Centre on Behavioral Health, The University of Hong Kong, Pokfulam, Hong Kong.
Department of Social Work & Social Administration, The University of Hong Kong, Pokfulam, Hong Kong.
BMC Complement Med Ther. 2021 Jan 6;21(1):7. doi: 10.1186/s12906-020-03161-6.
Stroke causes lasting brain damage that has numerous impacts on the survivor's physical, psychosocial, and spiritual well-being. Young survivors (< 65 years old) tend to suffer more because of their longer overall survival time. Expressive arts-based intervention is considered a holistic approach for stroke rehabilitation because it allows participants to express their thoughts and emotions through the arts. The group environment also promotes mutual support among participants. The creative art-making process helps expand participants' creativity and imagination as well as promote a sense of aesthetic appreciation. Previous studies have shown the effectiveness of the arts-based intervention in managing stroke and its psychosocial-spiritual comorbidities. Nevertheless, a systematic study has not been conducted, including in young survivors. This trial plans to investigate the effectiveness of an expressive arts-based intervention on bio-psychosocial-spiritual outcomes in young Chinese stroke survivors.
METHODS/DESIGN: A single-blind, two-arm cluster randomised control trial with a waitlist control design will be adopted. One hundred and fifty-four stroke survivors, aged 18-64 years with modified Rankin Scale scores of 1-4, will be screened and randomised to either an expressive arts-based intervention group or a treatment-as-usual waitlist control group. The intervention group will receive a 90-min session once a week for a total of 8 weeks. All participants will be assessed three times: at baseline, 8 weeks, and 8 months after the baseline. Study outcomes include measures of depression and anxiety, perceived stress, perceived social support, hope, spiritual well-being, quality of life, salivary cortisol, blood pressure, and heart rate.
This study is expected to contribute to the current knowledge on the effectiveness of an arts-based intervention on the holistic wellness of young stroke survivors. The findings will help stroke survivors and healthcare professionals make better choices in selecting practices that will yield maximum benefits, satisfaction, adherence, and sustainability. In addition, the examination of the relationships between bio-psychosocial-spiritual variables will help contribute to the development of holistic care for the survivors.
ClinicalTrials.gov , NCT03729648 . Registered 31 October 2018 - Retrospectively registered, (329 words).
中风会导致持久的脑损伤，对幸存者的身体、社会心理和精神健康产生诸多影响。年轻幸存者（<65 岁）由于总体生存时间更长，往往遭受更多痛苦。基于表达艺术的干预被认为是中风康复的整体方法，因为它允许参与者通过艺术表达自己的想法和情感。小组环境也促进了参与者之间的相互支持。创意艺术创作过程有助于拓展参与者的创造力和想象力，以及促进审美欣赏。先前的研究表明，基于艺术的干预在管理中风及其心理社会精神合并症方面是有效的。然而，尚未进行系统研究，包括在年轻幸存者中。本试验计划研究基于表达的艺术干预对年轻中国中风幸存者的生物心理社会精神结果的影响。
方法/设计：采用单盲、两臂、集群随机对照试验，设候补对照设计。将筛选出的 154 名年龄在 18-64 岁之间、改良 Rankin 量表评分为 1-4 分的中风幸存者随机分为表达艺术干预组或治疗即常规等待对照组。干预组将每周接受一次 90 分钟的治疗，共 8 周。所有参与者将在基线、8 周和基线后 8 个月进行三次评估。研究结果包括抑郁和焦虑、感知压力、感知社会支持、希望、精神健康、生活质量、唾液皮质醇、血压和心率的测量。
本研究有望为基于艺术的干预对年轻中风幸存者整体健康的有效性的现有知识做出贡献。研究结果将帮助中风幸存者和医疗保健专业人员在选择能够产生最大效益、满意度、依从性和可持续性的实践方面做出更好的选择。此外，对生物心理社会精神变量之间关系的研究将有助于为幸存者的整体护理的发展做出贡献。
ClinicalTrials.gov，NCT03729648。注册于 2018 年 10 月 31 日-回顾性注册（329 字）。
