Proposed Topic (Most preferred): :
Clinical Safety and Quality Service I (Projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors (including presenting author) :
Ng PKP(1), Cheng KNE(1), So SH(1), Leung SC(1), Li MCC(1), Chan WKN(1), Ng HCC(1), Pang YSH(1), Lee HCB(1), Law CCC(1), Chen SYR(1), Chan YLD(1), Chan SMF(1), Chan YHJ(1)
Affiliation :
(1) Occupational Therapy Department, Kowloon Hospital
Introduction :
Participatory arts have been using in mental health occupational therapy (OT) practice for long. There is evidence from both quantitative and qualitative studies that participating in arts activities can improve sense of mastery, self-esteem, confidence, self-efficacy and social connections of people in recovery (PIR), which resonates with evidence-based ‘five ways to well-being’ model of mental health: connect, take notice, keep learning, be active, give. As there is no well-developed arts-based OT program applying concepts of ‘five ways to well-being’ in local settings, it is worth to develop one to promote mental well-being and personal hope. This study aims to develop an arts-based OT recovery program and investigate its effectiveness in instilling hope and enhancing well-being.
Objectives :
(1) To develop an arts-based OT recovery program applying concepts of "five ways to well-being".
(2) To evaluate the effectiveness of the arts-based OT recovery program in instilling hope and enhancing well-being.
Methodology :
The program comprised four sessions. Its content included introduction of ‘five ways to well-being’ concept, goal setting, participation of visual arts activities through application of ‘five ways to well-being’ concepts, such as drawing, painting and craft making. Both psychiatric in-patients and out-patients from OT Department at Kowloon Hospital were recruited. A one-group pretest-posttest design and convenient sampling method were utilized. Participants completed three self-report scales: Hope Scale - Chinese Version (HS-CV), the Chinese Short Warwick-Edinburgh Mental Well-being Scale (C-SWEMWBS), and the Chinese World Health Organization Well-Being Index (CWHO-5) before and after the program. Data were analyzed using descriptive statistics, paired T-tests, and the Wilcoxon Signed Ranks Test. To gather qualitative feedback, participants were also interviewed after the program.
Result & Outcome :
Ten participants with mean age 40.7 years were recruited from November to December 2023. 50% of them were diagnosed with schizophrenia while 40% of them were diagnosed with mood disorder. Statistically significant improvement in scores were found in CWHO-5 (t=-4.569, p=0.001), C-SWEMWBS (t=-4.859, p=0.001), agency subscore in HS-CV (t=-2.044, p=0.006), pathways subscore in HS-CV (z=-2.668, p=0.008), total score in HS-CV (t=-4.407, p=0.002) after completing the program. The result of qualitative feedbacks also indicated that participants’ well-being and hope were enhanced by this program.
To conclude, the arts-based OT recovery program was proved to be effective in enhancing well-being and instilling hope for PIR. This program is recommended to be conducted regularly that experiential arts can be one of the major elements in OT program. Further systematic program evaluation with larger sample size is suggested.
