Cybermedlife - Therapeutic Actions Art Therapy

A randomized trial to test the effectiveness of art therapy for children with asthma.

Abstract Title: A randomized trial to test the effectiveness of art therapy for children with asthma. Abstract Source: J Allergy Clin Immunol. 2010 Aug;126(2):263-6, 266.e1. Epub 2010 May 11. PMID: 20462632 Abstract Author(s): Anya Beebe, Erwin W Gelfand, Bruce Bender Article Affiliation: Pediatric Behavioral Health, National Jewish Health, Denver, Colo, USA. Abstract: BACKGROUND: Art therapy has been used to help children cope with chronic illness but has not been specifically tested with children who have asthma. OBJECTIVE: To test an art therapy intervention in a randomized controlled trial in children with asthma. METHODS: Twenty-two children with asthma were randomized to an active art therapy or wait-list control group. Those in the active art therapy group participated in 60-minute art therapy sessions once a week for 7 weeks. Sessions included specific art therapy tasks designed to encourage expression, discussion, and problem-solving in response to the emotional burden of chronic illness. Measures taken at baseline, immediately after, and 6 months after the final art therapy session included the Formal Elements Art Therapy Scale applied to the Person Picking an Apple from a Tree assessment, the parent and child versions of the Pediatric Quality of Life Asthma Module, and the Beck Youth Inventories. Those children assigned to the wait-list control group completed all evaluations at the same intervals as the children receiving art therapy but did not receive the art therapy interventions. RESULTS: Score changes from baseline to completion of art therapy indicated (1) improved problem-solving and affect drawing scores; (2) improved worry, communication, and total quality of life scores; and (3) improved Beck anxiety and self concept scores in the active group relative to the control group. At 6 months, the active group maintained some positive changes relative to the control group including (1) drawing affect scores, (2) the worry and quality of life scores, and (3) the Beck anxiety score. Frequency of asthma exacerbations before and after the 6-month study interval did not differ between the 2 groups. CONCLUSION: This was the first randomized trial demonstrating that children with asthma receive benefit from art therapy that includes decreased anxiety and increased quality of life. Article Published Date : Aug 01, 2010
Therapeutic Actions Art Therapy

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Evaluation of outpatient services in the Brazilian Unified National Health System for persons living with HIV: a comparison of 2007 and 2010.

Related Articles Evaluation of outpatient services in the Brazilian Unified National Health System for persons living with HIV: a comparison of 2007 and 2010. Cad Saude Publica. 2018 02 19;34(2):e00047217 Authors: Loch AP, Nemes MIB, Santos MA, Alves AM, Melchior R, Basso CR, Caraciolo JMM, Alves MTSSBE, Castanheira ERL, Carvalho WMDES, Kehrig RT, Monroe AA Abstract Health services play a crucial role in reaching the 90-90-90 target of controlling the HIV epidemic. This study evaluates the organization of Brazilian health services in improving, monitoring, and retention in HIV care and adherence support. Percentage variation (PV) was used to compare the responses by services to an evaluation questionnaire on organizational quality (Qualiaids) in 2007 and 2010. The study analyzed the 419 services that completed the questionnaire in 2007 (83.1% of respondents) and 2010 (63.6%). Management actions of retention and support although increased in the period, but remained at low rates, for example: systematic meetings for case discussion (32.7% in 2010; PV = 19.8%) and recording of missed medical appointments (35.3%; PV = 36.8%). Patient care actions related to adherence to ART remained largely exclusive to the attending physician. The supply of funds and resources from the Federal Government (medicines and specific HIV tests) remained high for the vast majority of the services (~90%). It will not be possible to achieve a significant decrease in HIV transmission as long as retention in treatment is not a priority in all the health services. PMID: 29489944 [PubMed - indexed for MEDLINE]