Clinical trial NCT04963114: Art Therapy Program in the Chronic Phase of Stroke
Official title: Art Therapy Program in the Chronic Phase of Stroke: A Feasibility Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: art therapy
perceptual impairment
depression
Lead sponsor: Université de Sherbrooke
Sponsor class: OTHER
Collaborators: name: McGill University
name: Laval University
name: Concordia University, Montreal
name: Université de Montréal
First posted: 2021-07-15
Enrollment: 7
Sex: ALL
Minimum age (years): 65
Maximum age (years): 79
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: INTRODUCTION: After stroke, perceptual impairments, such as negative body perception, contribute to social isolation and depression. In the subacute poststroke phase, art therapy is effective in improving depression, self-esteem, and community integration. Yet, no study has explored the effectiveness of art therapy at the chronic stage of a stroke; where motor recovery is slowed, and body image and self-esteem are deeply challenged.

OBJECTIVES: Primary; to assess the feasibility of an art therapy program (ATP) in the chronic phase of stroke. Secondary; to explore the effects of ATP on perceptual impairment (body image/self-esteem), mood and community integration.

METHOD: Nine adults (stroke ≥6 months) will participate in the ATP consisting of a thematic group visit to the Montreal Museum of Fine Arts followed by an art workshop, supervised by an art therapist (7 visits over 4 months). Feasibility will be evaluated by triangulating data from interviews and subject assessment questionnaires and by assessing retention and attendance. The effects of the ATP will be assessed by changes in perceptual and mood impairment questionnaires (Body Image States, Self-Esteem scales, Beck Depression Inventory-Short-Form) and community integration questionnaire (The Community Integration Questionnaire).

EXPECTED RESULTS AND OUTCOMES: The project will confirm the feasibility of ATP to improve perceptual impairment and community integration post-stroke.


Eligibility criteria: Inclusion Criteria:

* be in the chronic stroke phase (≥ 6 months since diagnosis)
* present a low score on the self-esteem scale (score \< 32/40 on the French-Canadian Self Esteem Scale)
* present mild to moderate degree of depression (score 4 to 15 in the Beck Depression Abbreviated Inventory)

Exclusion Criteria:

* unable to move autonomously and safely on their own
* present aphasia (score \< 28/35 in the communication section of the Stroke Impact Scale)
* present severe hemineglect (score \> 70% in the Line Cancelation Test)
* present severe spasticity of the hemi-body (score ≥ 3 on the modified Ashworth scale)
* present cognitive impairment (score ≤ 2/5 in the Mini-Cog)

Primary outcomes:
measure: Retention rate to the art therapy program
timeFrame: within 7 days after completion of the art therapy program
measure: Adherence to the art therapy program
timeFrame: within 7 days after completion of the art therapy program
measure: Participants' acceptability and perceptions of the effects of the art therapy program
timeFrame: within 7 days after completion of the art therapy program
Secondary outcomes:
measure: Change in self esteem assessed with the Rosenberg Self-Esteem Scale
timeFrame: baseline and within 7 days after completion of the art therapy program
measure: Change in mood assessed with the Beck Depression Abbreviated Inventory
timeFrame: baseline and within 7 days after completion of the art therapy program
measure: Change in body image assessed with the Body Image States Scale
timeFrame: baseline and within 7 days after completion of the art therapy program
measure: Change in community integration assessed with the Community Integration Questionnaire
timeFrame: baseline and within 7 days after completion of the art therapy program
Other outcomes:
Locations:
city: Montréal
country: Canada
facility: McGill University
state: Quebec
Study officials:
References: