Physical DisabilityNCT07350603
Using Art Participation to Promote Psychosocial Health Among People With Physical Disabilities: A Feasibility Study
A study testing Inclusive art program in people with Physical Disability, run by The Nethersole School of Nursing.
Trial summary
This study aims to explore the feasibility of a newly developed theory-based inclusive art participation program for promoting psychosocial health of people with physical disabilities living in residential care homes. Specifically, the feasibility is assessed following the framework proposed by Bowen et al. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Physical Disability
- What is being tested?
- Inclusive art program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- No sites listed yet
- Study dates
- 1 Jun 2026to 1 Oct 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- aged 18 years old or above
- have single or multiple physical disabilities caused by disease, accident, or aging, characterized by long-term impairments in mobility, stamina, or dexterity
- reside in residential care home
- only have a mild cognitive impairment defined as having a Montreal Cognitive Assessment (MoCA) score which fall above the 16th percentile
- have upper limb function with below a score of 50 assessed by Quick Disability of the Arm, Shoulder and Hand (DASH) Questionnaire
- able to remain in sitting position independently
- able to understand and communicate with Chinese, and (8) able to read Traditional Chinese.
Who cannot join
- individuals with severely impaired speaking, hearing, or visual acuity
- individuals have physical unwell for participating in this study
- individuals are currently taking part in other research projects or receiving other programs for promoting psychosocial health
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: Using Inclusive Art Participation as a Means to Promote Psychosocial Health Among People With Physical Disabilities in Residential Care Homes: A Mixed-Methods Feasibility Study
This study aims to explore the feasibility of a newly developed theory-based inclusive art participation program for promoting psychosocial health of people with physical disabilities living in residential care homes.
Specifically, the feasibility is assessed following the framework proposed by Bowen et al. (2009), which encompassed five aspects, including demand, implementation, practicality, preliminary effects, and acceptability. As for the preliminary effects, this project will evaluate self-esteem, sense of control, self-efficacy, mood, and social connectedness after the completion of program.
This study will adopt a one group pretest-posttest approach with quasi-experimental design to collect both quantitative and qualitative data, employing a mixed-methods study design.
Read the detailed description
The World Health Organization (WHO) estimates that approximately 1.3 billion people, around 16% of the global population, are currently living with disabilities, encompassing mental, intellectual, and physical disabilities. Among those, over 30% of them experience physical disabilities. These numbers reflect that a large proportion of people in global experience mobility, dexterity, coordination, or stamina impairments, which may result from traumatic injuries, nervous system disorders, autoimmune diseases, or age related degenerative diseases. As a result, some people with physical disabilities are unable to take care of themselves and thus require assistance from family members or caregivers, while some further consequently reside in residential care homes to receive ongoing support.
Although residential care homes offer essential medical and daily living support to people with physical disabilities who cannot be taken care of at home, these facilities have mainly prioritized physical care. While psychosocial needs are often addressed as a secondary concern or sometimes overlooked. On the other hand, current evidence reports that some residents with physical disabilities spend much of time physically and socially inactive. Due to limitation in mobility, many of them may not independently perform basic activities of daily living or engage in social interactions, which may bring a great loss of autonomy, competence, and relatedness to them, leading to psychosocial health issues.
In recent decades, there has been an increasing interest in the use of art participation in healthcare settings to serve as a multidisciplinary approach to facilitate health of individuals. Growing evidence also supports the positive impact of art participation on psychosocial health of individuals in residential settings. Nevertheless, such evidence focuses on the population of older adults, people with dementia, and children with intellectual disabilities, while the benefits of people with physical disabilities in residential settings remain unclear. Furthermore, the scope of such evidence primarily underscores art participation as a tool for addressing health issues by non-verbal expression and non-judgmental environments. However, it overlooks the potential of art participation as a valued and inclusive social activity that affirms the rights of people with physical disabilities, meanwhile, contributes meaningfully to their psychosocial health. Moreover, there is a lack of understanding of the processes by which art participation supports communication, expression, choice, and autonomy of people with physical disabilities. Clearly, pediatric inclusive art participation program within residential settings requires both evidence and theory to move forward as a recognized program format. Based on such evidence, there is a need to conduct a more specific study that focuses on using inclusive art participation programs for residents with physical disabilities who experience physical and social barriers.
Due to the lack of research on the continued examination of how the process of inclusive art participation benefit people with physical disabilities in residential care homes, developing a new inclusive art participation program for them is warranted to investigate its impacts. More importantly, the Medical Research Council (MRC) framework suggests that the stage of feasibility should be conducted to assess the procedure for developing and evaluating a complex program and to determine whether the definitive study can be undertaken in the future. Therefore, it is worthwhile designing a study to explore the feasibility of this newly developed program prior to conducting a large-scale study to examine its effectiveness.
- Conditions
- Physical Disability
- Being tested
- Inclusive art program
- Keywords
- Art, Residential care home, Feasibility, Mixed-methods
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Inclusive art programOther
The inclusive art participation program will consist of a six-weekly session syllabus of 90 minutes per session. It will be led by a nurse facilitator who has been trained in using art as a healing tool in the healthcare context. Group format of four to six participants per group will be adopted. It will be conducted in a private and active room at residential care homes, which offers a comfortable space that enables participants to express themselves in a safe and confidential environment. The program will focus not only on promoting psychosocial health but also emphasize the inclusive and supportive environment to contribute to social interaction and engagement in meaningful social activities, that affirm the rights of people with physical disabilities living in residential settings.
| Study group | Role | What they receive |
|---|---|---|
| Art intervention | Experimental | Not described Receives: Other: Inclusive art program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Preliminary effects - Sense of control
The Chinese version of Recovery Locus of Control Scale (RLOCS) 9-item will be adopted to assess sense of control. Each item is rated on a five-point scale from 1='strongly agree' to 5='strongly disagree'. The total score ranged from 9 to 45. A higher total score indicates a better sense of control.
Measured: From enrollment to the end of treatment at 6 weeks.
Preliminary effects - Self-esteem
The Chinese version of Rosenberg Self-Esteem Scale - 10-item (RSES) will be adopted to measure self-esteem. It consists of five positively worded items and five negatively worded items. Each item is rated on a four-point scale. Specifically, positively worded items are given a score from 1='strongly agree' to 4='strongly disagree', while negatively worded are reverse scored, from 1='strongly disagree' to 4='strongly agree'. The total score is summed up to give a range from 10 to 40. A higher score represents greater self-esteem.
Measured: From enrollment to the end of treatment at 6 weeks.
Preliminary effects - Self-efficacy
The Chinese version of General Self-Efficacy Scale (GSES) 10-item will be used to measure self-efficacy. Each item is rated on a four-point scale from 1='not at all true' to 4='exactly true'.The total score is summed up to give a range from 10 to 40. A higher score represents greater general self-efficacy.
Measured: From enrollment to the end of treatment at 6 weeks.
Preliminary effects - Mood
The Chinese version of Positive and Negative Affect Scale (PANAS) will be used to evaluate mood. It is a 20-item self-report questionnaire that measures mood by assessing the experience of positive and negative emotions, which are 10 items for positive emotions and other 10 items for negative emotions. Each item is rated on a five-point scale from 1=' very slightly or not at all' to 5='extremely'. The total scores range from 10 to 50 for positive and negative mood, respectively. A higher score of positive domain indicates higher levels of positive affect, while a lower score of negative domain represents lower levels of negative affect.
Measured: From enrollment to the end of treatment at 6 weeks.
Preliminary effects - Social connectedness
The Chinese version of Social Connectedness Scale - Revised - 20-item (SCS-R) to assess social connectedness. Each item is rated on a six-point scale from 1='strongly disagree' to 6='strongly agree'. The total score is summed up to give a range from 20 to 120. A higher score indicates more connectedness to others.
Measured: From enrollment to the end of treatment at 6 weeks.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jan 2026
- Study start1 Jun 2026 (estimated)
- Primary completion1 Jul 2027 (estimated)
- Study completion1 Oct 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Physical DisabilityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The Nethersole School of Nursing
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mimi Wai Man Chan, The Nethersole School of Nursing
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07350603
- Sponsor's protocol ID
- 22385
- Status last verified
- Dec 2025
- First submitted
- 31 Dec 2025
- Last updated
- 20 Jan 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 20 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Using Inclusive Art Participation as a Means to Promote Psychosocial Health Among People With Physical Disabilities in Residential Care Homes: A Mixed-Methods Feasibility Study
- ClinicalTrials.gov ID
- NCT07350603
- Acronym / sponsor ID
- 22385
- Conditions
- Physical Disability
- Keywords
- Art, Residential care home, Feasibility, Mixed-methods
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- The Nethersole School of NursingUniversity, hospital or other
- Study start
- 1 Jun 2026 (estimated)
- Primary completion
- 1 Jul 2027 (estimated)
- Study completion
- 1 Oct 2027 (estimated)
- First posted
- 20 Jan 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to explore the feasibility of a newly developed theory-based inclusive art participation program for promoting psychosocial health of people with physical disabilities living in residential care homes.
Specifically, the feasibility is assessed following the framework proposed by Bowen et al. (2009), which encompassed five aspects, including demand, implementation, practicality, preliminary effects, and acceptability. As for the preliminary effects, this project will evaluate self-esteem, sense of control, self-efficacy, mood, and social connectedness after the completion of program.
This study will adopt a one group pretest-posttest approach with quasi-experimental design to collect both quantitative and qualitative data, employing a mixed-methods study design.
Detailed description
The World Health Organization (WHO) estimates that approximately 1.3 billion people, around 16% of the global population, are currently living with disabilities, encompassing mental, intellectual, and physical disabilities. Among those, over 30% of them experience physical disabilities. These numbers reflect that a large proportion of people in global experience mobility, dexterity, coordination, or stamina impairments, which may result from traumatic injuries, nervous system disorders, autoimmune diseases, or age related degenerative diseases. As a result, some people with physical disabilities are unable to take care of themselves and thus require assistance from family members or caregivers, while some further consequently reside in residential care homes to receive ongoing support.
Although residential care homes offer essential medical and daily living support to people with physical disabilities who cannot be taken care of at home, these facilities have mainly prioritized physical care. While psychosocial needs are often addressed as a secondary concern or sometimes overlooked. On the other hand, current evidence reports that some residents with physical disabilities spend much of time physically and socially inactive. Due to limitation in mobility, many of them may not independently perform basic activities of daily living or engage in social interactions, which may bring a great loss of autonomy, competence, and relatedness to them, leading to psychosocial health issues.
In recent decades, there has been an increasing interest in the use of art participation in healthcare settings to serve as a multidisciplinary approach to facilitate health of individuals. Growing evidence also supports the positive impact of art participation on psychosocial health of individuals in residential settings. Nevertheless, such evidence focuses on the population of older adults, people with dementia, and children with intellectual disabilities, while the benefits of people with physical disabilities in residential settings remain unclear. Furthermore, the scope of such evidence primarily underscores art participation as a tool for addressing health issues by non-verbal expression and non-judgmental environments. However, it overlooks the potential of art participation as a valued and inclusive social activity that affirms the rights of people with physical disabilities, meanwhile, contributes meaningfully to their psychosocial health. Moreover, there is a lack of understanding of the processes by which art participation supports communication, expression, choice, and autonomy of people with physical disabilities. Clearly, pediatric inclusive art participation program within residential settings requires both evidence and theory to move forward as a recognized program format. Based on such evidence, there is a need to conduct a more specific study that focuses on using inclusive art participation programs for residents with physical disabilities who experience physical and social barriers.
Due to the lack of research on the continued examination of how the process of inclusive art participation benefit people with physical disabilities in residential care homes, developing a new inclusive art participation program for them is warranted to investigate its impacts. More importantly, the Medical Research Council (MRC) framework suggests that the stage of feasibility should be conducted to assess the procedure for developing and evaluating a complex program and to determine whether the definitive study can be undertaken in the future. Therefore, it is worthwhile designing a study to explore the feasibility of this newly developed program prior to conducting a large-scale study to examine its effectiveness.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Art intervention | Experimental | Other: Inclusive art program |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- aged 18 years old or above
- have single or multiple physical disabilities caused by disease, accident, or aging, characterized by long-term impairments in mobility, stamina, or dexterity
- reside in residential care home
- only have a mild cognitive impairment defined as having a Montreal Cognitive Assessment (MoCA) score which fall above the 16th percentile
- have upper limb function with below a score of 50 assessed by Quick Disability of the Arm, Shoulder and Hand (DASH) Questionnaire
Key exclusion criteria (3 listed)
- individuals with severely impaired speaking, hearing, or visual acuity
- individuals have physical unwell for participating in this study
- individuals are currently taking part in other research projects or receiving other programs for promoting psychosocial health
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Inclusive art programThe inclusive art participation program will consist of a six-weekly session syllabus of 90 minutes per session. It will be led by a nurse facilitator who has been trained in using art as a healing tool in the healthcare context. Group format of four to six participants per group will be adopted. It will be conducted in a private and active room at residential care homes, which offers a comfortable space that enables participants to express themselves in a safe and confidential environment. The program will focus not only on promoting psychosocial health but also emphasize the inclusive and supportive environment to contribute to social interaction and engagement in meaningful social activities, that affirm the rights of people with physical disabilities living in residential settings. | Other | Art intervention |
Primary outcome
Preliminary effects - Sense of control
Time frame: From enrollment to the end of treatment at 6 weeks.
The Chinese version of Recovery Locus of Control Scale (RLOCS) 9-item will be adopted to assess sense of control. Each item is rated on a five-point scale from 1='strongly agree' to 5='strongly disagree'. The total score ranged from 9 to 45. A higher total score indicates a better sense of control.
Preliminary effects - Self-esteem
Time frame: From enrollment to the end of treatment at 6 weeks.
The Chinese version of Rosenberg Self-Esteem Scale - 10-item (RSES) will be adopted to measure self-esteem. It consists of five positively worded items and five negatively worded items. Each item is rated on a four-point scale. Specifically, positively worded items are given a score from 1='strongly agree' to 4='strongly disagree', while negatively worded are reverse scored, from 1='strongly disagree' to 4='strongly agree'. The total score is summed up to give a range from 10 to 40. A higher score represents greater self-esteem.
Preliminary effects - Self-efficacy
Time frame: From enrollment to the end of treatment at 6 weeks.
The Chinese version of General Self-Efficacy Scale (GSES) 10-item will be used to measure self-efficacy. Each item is rated on a four-point scale from 1='not at all true' to 4='exactly true'.The total score is summed up to give a range from 10 to 40. A higher score represents greater general self-efficacy.
Preliminary effects - Mood
Time frame: From enrollment to the end of treatment at 6 weeks.
The Chinese version of Positive and Negative Affect Scale (PANAS) will be used to evaluate mood. It is a 20-item self-report questionnaire that measures mood by assessing the experience of positive and negative emotions, which are 10 items for positive emotions and other 10 items for negative emotions. Each item is rated on a five-point scale from 1=' very slightly or not at all' to 5='extremely'. The total scores range from 10 to 50 for positive and negative mood, respectively. A higher score of positive domain indicates higher levels of positive affect, while a lower score of negative domain represents lower levels of negative affect.
Preliminary effects - Social connectedness
Time frame: From enrollment to the end of treatment at 6 weeks.
The Chinese version of Social Connectedness Scale - Revised - 20-item (SCS-R) to assess social connectedness. Each item is rated on a six-point scale from 1='strongly disagree' to 6='strongly agree'. The total score is summed up to give a range from 20 to 120. A higher score indicates more connectedness to others.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jan 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Inclusive art program in people with Physical Disability, run by The Nethersole School of Nursing.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 20 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Mimi Wai Man Chan, Ph.D. ((853)66535382 ext. (852)39433513, mimiwmchan@cuhk.edu.hk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Preliminary effects - Sense of control (time frame: From enrollment to the end of treatment at 6 weeks.). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Jan 2026.