Art Therapy to Promote Wellbeing and Self-care in Resident Physicians. (ATMIR)

This study evaluates if an art therapy intervention could lower resident physician's work-related stress and if it could promote their self-care.

Study Overview

• Status: Active, not recruiting
• Conditions: Work-Related Stress
• Intervention / Treatment: Behavioral: Art therapy

Detailed Description

The objective of this study is to determine if an art therapy intervention could promote the well-being of resident physicians of an university tertiary hospital, as specialized physicians trainees exposed to the risk of burnout.

Using a cycle of 6 bimonthly sessions of group art therapy, the intervention stimulates the creative activity of the participants through various art materials and techniques. Next, they are invited to share their reflexions about the artworks produced, with the group and in presence of the art therapist.

The study mainly evaluates the work-related stress and the self-care grade of the participants, before the intervention, just after it and after a follow-up period.

• Study Type: Interventional
• Enrollment (Actual): 43
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Spain
  • Barcelona, Spain, 08025
    • Hospital Sant Pau

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 23 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• belonging to the resident physicians collective of the Santa Creu i Sant Pau Hospital.

Exclusion Criteria:

• being with a diagnostic of major depression
• receiving psychotherapy o similar

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm

Intervention / Treatment

Experimental: Group art therapy; Cycle of 6 2-hours bimonthly group art therapy sessions.

Behavioral: Art therapy; Participant's creativity is stimulated by visual arts materials and various art therapy techniques, in relation to 6 topics: self-care, stress management, flourishing caregiving, challenging caregiving, loss and grief, and sense of professional meaning. The strategy consists of stimulating an observant and symbolic gaze, facilitating visual expression, promoting communication about what it has been expressed, and gather learning from the multidimensional impact of the creative art process (sensations, emotions, cognitions and spiritual experiences).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of a change in burnout level	Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in burnout level	Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in burnout level	Score calculations from the validated Spanish version of the Maslach Burnout Inventory Test (MBI-GS). Minimum-maximum values of Exhaustion subscale: 0-54, lower scores mean better outcome; Minimum-maximum values of Cynicism subscale: 0-30, lower scores mean better outcome; Minimum-maximum values of Professional efficacy subscale: 0-48, lower scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessment of a change in work-related stress	Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in work-related stress	Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in work-related stress	Score calculations from the validated Spanish version of the Perceived Stress Scale (PFS 14). Minimum-maximum values: 0-56; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in professional quality of life	Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in professional quality of life	Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in professional quality of life	Score calculations from the validated Spanish version of the Professional Quality of Life Scale. Minimum-maximum values: 9-45; lower scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in self-care	Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in self-care	Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in self-care	Score calculations from the validated original Spanish version of Self-care Scale. Minimum-maximum values: 9-45; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in self-awareness	Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in self-awareness	Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in self-awareness	Score calculations from the validated Spanish version of the Five Facet Mindfulness Questionnaire (FFMQ). Minimum-maximum values: 15-75; higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in empathy	Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in empathy	Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in empathy	Score calculations from the validated Spanish version of the Interpersonal Reactivity Index (IRI). Minimum-maximum values: 28-140, higher scores mean better outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in compassion	Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in compassion	Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in compassion	Score calculations from the validated Spanish version of the Compassion and Satisfaction Fatigue Test (ProQoL version IV). Minimum-maximum values in each subscale: 10-50; Compassion satisfaction subscale: higher scores mean better outcome; Burnout subscale: higher scores mean a worse outcome; Secondary traumatic stress subscale: higher scores mean a worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.
Assessment of a change in fear of death	Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 1 week after cycle completion.
Assessment of a change in fear of death	Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 3 months follow up after cycle completion.
Assessment of a change in fear of death	Score calculations from the validated Spanish version of the Collett-Lester Fear of Death Scale. Minimum-maximum values in each subscale: 7-35; higher scores mean worse outcome.	From baseline assessed 1 week before art therapy sessions cycle starting, at 6 months follow up after cycle completion.

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Qualitative aspects gathered from the intervention	Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.	At 1 week after art therapy sessions cycle completion.
Qualitative aspects gathered from the intervention	Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.	At 3 months follow up after art therapy sessions cycle completion.
Qualitative aspects gathered from the intervention	Information gathered through a semi-structured questionnaire produced by the research team, about perceived helpfulness, emotions and sensations, preferences and drawbacks, learnings, expectation of a professional and/or personal impact.	At 6 months follow up after art therapy sessions cycle completion.
Perception of a change process	Audio recording interview and verbatim transcription to explore a possible experience of a change process.	At 1 week after art therapy sessions cycle completion.
Perception of a change process	Audio recording interview and verbatim transcription to explore a possible experience of a change process.	At 3 months follow up after art therapy sessions cycle completion.
Perception of a change process	Audio recording interview and verbatim transcription to explore a possible experience of a change process.	At 6 months follow up after art therapy sessions cycle completion.

Collaborators and Investigators

• Sponsor: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
• Investigators: Principal Investigator: Antonio Pascual López, MD, Santa Creu i Sant Pau Hospital, Palliative Care Unit Director.

Study record dates

Study Major Dates

• Study Start (Actual): December 1, 2022
• Primary Completion (Anticipated): December 1, 2023
• Study Completion (Anticipated): June 1, 2024

Study Registration Dates

• First Submitted: November 23, 2022
• First Submitted That Met QC Criteria: December 7, 2022
• First Posted (Actual): December 16, 2022

Study Record Updates

• Last Update Posted (Actual): March 22, 2023
• Last Update Submitted That Met QC Criteria: March 19, 2023
• Last Verified: March 1, 2023

More Information

Terms related to this study

• Keywords: Art therapy; Self-awareness; Resident physician; Sel-Care
• Additional Relevant MeSH Terms: Behavioral Symptoms; Stress, Psychological; Occupational Diseases; Occupational Stress
• Other Study ID Numbers: IIBSP-ART-2022-21

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No