Action Research for Community Health Laboratory, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore.
Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Front Public Health. 2024 May 13;12:1238564. doi: 10.3389/fpubh.2024.1238564. eCollection 2024.
The current study builds on the expertise of National Gallery Singapore and Nanyang Technological University Singapore (NTU) in developing and piloting an enhanced version of the Slow Art program, namely "Slow Art Plus" for mental health promotion.
A single-site, open-label, waitlist Randomized Control Trial (RCT) design comprising of a treatment group and waitlist control group was adopted (ClinicalTrials.gov ID: NCT05803226). Participants ( = 196) completed three online questionnaires at three timepoints: baseline [T1], immediately post-intervention/s baseline [T2], post-intervention follow-up/immediately post-intervention [T3]. Qualitative focus groups were conducted to evaluate program acceptability.
A mixed model ANOVA was performed to understand intervention effectiveness between the immediate intervention group and waitlist control group. The analyses revealed a significant interaction effect where intervention group participants reported an improvement in spiritual well-being ( = 0.001), describing their thoughts and experiences ( = 0.02), and nonreacting to inner experiences ( = 0.01) immediately after Slow Art Plus as compared to the control group. Additionally, one-way repeated measure ANOVAs were conducted for the intervention group to evaluate maintenance effects of the intervention. The analyses indicated significant improvements in perceived stress ( < 0.001), mindfulness (p < 0.001) as well as multiple mindfulness subscales, active engagement with the world ( = 0.003), and self-compassion ( = 0.02) 1 day after the completion of Slow Art Plus. Results from framework analysis of focus group data revealed a total of two themes (1: Experiences of Slow Art Plus, 2: Insights to Effective Implementation) and six subthemes (1a: Peaceful relaxation, 1b: Self-Compassion, 1c: Widened Perspective, 2a: Valuable Components, 2b: Execution Requisites, 2c: Suggested Enhancements), providing valuable insights to the overall experience and implementation of the intervention.
Slow Art Plus represents a unique approach, offering a standardized, multimodal, single-session program that integrates mindfulness and self-compassion practices, as well as reflective and creative expressions with Southeast Asian art. It demonstrates potential in meeting the mental health needs of a wide range of individuals and could be readily incorporated into social prescribing initiatives for diverse populations.
本研究借鉴了新加坡国家美术馆和新加坡南洋理工大学在开发和试点强化版“慢艺术”计划方面的专业知识，即“慢艺术加”，以促进心理健康。
采用单站点、开放标签、等待名单随机对照试验（RCT）设计，包括治疗组和等待名单对照组（ClinicalTrials.gov ID：NCT05803226）。参与者（n=196）在三个时间点完成了三个在线问卷：基线[T1]、干预后即刻/基线[T2]、干预后随访/干预后即刻[T3]。进行了定性焦点小组讨论，以评估计划的可接受性。
进行混合模型方差分析以了解即时干预组和等待名单对照组之间的干预效果。分析显示，干预组参与者报告在精神幸福感方面有显著的交互效应（ = 0.001），描述了他们的想法和体验（ = 0.02），并且与对照组相比，对内在体验的反应性降低（ = 0.01）。此外，对干预组进行了单向重复测量方差分析，以评估干预的维持效果。分析表明，在感知压力（ < 0.001）、正念（p < 0.001）以及多个正念分量表、积极参与世界（ = 0.003）和自我同情（ = 0.02）方面均有显著改善，这是在完成慢艺术加后一天。焦点小组数据框架分析的结果揭示了两个主题（1：慢艺术加的体验，2：有效实施的见解）和六个子主题（1a：宁静放松，1b：自我同情，1c：拓宽视角，2a：有价值的组成部分，2b：执行要求，2c：建议的增强），为干预的整体体验和实施提供了有价值的见解。
慢艺术加代表了一种独特的方法，提供了一种标准化的、多模式的、单次疗程的计划，将正念和自我同情实践以及反思性和创造性表达与东南亚艺术相结合。它显示出满足广泛人群心理健康需求的潜力，并可以轻松纳入针对不同人群的社会处方计划。
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