Arts & Health Education to Improve Health, Resilience, and Well-Being

Obesity Clinical Trial

Official title:

A Randomized Controlled Trial Utilizing the Arts to Improve Health, Resilience, and Well-Being in Individuals With Chronic Health Conditions in Underserved Neighborhoods

Clinical Trial Details — Status: Terminated

Administrative data

• NCT number: NCT04154579
• Other study ID #: IRB#19-854
• Status: Terminated
• Phase: N/A
• Start date: July 1, 2019
• Est. completion date: June 23, 2020

Study information

• Verified date: September 2022
• Source: The Cleveland Clinic
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This is an 8-week randomized controlled trial to help address health, resilience, and well-being. Participants are randomized into either a health education group or an arts-based health education group. Both groups will attend for 8 weeks and various study assessments will be conducted in order to measure the experience and impact of the program. Anyone 18 years and older with a chronic health condition (for example, diabetes, hypertension, congestive heart failure, chronic obstructive pulmonary disorder, asthma, weight, anxiety, depression, cardiac, arthritis, multiple sclerosis, and many more) are eligible to participate.

Description:

Within the healthcare field today there is an increased concern with public health, population health, wellness, and prevention, all of which include focusing on physical health, obesity, chronic health conditions, unhealthy lifestyles, aging, and mental health issues. As healthcare professionals attempt to improve individuals' health outcomes, quality of life, well-being, coping skills, and health indicators, they also must try to promote behavior change that helps keep patients out of the hospital. These are concerns faced by individuals of all ages, genders, ethnicities, cultural backgrounds, socioeconomic statuses, and diagnoses. Therefore, it is important to find multiple means of addressing these concerns with the various populations as it is likely that no one particular method would be effective for every individual. Programs and interventions have been created to address health, resilience, and well-being at the individual and the social level. They demonstrate the importance of providing support, encouraging behavior changes, and reinforcing objectives determined by the healthcare system. Many of these programs have focused on improving resilience and increasing participants' ability to thrive or recover from the illnesses and challenges they face. The broad problem to be addressed by this study is to assess if arts-based programs are superior to non-arts-based health education programs at improving individuals' physical and mental health outcomes, quality of life, well-being, resilience, coping skills, stress, and health indicators while promoting behavior change and keeping them out of the hospital. Previous programs have focused on improving resilience. Individual arts interventions such as music, art, craft, choir singing, writing, theater, and movement have been utilized and in many cases found to be helpful in addressing resilience, coping, health, and well-being; however, it is not known what effect a program utilizing multiple arts-based interventions would have on adults with chronic health conditions. The primary benefit of conducting research into the effectiveness of different arts-based programs is the identification of the specific benefits of programs aimed at influencing health, resilience, and well-being in individuals with a variety of chronic health conditions. The purpose of this randomized controlled study is to determine the outcomes of an 8-week arts-based program on the health, resilience, and well-being of individuals with chronic health conditions in an outpatient underserved community setting as compared to outcomes from individuals participating in a separate 8-week-non-arts-based health education program in the same setting. The purpose of including a variety of arts experiences is so that individuals will hopefully find at least one art form to which they can relate and will utilize in their lives to assist with their health, resilience, and well-being. The non-arts-based program will include educational topics related to health, resilience, and well-being.

Recruitment information / eligibility

• Status: Terminated
• Enrollment: 60
• Est. completion date: June 23, 2020
• Est. primary completion date: June 23, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• At least 18 years old
• Diagnosed with at least one chronic health condition (as reported by the participant)
• Able to participate safely in all program sessions
• Proficient in English
• Cognitively able to consent to participate

Exclusion Criteria:

• Severe visual or auditory impairment
• Severe and/or uncontrolled comorbidity precluding safe participation in the program

Related Conditions & MeSH terms

• Anxiety
• Asthma
• CHF
• Chronic Pain
• COPD
• Depression
• Diabetes
• Heart Diseases
• High Cholesterol
• Hypercholesterolemia
• Hypertension
• Multiple Sclerosis
• Obesity
• Stroke

Intervention

Behavioral:
• HeRe We Arts
Art Therapy interventions to promote health, resilience & well-being will discussed; & experiences such as key chain making, collaging on journal covers, creating sculpture garden will be utilized. Music therapy interventions such as lyric discussion, singing, instrument playing, & music-assisted relaxation techniques will be utilized; & discussion of use of music to elicit positive physical & emotional responses will be held. Drums Alive (drumming & movement) will be used to promote physical activity. Art appreciation will include discussion of public art forms. Journaling will include different techniques for journaling, writing poetry, etc. Theater games such as Password, Press Conference, Props Only, & Draw What You Hear will be utilized. Chair yoga will be introduced as a form of exercise. Education will be provided on the various topics.
• HeRe We Ed
Educational components and some experiential components will be utilized to educate the participants on health, resilience, well-being, nutrition, healthy eating, weight management, eating disorders, obesity, exercise, physical activity, sleep hygiene and the importance of sleep, mental health, stress management, the importance of improving life satisfaction, holistic approaches, wellness, integrative medicine, complementary and alternative medicine, chronic illness, chronic pain, methods for dealing with chronic versus acute illnesses, changing behaviors and/or maintaining healthy behaviors in order to promote health and stay out of the hospital, and navigating the healthcare system. Specific experiential components will include Chair Yoga and Stress Management Techniques.

Locations

Country	Name	City	State
United States	Cleveland Clinic Euclid Hospital	Euclid	Ohio

Sponsors (4)

Lead Sponsor	Collaborator
Lisa Gallagher	Cuyahoga Arts and Culture, National Endowment for the Arts, United States, The Cleveland Clinic

Country where clinical trial is conducted

United States, 

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* Note: There are 35 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Weekly Take-Away Goals	Participants will identify a goal each week, and the next week they will report on whether or not they completed their goal. This does not include a scale. It is merely a Yes or No.	Weeks 1-8
Other	Phone Interview	Phenomenological interviews will be conducted in order to gather qualitative information regarding participants' experience with the program, as well as its impact and meaning in their lives. This does not include a scale. It involves open-ended, qualitative information that is shared.	Week 9
Other	HeRe We Arts Week 16 Survey	Survey to determine progress, maintenance, and/or follow through at Week 16 (2 months after completion of the program). This does not involve a scale. It seeks to determine if skills are still being used 16 weeks after the start of the program via the use of open-ended and multiple choice questions.	Week 16
Other	HeRe We Ed Week 16 Survey	Survey to determine progress, maintenance, and/or follow through at Week 16 (2 months after completion of the program). This does not involve a scale. It seeks to determine if skills are still being used 16 weeks after the start of the program via the use of open-ended and multiple choice questions.	Week 16
Primary	Change in Short Depression-Happiness Scale from Week 1 to Week 8	Means of assessing change in mood. Contains 6 items, 3 negative & 3 positive. Participants think about how they felt in the past 7 days & rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.	Weeks 1 and 8
Primary	Change in Short Depression-Happiness Scale from Week 8 to Week 16	Means of assessing change in mood. Contains 6 items, 3 negative & 3 positive. Participants think about how they felt in the past 7 days & rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.	Weeks 8 and 16
Primary	Change in Short Depression-Happiness Scale from Week 1 to Week 16	Means of assessing change in mood. Contains 6 items, 3 negative & 3 positive. Participants think about how they felt in the past 7 days & rate the frequency of each item on a 4-point scale. Scale ranges include scores between 0 and 18. Higher scores indicate higher levels of happiness.	Weeks 1 and 16
Primary	Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 8	Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.	Weeks 1 and 8
Primary	Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 8 to Week 16	Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.	Weeks 8 and 16
Primary	Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 16	Participants answer 7 questions by choosing the answer that best describes their experience over the last 2 weeks. Designed to measure the feeling and functioning aspects of positive mental well-being. Scores range from 7 to 35. Higher scores represent higher positive mental well-being.	Weeks 1 and 16
Primary	Change in Brief Resilient Coping Scale from Week 1 to Week 8	A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills and resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.	Weeks 1 and 8
Primary	Change in Brief Resilient Coping Scale from Week 8 to Week 16	A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills & resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.	Weeks 8 and 16
Primary	Change in Brief Resilient Coping Scale from Week 1 to Week 16	A 4-item measure designed to identify participants' abilities to cope with stress. It may be helpful for recognizing those who may need to learn techniques to help improve their coping skills & resilience. Scores range from 4-20. Scores of 4-13 represent low resilient copers, those of 14-16 represent medium resilient copers, and those of 17-20 represent high resilient copers.	Weeks 1 and 16
Primary	Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 8	Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.	Weeks 1 and 8
Primary	Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 8 to Week 16	Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.	Weeks 8 and 16
Primary	Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 16	Measures amount of physical activity. Asks participants how many times on average, over a 7-day period, they engage in strenuous, moderate, or mild exercise for more than 15 minutes, and the average frequency of activity that leads to increased heart rate. Scores range from 0-24. Higher scores indicate higher levels of physical activity.	Weeks 1 and 16
Primary	Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 8	A self-report measure to identify symptoms, feelings, behaviors, & functions in the areas of physical, mental, & social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.	Weeks 1 and 8
Primary	Change in PROMIS Scale v1.2 - Global Health from Week 8 to Week 16	A self-report measure to identify symptoms, feelings, behaviors, & functions in the areas of physical, mental, & social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.	Weeks 8 and 16
Primary	Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 16	A self-report measure to identify symptoms, feelings, behaviors, & functions in the areas of physical, mental, & social health. Raw scores for mental health and for physical health are translated into T-scores. The mean for the T-score is 50 and there is a standard deviation of 10. Therefore, a higher T-score represents higher physical health or higher mental health.	Weeks 1 and 16
Primary	Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 8	At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.	Weeks 1 and 8
Primary	Change in Systolic and Diastolic Blood Pressure from Week 8 to Week 16	At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.	Weeks 8 and 16
Primary	Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 16	At the start of each session an investigator will take and document each participants' systolic and diastolic blood pressure.	Weeks 1 and 16
Primary	Change in Heart Rate from Week 1 to Week 8	At the start of each session an investigator will take and document each participant's heart rate.	Weeks 1 and 8
Primary	Change in Heart Rate from Week 8 to Week 16	At the start of each session an investigator will take and document each participant's heart rate.	Weeks 8 and 16
Primary	Change in Heart Rate from Week 1 to Week 16	At the start of each session an investigator will take and document each participant's heart rate.	Weeks 1 and 16
Primary	Change in Pulse Oximetry from Week 1 to Week 8	At the start of each session an investigator will take and document each participant's pulse oximetry.	Weeks 1 and 8
Primary	Change in Pulse Oximetry from Week 8 to Week 16	At the start of each session an investigator will take and document each participant's pulse oximetry.	Weeks 8 and 16
Primary	Change in Pulse Oximetry from Week 1 to Week 16	At the start of each session an investigator will take and document each participant's pulse oximetry.	Weeks 1 and 16
Secondary	Change in HeRe We Arts Survey from Week 1 to Week 8	A pre-test/post-survey utilized to test knowledge on arts and well-being, as well as satisfaction at endpoints. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.	Weeks 1 and 8
Secondary	Change in HeRe We Ed Survey from Week 1 to Week 8	A pre-test/post-test utilized to test knowledge on health education & well-being, as well as satisfaction, at endpoints. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.	Weeks 1 and 8
Secondary	Weekly Post-Session Survey	Completed by participants at the end of each session in order to obtain information on learning and satisfaction. This is not a standardized measure and does not include a scale. It involves changes in knowledge and use of arts techniques, as well as satisfaction with the program via the use of open-ended and multiple choice questions.	Weeks 1-8