The effects of art therapy with various art media on emotion regulation strategies, stress, hormone levels and resilience for junior secondary school students
| ISRCTN | ISRCTN36514547 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN36514547 |
- Submission date
- 14/02/2022
- Registration date
- 28/02/2022
- Last edited
- 28/02/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims
Serious emotional problems of adolescents have become a pressing issue in Hong Kong (HK). While causes of the problems are inconclusive, effective measures to combat stress and control teen suicide carry vital significance at the present. As the literature shows that art therapy has a positive impact on emotion, this study aims to specifically investigate the effect of art therapy with mixed media (ATMM) by comparing it with a control group, in improving psychophysiological stress responses, which includes changes in various signs of emotion, interaction between cognition and emotion, and physiological stress response by analyzing salivary cortisol.
Who can participate?
Hong Kong junior secondary students, aged 11-15 from band 1 - 2 were recruited for the study.
What does the study involve?
Students will be randomly allocated to receive either the ATMM group for eight 1.5-hour weekly sessions or to receive no additional treatment. The participants in the no treatment group will receive two half-day expressive arts workshops after the study has finished.
What are the possible benefits and risks of participating?
Participants will be able to receive 8 free art therapy sessions that will be instructed by registered art therapists. During the session, participants can learn different skills and techniques to create clay art pieces, freely express their own thoughts and emotions through art activities, which have possible effects of soothing emotions. Regardless of the group allocation results, both experimental group and waitlist control group participants (subsequently) will receive the free art therapy sessions. The procedure has no known risks.
Where is the study run from?
Hong Kong Baptist University (China)
When is the study starting and how long is it expected to run for?
August 2018 to March 2021
Who is funding the study?
Research Grants Council, University Grants Committee, Hong Kong (China)
Who is the main contact?
Dr Joshua Nan
joshuanan@hkbu.edu.hk
Contact information
Public
Room 1012A
10/F
AAB Building
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
999077
China
 ORCID ID |
0000-0003-4840-6539 |
|---|---|
| Phone | +852 34112009 |
| joshuanan@hkbu.edu.hk |
Study information
| Study design | Randomized controlled interventional trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | School |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use the contact details to request a patient information sheet. |
| Scientific title | A study on the effects of art therapy with mixed media on emotion regulation strategies, psychological stress, cortisol rhythm, and resilience for junior secondary students: A randomized controlled trial |
| Study objectives | The study aims to investigate and compare the effects of an art therapy program with mixed media and an active control group with conventional afterschool tutorial service on the following aspects: 1. Improving emotion regulation strategies; 2. Improving positive affective states; 3. Alleviating negative affective states; 4. Alleviating deficit of cognitive process in affect, exhibited in alexithymia, 5. Reducing psychological and physiological stress levels, and 6. Enhancing resilience. |
| Ethics approval(s) | Approved 01/08/2018, Faculty Research Grant Category II (FRGII) of the HK Baptist University (Hong Kong Baptist University Road, Kowloon Tong, Hong Kong; +852 3411 6461; hkbu_rec@hkbu.edu.hk), ref: FRG2/17-18/028 |
| Health condition(s) or problem(s) studied | Depression |
| Intervention | Participants from the art therapy with mixed media (ATMM) group attended eight 1.5-hour weekly sessions of art development class, with approximately 10 students in each group that were led by an experienced art therapist. During the early phase of the session, various kinds of art media have been introduced and shown on how the art media can facilitate expressions of different facets of themselves. The participants will be provided with a safe platform to create thematic artworks in the following sessions with various kinds of art materials and freely express themselves via art. The control (CON) group received afterschool tutorial groups for academic support and extracurricular activities for social support during the treatment period of the ATMM group. To comply with ethical principles, the CON group members were given two half-day expressive arts workshop as compensation after the completion of the study. |
| Intervention type | Behavioural |
| Primary outcome measure | Measured at T0 (baseline), T1 (after completion of the intervention), and T2 (8 weeks following the completion of the intervention): 1. Salivary cortisol measured using the “Salivette” kits (Starstedt, Ag & Co., Numbrecht, Germany) 2. Emotion regulation measured using the State Difficulties in Emotion Regulation Scale (S-DERS) 3. Emotion measured using the Positive and Negative Affect Schedule (PANAS) 4. The 25-item Connor-Davidson Resilience Scale (CD-RISC) 5. Emotional awareness measured using the Toronto Alexithymia Scale (TAS-20) |
| Secondary outcome measures | Experiences of the intervention measured using focus groups at completion of the intervention |
| Overall study start date | 01/08/2018 |
| Completion date | 31/03/2021 |
Eligibility
| Participant type(s) | Healthy volunteer |
|---|---|
| Age group | Child |
| Lower age limit | 11 Years |
| Upper age limit | 15 Years |
| Sex | Both |
| Target number of participants | 85 |
| Key inclusion criteria | 1. Hong Kong junior secondary students, aged 11-15 from band 1 – 2 were recruited for the study. 2. S.2-3 students, aged between 11-15; 3. Ability to understand and communicate in Cantonese; 4. Medical conditions that are likely to limit group participation during the course of the 6-week program will be excluded; and 5. Willing to perform art making activities in group activities with minimal assistance. |
| Key exclusion criteria | Participants were excluded if they had been clinically diagnosed with depressive disorder, anxiety disorder, or any other psychiatric disorder that required medical treatment or professional intervention during the past 12 months, diagnosed with other medical conditions or receiving counselling treatment during the program. Both parents and the participants gave written informed consent prior to the screening procedures and joining the study. |
| Date of first enrolment | 01/09/2019 |
| Date of final enrolment | 30/12/2020 |
Locations
Countries of recruitment
- China
- Hong Kong
Study participating centre
AAB Building
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
999077
China
Sponsor information
University/education
AAB 904
Level 9
Academic and Administration Building
Baptist University Road Campus
Kowloon Tong
Hong Kong
999077
China
| Phone | +852 34115127 |
|---|---|
| gs@hkbu.edu.hk | |
| Website | http://buwww.hkbu.edu.hk/eng/main/index.jsp |
"ROR" |
https://ror.org/0145fw131 |
Funders
Funder type
University/education
Private sector organisation / Universities (academic only)
- Alternative name(s)
- 研究資助局, 研究資助局, 研究資助局, 研究資助局, 研究資助局
- Location
- Hong Kong
Results and Publications
| Intention to publish date | 30/12/2022 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Published as a supplement to the results publication |
| Publication and dissemination plan | Planned publication of the protocol in BMC Complementary & Alternative Medicine Journal. Planned publication of results in a high-impact peer-reviewed journal. |
| IPD sharing plan | All data generated or analysed during this study will be included in the subsequent results publication. Acquired participant level raw data will only be included in results publications/conferences of this study and will not be accessible for the public. All participants will be indicated by a participant code, no identifiable personal information will be stored with the data or published. All datasets will be destroyed within 3 years after the publication of research results. |
Editorial Notes
28/02/2022: Trial's existence confirmed by Hong Kong Baptist University.
