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'HeART of Stroke (HoS)', a community-based Arts for Health group intervention to support self-confidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study.
BMJ Open. 2015 Aug 04; 5(8):e008888.BO

Abstract

INTRODUCTION

Over 152,000 people in the UK have strokes annually and a third experience residual disability. Low mood also affects a third of stroke survivors; yet psychological support is poor. While Arts for Health interventions have been shown to improve well-being in people with mild-to-moderate depression post-stroke, their role in helping people regain sense of self, well-being and confidence has yet to be evaluated. The main aim of this study is to explore the feasibility of conducting a pragmatic multicentre randomised controlled trial to assess the effectiveness and cost-effectiveness of an Arts for Health group intervention ('HeART of Stroke' (HoS)) for stroke survivors. HoS is a 10-session artist-facilitated group intervention held in the community over 14 weeks. It offers a non-judgemental, supportive environment for people to explore sense of self, potentially enhancing well-being and confidence.

METHODS AND ANALYSIS

Sixty-four people, up to 2 years post-stroke, recruited via secondary care research staff or community stroke/rehabilitation teams in two UK centres will be randomised to either HoS plus usual care or usual care only. Self-reported outcomes, measured at baseline and approximately 5 months postrandomisation, will include stroke-related, well-being, mood, self-esteem, quality of life and process measures. Analyses will focus on estimating key feasibility parameters (eg, rates of recruitment, retention, intervention attendance). We will develop outcome and resource use data collection methods to inform an effectiveness and cost-effectiveness analysis in the future trial. Interviews, with a sample of participants, will explore the acceptability of the intervention and study processes, as well as experiences of the HoS group.

ETHICS AND DISSEMINATION

National Health Service (NHS), Research and Development and University ethical approvals have been obtained. Two peer-reviewed journal publications are planned plus one service user led publication. Findings will be disseminated at key national conferences, local stakeholder events and via institutional websites.

TRIAL REGISTRATION NUMBER

ISRCTN99728983.

Authors+Show Affiliations

Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.Department of Clinical Psychology, University of East Anglia, Norwich, UK Oliver Zangwill Centre, Cambridgeshire Community Services NHS Trust, Ely, Cambridgeshire, UK.Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.School of Social and Community Medicine, University of Bristol, Bristol, UK.Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, Dorset, UK.School of Social and Community Medicine, University of Bristol, Bristol, UK.Stroke Research, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, Dorset, UK.Oliver Zangwill Centre, Cambridgeshire Community Services NHS Trust, Ely, Cambridgeshire, UK.Service User (formerly of Canterbury Christ Church University), Kent, UK.Faculty of Health and Social Care, University of Hull, Hull, Yorkshire, UK.College of Health and Life Sciences, Brunel University London, UK.Stroke Unit, Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust, Bournemouth, Dorset, UK.

Pub Type(s)

Journal Article
Multicenter Study
Pragmatic Clinical Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26243555

Citation

Ellis-Hill, Caroline, et al. "'HeART of Stroke (HoS)', a Community-based Arts for Health Group Intervention to Support Self-confidence and Psychological Well-being Following a Stroke: Protocol for a Randomised Controlled Feasibility Study." BMJ Open, vol. 5, no. 8, 2015, pp. e008888.
Ellis-Hill C, Gracey F, Thomas S, et al. 'HeART of Stroke (HoS)', a community-based Arts for Health group intervention to support self-confidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study. BMJ Open. 2015;5(8):e008888.
Ellis-Hill, C., Gracey, F., Thomas, S., Lamont-Robinson, C., Thomas, P. W., Marques, E. M., Grant, M., Nunn, S., Cant, R. P., Galvin, K. T., Reynolds, F., & Jenkinson, D. F. (2015). 'HeART of Stroke (HoS)', a community-based Arts for Health group intervention to support self-confidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study. BMJ Open, 5(8), e008888. https://doi.org/10.1136/bmjopen-2015-008888
Ellis-Hill C, et al. 'HeART of Stroke (HoS)', a Community-based Arts for Health Group Intervention to Support Self-confidence and Psychological Well-being Following a Stroke: Protocol for a Randomised Controlled Feasibility Study. BMJ Open. 2015 Aug 4;5(8):e008888. PubMed PMID: 26243555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 'HeART of Stroke (HoS)', a community-based Arts for Health group intervention to support self-confidence and psychological well-being following a stroke: protocol for a randomised controlled feasibility study. AU - Ellis-Hill,Caroline, AU - Gracey,Fergus, AU - Thomas,Sarah, AU - Lamont-Robinson,Catherine, AU - Thomas,Peter W, AU - Marques,Elsa M R, AU - Grant,Mary, AU - Nunn,Samantha, AU - Cant,Robin P I, AU - Galvin,Kathleen T, AU - Reynolds,Frances, AU - Jenkinson,Damian F, Y1 - 2015/08/04/ PY - 2015/8/6/entrez PY - 2015/8/6/pubmed PY - 2016/5/14/medline KW - STROKE MEDICINE SP - e008888 EP - e008888 JF - BMJ open JO - BMJ Open VL - 5 IS - 8 N2 - INTRODUCTION: Over 152,000 people in the UK have strokes annually and a third experience residual disability. Low mood also affects a third of stroke survivors; yet psychological support is poor. While Arts for Health interventions have been shown to improve well-being in people with mild-to-moderate depression post-stroke, their role in helping people regain sense of self, well-being and confidence has yet to be evaluated. The main aim of this study is to explore the feasibility of conducting a pragmatic multicentre randomised controlled trial to assess the effectiveness and cost-effectiveness of an Arts for Health group intervention ('HeART of Stroke' (HoS)) for stroke survivors. HoS is a 10-session artist-facilitated group intervention held in the community over 14 weeks. It offers a non-judgemental, supportive environment for people to explore sense of self, potentially enhancing well-being and confidence. METHODS AND ANALYSIS: Sixty-four people, up to 2 years post-stroke, recruited via secondary care research staff or community stroke/rehabilitation teams in two UK centres will be randomised to either HoS plus usual care or usual care only. Self-reported outcomes, measured at baseline and approximately 5 months postrandomisation, will include stroke-related, well-being, mood, self-esteem, quality of life and process measures. Analyses will focus on estimating key feasibility parameters (eg, rates of recruitment, retention, intervention attendance). We will develop outcome and resource use data collection methods to inform an effectiveness and cost-effectiveness analysis in the future trial. Interviews, with a sample of participants, will explore the acceptability of the intervention and study processes, as well as experiences of the HoS group. ETHICS AND DISSEMINATION: National Health Service (NHS), Research and Development and University ethical approvals have been obtained. Two peer-reviewed journal publications are planned plus one service user led publication. Findings will be disseminated at key national conferences, local stakeholder events and via institutional websites. TRIAL REGISTRATION NUMBER: ISRCTN99728983. SN - 2044-6055 UR - https://www.unboundmedicine.com/medline/citation/26243555/'HeART_of_Stroke__HoS_'_a_community_based_Arts_for_Health_group_intervention_to_support_self_confidence_and_psychological_well_being_following_a_stroke:_protocol_for_a_randomised_controlled_feasibility_study_ L2 - https://bmjopen.bmj.com/lookup/pmidlookup?view=long&pmid=26243555 DB - PRIME DP - Unbound Medicine ER -