Arts & Health Education to Improve Health, Resilience, and Well-Being
Fjalë kyçe
Abstrakt
Përshkrim
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.
Datat
Verifikuar së fundmi: | 06/30/2020 |
Paraqitur së pari: | 10/01/2019 |
Regjistrimi i vlerësuar u dorëzua: | 11/03/2019 |
Postuar së pari: | 11/05/2019 |
Përditësimi i fundit i paraqitur: | 07/22/2020 |
Përditësimi i fundit i postuar: | 07/23/2020 |
Data e fillimit të studimit aktual: | 06/30/2019 |
Data e vlerësuar e përfundimit primar: | 06/29/2021 |
Data e vlerësimit të përfundimit të studimit: | 12/30/2021 |
Gjendja ose sëmundja
Ndërhyrja / trajtimi
Behavioral: HeRe We Arts
Behavioral: HeRe We Ed (Health Education Group)
Faza
Grupet e krahëve
Krah | Ndërhyrja / trajtimi |
---|---|
Experimental: HeRe We Arts This is an 8 week, arts-based session that includes educational & experiential components. Topics include: Introduction to Arts & Health; Music, Well-Being, & Resilience; Movement & Physical Activity; Art & Well-Being; Writing & Communication/Self-Expression; Theater & Socialization; Art Appreciation & a Healthy Brain; & Summary/Integration of the Arts into Daily Lives. | 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. |
Active Comparator: HeRe We Ed (Health Education Group) This is an 8 week, non-arts-based health education session that includes educational & some experiential components. Topics include: Introduction to Health, Resilience, & Well-Being; Nutrition & Healthy Eating; Exercise, Chair Yoga, & Sleep; Mental Health, Stress Management, & Life Satisfaction; Holistic Approaches: Wellness, Integrative Medicine, & Complementary & Alternative Medicine; Chronic Illnesses & Chronic Pain; Health & Behaviors; Summary & Navigating the Healthcare System. | Behavioral: HeRe We Ed (Health Education Group) 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. |
Kriteret e pranimit
Moshat e pranueshme për studim | 18 Years Për të 18 Years |
Gjinitë e pranueshme për studim | All |
Pranon Vullnetarë të Shëndetshëm | po |
Kriteret | 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 |
Rezultati
Masat Kryesore të Rezultateve
1. Change in Short Depression-Happiness Scale from Week 1 to Week 8 [Weeks 1 and 8]
2. Change in Short Depression-Happiness Scale from Week 8 to Week 16 [Weeks 8 and 16]
3. Change in Short Depression-Happiness Scale from Week 1 to Week 16 [Weeks 1 and 16]
4. Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 8 [Weeks 1 and 8]
5. Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 8 to Week 16 [Weeks 8 and 16]
6. Change in Short Warwick-Edinburgh Mental Well-Being Scale from Week 1 to Week 16 [Weeks 1 and 16]
7. Change in Brief Resilient Coping Scale from Week 1 to Week 8 [Weeks 1 and 8]
8. Change in Brief Resilient Coping Scale from Week 8 to Week 16 [Weeks 8 and 16]
9. Change in Brief Resilient Coping Scale from Week 1 to Week 16 [Weeks 1 and 16]
10. Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 8 [Weeks 1 and 8]
11. Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 8 to Week 16 [Weeks 8 and 16]
12. Change in Godin-Shephard Leisure-Time Physical Activity Questionnaire from Week 1 to Week 16 [Weeks 1 and 16]
13. Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 8 [Weeks 1 and 8]
14. Change in PROMIS Scale v1.2 - Global Health from Week 8 to Week 16 [Weeks 8 and 16]
15. Change in PROMIS Scale v1.2 - Global Health from Week 1 to Week 16 [Weeks 1 and 16]
16. Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 8 [Weeks 1 and 8]
17. Change in Systolic and Diastolic Blood Pressure from Week 8 to Week 16 [Weeks 8 and 16]
18. Change in Systolic and Diastolic Blood Pressure from Week 1 to Week 16 [Weeks 1 and 16]
19. Change in Heart Rate from Week 1 to Week 8 [Weeks 1 and 8]
20. Change in Heart Rate from Week 8 to Week 16 [Weeks 8 and 16]
21. Change in Heart Rate from Week 1 to Week 16 [Weeks 1 and 16]
22. Change in Pulse Oximetry from Week 1 to Week 8 [Weeks 1 and 8]
23. Change in Pulse Oximetry from Week 8 to Week 16 [Weeks 8 and 16]
24. Change in Pulse Oximetry from Week 1 to Week 16 [Weeks 1 and 16]
Masat dytësore të rezultateve
1. Change in HeRe We Arts Survey from Week 1 to Week 8 [Weeks 1 and 8]
2. Change in HeRe We Ed Survey from Week 1 to Week 8 [Weeks 1 and 8]
3. Weekly Post-Session Survey [Weeks 1-8]
Masat e tjera të rezultateve
1. Weekly Take-Away Goals [Weeks 1-8]
2. Phone Interview [Week 9]
3. HeRe We Arts Week 16 Survey [Week 16]
4. HeRe We Ed Week 16 Survey [Week 16]