Slow Art Plus: A Single Session Art Gallery-based Intervention for Mental Health Promotion (SAP)

Slow Art Plus: Developing and Piloting a Single Session Art Gallery-based Intervention for Mental Health Promotion Via a Mixed Method Waitlist Randomized Control Trial (RCT)

Utilizing a Participatory Action Research (PAR) paradigm, this 12-month study will adopt a mixed method Waitlist Randomized Control Trial (RCT) with a built-in acceptability and feasibility study to test the efficacy of Slow Art Plus in reducing stress and empowering self-care among 200 participants.

Study Overview

• Status: Enrolling by invitation
• Conditions: Compassion; Mental Health Wellness 1; Self Care
• Intervention / Treatment: Behavioral: Slow Art Plus

Detailed Description

The specific objectives are in four-folds: 1) To develop a standardized 90-minute single-session Slow Art Plus programme that integrates: (a) slow looking; (b) mindfulness meditation; (c) self-compassion activities; (d) reflective-creative expressions; and (e) dyadic sharing, to form a holistic mental health promotion intervention; 2) To assess the effectiveness of Slow Art Plus for reducing participants' perceived stress (primary outcomes); 3) To assess the effectiveness of Slow Art Plus for enhancing participants' self-awareness, self-care capacity, psychological resilience, and quality of life (secondary outcomes); and 4) To assess the feasibility and acceptability of the standardized Slow Art Plus protocol for large scale implementation in Singapore and greater Asia.

• Study Type: Interventional
• Enrollment (Anticipated): 200
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Singapore
  • Singapore, Singapore, 637332
    • Nanyang Technological University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

- individuals who can communicate in English and provide informed consent.

Exclusion Criteria:

• individuals who are suffering from depression or other major mental illness.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; The first 10-minute of Slow Art Plus involves a brief psychoeducation on slow looking, mindfulness, and self-compassion practices. This is followed by a 10-minute participants self-introduction and sharing of one act of self-kindness; a 10-minute facilitator led mindfulness meditation on affectionate breathing to foster greater somatic and emotional clarity for slow-looking. This is followed by a set of 30-minute slow looking activity with 1 selected art-piece, including: (a) creating an Artwork Title with one sentence description, (b) imaging music that resonates with the viewers' emotional response to artwork, and (c) sketching a Response Art that facilitates a dialogue between the viewer and the art piece for perspective widening. A 10-minute dyadic sharing follows with a 5-minute large group sharing of joint collective experience. Artwork reveal and sharing of its self-care implications is offered. Finally, a closure self-compassion activity of Supportive Healing Touch.	Behavioral: Slow Art Plus; Slow Art Plus involved a full 90-minute engagement, one that is built upon the existing Slow Art programme with added layers of mindfulness and self-compassion practices, as well as a response art activity that fosters symbolic dialogue and an emotional aesthetic experience between participants and the selected artwork.
No Intervention: Control; Wait-list Control Arm who will receive the Slow Art Plus after the Experimental Arm completes the Intervention.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Perceived Stress Scale (PSS)	The PSS comprises 10-items rated on a 5-point Likert scale and clustered into 2 subscales of perceived helplessness (e.g., "In the past couple of days, how often have you felt nervous and stressed today"), and perceived self-efficacy (e.g., In the past couple of days, how often have you felt that things were going your way"). The PSS possesses strong internal validity, reliability, and cross-cultural applicability.	Pre-Intervention
Perceived Stress Scale (PSS)	The PSS comprises 10-items rated on a 5-point Likert scale and clustered into 2 subscales of perceived helplessness (e.g., "In the past couple of days, how often have you felt nervous and stressed today"), and perceived self-efficacy (e.g., In the past couple of days, how often have you felt that things were going your way"). The PSS possesses strong internal validity, reliability, and cross-cultural applicability.	Immediate Post Intervention
Perceived Stress Scale (PSS)	The PSS comprises 10-items rated on a 5-point Likert scale and clustered into 2 subscales of perceived helplessness (e.g., "In the past couple of days, how often have you felt nervous and stressed today"), and perceived self-efficacy (e.g., In the past couple of days, how often have you felt that things were going your way"). The PSS possesses strong internal validity, reliability, and cross-cultural applicability.	1-Day Follow-UP

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Five Facet Mindfulness Questionnaire Short Form (SF-FFMQ)	The SF-FFMQ comprises 20 items clustered into 5 subscales: (i) observe, (ii) describe, (iii) act with awareness, (iv) non-judging of inner experience, and (v) non-reactivity to inner experience. Higher scores indicating higher mindfulness capacity.	Pre-Intervention
Five Facet Mindfulness Questionnaire Short Form (SF-FFMQ)	The SF-FFMQ comprises 20 items clustered into 5 subscales: (i) observe, (ii) describe, (iii) act with awareness, (iv) non-judging of inner experience, and (v) non-reactivity to inner experience. Higher scores indicating higher mindfulness capacity.	Immediate Post Intervention
Five Facet Mindfulness Questionnaire Short Form (SF-FFMQ)	The SF-FFMQ comprises 20 items clustered into 5 subscales: (i) observe, (ii) describe, (iii) act with awareness, (iv) non-judging of inner experience, and (v) non-reactivity to inner experience. Higher scores indicating higher mindfulness capacity.	1-Day Follow-Up
Self-Compassion Scale - Short Form (SCS-SF)	The SCS-SF comprises 12 items clustered into 6 subscales: (i) self-kindness, (ii) common humanity, (iii) mindfulness, (iv) self-judgement, (v) isolation, and (iv) over-identification. Higher scores indicating higher self-compassion capacity.	Pre-Intervention
Self-Compassion Scale - Short Form (SCS-SF)	The SCS-SF comprises 12 items clustered into 6 subscales: (i) self-kindness, (ii) common humanity, (iii) mindfulness, (iv) self-judgement, (v) isolation, and (iv) over-identification. Higher scores indicating higher self-compassion capacity.	Immediate Post Intervention
Self-Compassion Scale - Short Form (SCS-SF)	The SCS-SF comprises 12 items clustered into 6 subscales: (i) self-kindness, (ii) common humanity, (iii) mindfulness, (iv) self-judgement, (v) isolation, and (iv) over-identification. Higher scores indicating higher self-compassion capacity.	1-Day Follow-Up
Ego-Resilience Scale-11 (ER-11)	The ER-11 comprises 11-items clustered into 3 subscales: (i) active engagement with the world, (ii) repertoire of problem-solving strategies, and (iii) integrated performance under stress. Higher scores indicating higher ego-resilience.	Pre-Intervention
Ego-Resilience Scale-11 (ER-11)	The ER-11 comprises 11-items clustered into 3 subscales: (i) active engagement with the world, (ii) repertoire of problem-solving strategies, and (iii) integrated performance under stress. Higher scores indicating higher ego-resilience.	Immediate Post Intervention
Ego-Resilience Scale-11 (ER-11)	The ER-11 comprises 11-items clustered into 3 subscales: (i) active engagement with the world, (ii) repertoire of problem-solving strategies, and (iii) integrated performance under stress. Higher scores indicating higher ego-resilience.	1-Day Follow-Up
Single-Item Quality of Life Scale (SI-QOLS)	1 item measures quality of life. Higher scores indicating higher QOL.	Pre-Intervention
Single-Item Quality of Life Scale (SI-QOLS)	1 item measures quality of life. Higher scores indicating higher QOL.	Immediate Post Intervention
Single-Item Quality of Life Scale (SI-QOLS)	1 item measures quality of life.	1-Day Follow-Up

Collaborators and Investigators

• Sponsor: Nanyang Technological University
• Collaborators: National Gallery Singapore

Study record dates

Study Major Dates

• Study Start (Actual): July 14, 2022
• Primary Completion (Anticipated): December 31, 2023
• Study Completion (Anticipated): December 31, 2024

Study Registration Dates

• First Submitted: March 22, 2023
• First Submitted That Met QC Criteria: April 6, 2023
• First Posted (Actual): April 7, 2023

Study Record Updates

• Last Update Posted (Actual): April 7, 2023
• Last Update Submitted That Met QC Criteria: April 6, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Mindfulness; Self-Compassion; Slow Looking
• Other Study ID Numbers: 04IDP001152C430

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