Expressive Art Therapy for Elder Adults With Chronic Low Back Pain

Официальное название

A Pilot Randomized Controlled Trial Exploring the Use of Supervised Group Art Therapy Among Older Adults With Chronic Low Back Pain: Feasibility, Potential Efficacy, and Participant Experiences

Обзор

This research project aims to assess the feasibility of expressive art therapy for elderly adults with chronic low back pain and to evaluate the preliminary efficacy of combining art therapy with exercise intervention. Additionally, the study will investigate facilitators and barriers to participation. A mixed-methods approach will be employed, including a quantitative questionnaire and qualitative semi-structured focus group discussions. The questionnaire will examine physical, functional, and psychological changes potentially influenced by art therapy, while the focus groups will provide in-depth insights into participants' experiences and perceptions of the combined intervention.

Подробное описание

Chronic low back pain (CLBP) is a common and debilitating condition that affects millions of older adults worldwide, significantly impacting their physical, emotional, and social well-being. This pilot randomized controlled trial (RCT) aims to explore the feasibility and potential effectiveness of a new approach that combines supervised group expressive art therapy with exercise for elderly individuals suffering from CLBP.

The primary goal is to assess participant recruitment, retention, and adherence to intervention. The investigators will also identify any logistical challenges that may arise during the process. To gather preliminary data on the intervention's effectiveness, the investigators will measure changes in pain intensity, functional ability, psychological flexibility, and health-related quality of life (HRQoL).

In addition to quantitative measures, the investigators will conduct qualitative interviews and focus groups to gain deeper insights into the participants' experiences. This will help to identify factors that facilitate or hinder their engagement with the program.

By incorporating expressive art therapy-an approach that encourages emotional expression and coping strategies-this study aims to provide a holistic method for managing pain. The ultimate goal is to enhance the quality of life for older adults affected by CLBP. If successful, this pilot RCT will offer valuable insights that could inform a larger, definitive RCT, paving the way for innovative, interdisciplinary strategies in chronic pain management and improving health outcomes in the community.

Вмешательства

• Другое Art therapy combined with Exercise
  The intervention program consists of one hour of expressive art intervention followed by one hour of exercise training. Art therapy sessions will be conducted in small groups of eight participants, facilitated by a part-time registered expressive art therapist. Each session begins with a 5-minute introduction and check-in, welcoming participants and encouraging them to share their current status. This is followed by a 10-minute mindfulness exercise designed to center participants and promote rel
• Другое Exercise
  each one-hour session in the exercise control group will involve progressive back and general reconditioning exercises, along with back care education to support self-management of LBP.

Первичные конечные точки

• Recruitment rate [Срок оценки: Baseline]
• Retention Rate of participants [Срок оценки: Through study completion, an average of 8 weeks]
• Proportion of Participants Adhering to Intervention [Срок оценки: Weekly from week 1 through 8]
• Acceptability of the Intervention-satisfaction [Срок оценки: Weekly from week 1 through 8]
• Acceptability of the Intervention-perceived burden [Срок оценки: Weekly from week 1 through 8]
• Acceptability of the Intervention-willingness to continue [Срок оценки: Weekly from week 1 through 8]
• Feasibility of data collection procedures [Срок оценки: At 3-month post intervention]
• Safety and Adverse Events of participants [Срок оценки: Weekly from week 1 through 8]

Вторичные конечные точки (6)

• Global Impression of Change scale [Срок оценки: Immediately post-intervention and at the 3-month follow-up post-intervention]
• Numeric Pain Rating Scale (NPRS) [Срок оценки: Baseline, immediately post-intervention, and 3 month follow up post-intervention]
• Acceptance and Action Questionnaire II (AAQ-II) [Срок оценки: Baseline, immediately post-intervention, and 3 month follow up post-intervention]
• EQ-5D-5L [Срок оценки: Baseline, immediately post-intervention, and 3 month follow up post-intervention]
• Roland Morris Disability Index (RMDQ) [Срок оценки: Baseline, immediately post-intervention, and 3 month follow up post-intervention]
• Depression, Anxiety, and Stress Scales (DASS) [Срок оценки: Baseline, immediately post-intervention, and 3 month follow up post-intervention]

Критерии участия

Критерии включения

• aged 60 years and above
• currently experiencing non-specific low back pain for at least three months
• who have sought medical treatment for CLBP
• can read and write in Traditional Chinese
• MoCA-5 of 18 or above

Критерии исключения

• malignant pain
• lumbar spinal stenosis
• confirmed dementia
• severe cognitive impairment
• serious major medical or psychiatric disorders
• currently receiving physiotherapy, cognitive therapy, or psychological treatments

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Двойное слепое

Основная цель

Лечение

Центры проведения

Гонконг · 1 центр

• Department of Rehabilitation Sciences, The Hong Kong Polytechnic University — Гонконг

Идентификаторы

NCT: NCT07141082 · HSEARS20250416004-01 · 1-WZBS

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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