Visual Arts-based Intervention for Community-dwelling Stroke Survivors

The Nethersole School of Nursing

Status

Completed

Conditions

Psychosocial Problem

Self Efficacy

Stroke

Treatments

Other: Visual arts-based intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT06395857

Interventional (Other Identifier)

Details and patient eligibility

About

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.

Full 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).

Enrollment

32 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Aged 18 years old or above
A clinical diagnosis of first-ever or recurrent ischaemic or haemorrhagic stroke
At least three months after stroke onset
Living at home
The total score of Hong Kong Montreal Cognitive Assessment (HK-MoCA) above the second percentile
At least stage four of upper limb function was assessed by Brunnstrom recovery stages (BRS)
Able to remain in a sitting position on a chair or wheelchair independently or with support
Able to communicate with Cantonese or Putonghua
Able to read traditional or simplified Chinese
Able to provide written informed consent

Exclusion criteria

Other diagnoses or diseases causing pre-existing physical disability or psychosocial problems
Dysphasia, hearing, or visual impairments
Any substance abuse affected their health status
Already taken a visual arts-based intervention for stroke recovery
Currently taking part in other research for psychosocial recovery
Currently receiving psychosocial therapy or intervention