Research Article| Volume 29, P71-78, August 2017

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Art in cancer care: Exploring the role of visual art-making programs within an Energy Restoration Framework


      • Little is known about program-based art-making in cancer care.
      • Attributes of energy restoration are: Expansive, Belonging, Nurturing, Purposeful, Stimulating.
      • There is scope for research and promotion of art-making programs as an adjunct to cancer treatment.



      In contrast to art-therapy, little is known about the role of art-making for people who have been diagnosed with cancer, and even less is known about program-based art-making. This study explored the experience of participation in a visual art-making program for people during and after cancer treatment in the Northern Territory of Australia.


      A longitudinal, qualitative, single cohort study was undertaken. Eight women diagnosed with breast and/or ovarian cancer participated in weekly art-making sessions over eight weeks, facilitated by two professional artists. Data were collected before, during and after the sessions by interviews and group discussions. The Energy Restoration Framework was used to document and analyse the benefits of participation in terms of the a priori themes of: Expansive, Belonging, Nurturing and Purposeful.


      The four a priori themes were retained and an additional attribute of an energy restoration activity called Stimulating was added, along with sub-themes, which broadened and deepened understanding of the art-making experience within cancer care.


      Involvement in an activity that was expansive, new, beautiful and fascinating was highly valued in addition to the appreciation for being with and belonging to a supportive and accepting group facilitated by dynamic artists. There is much scope for continued research and promotion of art-making programs as an adjunct to cancer treatment.


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        • Aasgaard T.
        An ecology of love: aspects of music therapy in the pediatric oncology environment.
        J. Palliat. Care. 2001; 17: 177-181
        • Ando M.
        • Imamura Y.
        • Kira H.
        • Nagaska T.
        Feasibility and efficacy of art therapy for Japanese cancer patients: a pilot study.
        Arts Psychotherapy. 2013; 40: 130-133
        • Barsevick A.M.
        The elusive concept of the symptom cluster.
        Oncol. Nurs. Forum. 2007; 34: 971-980
        • Brooks J.
        • McCluskey S.
        • Turley E.
        • King N.
        The utility of template analysis in qualitative psychology research.
        Qual. Res. Psychol. 2015; 12: 202-222
        • Carpenter J.S.
        • Brockopp D.Y.
        • Andrykowski M.A.
        Self-transformation as a factor in the self-esteem and well-being of breast cancer survivors.
        J. Adv. Nurs. 1999; 29: 1402-1411
        • Collie K.
        • Kante A.
        Art groups for marginalized women with breast cancer.
        Qual. Health Res. 2011; 21: 652-661
        • Collie K.
        • Bottorff J.L.
        • Long B.C.
        A narrative view of art therapy and art making by women with breast cancer.
        J. Health Psychol. 2006; 11: 761-775
        • Cowell E.
        • Herron C.
        • Hockenberry M.
        The impact of an arts program in a children's cancer and hematology center.
        Arts Health Int. J. Res. Policy Pract. 2011; 3: 173-181
        • Crabtree B.F.
        • Miller W.L.
        Using codes and code manuals: a template organizing style of interpretation.
        in: Crabtree B.F. Miller W.L. Doing Qualitative Research. second ed. Sage, Newbury Park, California1999
        • Cramp F.J.
        • Byron-Daniel J.
        Exercise for the management of cancer-related fatigue in adults.
        Cochrane Database Syst. Rev. 2012; (Art. No.: CD006145)
        • Derman Y.E.
        • Deatrick J.A.
        Promotion of well-being during treatment for childhood cancer: a literature review of art interventions as a coping strategy.
        Cancer Nurs. 2015; 39: E1-E16
        • Dodd M.
        • Miaskowski C.
        • Paul S.M.
        Symptom clusters and their effect on the functional status of patients with cancer.
        Oncol. Nurs. Forum. 2001; 28: 465-470
        • Dodge R.
        • Daly A.P.
        • Huyton J.
        • Sanders L.D.
        The challenge of defining wellbeing.
        Int. J. Wellbeing. 2012; 2: 222-235
        • Dvorak A.L.
        Music Therapy Support Groups for Cancer Patients and Caregivers.
        (PhD diss.) University of Iowa., 2011
        • Ennis G.
        • Kirshbaum M.
        • Waheed N.
        The beneficial attributes of visual art-making in cancer care : an integrative review.
        Eur. J. Cancer Care. 2017; ([in press])
        • Forzoni S.
        • Perez M.
        • Martignetti A.
        Art therapy with cancer patients during chemotherapy sessions: an analysis of the patients' perception of helpfulness.
        Palliat. Support. Care. 2010; 8 (2010): 41-48
        • Garland S.
        • Carlson L.
        • Cook S.
        • Lansdell L.
        • Speca M.
        A non-randomized comparison of mindfulness-based stress reduction and healing arts programs for facilitating post-traumatic growth and spirituality in cancer outpatients.
        Support. Care Cancer. 2007; 15: 949-961
        • Geue K.
        • Goetze H.
        • Buttstaedt M.
        • Kleinert E.
        • Richter D.
        • Singer S.
        An overview of arts therapy interventions for cancer patients and the results of the research.
        Complementary Ther. Med. 2010; 18 (May): 160-170
        • Heiney S.P.
        • Darr-Hope H.
        Healing icons: art support program for patients with cancer.
        Cancer Pract. 1999; 7: 183-189
        • Heiney S.P.
        • Darr-Hope H.
        • Meriweather M.
        • Swan Arp A.
        Healing by Creating: patient evaluation of art-making program.
        J. Creative Behav. 2017; 51: 35-44
        • Hilliard R.E.
        Music therapy in paediatric oncology: a review of the literature.
        J. Socially Integr. Oncol. 2006; 4: 75-78
        • Kaplan S.
        The restorative benefits of nature: toward an integrative framework.
        J. Environ. Psychol. 1995; 15: 169-182
        • Kaplan S.
        Meditation, restoration and the management of mental fatigue.
        Environ. Behav. 2001; 33: 480-506
        • King N.
        Template analysis.
        in: Symon G. Cassell C. Qualitative Methods and Analysis in Organizational Research. Sage, London1998
        • Kirshbaum M.
        Cancer related fatigue: a review of nursing interventions.
        Br. J. Community Nurs. 2010; 15: 214-218
        • Kirshbaum M.
        • Donbavand J.
        Making the most out of life: exploring the contribution of Attention Restorative Theory in developing a non-pharmacological intervention for fatigue.
        Palliat. Support. Care. 2014; 12: 473-480
        • Mische Lawson L.
        • Glennon C.
        • Amos M.
        • Newberry T.
        • Pearce J.
        • Salzman S.
        • Young J.
        Patient perceptions of an art-making experience in an outpatient blood and marrow transplant clinic.
        Eur. J. Cancer Care. 2012; 21: 403-411
        • Mische Lawson L.
        • Williams P.
        • Glennon C.
        • Carithers K.
        • Schnabel E.
        • Andrejack A.
        • Wright N.
        Effect of art making on cancer-related symptoms of blood and marrow transplantation recipients.
        Oncol. Nurs. Forum. 2012; 39: E353-E360
        • Murray S.
        • Kendall M.
        • Boyd K.
        • Grant L.
        • Highet G.
        • Sheikh A.
        Archetypal trajectories of social, psychological, and spiritual wellbeing and distress in family care givers of patients with lung cancer: secondary analysis of serial qualitative interviews.
        Br. Med. J. 2010; 340: 1401
        • O'Callaghan C.
        • McDermott F.
        Discourse analysis reframes oncologic music therapy research findings.
        Arts Psychotherapy. 2007; 34: 398-408
        • O'Callaghan C.
        • Barry P.
        • Thompson K.
        Music's relevance for adolescents and young adults with cancer: a constructive research approach.
        Support. Care Cancer. 2012; 20: 687-697
        • Peuckmann-Post V.
        • Elsner F.
        • Krumm N.
        • Trottenberg P.
        • Radbruch L.
        Pharmacological treatments for fatigue associated with palliative care.
        Cochrane Database Syst. Rev. 2010; (Art. No.: CD006788)
        • Predeger E.
        Womanspirit: a journey into healing through art in breast cancer.
        Adv. Nurs. Sci. 1996; 18: 48-58
        • Reynolds F.
        • Lim K.H.
        Turning to art as a positive way of living with cancer: a qualitative study of personal motives and contextual influences.
        J. Posit. Psychol. 2007; 2: 66-75
        • Rosman S.
        Recovered from cancer but still ill: strategies used to legitimise extreme persistent fatigue in disease-free cancer patients.
        Eur. J. Cancer Care. 2009; 18: 28-36
        • Sabo B.M.
        • Thibeault C.
        “I'm still who I was” creating meaning through engagement in art: the experiences of two breast cancer survivors.
        Eur. J. Oncol. Nurs. 2012; 16: 203-211
        • Singh B.
        The therapeutic effects of art making in patients with cancer.
        Arts Psychotherapy. 2011; 38: 160-163'
        • Wood M.
        • Low J.
        • Molassiotis A.
        • Tookman A.
        Art therapy's contribution to the psychological care of adults with cancer: a survey of therapists and service users in the UK.
        Int. J. Art Ther. 2013; 18: 42-53