
Methods/designĪ single-blind, two-arm cluster randomised control trial with a waitlist control design will be adopted. This trial plans to investigate the effectiveness of an expressive arts-based intervention on bio-psychosocial-spiritual outcomes in young Chinese stroke survivors. Nevertheless, a systematic study has not been conducted, including in young survivors. Previous studies have shown the effectiveness of the arts-based intervention in managing stroke and its psychosocial-spiritual comorbidities. The creative art-making process helps expand participants’ creativity and imagination as well as promote a sense of aesthetic appreciation. The group environment also promotes mutual support among participants. Expressive arts-based intervention is considered a holistic approach for stroke rehabilitation because it allows participants to express their thoughts and emotions through the arts. Young survivors (< 65 years old) tend to suffer more because of their longer overall survival time.

Stroke causes lasting brain damage that has numerous impacts on the survivor’s physical, psychosocial, and spiritual well-being.
