The Effectiveness of Applying Art Therapy on Social Interaction, Self-esteem and Well-Being for Elderly Residents in Long-Term Care Institutions

NCT05098756 | Unknown

• 1 other identifier: C110024
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 2

Brief Summary

When aging, older people migrate to long-term care institutions. The elderly residents lack autonomy due to the characteristics of group life. The decline of health function or the occurrence of diseases can easily lead to reduced physical activity, decreased interpersonal interaction, social withdrawal, low self-esteem, and decreased well-being. In current that emphasizes the elderly in health promotion and disease prevention activities, art therapy can be applied for the elderly to achieve the purpose of health promotion. Art therapy could effectively improve social interaction, self-esteem, and well-being; but many researchers still suggest that it is necessary to investigate the effectiveness of art therapy for elderly residents in long-term care institutions. The purpose of this study is to explore the effectiveness of art therapy in improving social interaction, self-esteem, and well-being for elderly residents in long-term care institutions.

Conditions

Long-Term Care; Aged

Keywords

Elderly Residents; Long-Term Care Institutions; Social Interaction; Self-esteem; Well- Being; Art Therapy

Outcome Measures

Primary Outcomes (1)

• Socially Supportive Activity Inventory

  An index-type instrument allows evaluating the quantity and quality of elders' participation in social activity in long-term care settings (Hsu, 2011). All organized into nine subcategories, including (1) all social contacts with family members and friends, (2) chatting with acquaintances, (3) holiday-related activities, (4) cognitive games, (5) involvement by outside organizations, (6) entertainment, (7) pleasure trips, (8) arts/crafts classes, and (9) religious activities (Hsu, 2011). Each subcategory contained three components: frequency, meaningfulness, and enjoyment (Hsu, 2011). The frequency ranged from 1 to 9, and meaningful-ness and enjoyment rated on a 4-point Likert rating ranged from 1 to 4 (Hsu, 2011). Higher scores represented more frequent participation in the activity, more significant meaning to one's life, and greater enjoyment in activity participation (Hsu, 2011).

  After 8-week art therapy

Secondary Outcomes (2)

• Rosenberg Self-Esteem Scale(Chinese version)

  After 8-week art therapy

• Well-Being Scale for Elders

  After 8-week art therapy

Study Arms (2)

Art therapy group

EXPERIMENTAL

Experimental group received 8-week art therapy. Art therapy uses different themes and materials to art-making.

Other: Art therapy

No intervention group

NO INTERVENTION

No intervention group maintain the institution's original daily routine and participation in activities.

Interventions

Art therapy OTHER

The art therapy in this study is once a week, 90 minutes each section for a total of 8-week, and using theme-oriented group art therapy. Each section has one theme, and the researcher guides the elderly to make artistic creations. Each section includes a warm-up phase is 15 minutes, the creative phase is 60 minutes, and sharing phase is 15 minutes.

Art therapy group

Eligibility Criteria

• Age: 65 Years - 100 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Aged 65 years or older and lived in the same long-term care institution for more than three months.
• Communicate in Mandarin or Taiwanese.
• With glasses or hearing aids and other assistive devices can have good vision and hearing functions.
• Both upper limb muscle power ≥ 4 points, can autonomous movement against moderate resistance. Under supervision, can safely use scissors for artistic creation and sit continuously for 90 minutes.
• Score \> 20 points on Barthel Index.
• Score \> 16 points on Mini-Mental Status Examination.
• Score ≤ 9 points on Geriatric Depression Scale.
• After the researcher's explanation, the participant is willing and able to give informed consent for participation in the study.

You may not qualify if:

• Under 65 years of age, and lived in the same long-term care institution less than three months.
• Severe hearing and vision impaired, making it impossible to communicate.
• Receiving antidepressant drugs or related treatments.
• Completely dependent on activities of daily living.
• Severe depression or severe dementia.
• The elderly are participating in artistic creation-related activities.

Sponsors & Collaborators

• National Taipei University of Nursing and Health Sciences: lead

Study Sites (2)

Long-term care facility

New Taipei City, Taiwan

RECRUITING

Long-term care facility

Taipei, Taiwan

RECRUITING

Related Publications (12)

• Ciasca EC, Ferreira RC, Santana CLA, Forlenza OV, Dos Santos GD, Brum PS, Nunes PV. Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Braz J Psychiatry. 2018 Jul-Sep;40(3):256-263. doi: 10.1590/1516-4446-2017-2250. Epub 2018 Feb 1.

  PMID: 29412335 RESULT

• Hsu YC. Socially supportive activity inventory: reliability and validity of a social activity instrument for long-term care institutions. J Nurs Res. 2011 Sep;19(3):161-72. doi: 10.1097/JNR.0b013e318229c479.

  PMID: 21857323 RESULT

• Karpaviciute S, Macijauskiene J. The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace. Int J Environ Res Public Health. 2016 Apr 19;13(4):435. doi: 10.3390/ijerph13040435.

  PMID: 27104550 RESULT

• Kim H, Kim S, Choe K, Kim JS. Effects of Mandala Art Therapy on Subjective Well-being, Resilience, and Hope in Psychiatric Inpatients. Arch Psychiatr Nurs. 2018 Apr;32(2):167-173. doi: 10.1016/j.apnu.2017.08.008. Epub 2017 Aug 24.

  PMID: 29579508 RESULT

• Kinney JM, Rentz CA. Observed well-being among individuals with dementia: Memories in the Making, an art program, versus other structured activity. Am J Alzheimers Dis Other Demen. 2005 Jul-Aug;20(4):220-7. doi: 10.1177/153331750502000406.

  PMID: 16136845 RESULT

• Laranjeira C, Campos C, Bessa A, Neves G, Marques MI. Mental Health Recovery Through "Art Therapy": A Pilot Study in Portuguese Acute Inpatient Setting. Issues Ment Health Nurs. 2019 May;40(5):399-404. doi: 10.1080/01612840.2018.1563255. Epub 2019 Apr 3.

  PMID: 30943062 RESULT

• Nan JKM, Ho RTH. Effects of clay art therapy on adults outpatients with major depressive disorder: A randomized controlled trial. J Affect Disord. 2017 Aug 1;217:237-245. doi: 10.1016/j.jad.2017.04.013. Epub 2017 Apr 11.

  PMID: 28433887 RESULT

• Radl D, Vita M, Gerber N, Gracely EJ, Bradt J. The effects of Self-Book(c) art therapy on cancer-related distress in female cancer patients during active treatment: A randomized controlled trial. Psychooncology. 2018 Sep;27(9):2087-2095. doi: 10.1002/pon.4758. Epub 2018 Jun 10.

  PMID: 29744966 RESULT

• Richards AG, Tietyen AC, Jicha GA, Bardach SH, Schmitt FA, Fardo DW, Kryscio RJ, Abner EL. Visual Arts Education improves self-esteem for persons with dementia and reduces caregiver burden: A randomized controlled trial. Dementia (London). 2019 Oct-Nov;18(7-8):3130-3142. doi: 10.1177/1471301218769071. Epub 2018 Apr 13.

  PMID: 29653492 RESULT

• Roswiyani R, Kwakkenbos L, Spijker J, Witteman CLM. The Effectiveness of Combining Visual Art Activities and Physical Exercise for Older Adults on Well-Being or Quality of Life and Mood: A Scoping Review. J Appl Gerontol. 2019 Dec;38(12):1784-1804. doi: 10.1177/0733464817743332. Epub 2017 Nov 21.

  PMID: 31640495 RESULT

• Seifert K, Spottke A, Fliessbach K. Effects of sculpture based art therapy in dementia patients-A pilot study. Heliyon. 2017 Nov 22;3(11):e00460. doi: 10.1016/j.heliyon.2017.e00460. eCollection 2017 Nov.

  PMID: 29264417 RESULT

• Ching-Teng Y, Ya-Ping Y, Yu-Chia C. Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Soc Work Health Care. 2019 Mar;58(3):324-338. doi: 10.1080/00981389.2018.1564108. Epub 2019 Jan 10.

  PMID: 30628552 RESULT

Related Links

• Self-esteem reinforcement strategies in ADHD: comparison between hypnosis and art-therapy
• A randomized, controlled study of the effects of art therapy on older Korean-Americans' healthy aging
• The practice of spiritual care in the long-term care facilities in Taiwan
• The development of the well-being scale for elders in Taiwan
• The factors affecting the relocation adjustment for the residents: A case study of a long term care facility in Taipei
• The effect of integrating rational emotive behavior therapy and art therapy on self-esteem and resilience
• The dynamics of interparental conflict and adolescent's behavior problem

MeSH Terms

Interventions

Art Therapy

Intervention Hierarchy (Ancestors)

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

Central Study Contacts

Yi-Ting Liao, Master student

CONTACT

+886936246372; 081116202@ntunhs.edu.tw

Study Design

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

Study Record Dates

• First Submitted: October 16, 2021
• First Posted: October 28, 2021
• Study Start: November 25, 2021
• Primary Completion: February 1, 2022
• Study Completion: September 1, 2022
• Last Updated: January 25, 2022

Record last verified: 2022-01

Data Sharing

• IPD Sharing: Will not share

Locations

TW (2)