Morris Jacqui, Toma Madalina, Kelly Chris, Joice Sara, Kroll Thilo, Mead Gillian, Williams Brian
a Social Dimensions of Health Institute, University of Dundee , Dundee , UK .
b Allied Health Professions Directorate, NHS Tayside , Scotland , UK .
Disabil Rehabil. 2016;38(7):661-72. doi: 10.3109/09638288.2015.1055383. Epub 2015 Jun 18.
To explore stroke survivors' and artists' beliefs about participatory visual arts programme participation during in-patient rehabilitation to identify benefits and potential mechanisms of action.
Qualitative design using semi-structured in-depth interviews with stroke survivors (n = 11) and artists (n = 3).
Data were audio-recorded and transcribed. Framework approach was used to identify themes and develop conceptual schemes.
The non-medical, social context of art facilitated social interaction, provided enjoyment and distraction from stroke and re-established social identity thereby improving mood. The processes of art making generated confidence and self-efficacy, setting and achievement of creative, communication and physical recovery goals that provided control over survivors' situation and hope for recovery. Creative output involved completion of artwork and display for viewing. This enhanced self-esteem and improved mood, providing survivors with new identities through positive appraisal of the work by others. Self-efficacy, hope and control appeared to mediate benefits.
This study provides a model of intervention components, mechanisms of action and outcome mediators to explain how art participation may work. Findings suggest that art may influence important psychosocial outcomes that other rehabilitation approaches do not typically address. The study paves the way for a future effectiveness trial.
Participation in an art programme during rehabilitation appears to improve stroke survivors' mood, confidence and self-esteem and enhances perceptions of hope and control over recovery. Social interactions, the processes of art making and review and appraisal by others may be key intervention components from which benefits are derived. Benefits from art participation may enhance survivors' experiences of rehabilitation and appear to provide benefits that other rehabilitation interventions do not. Art participation should be considered as an important adjunct to traditional rehabilitation.
探讨中风幸存者和艺术家对于在住院康复期间参与视觉艺术参与计划的看法，以确定其益处和潜在作用机制。
采用定性设计，对11名中风幸存者和3名艺术家进行半结构化深度访谈。
对数据进行录音和转录。采用框架法确定主题并制定概念框架。
艺术的非医学、社会背景促进了社交互动，带来愉悦并分散了对中风的注意力，重新建立了社会身份，从而改善了情绪。艺术创作过程培养了信心和自我效能感，设定并实现了创意、沟通和身体康复目标，使幸存者能够掌控自身状况并对康复充满希望。创意成果包括完成艺术作品并进行展示以供观赏。这增强了自尊并改善了情绪，通过他人对作品的积极评价为幸存者赋予了新的身份。自我效能感、希望和掌控感似乎起到了中介作用。
本研究提供了一个干预组成部分、作用机制和结果中介的模型，以解释艺术参与可能发挥作用的方式。研究结果表明，艺术可能会影响其他康复方法通常未涉及的重要心理社会结果。该研究为未来的有效性试验铺平了道路。
康复期间参与艺术计划似乎可以改善中风幸存者的情绪、信心和自尊，并增强对康复的希望感和掌控感。社交互动、艺术创作过程以及他人的评审和评价可能是产生益处的关键干预组成部分。艺术参与带来的益处可能会提升幸存者的康复体验，且似乎能提供其他康复干预措施所没有的益处。应将艺术参与视为传统康复的重要辅助手段。
