Visual Arts-based Intervention for Community-dwelling Stroke Survivors

Stroke Clinical Trial

Official title:

Feasibility Study of Visual Arts-based Intervention on Psychosocial Outcomes Among Community-dwelling Chinese Stroke Survivors

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06395857
• Other study ID #: Interventional
• Status: Completed
• Phase: N/A
• Start date: September 21, 2023
• Est. completion date: March 21, 2024

Study information

• Verified date: April 2024
• Source: The Nethersole School of Nursing
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Stroke is the major cause of disability worldwide and leads to psychosocial issues for community-dwelling stroke survivors in their recovery journey. Previous studies showed the benefits of visual arts-based interventions in enhancing self-efficacy and psychosocial functions. However, the interventions were not well designed with a theoretical framework. This study will investigate the effects of a theory-driven visual arts-based intervention on community-dwelling stroke survivors' psychosocial outcomes. A two-arm randomised controlled trial will be conducted. This is a feasibility trial to test the preliminary effects of this intervention and assess its feasibility and acceptability.

Description:

Stroke is the second-leading cause of death and the major cause of disability worldwide. With advanced progress in stroke treatment, more people with stroke now survive longer than in past decades and become stroke survivors living in the community. Improvements in stroke rehabilitation services further boost physical outcomes and increase functional independence in stroke survivors after discharge. Whereas psychosocial issues commonly persist over the recovery journey in community-dwelling stroke survivors, such as psychological distress, low self-efficacy and social network.

Existing research suggested that enhancing self-efficacy is important to post-stroke psychosocial recovery, while the benefits of visual arts-based interventions in promoting post-stroke psychosocial functions have also been found. However, the current visual arts-based interventions were not well designed with a theoretical framework. Thus, this study will be conducted to contribute to current knowledge of the effectiveness of visual arts-based intervention grounded on Bandura's Self-Efficacy Theory on community-dwelling stroke survivors.

This current study will be conducted as a two-arm randomised controlled trial. Eligible participants will be randomised into either a four-week visual arts-based intervention group or a usual stroke care control group. The control group will continue with the usual stroke care provided by community healthcare services. Participants will be assessed 2 times at baseline (T0) and post-intervention (T1).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: March 21, 2024
• Est. primary completion date: December 26, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Aged 18 years old or above

2. A clinical diagnosis of first-ever or recurrent ischaemic or haemorrhagic stroke

3. At least three months after stroke onset

4. Living at home

5. The total score of Hong Kong Montreal Cognitive Assessment (HK-MoCA) above the second percentile

6. At least stage four of upper limb function was assessed by Brunnstrom recovery stages (BRS)

7. Able to remain in a sitting position on a chair or wheelchair independently or with support

8. Able to communicate with Cantonese or Putonghua

9. Able to read traditional or simplified Chinese

10. Able to provide written informed consent

Exclusion Criteria:

1. Other diagnoses or diseases causing pre-existing physical disability or psychosocial problems

2. Dysphasia, hearing, or visual impairments

3. Any substance abuse affected their health status

4. Already taken a visual arts-based intervention for stroke recovery

5. Currently taking part in other research for psychosocial recovery

6. Currently receiving psychosocial therapy or intervention

Related Conditions & MeSH terms

• Psychosocial Problem
• Self Efficacy
• Stroke

Intervention

Other:
• Visual arts-based intervention
This visual arts-based intervention is grounded on Bandura's Self-Efficacy Theory. It consists of four weekly group and face-to-face sessions delivered by a qualified facilitator. The contents of the intervention involve structured visual art-making activity, group discussion, and workbook assistance.

Locations

Country	Name	City	State
Macau	Centro de Dia "Brilho da vida"	Macau

Sponsors (1)

Lead Sponsor	Collaborator
The Nethersole School of Nursing

Country where clinical trial is conducted

Macau, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Recruitment rate	Calculated by percentage.	Before baseline (T0)
Other	Retention rate	Calculated by percentage.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Other	Completion rate	Calculated by percentage.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Other	Adherence rate	Calculated by percentage.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Other	Safety of engagement in the visual arts-based intervention	Assessed by the incidence and severity of adverse events.	During the intervention process and immediately (T1) after completion of the intervention
Other	Satisfaction with engagement in the visual arts-based intervention	Investigated by interview.	Immediately (T1) after completion of the intervention
Primary	Self-efficacy	The Chinese General Self-efficacy Scale (C-GSES) will be adopted to measure the participants' self-efficacy. Each item asks participants about their self-efficacy. Each item is rated on a four-point scale from 1 "Not at all true" to 4 "Exactly True". The total score is summed to give a range from 10 to 40, and the higher score represents greater self-efficacy. The C-GSES has a high Cronbach's alpha coefficient of 0.96, which indicates good reliability and validity.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Secondary	Psychological distress	The Chinese Depression Anxiety and Stress Scale 21-items (C-DASS-21) will be adopted to measure participants' psychological distress. The score calculates the stress, depressive symptoms, and anxiety in five-level in each subscale: (1) normal; (2) mild; (3) moderate; (4) severe; and (5) extremely severe. The higher scores represent more negative moods. The total scale has a Cronbach's alpha coefficient of 0.92, and the depression, anxiety, and stress subscales have a Cronbach's alpha coefficient of 0.83, 0.80, and 0.82, respectively, which indicates good reliability and validity.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Secondary	Social Network	The Mandarin Stroke Social Network Scale (M-SSNS) will be adopted to measure participants' social networks. The scale concerns the size and composition of network, frequency of contact, proximity, and satisfaction with the six domains: children, friends, relatives, neighbours, community, and loneliness. The score of each item is from 0 to 100. The final score of the M-SSNS is the mean score of all items. The final scores range from 0 to 100. A lower score indicates few social ties and less social support. The M-SSNS has a high Cronbach's alpha coefficient of 0.7192, which indicates good reliability and validity.	Change from baseline (T0) to immediately (T1) after completion of the intervention
Secondary	Health-related quality of life	The abbreviated Chinese World Health Organization Quality of Life-BREF (C-WHOQOL-BREF) will be adopted to measure participants' quality of life. This scale consists of 26 items: Two items assess the overall quality of life and general health, and the remaining 24 items were categorised into four domains, including physical health, psychological health, social relationships, and environment. The items are scored from 1 to 5. The average score for each area is between 4 and 20. The higher the total score means the better the quality of life. The C-WHOQOL-BREF has a high Cronbach's alpha coefficient of 0.64 to 0.88, which indicates good reliability and validity.	Change from baseline (T0) to immediately (T1) after completion of the intervention