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dc.contributor.authorCarr, CEen_US
dc.contributor.authorMedlicott, Een_US
dc.contributor.authorHooper, Ren_US
dc.contributor.authorFeng, Yen_US
dc.contributor.authorMihaylova, Ben_US
dc.contributor.authorPriebe, Sen_US
dc.description.abstractBACKGROUND: Arts therapies are widely but inconsistently provided in community mental health. Whilst they are appealing to patients, evidence for their effectiveness is mixed. Trials to date have been limited to one art-form or diagnosis. Patients may hold strong preferences for or against an art-form whilst group therapies rely on heterogeneity to provide a range of learning experiences. This study will test whether manualised group arts therapies (art therapy, dance movement therapy and music therapy) are effective in reducing psychological distress for diagnostically heterogeneous patients in community mental health compared to active group counselling control. METHODS: A pragmatic multi-centre 2-arm randomised controlled superiority trial with health economic evaluation and nested process evaluation. Adults aged ≥ 18, living in the community with a primary diagnosis of psychosis, mood, or anxiety disorder will be invited to participate and provide written informed consent. Participants are eligible if they score ≥ 1.65 on the Global Severity Index of the Brief Symptom Inventory. Those eligible will view videos of arts therapies and be asked for their preference. Participants are randomised to either their preferred type of group arts therapy or counselling. Groups will run twice per week in a community venue for 20 weeks. Our primary outcome is symptom distress at the end of intervention. Secondary outcomes include observer-rated symptoms, social situation and quality of life. Data will be collected at baseline, post-intervention and 6 and 12 months post-intervention. Outcome assessors and trial statisticians will be blinded. Analysis will be intention-to-treat. Economic evaluation will assess the cost-effectiveness of group arts therapies. A nested process evaluation will consist of treatment fidelity analysis, exploratory analysis of group process measures and qualitative interviews with participants and therapists. DISCUSSION: This will be the first trial to account for patient preferences and diagnostic heterogeneity in group arts therapies. As with all group therapies, there are a number of logistical challenges to which we have had to further adapt due to the COVID-19 pandemic. Overall, the study will provide evidence as to whether there is an additive benefit or not to the use of the arts in group therapy in community mental health care. TRIAL REGISTRATION: ISRCTN, ISRCTN88805048 . Registered on 12 September 2018.en_US
dc.format.extent557 - ?en_US
dc.subjectArt therapyen_US
dc.subjectArts therapiesen_US
dc.subjectDance movement therapyen_US
dc.subjectEconomic evaluationen_US
dc.subjectMental healthen_US
dc.subjectMusic therapyen_US
dc.subjectProcess evaluationen_US
dc.subjectRandomised controlled trialen_US
dc.subjectDance Therapyen_US
dc.subjectMusic Therapyen_US
dc.subjectArt Therapyen_US
dc.subjectQuality of Lifeen_US
dc.subjectMental Health Servicesen_US
dc.subjectRandomized Controlled Trials as Topicen_US
dc.subjectMulticenter Studies as Topicen_US
dc.titleEffectiveness of group arts therapies (art therapy, dance movement therapy and music therapy) compared to group counselling for diagnostically heterogeneous psychiatric community patients: study protocol for a randomised controlled trial in mental health services (the ERA study).en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
qmul.funderEffectiveness Of Group Arts Therapy Compared To Group Counselling For Diagnostically Heterogeneous Psychiatric Community Patients: Randomised Controlled Trial In Mental Health Services::NIHR Evaluation Trials and Studies Coordinating Centreen_US

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