Creative art therapy to enhance rehabilitation for stroke patients: a randomized controlled trial

Kongkasuwan, Ratcharin; Voraakhom, Kotchakorn; Pisolayabutra, Prim; Maneechai, Pichai; Boonin, Jiraporn; Kuptniratsaikul, Vilai

doi:10.1177/0269215515607072

Cited by 63 publications

(87 citation statements)

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“…It also helped cultivate the meaning and articulation between the art processes and themselves, which may further facilitate the development of new perspectives and insights. Kongkasuwan et al ( 2016 ) conducted a randomized controlled trial to evaluate the effectiveness of creative arts therapy on more than 100 stroke survivors. The therapeutic program also involved diverse art modalities such as music and visual arts.…”

Section: Discussionmentioning

confidence: 99%

Creative Arts-Based Therapies for Stroke Survivors: A Qualitative Systematic Review

Lee

2018

Front. Psychol.

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Background: Stroke is a life-threating cerebrovascular disease. Without proper and immediate treatment, it can cause long-term disabilities and even death. While current rehabilitation focuses on functional needs, it does not fully address the psychosocial issues. Creative arts-based therapies, however, may have the potential to be of assistance.Methods: A systematic review was conducted to synthesize the qualitative findings of the stroke survivors' positive and negative experiences in participating in creative arts-based therapies. A systematic literature search was conducted across diverse databases. A thematic synthesis was adopted to analyze the results from different qualitative studies and mix-method studies.Results: Among the 367 studies extracted from various databases, 11 studies met the inclusion criteria and were of acceptable quality. The following five analytical themes were identified: functional restoration, psychological support, social engagement, spiritual experience, and short-comings and barriers.Conclusion: Creative arts-based therapies have demonstrated their strengths in addressing psychosocial needs for stroke survivors. Different art modalities are perceived to be useful in achieving different therapeutic goals. Therapies based on a single art modality or combined modalities have different specialties and characteristics. Further research is needed to demonstrate the differential benefits or special advantages of using single or multiple art modalities as well as having qualified therapists in creative arts-based therapies.

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Section: Discussionmentioning

confidence: 99%

Creative Arts-Based Therapies for Stroke Survivors: A Qualitative Systematic Review

Lee

2018

Front. Psychol.

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“…This is the first study to formally test the feasibility of an arts and health intervention for people poststroke in the community. While there are two other RCTs of arts and health interventions in stroke,46–48 both of these involved inpatients in a rehabilitation setting rather than people living in the community. One involved a creative art intervention that, unlike HoS, was highly prescribed, making direct comparisons difficult.…”

Section: Discussionmentioning

confidence: 99%

“…In stroke, initial findings from exploratory studies of the effect of art on mood have been promising 44 45. To our knowledge, there are only two other RCTs of arts and health interventions in stroke, both of which took place in inpatient rehabilitation settings 46 47. Kongkasuwan et al ’s study in Thailand involved 118 patients with stroke and compared ‘creative art therapy’ plus standard physiotherapy with physiotherapy only 46.…”

Section: Introductionmentioning

confidence: 99%

“…To our knowledge, there are only two other RCTs of arts and health interventions in stroke, both of which took place in inpatient rehabilitation settings 46 47. Kongkasuwan et al ’s study in Thailand involved 118 patients with stroke and compared ‘creative art therapy’ plus standard physiotherapy with physiotherapy only 46. The creative art therapy was delivered by art therapists twice a week over 4 weeks and included music, singing and meditation in addition to the creative art therapy activities.…”

Section: Introductionmentioning

confidence: 99%

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HeART of Stroke: randomised controlled, parallel-arm, feasibility study of a community-based arts and health intervention plus usual care compared with usual care to increase psychological well-being in people following a stroke

et al. 2019

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IntroductionPeople often experience distress following stroke due to fundamental challenges to their identity.ObjectivesTo evaluate (1) the acceptability of ‘HeART of Stroke’ (HoS), a community-based arts and health group intervention, to increase psychological well-being; and (2) the feasibility of a definitive randomised controlled trial (RCT).DesignTwo-centre, 24-month, parallel-arm RCT with qualitative and economic components. Randomisation was stratified by centre and stroke severity. Participant blinding was not possible. Outcome assessment blinding was attempted.SettingCommunity.ParticipantsCommunity-dwelling adults ≤2 years poststroke recruited via hospital clinical teams/databases or community stroke/rehabilitation teams.InterventionsArtist-facilitated arts and health group intervention (HoS) (ten 2-hour sessions over 14 weeks) plus usual care (UC) versus UC.OutcomesThe outcomes were self-reported measures of well-being, mood, capability, health-related quality of life, self-esteem and self-concept (baseline and 5 months postrandomisation). Key feasibility parameters were gathered, data collection methods were piloted, and participant interviews (n=24) explored the acceptability of the intervention and study processes.ResultsDespite a low recruitment rate (14%; 95% CI 11% to 18%), 88% of the recruitment target was met, with 29 participants randomised to HoS and 27 to UC (57% male; mean (SD) age=70 (12.1) years; time since stroke=9 (6.1) months). Follow-up data were available for 47 of 56 (84%; 95% CI 72% to 91%). Completion rates for a study-specific resource use questionnaire were 79% and 68% (National Health Service and societal perspectives). Five people declined HoS postrandomisation; of the remaining 24 who attended, 83% attended ≥6 sessions. Preliminary effect sizes for candidate primary outcomes were in the direction of benefit for the HoS arm. Participants found study processes acceptable. The intervention cost an estimated £456 per person and was well-received (no intervention-related serious adverse events were reported).ConclusionsFindings from this first community-based study of an arts and health intervention for people poststroke suggest a definitive RCT is feasible. Recruitment methods will be revised.Trial registration numberISRCTN99728983.

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“…Despite these positive reports, the diverse range of potential benefits means that defining measures for evaluation of effects of art participation is challenging. Only one previous randomised controlled trial (RCT) of art participation within stroke rehabilitation was found, involving 118 in-patient stroke survivors 16 . The study demonstrated improved depression, quality of life and cognition, compared to usual care, following visual art-making combined with meditation and singing.…”

Section: Introductionmentioning

confidence: 99%

Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial

Morris

Kelly

Joice

et al. 2017

Disability and Rehabilitation

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Undertaking a RCT of art participation within stroke rehabilitation was feasible. Art participation may enhance self-efficacy and positively influence emotional wellbeing. These should be outcomes in a future definitive trial. A cluster RCT would ensure art groups could be reliably convened. Fewer measures, and better retention strategies are required. Implications for Rehabilitation This feasibility randomised controlled trial (RCT) showed that recruiting and retaining stroke survivors in an RCT of a visual arts participation intervention within stroke rehabilitation was feasible. Preference to participate in art activities may influence recruitment and drop-out rates, and should be addressed and evaluated fully. Art participation as part of rehabilitation may improve some aspects of post-stroke wellbeing, including positive affect and self-efficacy for art. A future definitive cluster RCT would facilitate full evaluation of the value art participation can add to rehabilitation.

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Creative art therapy to enhance rehabilitation for stroke patients: a randomized controlled trial

Abstract: Creative art therapy combined with conventional physical therapy can significantly decrease depression, improve physical functions and increase quality of life compared with physical therapy alone.

Cited by 63 publications

References 30 publications

Creative Arts-Based Therapies for Stroke Survivors: A Qualitative Systematic Review

Creative Arts-Based Therapies for Stroke Survivors: A Qualitative Systematic Review

HeART of Stroke: randomised controlled, parallel-arm, feasibility study of a community-based arts and health intervention plus usual care compared with usual care to increase psychological well-being in people following a stroke

Art participation for psychosocial wellbeing during stroke rehabilitation: a feasibility randomised controlled trial

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