Florence Nightingale Journal of Nursing
Research Article

The Effect of Group Art Therapy on Loneliness and Hopelessness Levels of Older Adults Living Alone: A Randomized Controlled Study


Department of Mental Health and Psychiatric Nursing, Karadeniz Technical University, Faculty of Health Sciences, Trabzon, Turkey


Department of Mental Health and Psychiatric Nursing, İstanbul University-Cerrahpaşa, Florence Nightingale Faculty of Nursing, İstanbul, Turkey

Florence Nightingale J Nurs 2021; 29: 271-284
DOI: 10.5152/FNJN.2021.20224
Read: 948 Downloads: 427 Published: 01 October 2021

AIM: This study was aimed to test group art therapy using clay as a medium as a method to cope with feelings of loneliness and hopelessness in older adults.

METHOD: This study was a randomized controlled study. A total of 60 older adults who lived alone were enrolled in the study. Thirty subjects were randomly assigned to six 1.5-hour weekly sessions of group art therapy using clay, and interviewed face-to-face twice (intervention group (IG)), and 30 subjects were randomly assigned to be interviewed face-to-face twice (control group (CG)). The effects of interventions were measured using the UCLA Loneliness Scale (UCLA-LS) and the Beck Hopelessness Scale (BHS). Loneliness and hopelessness levels in the IG and CG were measured at the beginning (pre-test) and the end (post-test) of the study. This study was conducted using the CONSORT statement. The group art therapy trial is registered at the US National Institutes of Health (ClinicalTrials.gov) #NCT04295083.

RESULTS: A statistically significant difference was found between the pre-test and post-test scores of the IG and CG, with respect to
the loneliness and hopelessness levels among older adults living alone.

CONCLUSION: Clay-based group art therapy can contribute toward decreasing the sense of loneliness and hopelessness in older adults. Nurses using group art therapy for older adults will realize the psychological healing aspects and effectiveness of this intervention and recognize it as an effective method for the psychological growth of older adults and the reduction in their levels of loneliness and hopelessness.

Cite this article as: Aydın, M., & Kutlu, F. Y. (2021). The effect of group art therapy on loneliness and hopelessness levels of older adults living alone: A randomized controlled study. Florence Nightingale Journal of Nursing, 29(3), 271-284.

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