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

Primary Purpose

Psychological Stress, Suffering, Advanced Cancers

Status
Completed
Phase
Not Applicable
Locations
Spain
Study Type
Interventional
Intervention
art therapy
Sponsored by
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Psychological Stress

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

Sites / Locations

  • Hospital Sant Pau

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

art therapy

Arm Description

Individual 30-60 minutes art therapy sessions, twice a week, offering visual arts materials.

Outcomes

Primary Outcome Measures

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.

Secondary Outcome Measures

Art therapy process from the art therapist perspective.
Detailed notes and photographical register.

Full Information

First Posted
May 30, 2016
Last Updated
March 23, 2022
Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
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1. Study Identification

Unique Protocol Identification Number
NCT02801045
Brief Title
Art Therapy in Palliative Care: Study of Identification and Understanding of the Mechanisms of Change in the Patient
Official Title
Art Therapy in Palliative Care: Study of Identification and Understanding of the Mechanisms of Change in the Patient
Study Type
Interventional

2. Study Status

Record Verification Date
March 2022
Overall Recruitment Status
Completed
Study Start Date
October 20, 2016 (Actual)
Primary Completion Date
June 30, 2020 (Actual)
Study Completion Date
December 31, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief 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.
Detailed 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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Psychological Stress, Suffering, Advanced Cancers

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
103 (Actual)

8. Arms, Groups, and Interventions

Arm Title
art therapy
Arm Type
Experimental
Arm Description
Individual 30-60 minutes art therapy sessions, twice a week, offering visual arts materials.
Intervention Type
Behavioral
Intervention Name(s)
art therapy
Intervention Description
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.
Primary Outcome Measure Information:
Title
Reflect Interview (RI) using audio recording.
Description
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.
Time Frame
After the making of a minimum of 5 art pieces, an average of 2 weeks
Secondary Outcome Measure Information:
Title
Art therapy process from the art therapist perspective.
Description
Detailed notes and photographical register.
Time Frame
Every day of art therapy session, with an average of 2 sessions a week, over a period of 2 years.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Antonio Pascual, MD
Organizational Affiliation
Palliative Care Unit, Sant Pau Hospital, Barcelona, Spain.
Official's Role
Principal Investigator
Facility Information:
Facility Name
Hospital Sant Pau
City
Barcelona
ZIP/Postal Code
08025
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

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

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