Augmenting the Patient Experience: Therapeutic Arts Interventions for Patients Undergoing Chemotherapy/Infusion
Notice bibliographique
Résumé
Introduction Intravenous infusions and chemotherapy can be a stressful and emotionally-draining process. Prior studies have examined patient perceptions of care and how to improve patient experience during this time. Art interventions have been performed to enhance the patient experience and reduce negative side effects. This patient-centered study investigated the process by which two distinct art modalities - reflective writing and tile painting -- alleviated patients' symptom burden. Methods Chemotherapy patients at The Comprehensive Cancer Center at The Miriam Hospital (Providence, RI) were invited to participate in a therapeutic activity of their choice during their infusions - either painting a wooden tile or engaging in a reflective writing activity. The tile painting consisted of free-form painting with either acrylic paints or pastels. The reflective writing activity consisted of guided or personal reflections on a variety of predefined prompts. Patients completed the Edmonton Symptom Assessment System (ESAS) immediately before and immediately after engaging in their chosen activity, allowing a direct within-subjects comparison of associated symptomatology. Patients also completed a qualitative survey, which allowed them to expand upon their experience in their own words, write recommendations, and reflect upon the process. The activity and surveys were standardized to 30 minutes duration. After the post-activity survey, patients were allowed to continue writing or painting if they so desired. Patients were encouraged to keep the art materials and journal for further therapeutic benefit. Results Twenty-six participants were included in data analysis, with 9 choosing to journal and 17 choosing to paint. In the painting group, there was a significant reduction in the following ESAS measures: tiredness (p = 0.021), anxiety (p = 0.013), shortness of breath (p = 0.016), and a marked increase in feelings of well-being (p = 0.002). In the reflective writing group, there was a significant reduction in anxiety (p = 0.05). Conclusion Overall, both tile painting and reflective writing initiatives resulted in improved patient experience and sense of wellness. The tile painting activity led to a greater number of improved symptoms, whereas reflective writing led to a singular reduction in anxiety, illustrating perhaps the different mechanisms by which these activities foster healing. The tile painting may have served to distract the patient from the gravity of the current illness; its free-form nature allowed participants to be creative with pleasant imagery of their choice, and finishing a work of art perhaps elicited a sense of accomplishment. In comparison, reflective writing may have allowed patients to process their experience of living with their illness and delve deeply into emotional states, fostering a sense of resilience and introspection. Taken together, the specific mechanisms by which these activities provide solace may explain the differential nature of these contrasting yet ultimately beneficial therapies. Disclosures No relevant conflicts of interest to declare.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,003 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».