Background/Aims Children and young people with long-term physical conditions may develop mental health problems that have an impact upon their daily lives and families. Rates of anxiety and depression in children with juvenile idiopathic arthritis are higher than in peers without this diagnosis. The impact of long-term conditions on children and young people’s mental health and the pressure it puts on family life has been observed and reported in paediatric rheumatology clinics in the UK. Art therapy has long been considered to be a developmentally appropriate way to support children and young people with long-term conditions and it is routinely provided in some NHS services. A service evaluation of manualised online art therapy groups was carried out at the Great North Children’s Hospital to seek further understanding about the accessibility, acceptability, and uptake of this service. Methods A service evaluation was registered and undertaken at the Great North Children’s Hospital, Newcastle Upon Tyne. Art therapy groups consisted of six online 90min sessions with additional resources provided to parents to encourage conversations at home prior to the young people attending the group. Groups were facilitated by a HCPC registered art psychotherapist and included completion of structured activities/worksheets and art making time. Young people who attended the rheumatology service art therapy groups were asked for feedback about their experiences and a audio-recorded focus group style discussion with the art therapy delivery team was conducted. In addition, children and parents were asked to comment on the acceptability of standardised assessment measures that could be utilised in future outcome studies of psychosocial interventions of this kind. Results Thirteen young people who had accessed the art therapy group were included in the service evaluation which was carried out by members of the therapy team and nursing staff. Young people attending the group reported experiencing personal benefits, including valuing opportunities to speak with other young people who had a long-term condition and engagement and sharing a group experience through art activities. Parents responded positively to having time to reflect using the home-based resources and some observed their children appearing calmer and more able to express themselves. Online and digital access difficulties did create barriers to consistent attendance for some group members. Measures of outcome that were considered acceptable for completion by young people and family members included a validated quality of life assessment. Parents and staff reported underestimating the severity of mental health symptoms (anxiety and depression) indicated in young people’s response to completion of a validated measure. Conclusion Online group art therapy was considered to be accessible and acceptable as routinely provided in a paediatric and adolescent rheumatology service. Future research could be undertaken to formally assess the effectiveness of these types of psychosocial interventions. Disclosure S.S. Hackett: None. S. Jandial: None. L. Craig: None. P. Watts: None.

中文翻译：

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E049 将心理社会方法纳入儿科和青少年风湿病学：针对儿童、青少年和家庭的在线艺术治疗团体干预的服务评估

背景/目标 长期身体状况不佳的儿童和青少年可能会出现心理健康问题，影响他们的日常生活和家庭。患有幼年特发性关节炎的儿童的焦虑和抑郁发生率高于没有这种诊断的同龄人。英国的儿科风湿病诊所已经观察到并报告了长期疾病对儿童和青少年心理健康的影响及其给家庭生活带来的压力。长期以来，艺术疗法一直被认为是支持患有长期疾病的儿童和青少年的一种适合发展的方式，并且在一些 NHS 服务中常规提供。大北方儿童医院对手动在线艺术治疗小组进行了服务评估，以进一步了解这项服务的可及性、可接受性和接受度。方法 在泰恩河畔纽卡斯尔大北儿童医院登记并进行服务评估。艺术治疗小组由六次 90 分钟的在线课程组成，并向家长提供额外资源，鼓励年轻人在参加小组之前在家中进行对话。各小组由 HCPC 注册艺术心理治疗师协助，包括完成结构化活动/工作表和艺术创作时间。参加风湿病服务艺术治疗小组的年轻人被要求提供有关他们的经历的反馈，并与艺术治疗提供团队进行了录音焦点小组风格的讨论。此外，儿童和家长还被要求对标准化评估措施的可接受性发表评论，这些措施可用于未来此类心理社会干预措施的结果研究。结果 13名进入艺术治疗组的青少年被纳入由治疗组成员和护理人员进行的服务评估。参加该小组的年轻人表示，他们获得了个人好处，包括重视与其他患有长期病症和参与的年轻人交谈的机会，以及通过艺术活动分享小组经验。家长们对有时间反思如何使用家庭资源做出了积极回应，一些家长观察到他们的孩子显得更平静，更能够表达自己。在线和数字访问困难确实为一些小组成员的持续出席造成了障碍。年轻人和家庭成员认为可以接受的结果衡量标准包括经过验证的生活质量评估。家长和工作人员报告称，他们低估了年轻人在完成一项经过验证的措施后的反应中所表现出的心理健康症状（焦虑和抑郁）的严重程度。结论 在线团体艺术治疗被认为是可及且可接受的，作为儿科和青少年风湿病服务中常规提供的治疗。未来可以进行研究来正式评估这些类型的心理社会干预措施的有效性。披露 SS Hackett：无。 S. Jandial：没有。 L·克雷格：没有。 P.瓦茨：没有。