Art-Based Intervention to Promote Psychological Adjustment, Self-Concept and Quality of Life in Children: Protocol for a Cluster Non-Randomized Controlled Trial (Preprint)
Notice bibliographique
Résumé
BACKGROUND: Children's mental health is a critical public health priority, with approximately 8% of children aged 10 years or younger experiencing mental, behavioral, or emotional disorders. Despite evidence supporting early intervention, access to mental health services remains limited, particularly for socioeconomically disadvantaged populations. Art-based interventions have emerged as promising approaches to support mental health and socioemotional development. However, significant gaps persist in understanding their efficacy, scalability, and long-term impact. OBJECTIVE: This study aims to evaluate the effectiveness and cost-effectiveness of a community-based visual arts intervention on children's self-concept, psychological adjustment, and health-related quality of life (HRQoL) in vulnerable communities. METHODS: This study is a cluster nonrandomized controlled trial with children from socioeconomically disadvantaged neighborhoods. Children aged 6 to 12 years (n=156; intervention: n=104, 66.7%; waitlist control: n=52, 33.3%) will be recruited through schools and community projects. Allocation to the intervention or waitlist control group will be based on neighborhood or cluster membership. The intervention consists of 1-hour weekly visual arts sessions over 9 months led by a professional artist, culminating in community art exhibitions. Assessments will be conducted at baseline (T1) and postintervention assessment (T2) using validated measures: the Strengths and Difficulties Questionnaire (SDQ) for psychological adjustment, the Self-Perception Profile for Children (SPPC) for self-concept, and the Child Health Utility 9D (CHU9D) for HRQoL, as well as societal resource use and related costs. Quantitative data will be analyzed using regression models and intention-to-treat principles. RESULTS: This study was funded in September 2023. Recruitment began in March 2024 and ended in July 2025. As of April 2024, a total of 179 participants had been enrolled. Data collection was completed in July 2025, and analysis is expected to begin in April 2026. Results are anticipated to be published in September 2026. CONCLUSIONS: This project has the potential to enhance children's self-concept, psychological adjustment, and HRQoL through participation in a community-based visual arts intervention. The study design, with assessments at preintervention and postintervention time points, will provide valuable insights into the trajectories of psychosocial and quality-of-life outcomes in this population. In addition, the combination of psychosocial assessment and economic evaluation will generate important evidence on the cost-effectiveness of art-based interventions, informing both educational and public health decision-making. TRIAL REGISTRATION: ClinicalTrials.gov NCT07165704; https://clinicaltrials.gov/study/NCT07165704. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/84994.
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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 | 0,016 | 0,017 |
| Méta-épidémiologie (sens strict) | 0,007 | 0,004 |
| Méta-épidémiologie (sens large) | 0,012 | 0,007 |
| Bibliométrie | 0,003 | 0,003 |
| Études des sciences et des technologies | 0,005 | 0,004 |
| Communication savante | 0,004 | 0,003 |
| Science ouverte | 0,004 | 0,003 |
| Intégrité de la recherche | 0,006 | 0,009 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,091 | 0,009 |
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 ».