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

Ellis‐Hill, Caroline; Thomas, Sarah; Gracey, Fergus; Lamont-Robinson, Catherine; Cant, Robin; Marques, Elsa; Thomas, Peter; Grant, Mary; Nunn, Samantha; Paling, Thomas; Thomas, Charlotte; Werson, Alessa; Galvin, Kathleen; Reynolds, Frances; Jenkinson, Damian

doi:10.1136/bmjopen-2017-021098

Cited by 20 publications

(45 citation statements)

References 76 publications

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“…Feasibility studies of arts-based interventions in other patient groups have reported relatively low recruitment rates in terms of the proportion of eligible patients successfully recruited, with a recent feasibility study exploring a community arts-based intervention for patients who have experienced stroke reporting a recruitment rate of 14% (56/392). [43] However, in comparison our proportional recruitment rate of 25.5% (24/94) was notably higher, suggesting that there are contextually different factors that facilitate recruitment in haemodialysis settings.…”

Section: Discussionmentioning

confidence: 63%

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

Carswell

Reid

Walsh

et al. 2020

Preprint

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BackgroundHaemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysisMethodsA parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation. Results:Out of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n=3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n=11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation. Conclusion:An arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial.Trial registrationThe trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.

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Section: Discussionmentioning

confidence: 63%

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

Carswell

Reid

Walsh

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Suggested strategies included demonstration of the intervention at the bedside during recruitment, or inclusion of examples of completed artistic work included in the participant information sheets. Feasibility studies of arts-based interventions in other patient groups have reported relatively low recruitment rates in terms of the proportion of eligible patients successfully recruited, with a recent feasibility study exploring a community arts-based intervention for patients who have experienced stroke reporting a recruitment rate of 14% (56/392) [42]. However, in comparison our proportional recruitment rate of 25.5% (24/94) was notably higher, suggesting that there are contextually different factors that facilitate recruitment in haemodialysis settings.…”

Section: Discussionmentioning

confidence: 99%

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

et al. 2020

View full text Add to dashboard Cite

Background Haemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysis. Methods A parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation. Results Out of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n = 3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n = 11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation. Conclusion An arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial. Trial registration The trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.

show abstract

“…Feasibility studies of arts-based interventions in other patient groups have reported relatively low recruitment rates in terms of the proportion of eligible patients successfully recruited, with a recent feasibility study exploring a community artsbased intervention for patients who have experienced stroke reporting a recruitment rate of 14% (56/392). [41] However, in comparison our proportional recruitment rate of 25.5% (24/94) was notably higher, suggesting that there may be contextually different factors that facilitate recruitment in haemodialysis settings.…”

Section: Discussionmentioning

confidence: 61%

A Mixed-Methods Feasibility Study of an Arts-Based Intervention for Patients Receiving Maintenance Haemodialysis.

Carswell

Reid

Walsh

et al. 2020

Preprint

View full text Add to dashboard Cite

BackgroundHaemodialysis can negatively impact quality of life and mental health. Arts-based interventions used successfully in other settings to improve health and well-being, could help address the impact of haemodialysis. This study aimed to evaluate the feasibility and acceptability of conducting a randomised controlled trial (RCT) of an arts-based intervention for patients receiving haemodialysisMethodsA parallel convergent mixed-methods design was used, including a pilot cluster RCT and qualitative process evaluation. Phase 1 evaluated recruitment and retention rates through a pilot cluster RCT at a single haemodialysis unit in Northern Ireland. Participants included patients who received haemodialysis for ESKD, were over the age of 18 and had the capacity to consent. These participants were randomised to the intervention or control group according to their haemodialysis shift. The intervention involved six one-hour, one-to-one facilitated arts sessions during haemodialysis. Phase 2 explored intervention and trial acceptability through a qualitative process evaluation using semi-structured interviews based on the RE-AIM framework. Participants included 13 patients who participated in phase 1 of the study, including 9 participants from the experimental group and four participants from the control group, and nine healthcare professionals who were present on the unit during implementation. ResultsOut of 122 outpatient haemodialysis patients, 94 were assessed as eligible for participation. Twenty-four participants were randomised, meaning 80% of the target sample size was recruited and the attrition rate at 3 months was 12.5% (n=3). Participants viewed the arts as more accessible and enjoyable than anticipated following implementation. All participants who started the intervention (n=11) completed the full six sessions. Qualitative benefits of the intervention suggest improvements in mental well-being. Patient choice and facilitation were important factors for successful implementation. ConclusionAn arts-based intervention for patients receiving haemodialysis is acceptable for both patients and healthcare professionals, and a definitive trial is feasible. The intervention may help improve mental-wellbeing in patients receiving haemodialysis, but this requires further investigation in a definitive trial.Trial registrationThe trial was prospectively registered on clinicaltrials.gov on 14/8/2018, registration number NCT03629496.

show abstract

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

Cited by 20 publications

References 76 publications

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

A mixed-methods feasibility study of an arts-based intervention for patients receiving maintenance haemodialysis

A Mixed-Methods Feasibility Study of an Arts-Based Intervention for Patients Receiving Maintenance Haemodialysis.

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