Art Therapy in Palliative Care: Study of Identification and Understanding of the Mechanisms of Change in the Patient

Psychological Stress Clinical Trial

Official title:

Art Therapy in Palliative Care: Study of Identification and Understanding of the Mechanisms of Change in the Patient

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02801045
• Other study ID #: IIBSP-ART-2016-14
• Status: Completed
• Phase: N/A
• Start date: October 20, 2016
• Est. completion date: December 31, 2020

Study information

• Verified date: March 2022
• Source: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study evaluates from the patient's perspective which elements of the own artistic creative process are the source of a beneficial change for him/her and how those elements influence in their end of life experience.

Description:

In previous quantitative studies about the effect of an art therapy intervention in adult cancer inpatients of the Palliative Care Unit, the investigators evidenced significant improvements in the symptom control of malaise, anxiety, depression and pain.

This study is designed to deepen the understanding of specific action mechanisms which lead to those therapeutic benefits and quality of life implications for patients with life-threatening illness in which a situation of suffering is frequently detected.

The investigators will determine from the subjective patient's experience which specific elements of the artistic creative process (including production of art and art products) may lead to changes in the symptom perception, in meaning and healing process and in the personal perspective about the end of life situation.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 103
• Est. completion date: December 31, 2020
• Est. primary completion date: June 30, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• advanced-cancer adult inpatients of the Palliative Care Unit

• informed consent

Exclusion Criteria:

• altered cognitive function (Mini-Mental Test < 24)

• physical decline (palliative care team's criteria) that impedes the art therapy process

Related Conditions & MeSH terms

• Advanced Cancers
• Psychological Stress
• Stress, Psychological
• Suffering

Intervention

Behavioral:
• art therapy
Patient's creativity is stimulated by visual arts materials and various art therapy techniques including punctual use of music, poetry and body expression. The intervention, based on the investigators previous experience, is founded on: humanistic phenomenological focus transpersonal therapeutic bound transdisciplinarity in the artistic approach integrative-relational specialized counseling of the grief, loss and trauma aspects.

Locations

Country	Name	City	State
Spain	Hospital Sant Pau	Barcelona

Sponsors (1)

Lead Sponsor	Collaborator
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Country where clinical trial is conducted

Spain, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reflect Interview (RI) using audio recording.	An art based interview is administered and involves the patients selecting 2 significant artworks from their art therapy productions. The patient is asked by the art therapist for a narrative of how one artwork relates to the other in the context of his/her lived experience. The art therapy dialogue from the RI is transcribed and subjected to thematic analysis.	After the making of a minimum of 5 art pieces, an average of 2 weeks
Secondary	Art therapy process from the art therapist perspective.	Detailed notes and photographical register.	Every day of art therapy session, with an average of 2 sessions a week, over a period of 2 years.