Art Therapy Program in the Chronic Phase of Stroke

NCT04963114 | Completed

• 1 other identifier: MP-31-2019-3003 - ART
• Study Type: interventional
• Target: 7
• Locations: 1 country
• Sites: 1

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.

Conditions

Stroke

Keywords

art therapy; perceptual impairment; depression

Outcome Measures

Primary Outcomes (3)

• Retention rate to 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

  within 7 days after completion of the art therapy program

• Adherence to the art therapy program

  the number of art therapy sessions that participants took part in on a total of 7 visits

  within 7 days after completion of the art therapy program

• Participants' acceptability and perceptions of the effects 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

  within 7 days after completion of the art therapy program

Secondary Outcomes (4)

• 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

• Change in community integration assessed with the Community Integration Questionnaire

  baseline and within 7 days after completion of the art therapy program

Study Arms (1)

Art therapy

EXPERIMENTAL

art therapy in the form of a one-hour guided tour of art works followed by a two-hour guided creative painting workshop on specific themes such as beauty and wonder and colors and emotions

Behavioral: art therapy

Interventions

art therapy BEHAVIORAL

guided art tour and workshop

Art therapy

Eligibility Criteria

• Age: 65 Years - 79 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• 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)

You may not qualify if:

• 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)

Sponsors & Collaborators

• Université de Sherbrooke: lead
• McGill University: collaborator
• Laval University: collaborator
• Concordia University, Montreal: collaborator
• Université de Montréal: collaborator

Study Sites (1)

McGill University

Montreal, Quebec, Canada

Location

MeSH Terms

Conditions

Stroke; Depression

Interventions

Art Therapy

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: researcher and principal investigator

Study Record Dates

• First Submitted: June 16, 2021
• First Posted: July 15, 2021
• Study Start: August 9, 2018
• Primary Completion: December 6, 2019
• Study Completion: December 6, 2019
• Last Updated: July 15, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)