The Art of Analgesia: A Pilot Study of Art Museum Tours to Decrease Pain and Social Disconnection Among Individuals with Chronic Pain

被引:25
作者
Koebner, Ian J. [1 ]
Fishman, Scott M. [1 ]
Paterniti, Debora [2 ]
Sommer, Doris [3 ]
Witt, Claudia M. [4 ,5 ,6 ,7 ]
Ward, Deborah [8 ]
Joseph, Jill G. [8 ]
机构
[1] Univ Calif Davis, Sch Med, Dept Anesthesiol & Pain Med, Sacramento, CA 95817 USA
[2] Sonoma State Univ, Dept Sociol, Sonoma, CA USA
[3] Harvard Univ, Dept Romance Languages & Literatures, Cambridge, MA 02138 USA
[4] Univ Hosp Zurich, Inst Complementary & Integrat Med, Zurich, Switzerland
[5] Univ Zurich, Zurich, Switzerland
[6] Charite Univ Med Ctr, Inst Social Med Epidemiol & Hlth Econ, Berlin, Germany
[7] Univ Maryland, Sch Med, Ctr Integrat Med, Baltimore, MD 21201 USA
[8] Univ Calif Davis, Betty Irene Moore Sch Nursing, Sacramento, CA 95817 USA
关键词
Pain; Analgesia; Social Context; Art; Museum; Public Health; BRAIN MECHANISMS; HEALTH; DETERMINANTS; PEOPLE;
D O I
10.1093/pm/pny148
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective This mixed-methods study examines the feasibility of art museum tours (Art Rx) as an intervention for individuals with chronic pain. Methods Art Rx provided 1-hour docent-led tours in an art museum to individuals with chronic pain. Survey data were collected pre-tour, immediately post-tour, and at three weeks post-tour. Pain intensity and unpleasantness were measured with a 0-10 numerical rating scale. Social disconnection was measured with a 12-item social disconnection scale. Participants also reported percent pain relief during the tour and program satisfaction in the post-tour survey. Change in pain and social disconnection was analyzed with paired t tests, bias-corrected and accelerated bootstrap confidence intervals (BCa CIs), and Cohen's d. Thematic analysis of semistructured interviews with participants explored the feasibility and perceived impact of the program. Results Fifty-four individuals participated in this study (mean age [SD] = 59 [14.5] years, 64.8% female), and 14 were interviewed. Fifty-seven percent of participants reported pain relief during the tour, with an average pain relief (SD) of 47% (34.61%). Participants reported decreased social disconnection and pain unpleasantness pre- to post-tour (3.65, BCa 95% CI = 1.70-5.73, P<0.001, d=0.37; and 0.49, BCa 95% CI = 0.06-0.90, P=0.016, d=0.20, respectively). Participants indicated high satisfaction with the program. Interviewees remarked on the isolating impact of chronic pain and how negative experiences with the health care system often compounded this sense of isolation. Participants experienced Art Rx as a positive and inclusive experience, with potential lasting benefit. Conclusions Art museum tours for individuals with chronic pain are feasible, and participants reported positive effects on perceived social disconnection and pain.
引用
收藏
页码:681 / 691
页数:11
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