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Article: Effects of Expressive Arts–Based Interventions on Adults With Intellectual Disabilities: A Stratified Randomized Controlled Trial

TitleEffects of Expressive Arts–Based Interventions on Adults With Intellectual Disabilities: A Stratified Randomized Controlled Trial
Authors
Keywordsaberrant behavior
Chinese
emotional expression
expressive arts
intellectual disability
Issue Date2020
PublisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology
Citation
Frontiers in Psychology, 2020, v. 11, p. article no. 1286 How to Cite?
AbstractBackground: People with intellectual disabilities have difficulties expressing their views and can manifest psychological and behavioral symptoms. The present study aimed to examine the effects of expressive arts–based intervention (EABI) on the behavioral and emotional well-being of adults with intellectual disabilities. Methods: This study assigned 109 Chinese adults with intellectual disabilities into EABI (N = 55) or control groups (N = 54) using stratified randomization. Pre- and post-intervention quantitative assessments were conducted of aberrant behaviors, personal well-being, mood and color usage in drawings. Focus group interviews were conducted with the EABI participants and their caseworkers at the post-intervention stage. Repeated-measures analysis of covariance evaluated the EABI effects with age, gender and degree of intellectual disability as covariates, and latent profile analysis examined the patterns of color usage in drawings. Qualitative thematic analysis was performed on the interview data. Results: The interview findings suggest that the EABI group was more emotionally expressive and stable after the intervention. Compared to the control group, the EABI group tended to use more diverse colors and leave less empty space in their drawings. No significant overall improvements were found in the EABI group with respect to aberrant behaviors, mood or personal well-being. Among males, the EABI participants showed significantly more anger and less energetic moods than those in the control group. Among females, the EABI participants showed significantly lower levels of aberrant behavior than those in the control group. Conclusion: The results of this study suggest that expressive arts–based interventions have different effects on the emotional and behavioral well-being of male and female participants. Moreover, increased color usage may imply a more positive state of emotional well-being.
Persistent Identifierhttp://hdl.handle.net/10722/284850
ISSN
2023 Impact Factor: 2.6
2023 SCImago Journal Rankings: 0.800
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorHo, RTH-
dc.contributor.authorChan, CKP-
dc.contributor.authorFong, TCT-
dc.contributor.authorLee, PHT-
dc.contributor.authorLum, SYD-
dc.contributor.authorSuen, SH-
dc.date.accessioned2020-08-07T09:03:27Z-
dc.date.available2020-08-07T09:03:27Z-
dc.date.issued2020-
dc.identifier.citationFrontiers in Psychology, 2020, v. 11, p. article no. 1286-
dc.identifier.issn1664-1078-
dc.identifier.urihttp://hdl.handle.net/10722/284850-
dc.description.abstractBackground: People with intellectual disabilities have difficulties expressing their views and can manifest psychological and behavioral symptoms. The present study aimed to examine the effects of expressive arts–based intervention (EABI) on the behavioral and emotional well-being of adults with intellectual disabilities. Methods: This study assigned 109 Chinese adults with intellectual disabilities into EABI (N = 55) or control groups (N = 54) using stratified randomization. Pre- and post-intervention quantitative assessments were conducted of aberrant behaviors, personal well-being, mood and color usage in drawings. Focus group interviews were conducted with the EABI participants and their caseworkers at the post-intervention stage. Repeated-measures analysis of covariance evaluated the EABI effects with age, gender and degree of intellectual disability as covariates, and latent profile analysis examined the patterns of color usage in drawings. Qualitative thematic analysis was performed on the interview data. Results: The interview findings suggest that the EABI group was more emotionally expressive and stable after the intervention. Compared to the control group, the EABI group tended to use more diverse colors and leave less empty space in their drawings. No significant overall improvements were found in the EABI group with respect to aberrant behaviors, mood or personal well-being. Among males, the EABI participants showed significantly more anger and less energetic moods than those in the control group. Among females, the EABI participants showed significantly lower levels of aberrant behavior than those in the control group. Conclusion: The results of this study suggest that expressive arts–based interventions have different effects on the emotional and behavioral well-being of male and female participants. Moreover, increased color usage may imply a more positive state of emotional well-being.-
dc.languageeng-
dc.publisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology-
dc.relation.ispartofFrontiers in Psychology-
dc.rightsThis Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectaberrant behavior-
dc.subjectChinese-
dc.subjectemotional expression-
dc.subjectexpressive arts-
dc.subjectintellectual disability-
dc.titleEffects of Expressive Arts–Based Interventions on Adults With Intellectual Disabilities: A Stratified Randomized Controlled Trial-
dc.typeArticle-
dc.identifier.emailHo, RTH: tinho@hku.hk-
dc.identifier.emailChan, CKP: kpcchan@hku.hk-
dc.identifier.emailFong, TCT: ttaatt@hku.hk-
dc.identifier.emailLum, SYD: dereklum@hku.hk-
dc.identifier.authorityHo, RTH=rp00497-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3389/fpsyg.2020.01286-
dc.identifier.pmid32595569-
dc.identifier.pmcidPMC7300289-
dc.identifier.scopuseid_2-s2.0-85087003098-
dc.identifier.hkuros312432-
dc.identifier.volume11-
dc.identifier.spagearticle no. 1286-
dc.identifier.epagearticle no. 1286-
dc.identifier.isiWOS:000544752800001-
dc.publisher.placeSwitzerland-
dc.identifier.issnl1664-1078-

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