: 68
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot study adopts a Participatory Action Research (PAR) approach to develop a novel ARTISAN intergenerational arts programme that aims to promote life meaning, resilience and wellbeing, as well as to enhance social support and national identity, among the older and younger generations Singapore. Utilizing a wait-list Randomized Controlled Trial design, 30 elderlies and 30 youths (N=60) will be invited to participate in a 5-weeks, 10-hours intervention programme. Through the integrative processes of curated museum visits (art space), facilitated storytelling (art facilitation), creative art-making and reflective writing (art content), the intervention will focus on the exploration of five unique themes to engage senior-youth dyads. They include: (a) Discovering National Heritage, (b) Strengthening Social Bonds, (c) Overcoming Adversities and Resilience, (d) Building Dreams and Aspirations, and (e) Sharing Stories and Legacies. Quantitative data obtained before and after the intervention will be triangulated with qualitative data generated from feasibility focus groups and reflective writings to explore its potential benefits and benefiting processes in achieving the aforementioned outcomes. To encourage social change and empowerment, public art exhibitions showcasing the artworks from this programme will also be held within the community. The findings from this study will form the foundation for a larger Population Health Project on Arts and Wellness.

Conditions

Intergenerational Relations; Loneliness; Identity, Social

Keywords

wellbeing; intergenerational arts; aspiration; resilience; storytelling; art making; seniors; youth

Outcome Measures

Primary Outcomes (4)

• Ego-Resilience

  The 14-item Ego-Resilience Revised Scale (ER-89) assesses trait resilience. Participants will be asked to indicate their agreement for statements on a 7-point likert scale. Overall average scores and subscale scores on Active engagement with the world, Integrated performance under stress and Repertoire of (social, personal and cognitive) problem solving strategies will be calculated. Higher values represent greater levels of resilience.

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Social Connectedness

  The 8-item Social Connectedness Scale (SCS) assesses Social Connectedness. Participants will be asked to indicate their agreement for statements on a 6-point likert scale. An overall score will be calculated, with higher scores reflecting a greater sense of connectedness. Potential scores range from 8 - 48.

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• National Identity

  The revised 15-item National Identity Scale (NATID) assesses multiple domains of National Identity. Participants will be asked to indicate their agreement for statements on a 7-point likert scale. Overall average subscale scores for National Heritage, Culture Homogeneity and Belief system will be calculated. Higher values represent greater levels of National Identity.

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Loneliness

  The 8-item UCLA Loneliness Scale (ULS-8) assesses Loneliness. Participants will be asked to indicate their agreement for statements on a 4-point scale. An overall score will be calculated, with higher scores reflecting a greater sense of loneliness. Potential score ranges from 8 - 32.

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

Secondary Outcomes (5)

• Quality of Life

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Life Satisfaction

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Life Meaning

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Compassion

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

• Social Support

  Participants will be assessed at three time points: [T1] baseline; [T2] immediately post-intervention/second baseline (5 weeks post T1); and [T3] 5 weeks follow-up/ immediately post-intervention (5 weeks post T2)

Study Arms (2)

Intervention Group

EXPERIMENTAL

Youths and seniors in the intervention group will be paired to receive a novel five-week (3 hours/ week) bilingual (English/ Mandarin), intergenerational arts programme which includes guided museum tours, collaborative art-making and story telling as well as reflective writing. These sessions will be held at the National Museum, and facilitated by experienced artists and trained art therapists.

Behavioral: ARTISAN

Waitlist Control Group

EXPERIMENTAL

Participants will serve as a waitlist control group before receiving the intervention that the intervention group receives at the end of 5 weeks.

Behavioral: ARTISAN

Interventions

ARTISAN BEHAVIORAL

In the first four weeks, dyads will engage in museum tours facilitated by a docent from the National Museum, followed by a guided storytelling/art-making session (inspired by the artifacts in the gallery), writing activity and group sharing/debrief. The first three weeks of art making will be pair-work by the seniors and youth, while the fourth week will be a collaborative art piece that is created by all participants in the working group. In the last week, the participants will be involved in a mini-exhibition where they will share their works with the group and members of the public, and engage in guided reflection on each other's artworks. The main content and discussion point for each session are as follows: * Week 1: Food and Play as our National Heritage * Week 2: Our Voices, Our Singapore: Strengthening Bonds * Week 3: Overcoming Adversities: Stories of Resilience * Week 4: Beholding the Future: Dreams and Aspirations * Week 5: Passing It On: The Stories We Share

Intervention Group; Waitlist Control Group

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Youths: Aged 18 to 35
• Seniors: Aged 60 and above
• No mobility issues
• Able to provide informed consent (or assent)
• Not suffering from major mental health problems

You may not qualify if:

• Unable to provide consent
• Suffering from major mental health problems

Sponsors & Collaborators

• Nanyang Technological University: lead
• National Museum of Singapore: collaborator
• TOUCH Community Services: collaborator
• National Arts Council: collaborator
• Nanyang Polytechnic: collaborator
• NgeeAnn Polytechnic: collaborator

Study Sites (1)

Nanyang Technological University

Singapore, 637332, Singapore

Location

Related Publications (5)

• Ho, A.H.Y., Chui, C.H.K., Borschel, M. (2017). Understanding and managing youth and elderly suicide in Developed East Asia: The imperative of compassion in public health. In G. Cox & N. Thompson (eds.), Handbook of Traumatic Loss: A Guild to Theory and Practice (Chapter 8, pp. 107-122). UK: Routledge.

  BACKGROUND

• Ho, A.H.Y. (2017). The Arts for Ageing Well: A Singapore Experience. Keynote Speaker at the Arts in Eldercare Symposium 2017. Singapore, 6 September 2017.

  BACKGROUND

• Ho, A.H.Y., Ho, R.H.M., Pang, J. Ortega, E., & Ma, S.H.X. (2018). Research Report on the Arts for Ageing Well - A Landscape Study on Art Participation and Holistic Wellbeing among Current and Future Older Generations of Singapore. Singapore: Action Research for Community Health, Nanyang Technological University.

  BACKGROUND

• Ho, A.H.Y., & Tan-Ho, G. (2018) Mindful-Compassion Art Therapy: A Handbook for Practitioners. Singapore: Action Research for Community Health (ARCH), Psychology, School of Social Sciences, Nanyang Technological University.

  BACKGROUND

• Ho, R.T.H., Potash, J.S., Ho, A.H.Y., Ho, V.F.L. & Chen, E.Y.H. (2016). Reducing mental illness stigma and fostering empathic citizenship: Community arts collaborative approach. Social Work in Mental Health, 15(4), 469-485, DOI: 10.1080/15332985.2016.1236767

  BACKGROUND

MeSH Terms

Conditions

Social Identification

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Study Officials

• Andy HY Ho

  Nanyang Techological University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Model Details: Based on availability of schedule, participants will sign up for one of the 4 groups available (ie. 2 intervention groups and 2 wait-list control group). Wellbeing and self-concept assessments will be conducted for all groups at baseline (T1), thereafter the intervention groups will undergo a 5-weeks 15-hour ARTISAN intergenerational arts programme that integrates curated museum visits, facilitated storytelling, creative art-making, and reflective writing for exploring and sharing life narratives on heritage, adversity, strengths and unity, with the aim to foster aspirations, resilience, wellbeing and social cohesion. Upon completion of programme among the intervention group, all 4 groups will be assessed again (T2), and thereafter, the wait-listed controlled group will received the same 5-week 15-hour programme. At the end of all intervention components, a final exit assessment will be conducted on all groups (T3).

Study Record Dates

• First Submitted: June 14, 2018
• First Posted: July 20, 2018
• Study Start: April 23, 2018
• Primary Completion: April 1, 2019
• Study Completion: April 1, 2019
• Last Updated: July 20, 2018

Record last verified: 2018-07

Data Sharing

• IPD Sharing: Will not share

Locations

SG (1)