Observational study of an Arts-in-Medicine Program in an outpatient hemodialysis unit
ABSTRACT Long-term hemodialysis is associated with impaired quality of life (QOL) and depression, which are thought to worsen compliance with the treatment regimen. With the success of our hospital's Arts-in-Medicine Program, we launched a similar set of activities in the long-term dialysis unit and sought to measure their effects.
At baseline and 6 months, we administered the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and Beck depression scales to 46 patients (44% men; mean age, 52 years) and assessed their percentage of achieved dialysis time, interdialytic weight gain, and predialysis laboratory results. We tested for a relationship between these variables and Arts-in-Medicine Program participation (low and high; 51% and 49%). Arts in Medicine was offered each shift, led by artists, and included artwork, crocheting, crafts, seasonal displays, poetry, and playing musical instruments.
At 6 months, the patients, nurses, technicians, and physicians subjectively believed that Arts in Medicine had a positive impact on the unit. In paired comparisons to baseline, there was significant improvement in SF-36 scores for Role-Physical (mean values, 34.4 to 38.7; P = 0.04), less weight gain (3.6 to 3.2 kg; P = 0.02), greater serum carbon dioxide content (20.4 to 22.5 mEq/L [mmol/L]; P < 0.01), greater phosphate levels (5.3 to 5.7 mg/dL [1.71 to 1.84 mmol/L]; P = 0.04), and a trend to less depression (Beck score, 15.3 to 12.1; P = 0.07). Regression analyses showed that high participation correlated with improved SF-36 scores for Social Function (11.1-unit increase; P = 0.01), Bodily Pain (7.6-unit increase; P = 0.04), and Role-Physical (6.6-unit increase; P = 0.06), as well as a trend to greater albumin levels (0.11 g/dL [1.1 g/L]; P = 0.08), but with greater phosphate (0.8 mg/dL [0.26 mmol/L]; P = 0.01) and lower calcium levels (0.3 mg/dL [0.07 mmol/L]; P = 0.07).
Participation in a new Arts-in-Medicine Program correlated with improved QOL measures, and there were encouraging trends for depression, as well as certain laboratory and hemodialysis parameters.
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ABSTRACT: Art, music, yoga, and dance/movement therapies have been researched individually, mostly in adults, but few studies explain the impact of integrating these therapies into the treatment of children with psychiatric illnesses. Given the financial constraints of current healthcare, as well as limitations of verbal and medical therapies, it is important to document the added value of integrating complementary therapies, including creative arts therapies, into childhood mental health and treatment. The present study looked to evaluate views of clinical professionals (n = 23) (i.e. psychiatrists, psychologists, and social workers), nurses (n = 17) and milieu staff (mental health counselors; n = 56) within the Psychiatry Department of a large children's hospital on the perceived benefits of integrating Complementary and Alternative Medicine (CAM) therapies within inpatient and day treatment programs. The majority of respondents (96% of clinicians, 100% of nurses, and 82% of milieu staff) reported that CAM positively impacted patient care. Staff indicated that sessions facilitated by masters level creative arts therapists or yoga therapists helped patients by increasing self esteem, increasing motor coordination and body control, providing relaxation, teaching coping skills, decreasing acting out behaviors, developing patient's awareness of emotions or underlying issues, and helping to broach difficult topics or issues for the first time. Milieu staff who participated in CAM groups alongside patients also received personal and professional benefits.The Arts in Psychotherapy 01/2013; 41(1). DOI:10.1016/j.aip.2013.10.007 · 0.58 Impact Factor
Nature Clinical Practice Nephrology 05/2006; 2(5):236-236. DOI:10.1038/ncpneph0145 · 6.08 Impact Factor
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ABSTRACT: There is a long history of academic and evaluation research into health and the arts and culture, both within the UK and in other countries (Fraser and al Sayah, 2011). This evidence includes individual impacts, covering therapeutic and clinical outcomes for patients, and broader community impacts (e.g. reduced health care needs) in both clinical and non-clinical populations. Within the body of research on arts and healthcare, there have been attempts at measuring and valuing the effects of the arts on clinical outcomes, although often this is context specific (e.g. for specific amenities or initiatives/programmes in specific locations) and lacking a policy purpose. This project was an extensive review of the literature on the use of arts in therapy. In this paper the use of 'AT' refers to a range of arts applications in therapy. This report focuses on the quantitative components of this literature.