Trial Outcomes & Findings for The Role of Emotional Processing in Improving the Quality of Life of Breast Cancer Patients (NCT NCT03377816)

NCT ID: NCT03377816

Last Updated: 2023-10-19

Results Overview

The Center for Epidemiologic Studies-Depression (CES-D) 10-item scale. The possible range of scores is zero to 50, with the higher scores indicating the presence of more symptomatology.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

318 participants

Primary outcome timeframe

Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Results posted on

2023-10-19

Participant Flow

Participant milestones

Participant milestones
Measure
Art Therapy
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Overall Study
STARTED
157
161
Overall Study
COMPLETED
107
108
Overall Study
NOT COMPLETED
50
53

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Role of Emotional Processing in Improving the Quality of Life of Breast Cancer Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Art Therapy
n=146 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=143 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Total
n=289 Participants
Total of all reporting groups
Age, Customized
Age · 26-35
9 Participants
n=99 Participants
5 Participants
n=107 Participants
14 Participants
n=206 Participants
Age, Customized
Age · 36-45
31 Participants
n=99 Participants
23 Participants
n=107 Participants
54 Participants
n=206 Participants
Age, Customized
Age · 46-70
80 Participants
n=99 Participants
85 Participants
n=107 Participants
165 Participants
n=206 Participants
Age, Customized
Age · 70+
9 Participants
n=99 Participants
9 Participants
n=107 Participants
18 Participants
n=206 Participants
Age, Customized
Age · missing
17 Participants
n=99 Participants
21 Participants
n=107 Participants
38 Participants
n=206 Participants
Sex: Female, Male
Female
146 Participants
n=99 Participants
143 Participants
n=107 Participants
289 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
146 Participants
n=99 Participants
143 Participants
n=107 Participants
289 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
Israel
146 participants
n=99 Participants
143 participants
n=107 Participants
289 participants
n=206 Participants

PRIMARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Population: The posted data are raw, before multiple imputations.

The Center for Epidemiologic Studies-Depression (CES-D) 10-item scale. The possible range of scores is zero to 50, with the higher scores indicating the presence of more symptomatology.

Outcome measures

Outcome measures
Measure
Art Therapy
n=122 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=118 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Depression Depression
T1
10.82 score on a scale
Standard Deviation 6.01
11.57 score on a scale
Standard Deviation 6.46
Depression Depression
T2
9.86 score on a scale
Standard Deviation 6.203
11.23 score on a scale
Standard Deviation 5.45
Depression Depression
T3
11.05 score on a scale
Standard Deviation 5.67
11.72 score on a scale
Standard Deviation 5.59

PRIMARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Population: We utilized full maximum likelihood, and the numbers presented here are raw data in which if an individual missed one item from the scale, it was marked as missing data.

Fatigue will be assessed using the Fatigue Symptom Inventory (FSI), a 14-item self-report measure designed to assess the severity of fatigue on an 11-point scale (0=not at all fatigued; 10=as fatigued as I could be) that assesses most, least, and average fatigue in the past week. A global score can be obtained summing items 1-13, resulting in a scale with a range between 0-130. Higher results represent higher levels of global fatigue.

Outcome measures

Outcome measures
Measure
Art Therapy
n=117 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=120 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Fatigue
T1
61.35 score on a scale
Standard Deviation 28.77
63.08 score on a scale
Standard Deviation 29.69
Fatigue
T2
53.28 score on a scale
Standard Deviation 29.4
58.99 score on a scale
Standard Deviation 24.79
Fatigue
T3
60.36 score on a scale
Standard Deviation 29.4
63.21 score on a scale
Standard Deviation 28.38

PRIMARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Population: The overall number of participants analyzed reflects the number of participants at T1. We used the maximum likelihood analyses, thus each row reflects the actual number of participants who had full data and the respective means and standard deviations.

The PROMIS Pain impact Scale measures how much pain impacted different aspects of life in the past 7 days. Scores range from 0-to-60, higher scores indicating higher levels of pain or its impact on functioning and the PROMIS Pain Interference Scale measures how much pain interfered with different aspects of life in the past 7 days. Scores range from 0-to-60, higher scores indicating higher levels of pain or interference with functioning. Our data indicates t-scores calculated so that 50 indicates the population (cancer patient) mean with a standard deviation of 10.

Outcome measures

Outcome measures
Measure
Art Therapy
n=124 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=118 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Pain (Impact and Interference)
Pain intensity T1
58.74 t-score
Standard Deviation 12.5
57.4 t-score
Standard Deviation 12.3
Pain (Impact and Interference)
Pain intensity T2
55.9 t-score
Standard Deviation 11.9
56.1 t-score
Standard Deviation 11.8
Pain (Impact and Interference)
Pain intensity T3
59.1 t-score
Standard Deviation 11.6
58.0 t-score
Standard Deviation 12.5
Pain (Impact and Interference)
Pain interference T1
59.0 t-score
Standard Deviation 9.3
59.3 t-score
Standard Deviation 9.4
Pain (Impact and Interference)
Pain interference T2
56.7 t-score
Standard Deviation 9.43
57.1 t-score
Standard Deviation 9.0
Pain (Impact and Interference)
Pain interference T3
59.0 t-score
Standard Deviation 9.0
57.7 t-score
Standard Deviation 9.3

SECONDARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Population: We used maximum likelihood for analyses. The numbers here reflect raw data, where if one question was not answered, the whole questionnaire is marked as missing data.

The Levels of Emotional Awareness Scale is a written performance index of ability to express emotion in a differentiated and complex way. Subjects write about their anticipated feelings and those of another person in response to 10 short vignettes. Responses are scored on a 1 - 4 range and summed up to create a range of 0-50 according to the degree of specificity in the terms used and the range of emotions described, higher scores indicating higher levels of awareness.

Outcome measures

Outcome measures
Measure
Art Therapy
n=114 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=110 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Emotional Awareness
T1
30.11 score on a scale
Standard Deviation 5.28
30.59 score on a scale
Standard Deviation 6.24
Emotional Awareness
T2
30.87 score on a scale
Standard Deviation 4.523
30.9 score on a scale
Standard Deviation 5.49
Emotional Awareness
T3
30.12 score on a scale
Standard Deviation 5.21
28.77 score on a scale
Standard Deviation 4.84

SECONDARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline (T2), and 8 weeks after the intervention ends (T3)

Population: We utilized maximum likelihood, and here are presented raw data, in which if a participant missed one question, the data was marked as missing.

This is a 36-item scale in which participants respond on a Likert scale from 1 (I don't do this at all) to 4 (I do this a lot) regarding how they coped with breast cancer experiences in the past four weeks. Two subscales are created from means of items: Approach Coping composite (24 items), and Avoidance composite (12 items) each with a range from 1-4 . Higher scores indicate more approach-oriented or avoidance-oriented coping. Participants rated items on a response scale of 1 (''I don't do this at all'') to 4 (''I do this a lot'').

Outcome measures

Outcome measures
Measure
Art Therapy
n=106 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=98 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Emotional Expression
Approach T1
3.2596 score on a scale
Standard Deviation 0.44
3.185 score on a scale
Standard Deviation 0.54
Emotional Expression
Approach T2
3.17 score on a scale
Standard Deviation 0.52
3.169312169 score on a scale
Standard Deviation 0.52
Emotional Expression
Approach T3
3.078 score on a scale
Standard Deviation 0.48
3.21 score on a scale
Standard Deviation 0.52
Emotional Expression
Avoidance T1
1.99 score on a scale
Standard Deviation 0.56
2.08 score on a scale
Standard Deviation 0.59
Emotional Expression
Avoidance T2
2.04 score on a scale
Standard Deviation 0.78
2.18 score on a scale
Standard Deviation 0.7
Emotional Expression
Avoidance T3
2.21 score on a scale
Standard Deviation 0.67
2.27 score on a scale
Standard Deviation 0.74

SECONDARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3)

Population: We conducted maximum likelihood analyses and the numbers here are raw scores, in which if a participant skipped one item the entire questionnaire was marked missing.

The Acceptance of Emotions Scale assesses the extent to which subjects are accepting and nurturing toward their feelings, ranging 0-100, higher scores indicate higher acceptance of emotion.

Outcome measures

Outcome measures
Measure
Art Therapy
n=123 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=119 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Acceptance of Emotions
T1
67.7756 score on a scale
Interval 48.14273 to 87.40847
63.8561 score on a scale
Interval 39.8156 to 87.8966
Acceptance of Emotions
T2
66.12 score on a scale
Interval 41.852 to 90.753
68.42 score on a scale
Interval 45.811 to 90.696
Acceptance of Emotions
T3
69.86 score on a scale
Interval 51.84674999 to 88.72084908
71.29713424 score on a scale
Interval 50.35255616 to 92.24171231

SECONDARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention, 8-10 weeks after baseline T2) and 8 weeks after the intervention ends (T3).

Population: Number in each row reflect the number of results obtain for each cytokine at each time point. The overall number analyzed reflects the largest number of individuals that provided blood that was able to produce a quantification of at least one cytokine.

We collected 10 ccs of blood in order to measure immune regulation (pro-inflammatory cytokines IL-6, IL-8, IL-1β, TNF-α), anti-inflammatory (IL-4, IL-10) and regulatory cytokines (TGF-β).

Outcome measures

Outcome measures
Measure
Art Therapy
n=117 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=110 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Inflammation
tgf_b1_T1
51085 pcg/ml
Standard Deviation 32095
51016 pcg/ml
Standard Deviation 31641
Inflammation
IL-8 T1
15.78 pcg/ml
Standard Deviation 24.3
22.1597 pcg/ml
Standard Deviation 55.01
Inflammation
IL-8 T2
11.02 pcg/ml
Standard Deviation 10.65
11.84 pcg/ml
Standard Deviation 11.9
Inflammation
IL-8 T3
9.0135 pcg/ml
Standard Deviation 7.725
9.278 pcg/ml
Standard Deviation 9.38
Inflammation
il_1b_T1
0.42 pcg/ml
Standard Deviation 1.15
0.55 pcg/ml
Standard Deviation 1.37
Inflammation
il_1b_T2
0.18 pcg/ml
Standard Deviation 0.312
0.227 pcg/ml
Standard Deviation 0.5
Inflammation
il_1b_T3
0.2632 pcg/ml
Standard Deviation 0.77
0.234 pcg/ml
Standard Deviation 0.68
Inflammation
il_4_T1
16.8 pcg/ml
Standard Deviation 31.6
24.33 pcg/ml
Standard Deviation 50.3
Inflammation
il_4_T2
10.1 pcg/ml
Standard Deviation 17.53
12.7 pcg/ml
Standard Deviation 23.09
Inflammation
il_4_T3
11.2 pcg/ml
Standard Deviation 35.7
14.58 pcg/ml
Standard Deviation 40.49
Inflammation
il_6_T1
1.4 pcg/ml
Standard Deviation 3.1
1.52 pcg/ml
Standard Deviation 3.1
Inflammation
il_6_T2
0.75 pcg/ml
Standard Deviation 1.58
0.9 pcg/ml
Standard Deviation 1.97
Inflammation
il_6_T3
0.68 pcg/ml
Standard Deviation 1.62
1.48 pcg/ml
Standard Deviation 4.11
Inflammation
tnfa_T1
10.85 pcg/ml
Standard Deviation 15.36
14.27 pcg/ml
Standard Deviation 23.07
Inflammation
tnfa_T2
8.007 pcg/ml
Standard Deviation 4.8
9.64 pcg/ml
Standard Deviation 11.98
Inflammation
tnfa_T3
7.56 pcg/ml
Standard Deviation 10.68
10.04 pcg/ml
Standard Deviation 14.49
Inflammation
il_10_T1
0.43 pcg/ml
Standard Deviation 1.3
0.65 pcg/ml
Standard Deviation 2.04
Inflammation
il_10_T2
0.19 pcg/ml
Standard Deviation 0.43
0.53 pcg/ml
Standard Deviation 1.44
Inflammation
il_10_T3
0.34 pcg/ml
Standard Deviation 0.99
0.718 pcg/ml
Standard Deviation 2.36
Inflammation
tgf_b1_T2
48885 pcg/ml
Standard Deviation 22571
47819 pcg/ml
Standard Deviation 25255
Inflammation
tgf_b1_T3
51447 pcg/ml
Standard Deviation 34759
48178 pcg/ml
Standard Deviation 23994

SECONDARY outcome

Timeframe: Changes will be measured from baseline (T1), after the intervention (8-10 weeks after baseline, T2) and 8 weeks after the intervention ends (T3)

Population: Each row represents the actual number of participants we were able to collect EKG and obtain a good signal, and data was not discarded because of too much noise, or reporting drinking coffee before the measurement,

20 minutes of resting ECG data will be recorded. The participants will be given instructions not to drink coffee or smoke for 3 hours before the lab visit as well as to sit quietly without talking or moving during the ECG recording. These are physiological data without a specific range, however in our study, for example, at T1 in the art therapy group the measurements ranged from 7.56 to 113.28 miliseconds.

Outcome measures

Outcome measures
Measure
Art Therapy
n=115 Participants
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=113 Participants
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Heart Rate Variability
T3
35.22226363 miliseconds
Standard Deviation 40.4
33.58334362 miliseconds
Standard Deviation 25.6
Heart Rate Variability
T1
32.63 miliseconds
Standard Deviation 21.8
37.82 miliseconds
Standard Deviation 38.8
Heart Rate Variability
T2
33.13 miliseconds
Standard Deviation 20.21
31.89 miliseconds
Standard Deviation 20.7

Adverse Events

Art Therapy

Serious events: 8 serious events
Other events: 16 other events
Deaths: 1 deaths

Mandala Group

Serious events: 6 serious events
Other events: 15 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Art Therapy
n=146 participants at risk
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=143 participants at risk
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
disease progression AE
0.68%
1/146 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.70%
1/143 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
General disorders
prolonged hospitalization AE
1.4%
2/146 • Number of events 2 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.70%
1/143 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
Surgical and medical procedures
surgery adverse event reporting
2.7%
4/146 • Number of events 4 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
2.8%
4/143 • Number of events 4 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
General disorders
Car accident
0.68%
1/146 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.00%
0/143 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.

Other adverse events

Other adverse events
Measure
Art Therapy
n=146 participants at risk
The AT intervention is an 8-week group intervention comprised of 8 1.5 hour weekly sessions conducted by an experienced Art Therapist who received special training in conducting the treatment protocol as designed. Art Therapy: In a group setting participants will be encouraged to engage in art making for increased emotional awareness, expression, and acceptance. The role of the art therapist is to encourage a non-judgmental and exploratory approach to artmaking in which the process is emphasized over product. The art therapist obtains these goals by creating an atmosphere that is calm and by remaining tuned in to the verbalizations and body language of participants. If needed she can provide individual attention that is geared toward neutralizing concerns regarding performance during the art making.
Mandala Group
n=143 participants at risk
The comparison group will color prefabricated shapes. The same art materials as in the intervention group will be on the table as will the same instrumental music. Sham Art Therapy: In a group setting participants will engage in Mandala coloring
General disorders
COVID-19
2.1%
3/146 • Number of events 3 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
2.1%
3/143 • Number of events 3 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
General disorders
Side effect from medication or vaccine- not study related
1.4%
2/146 • Number of events 2 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.00%
0/143 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
Social circumstances
In mourning
0.68%
1/146 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.70%
1/143 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
Social circumstances
Stress from family illness
1.4%
2/146 • Number of events 2 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.00%
0/143 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
Social circumstances
War
4.1%
6/146 • Number of events 6 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
7.7%
11/143 • Number of events 11 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
General disorders
Injury
0.68%
1/146 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.00%
0/143 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
General disorders
Medication
0.68%
1/146 • Number of events 1 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.
0.00%
0/143 • Participants were followed for an average of 20 weeks. Baseline data was collected following signing informed consent, and two weeks before the intervention began (which was 8 weeks long), and until T3, which occurred 8 weeks after the 8-week intervention ended. Having said that, because of the COVID-10 pandemic, and a war, there were several cases in which the intervention started several weeks late due to lockdowns. Thus, some participants were followed for up to 30 weeks.
Team members received categorization of adverse event descriptions and were requested to document them in Redcap.

Additional Information

Johanna Czamanski-Cohen

University of Haifa

Phone: +97246146234

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place