Art Therapy to Promote Wellbeing and Self-care in Resident Physicians.

Study Overview
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Brief Summary
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This study evaluates if an art therapy intervention could lower resident physician's work-related stress and if it could promote their self-care.

Detailed Description
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The objective of this study is to determine if an art therapy intervention could promote the well-being of resident physicians of an university tertiary hospital, as specialized physicians trainees exposed to the risk of burnout. Using a cycle of 6 bimonthly sessions of group art therapy, the intervention stimulates the creative activity of the participants through various art materials and techniques. Next, they are invited to share their reflexions about the artworks produced, with the group and in presence of the art therapist. The study mainly evaluates the work-related stress and the self-care grade of the participants, before the intervention, just after it and after a follow-up period.

Official Title
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Art Therapy to Promote Wellbeing and Self-care in Resident Physicians.

Conditions
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Work-Related Stress

Intervention / Treatment
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* Behavioral: Art therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: belonging to the resident physicians collective of the Santa Creu i Sant Pau Hospital. Exclusion Criteria: being with a diagnostic of major depression receiving psychotherapy o similar

Ages Eligible for Study
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Minimum Age: 23 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group art therapy<br>Cycle of 6 2-hours bimonthly group art therapy sessions. | Behavioral: Art therapy<br>* Participant's creativity is stimulated by visual arts materials and various art therapy techniques, in relation to 6 topics: self-care, stress management, flourishing caregiving, challenging caregiving, loss and grief, and sense of professional meaning. The strategy consists of stimulating an observant and symbolic gaze, facilitating visual expression, promoting communication about what it has been expressed, and gather learning from the multidimensional impact of the creative art process (sensations, emotions, cognitions and spiritual experiences).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of a change in burnout level | Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in burnout level | Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in burnout level | Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of a change in work-related stress | Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in work-related stress | Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in work-related stress | Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in self-awareness | Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in self-awareness | Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in self-awareness | Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in empathy | Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in empathy | Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in empathy | Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in compassion | Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in compassion | Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in compassion | Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in professional quality of life | Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in professional quality of life | Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in professional quality of life | Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in self-care | Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in self-care | Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in self-care | Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 
| Assessment of a change in fear of death | Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion. | 
| Assessment of a change in fear of death | Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion. | 
| Assessment of a change in fear of death | Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome. | From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Resident physician, Art therapy, Self-awareness, Sel-Care