title: Art-based occupation group reduces parent anxiety in the neonatal intensive care unit: a mixed-methods study.
abstract: OBJECTIVE
  We examined whether an art-based occupation group using scrapbooking in the neonatal intensive care unit (NICU) would reduce parent stress, operationalized as anxiety. We also wanted to understand the parents' lived experience of the group.
  
  
  METHODS
  Forty parents from a Level 3 NICU in a large metropolitan hospital participated. We administered the State-Trait Anxiety Inventory preactivity and postactivity along with a brief interview.
  
  
  RESULTS
  The decline in parents' mean state anxiety (12.7 points, SD = 11.8; p < .0001) was clinically significant. The decline in mean trait anxiety (2.6 points, SD = 5.2; p = .0036) was statistically significant but not clinically meaningful. Parents said that participation offered distraction and engagement, pleasure, relaxation, a sense of hope, and an opportunity to share.
  
  
  CONCLUSIONS
  An art-based occupation group using scrapbooking was an effective brief intervention to reduce parent anxiety in the neonatal intensive care unit; parent interviews suggested that participation has broad clinical implications for parent well-being.
authors.affiliation: Laurie E. Mouradian, ScD, ATR, OTR/L, is Associate Professor and Program Director, School of Occupational Therapy, Husson University, 1 College Circle, Bangor, ME 04401; Mouradianl@Husson.edu. At the time of the study, she was Program Director, Oklahoma Infant Transition Program, and Co-Director, Sooner Newborn Individualized Developmental Care and Assessment Program Training Center, University of Oklahoma Health Sciences Center, Oklahoma City.
authors.forename: Laurie E
authors.initials: LE
authors.lastname: Mouradian
authors.forename: Beth W
authors.initials: BW
authors.lastname: DeGrace
authors.forename: David M
authors.initials: DM
authors.lastname: Thompson
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000517:prevention & control*; D001155:Art Therapy; D005192:Family Health; D005260:Female; D065026:Hope; D006801:Humans; D007363:Intensive Care Units, Neonatal; D008297:Male; D010290:Parents / Q000523:psychology*; D057181:Pleasure; D012063:Relaxation; D012944:Social Support; D013315:Stress, Psychological / Q000517:prevention & control*; D055815:Young Adult