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

Sponsor

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau (Other)

Overall Status

Completed

CT.gov ID

NCT02801045

Collaborator

(none)

103

Enrollment

Location

Arm

50.4

Actual Duration (Months)

Patients Per Site Per Month

Study Details

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.

Condition or Disease	Intervention/Treatment	Phase
Psychological Stress Suffering Advanced Cancers	Behavioral: art therapy	N/A

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.

Study Design

Study Type:

Interventional

Actual Enrollment :

103 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Supportive Care

Official Title:

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

Actual Study Start Date :

Oct 20, 2016

Actual Primary Completion Date :

Jun 30, 2020

Actual Study Completion Date :

Dec 31, 2020

Arms and Interventions

Arm	Intervention/Treatment
Experimental: art therapy Individual 30-60 minutes art therapy sessions, twice a week, offering visual arts materials.	Behavioral: art therapy 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.

Arm

Intervention/Treatment

Experimental: art therapy

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

Behavioral: art therapy

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.

Outcome Measures

Primary Outcome Measures

Reflect Interview (RI) using audio recording. [After the making of a minimum of 5 art pieces, an average of 2 weeks]
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. [Every day of art therapy session, with an average of 2 sessions a week, over a period of 2 years.]
Detailed notes and photographical register.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts 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

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Hospital Sant Pau	Barcelona		Spain	08025

Sponsors and Collaborators

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

Investigators

Principal Investigator: Antonio Pascual, MD, Palliative Care Unit, Sant Pau Hospital, Barcelona, Spain.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau

ClinicalTrials.gov Identifier:

NCT02801045

Other Study ID Numbers:

IIBSP-ART-2016-14

First Posted:

Jun 15, 2016

Last Update Posted:

Mar 24, 2022

Last Verified:

Mar 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Additional relevant MeSH terms:

Stress, Psychological

Study Results

No Results Posted as of Mar 24, 2022