Long-Term CareNCT05098756
The Effectiveness of Applying Art Therapy on Social Interaction, Self-esteem and Well-Being for Elderly Residents in Long-Term Care Institutions
A study testing Art therapy in people with Long-Term Care and Aged, run by National Taipei University of Nursing and Health Sciences at 2 sites in Taiwan.
Trial summary
When aging, older people migrate to long-term care institutions. The elderly residents lack autonomy due to the characteristics of group life. The decline of health function or the occurrence of diseases can easily lead to reduced physical activity, decreased interpersonal interaction, social withdrawal, low… Read more about this study
- Who is it for?
- Ages 65 to 100 yearsHealthy volunteers can take part
- Conditions the study is for
- Long-Term Care, Aged
- What is being tested?
- Art therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 2 sitesTaiwan
- Study dates
- 25 Nov 2021to Sep 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 to 100 years
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Aged 65 years or older and lived in the same long-term care institution for more than three months.
- Communicate in Mandarin or Taiwanese.
- With glasses or hearing aids and other assistive devices can have good vision and hearing functions.
- Both upper limb muscle power ≥ 4 points, can autonomous movement against moderate resistance. Under supervision, can safely use scissors for artistic creation and sit continuously for 90 minutes.
- Score > 20 points on Barthel Index.
- Score > 16 points on Mini-Mental Status Examination.
- Score ≤ 9 points on Geriatric Depression Scale.
- After the researcher's explanation, the participant is willing and able to give informed consent for participation in the study.
Who cannot join
- Under 65 years of age, and lived in the same long-term care institution less than three months.
- Severe hearing and vision impaired, making it impossible to communicate.
- Receiving antidepressant drugs or related treatments.
- Completely dependent on activities of daily living.
- Severe depression or severe dementia.
- The elderly are participating in artistic creation-related activities.
Trial locations and contacts
2 sites in 1 country.
Taiwan2 sites, 2 recruiting
- Recruiting
Long-term care facility
New Taipei City
- Recruiting
Long-term care facility
Taipei
About this study
When aging, older people migrate to long-term care institutions. The elderly residents lack autonomy due to the characteristics of group life. The decline of health function or the occurrence of diseases can easily lead to reduced physical activity, decreased interpersonal interaction, social withdrawal, low self-esteem, and decreased well-being. In current that emphasizes the elderly in health promotion and disease prevention activities, art therapy can be applied for the elderly to achieve the purpose of health promotion. Art therapy could effectively improve social interaction, self-esteem, and well-being; but many researchers still suggest that it is necessary to investigate the effectiveness of art therapy for elderly residents in long-term care institutions. The purpose of this study is to explore the effectiveness of art therapy in improving social interaction, self-esteem, and well-being for elderly residents in long-term care institutions.
- Conditions
- Long-Term Care, Aged
- Being tested
- Art therapy
- Keywords
- Elderly Residents, Long-Term Care Institutions, Social Interaction, Self-esteem, Well- Being, Art Therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Art therapyOther
The art therapy in this study is once a week, 90 minutes each section for a total of 8-week, and using theme-oriented group art therapy. Each section has one theme, and the researcher guides the elderly to make artistic creations. Each section includes a warm-up phase is 15 minutes, the creative phase is 60 minutes, and sharing phase is 15 minutes.
| Study group | Role | What they receive |
|---|---|---|
| Art therapy group | Experimental | Experimental group received 8-week art therapy. Art therapy uses different themes and materials to art-making. Receives: Other: Art therapy |
| No intervention group | No intervention | No intervention group maintain the institution's original daily routine and participation in activities. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Socially Supportive Activity Inventory
An index-type instrument allows evaluating the quantity and quality of elders' participation in social activity in long-term care settings (Hsu, 2011). All organized into nine subcategories, including (1) all social contacts with family members and friends, (2) chatting with acquaintances, (3) holiday-related activities, (4) cognitive games, (5) involvement by outside organizations, (6) entertainment, (7) pleasure trips, (8) arts/crafts classes, and (9) religious activities (Hsu, 2011). Each subcategory contained three components: frequency, meaningfulness, and enjoyment (Hsu, 2011). The frequency ranged from 1 to 9, and meaningful-ness and enjoyment rated on a 4-point Likert rating ranged from 1 to 4 (Hsu, 2011). Higher scores represented more frequent participation in the activity, more significant meaning to one's life, and greater enjoyment in activity participation (Hsu, 2011).
Measured: After 8-week art therapy
Secondary outcomes (2)
Rosenberg Self-Esteem Scale(Chinese version)
A 10-item scale measured the self-esteem of the respondent (Yeung, 1998). All items answered on a 4-point Likert rating, the minimum and maximum scores on the scale are 10 and 40, with lower scores suggesting better self-esteem (Yeung, 1998).
Measured: After 8-week art therapy
Well-Being Scale for Elders
A 9-item scale measured the well-being of the elderly (Lien \& Chen, 2015). All items answered on a 5-point Likert rating, the minimum and maximum scores on the scale are 9 and 45, with higher scores suggesting better well-being (Lien \& Chen, 2015).
Measured: After 8-week art therapy
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Oct 2021
- Study start25 Nov 2021
- Primary completionFeb 2022 (estimated)
- Study completionSep 2022 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (12)Papers the sponsor has linked to this study.
- Other trials for Long-Term CareStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 82 participants (estimated)
Sponsor and investigators
- Lead sponsor
- National Taipei University of Nursing and Health Sciences
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Tsui-Wei Chien, National Taipei University of Nursing and Health Sciences
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05098756
- Sponsor's protocol ID
- C110024
- Status last verified
- Jan 2022
- First submitted
- 16 Oct 2021
- Last updated
- 25 Jan 2022
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ciasca EC, Ferreira RC, Santana CLA, Forlenza OV, Dos Santos GD, Brum PS, Nunes PV. Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Braz J Psychiatry. 2018 Jul-Sep;40(3):256-263. doi: 10.1590/1516-4446-2017-2250. Epub 2018 Feb 1.
PubMed 29412335Hsu YC. Socially supportive activity inventory: reliability and validity of a social activity instrument for long-term care institutions. J Nurs Res. 2011 Sep;19(3):161-72. doi: 10.1097/JNR.0b013e318229c479.
PubMed 21857323Karpaviciute S, Macijauskiene J. The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace. Int J Environ Res Public Health. 2016 Apr 19;13(4):435. doi: 10.3390/ijerph13040435.
PubMed 27104550Kim H, Kim S, Choe K, Kim JS. Effects of Mandala Art Therapy on Subjective Well-being, Resilience, and Hope in Psychiatric Inpatients. Arch Psychiatr Nurs. 2018 Apr;32(2):167-173. doi: 10.1016/j.apnu.2017.08.008. Epub 2017 Aug 24.
PubMed 29579508Kinney JM, Rentz CA. Observed well-being among individuals with dementia: Memories in the Making, an art program, versus other structured activity. Am J Alzheimers Dis Other Demen. 2005 Jul-Aug;20(4):220-7. doi: 10.1177/153331750502000406.
PubMed 16136845Laranjeira C, Campos C, Bessa A, Neves G, Marques MI. Mental Health Recovery Through "Art Therapy": A Pilot Study in Portuguese Acute Inpatient Setting. Issues Ment Health Nurs. 2019 May;40(5):399-404. doi: 10.1080/01612840.2018.1563255. Epub 2019 Apr 3.
PubMed 30943062Nan JKM, Ho RTH. Effects of clay art therapy on adults outpatients with major depressive disorder: A randomized controlled trial. J Affect Disord. 2017 Aug 1;217:237-245. doi: 10.1016/j.jad.2017.04.013. Epub 2017 Apr 11.
PubMed 28433887Radl D, Vita M, Gerber N, Gracely EJ, Bradt J. The effects of Self-Book(c) art therapy on cancer-related distress in female cancer patients during active treatment: A randomized controlled trial. Psychooncology. 2018 Sep;27(9):2087-2095. doi: 10.1002/pon.4758. Epub 2018 Jun 10.
PubMed 29744966Richards AG, Tietyen AC, Jicha GA, Bardach SH, Schmitt FA, Fardo DW, Kryscio RJ, Abner EL. Visual Arts Education improves self-esteem for persons with dementia and reduces caregiver burden: A randomized controlled trial. Dementia (London). 2019 Oct-Nov;18(7-8):3130-3142. doi: 10.1177/1471301218769071. Epub 2018 Apr 13.
PubMed 29653492Roswiyani R, Kwakkenbos L, Spijker J, Witteman CLM. The Effectiveness of Combining Visual Art Activities and Physical Exercise for Older Adults on Well-Being or Quality of Life and Mood: A Scoping Review. J Appl Gerontol. 2019 Dec;38(12):1784-1804. doi: 10.1177/0733464817743332. Epub 2017 Nov 21.
PubMed 31640495Seifert K, Spottke A, Fliessbach K. Effects of sculpture based art therapy in dementia patients-A pilot study. Heliyon. 2017 Nov 22;3(11):e00460. doi: 10.1016/j.heliyon.2017.e00460. eCollection 2017 Nov.
PubMed 29264417Ching-Teng Y, Ya-Ping Y, Yu-Chia C. Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Soc Work Health Care. 2019 Mar;58(3):324-338. doi: 10.1080/00981389.2018.1564108. Epub 2019 Jan 10.
PubMed 30628552
Study at a glance
From the registry record, last updated by the sponsor on 25 Jan 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effectiveness of Applying Art Therapy on Social Interaction, Self-esteem and Well-Being for Elderly Residents in Long-Term Care Institutions
- ClinicalTrials.gov ID
- NCT05098756
- Acronym / sponsor ID
- C110024
- Conditions
- Long-Term Care, Aged
- Keywords
- Elderly Residents, Long-Term Care Institutions, Social Interaction, Self-esteem, Well- Being, Art Therapy
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 82 participants (estimated)
- Lead sponsor
- National Taipei University of Nursing and Health SciencesUniversity, hospital or other
- Study start
- 25 Nov 2021 (actual)
- Primary completion
- Feb 2022 (estimated)
- Study completion
- Sep 2022 (estimated)
- First posted
- 28 Oct 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
When aging, older people migrate to long-term care institutions. The elderly residents lack autonomy due to the characteristics of group life. The decline of health function or the occurrence of diseases can easily lead to reduced physical activity, decreased interpersonal interaction, social withdrawal, low self-esteem, and decreased well-being. In current that emphasizes the elderly in health promotion and disease prevention activities, art therapy can be applied for the elderly to achieve the purpose of health promotion. Art therapy could effectively improve social interaction, self-esteem, and well-being; but many researchers still suggest that it is necessary to investigate the effectiveness of art therapy for elderly residents in long-term care institutions. The purpose of this study is to explore the effectiveness of art therapy in improving social interaction, self-esteem, and well-being for elderly residents in long-term care institutions.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Art therapy group | Experimental | Other: Art therapyExperimental group received 8-week art therapy. Art therapy uses different themes and materials to art-making. |
| No intervention group | No intervention | –No intervention group maintain the institution's original daily routine and participation in activities. |
Who may qualify
- Ages
- 65 to 100 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (8 listed)
- Aged 65 years or older and lived in the same long-term care institution for more than three months.
- Communicate in Mandarin or Taiwanese.
- With glasses or hearing aids and other assistive devices can have good vision and hearing functions.
- Both upper limb muscle power ≥ 4 points, can autonomous movement against moderate resistance. Under supervision, can safely use scissors for artistic creation and sit continuously for 90 minutes.
- Score > 20 points on Barthel Index.
Key exclusion criteria (6 listed)
- Under 65 years of age, and lived in the same long-term care institution less than three months.
- Severe hearing and vision impaired, making it impossible to communicate.
- Receiving antidepressant drugs or related treatments.
- Completely dependent on activities of daily living.
- Severe depression or severe dementia.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Art therapyThe art therapy in this study is once a week, 90 minutes each section for a total of 8-week, and using theme-oriented group art therapy. Each section has one theme, and the researcher guides the elderly to make artistic creations. Each section includes a warm-up phase is 15 minutes, the creative phase is 60 minutes, and sharing phase is 15 minutes. | Other | Art therapy group |
Primary outcome
Socially Supportive Activity Inventory
Time frame: After 8-week art therapy
An index-type instrument allows evaluating the quantity and quality of elders' participation in social activity in long-term care settings (Hsu, 2011). All organized into nine subcategories, including (1) all social contacts with family members and friends, (2) chatting with acquaintances, (3) holiday-related activities, (4) cognitive games, (5) involvement by outside organizations, (6) entertainment, (7) pleasure trips, (8) arts/crafts classes, and (9) religious activities (Hsu, 2011). Each subcategory contained three components: frequency, meaningfulness, and enjoyment (Hsu, 2011). The frequency ranged from 1 to 9, and meaningful-ness and enjoyment rated on a 4-point Likert rating ranged from 1 to 4 (Hsu, 2011). Higher scores represented more frequent participation in the activity, more significant meaning to one's life, and greater enjoyment in activity participation (Hsu, 2011).
2 secondary outcomes
Rosenberg Self-Esteem Scale(Chinese version)
Time frame: After 8-week art therapy
Well-Being Scale for Elders
Time frame: After 8-week art therapy
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jan 2022.
- Results publication: PubMed 29412335Ciasca EC, Ferreira RC, Santana CLA, Forlenza OV, Dos Santos GD, Brum PS, Nunes PV. Art therapy as an adjuvant treatment for depression in elderly women: a randomized controlled trial. Braz J Psychiatry. 2018 Jul-Sep;40(3):256-263. doi: 10.1590/1516-4446-2017-2250. Epub 2018 Feb 1.
- Results publication: PubMed 21857323Hsu YC. Socially supportive activity inventory: reliability and validity of a social activity instrument for long-term care institutions. J Nurs Res. 2011 Sep;19(3):161-72. doi: 10.1097/JNR.0b013e318229c479.
- Results publication: PubMed 27104550Karpaviciute S, Macijauskiene J. The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace. Int J Environ Res Public Health. 2016 Apr 19;13(4):435. doi: 10.3390/ijerph13040435.
- Results publication: PubMed 29579508Kim H, Kim S, Choe K, Kim JS. Effects of Mandala Art Therapy on Subjective Well-being, Resilience, and Hope in Psychiatric Inpatients. Arch Psychiatr Nurs. 2018 Apr;32(2):167-173. doi: 10.1016/j.apnu.2017.08.008. Epub 2017 Aug 24.
- Results publication: PubMed 16136845Kinney JM, Rentz CA. Observed well-being among individuals with dementia: Memories in the Making, an art program, versus other structured activity. Am J Alzheimers Dis Other Demen. 2005 Jul-Aug;20(4):220-7. doi: 10.1177/153331750502000406.
- Results publication: PubMed 30943062Laranjeira C, Campos C, Bessa A, Neves G, Marques MI. Mental Health Recovery Through "Art Therapy": A Pilot Study in Portuguese Acute Inpatient Setting. Issues Ment Health Nurs. 2019 May;40(5):399-404. doi: 10.1080/01612840.2018.1563255. Epub 2019 Apr 3.
- Results publication: PubMed 28433887Nan JKM, Ho RTH. Effects of clay art therapy on adults outpatients with major depressive disorder: A randomized controlled trial. J Affect Disord. 2017 Aug 1;217:237-245. doi: 10.1016/j.jad.2017.04.013. Epub 2017 Apr 11.
- Results publication: PubMed 29744966Radl D, Vita M, Gerber N, Gracely EJ, Bradt J. The effects of Self-Book(c) art therapy on cancer-related distress in female cancer patients during active treatment: A randomized controlled trial. Psychooncology. 2018 Sep;27(9):2087-2095. doi: 10.1002/pon.4758. Epub 2018 Jun 10.
- Results publication: PubMed 29653492Richards AG, Tietyen AC, Jicha GA, Bardach SH, Schmitt FA, Fardo DW, Kryscio RJ, Abner EL. Visual Arts Education improves self-esteem for persons with dementia and reduces caregiver burden: A randomized controlled trial. Dementia (London). 2019 Oct-Nov;18(7-8):3130-3142. doi: 10.1177/1471301218769071. Epub 2018 Apr 13.
- Results publication: PubMed 31640495Roswiyani R, Kwakkenbos L, Spijker J, Witteman CLM. The Effectiveness of Combining Visual Art Activities and Physical Exercise for Older Adults on Well-Being or Quality of Life and Mood: A Scoping Review. J Appl Gerontol. 2019 Dec;38(12):1784-1804. doi: 10.1177/0733464817743332. Epub 2017 Nov 21.
- Results publication: PubMed 29264417Seifert K, Spottke A, Fliessbach K. Effects of sculpture based art therapy in dementia patients-A pilot study. Heliyon. 2017 Nov 22;3(11):e00460. doi: 10.1016/j.heliyon.2017.e00460. eCollection 2017 Nov.
- Results publication: PubMed 30628552Ching-Teng Y, Ya-Ping Y, Yu-Chia C. Positive effects of art therapy on depression and self-esteem of older adults in nursing homes. Soc Work Health Care. 2019 Mar;58(3):324-338. doi: 10.1080/00981389.2018.1564108. Epub 2019 Jan 10.
- Self-esteem reinforcement strategies in ADHD: comparison between hypnosis and art-therapyLink provided by the sponsor.
- A randomized, controlled study of the effects of art therapy on older Korean-Americans' healthy agingLink provided by the sponsor.
- The practice of spiritual care in the long-term care facilities in TaiwanLink provided by the sponsor.
- The development of the well-being scale for elders in TaiwanLink provided by the sponsor.
- The factors affecting the relocation adjustment for the residents: A case study of a long term care facility in TaipeiLink provided by the sponsor.
- The effect of integrating rational emotive behavior therapy and art therapy on self-esteem and resilienceLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Art therapy in people with Long-Term Care and Aged, run by National Taipei University of Nursing and Health Sciences at 2 sites in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 25 Jan 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Yi-Ting Liao, Master student (+886936246372, 081116202@ntunhs.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Socially Supportive Activity Inventory (time frame: After 8-week art therapy). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05098756, which also lists 12 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jan 2022.