Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-10T13:37:22.420Z Has data issue: false hasContentIssue false

Comparing participation in sports discussion and art therapy groups in ABI

Published online by Cambridge University Press:  07 January 2022

Bronwyn E. A. Moorhouse*
Affiliation:
Clinical Services, Kevin Heinze GROW, Doncaster, Victoria, Australia
Erica R. Mainprize
Affiliation:
Allied Health - Art Therapy, Brain Disorders Program, Royal Talbot Rehabilitation Centre, Austin Health, Kew, Victoria, Australia
Jacinta M. Douglas
Affiliation:
Living with Disability Research Centre, School of Allied Health, Human Services and Sport, La Trobe University, Bundoora, Victoria, Australia
Caroline A. Fisher
Affiliation:
Allied Health - Psychology, Melbourne Health, Parkville, Victoria, Australia The Melbourne Clinic, Richmond, Victoria, Australia
*
*Corresponding author. Email: bronwyn@kevinheinzegrow.org.au
Get access

Abstract

Background:

Social connection is often impacted by acquired brain injury (ABI), contributing to isolation and compromised mental health. Group therapy is thought useful in this context. For those experiencing cognitive communication challenges, finding alternative ways to engage is also valuable. Art therapy may offer pro-social support through shared activity, self-expression, organic subject matter and enduring visual prompts.

Method:

A multiple A-B-A single case experimental design compared participation in sports discussion and art therapy groups on a long-stay secure unit. Nine individuals with ABI and complex combinations of communication, cognitive and mental health needs were studied. It was hypothesised that for some individuals, participation would be greater in art therapy than sports discussion groups.

Results:

Results from six individuals with at least five measurement points per phase are reported. Tau statistics revealed significant interphase differences for three individuals. Significantly less participation was recorded for two individuals in art than sports discussion, however they still appeared invested in the art groups. The remaining participant, with the most severe communication difficulties, avoided all baseline sports discussion groups, but participated in almost all art groups, with significant increase between initial sports discussion and art phases.

Conclusion:

Further research is warranted regarding the potential art therapy offers for group engagement, particularly where complex challenges render traditional talking-style groups less appropriate. Furthermore, disparate and complex needs in severe ABI require diverse, well-designed groups offering different opportunities and responding to individual strengths and motivations. More research into such approaches may increase group participation in this challenging cohort.

Type
Original Article
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Australasian Society for the Study of Brain Impairment

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Joint first authors

References

Beesley, K., White, J. H., Alston, M. K., Sweetapple, A. L., & Pollack, M. (2011). Art after stroke: The qualitative experience of community dwelling stroke survivors in a group art programme. Disability and Rehabilitation, 33(22–23), 23462355. doi: 10.3109/09638288.2011.571333.CrossRefGoogle Scholar
Ben-Yishay, Y., & Lakin, P. (1989). Structured group treatment for brain-injury survivors. In Ellis, D. W. & Christensen, A. L. (Eds.), Neuropsychological treatment after brain injury, Foundations of neuropsychology (vol. 1, pp. 271295). Cham: Springer.CrossRefGoogle Scholar
Cozolino, L. (2010). The neuroscience of psychotherapy: Healing the social brain (2nd ed.). New York: Norton.Google Scholar
Dalemans, R. J. P., De Witte, L. P., Beurskens, A. J. H. M., Van Den Heuvel, W. J. A., & Wade, D. T. (2010). An investigation into the social participation of stroke survivors with aphasia. Disability and Rehabilitation, 32(20), 16781685. doi: 10.3109/09638281003649938.CrossRefGoogle ScholarPubMed
Di Vita, A., Procacci, M. A., Bellagamba, M., Jacomini, M., Massicci, R., & Ciurli, P. (2020). Psychotherapy and art therapy: A pilot study of group treatment for patients with traumatic brain injury. Journal of Health Psychology. doi: 10.1177/1359105320967099.Google ScholarPubMed
Douglas, J. M. (2013). Conceptualizing self and maintaining social connection following severe traumatic brain injury. Brain Injury, 27(1), 6074. doi: 10.3109/02699052.2012.722254.CrossRefGoogle Scholar
Gonen, J., & Soroker, N. (2000). Art therapy in stroke rehabilitation: A model of short term group treatment. The Arts in Psychotherapy, 27(1), 4150. doi: 10.1016/S0197-4556(99)00022-2.CrossRefGoogle Scholar
Guay, M. (2018). Impact of group art therapy on the quality of life for acquired brain injury survivors. Journal of American Art Therapy, 35(3), 156164. doi: 10.1080/07421656.2018.1527638.CrossRefGoogle Scholar
Hewetson, R., Cornwell, P., & Shum, D. (2018). Social participation following right hemisphere stroke: Influence of a cognitive-communication disorder. Aphasiology, 32(2), 164182. doi: 10.1080/02687038.2017.1315045.CrossRefGoogle Scholar
Imtiaz, D., Anwar, Y., & Khan, A. (2020). Wearable sensors and a multisensory music and reminiscence therapies application: To help reduce behavioural and psychological symptoms in person with dementia. Smart Health, 18, 100140. doi: 10.1016/j.smhl.2020.100140.CrossRefGoogle Scholar
Lusebrink, V. B. (2010). Assessment and therapeutic application of the expressive therapies continuum. Art Therapy, 27(4), 166170. doi: 10.1080/07421656.2010.10129380.CrossRefGoogle Scholar
McGraw, M. (1989). Art therapy with brain injured patients. The American Journal of Art Therapy, 28, 3744.Google Scholar
McGraw, M. K. (1995). The art studio: a studio-based art therapy program. Art Therapy, 12(3), 167174. doi: 10.1080/07421656.1995.10759154.CrossRefGoogle Scholar
McGuinness, M. M., & Schnur, K. J. (2013). Art therapy, creative apperception, and rehabilitation from traumatic brain injury. In Malchiodi, C. A. (Eds.), Art therapy and health care (pp. 252265). New York: Guilford Press.Google Scholar
Palmer, A. D., Newsom, J. T., & Rook, K. S. (2016). How does difficulty communicating affect the social relationships of older adults? An exploration using data from a national survey. Journal of Communication Disorders, 62, 131146. doi: 10.1016/j.jcomdis.2016.06.002.CrossRefGoogle ScholarPubMed
Patterson, F., Fleming, J., & Doig, E. (2016). Group-based delivery of interventions in traumatic brain injury rehabilitation: a scoping review. Disability and Rehabilitation, 38(20), 19611986. doi: 10.3109/09638288.2015.1111436.CrossRefGoogle Scholar
Perna, R., Snyder, R., Bubier, J., Rousselle, A., & Oken, M. (2004). Brain injury rehabilitation: Activity based and thematic group treatment. The Journal of Cognitive Rehabilitation, 22(3), 2024.Google Scholar
Prigatano, G. P. (1991). Disordered mind, wounded soul: The emerging role of psychotherapy in rehabilitation after brain injury. Journal of Head Trauma Rehabilitation, 6(4), 110. doi: 10.1097/00001199-199112000-00004.CrossRefGoogle Scholar
Sell, M., & Murrey, G. J. (2006). Art as a therapeutic modality with TBI patients. In Murrey, G. J. (Eds.), Alternative therapies in the treatment of brain injury and neurobehavioural disorders: A practical guide (pp. 2949). Holland: Haworth.Google Scholar
Snow, P., & Douglas, J. (2017). Psychosocial aspects of pragmatic disorders. In Cummings, L. (Eds.), Research in clinical pragmatics, series: Perspectives in pragmatics, philosophy & psychology (vol. 11, pp. 617649). Cham: Springer.CrossRefGoogle Scholar
Springham, N., & Huet, V. (2018). Art as a relational encounter: An ostensive communication theory of art therapy. Art Therapy, 35(1), 410. doi: 10.1080/07421656.2018.1460103.CrossRefGoogle Scholar
Symons, J., Clark, H., Williams, K., Hansen, E., & Orpin, P. (2011). Visual art in physical rehabilitation: Experiences of people with neurological conditions. British Journal of Occupational Therapy, 74(1), 4452. doi: 10.4276/030802211X12947686093729.CrossRefGoogle Scholar
Tate, R. L. (2017). Manual for the Care and Needs Scale (CANS). Unpublished manuscript. John Walsh Centre for Rehabilitation Research, University of Sydney. Updated version 2.Google Scholar
Tate, R. L., & Perdices, M. (2019). Single-case experimental designs for clinical research and neurorehabilitation settings. Oxford: Routledge.CrossRefGoogle Scholar
Tate, R. L., Perdices, M., Rosenkoetter, U., Wakima, D., Godbee, K., Togher, L., & McDonald, S. (2013). Revision of a method quality rating scale for single-case experimental designs and n-of-1 trials: The 15-item Risk of Bias in N-of-1 Trials (RoBiNT) Scale. Neuropsychological Rehabilitation, 23, 619638. doi: 10.1080/09602011.2013.824383.CrossRefGoogle ScholarPubMed
Vannest, K. J., & Ninci, J. (2015). Evaluating intervention effects in single-case research designs. Journal of Counseling and Development, 93(4), 403411.CrossRefGoogle Scholar
Vannest, K. J., Parker, R. I., Gonen, O., & Adiguzel, T. (2016). Single Case Research: Web based calculators for SCR analysis. (Version 2.0). [Web based application]. College Station, TX: Texas A&M University. Retrieved from www.singlecaseresearch.org.Google Scholar
Viscogliosi, C., Desrosiers, J., Belleville, S., Caron, C. D., Ska, B. & BRAD Group. (2011). Differences in participation according to specific cognitive deficits following a stroke. Applied Neuropsychology, 18(2), 117126. doi: 10.1080/09084282.2010.547779.CrossRefGoogle Scholar
Wald, J. (1989). Severe head injury and its stages of recovery explored through art therapy. In Wadeson, H., Durkin, J. & Perach, D. (Eds.), Advances in art therapy (pp. 181203). New York: Wiley.Google Scholar
Wald, J. (1999). The role of art therapy in post-stroke rehabilitation. In Malchiodi, C. (Eds.), Medical art therapy with adults (pp. 2542). Philadelphia: Jessica Kingsley.Google Scholar
Walker, M. S., Stamper, A. M., Nathan, D. E., & Riedy, G. (2018). Art therapy and underlying fMRI brain patterns in military TBI: A case series. International Journal in Art Therapy, 23(4), 180197. doi: 10.1080/17454832.2018.1473453.CrossRefGoogle Scholar
Wallace, G. L. (2010). Profile of life participation after stroke and aphasia. Topics in Stroke Rehabilitation, 17(6), 432450. doi: 10.1310/tsr1706-432.CrossRefGoogle Scholar
Whitwham, S., & Jones, K. A. (2019). Assessing aggression following ABI (acquired brain injury): A systematic review of assessment measures. Brain Injury, 33(12), 14911502. doi: 10.1080/02699052.2019.1655795.CrossRefGoogle ScholarPubMed