• Valerie J Kelley, Haley G Galvis, Miranda D Proctor, and B J Broome.
• Integrative Medicine, Orlando Health Cancer Institute, Orlando, FL, USA.
• J Pain Symptom Manage. 2025 Jan 22.

ContextRates of pain and stress are found in greater numbers in cancer patients than in the general population. Cancer patients often are concerned about unwanted side effects that can arise from taking medications to lower their pain and stress. As doctors are reaching for evidence-based, non-pharmaceutical, adjunct modalities, previous research indicates that visual art-making shows promise to help improve perceptions of pain and stress caused by a cancer diagnosis and treatment.ObjectivesThis mixed-methods pilot study was conducted at the Orlando Health Cancer Institute and included 54 participants to determine whether a 90-minute watercolor visual arts intervention was a viable option to reduce perceptions of pain and stress in adult cancer patients with mild to moderate pain and stress during outpatient chemotherapy sessions.MethodsPaired T-Tests were conducted to determine the effect of the bedside visual arts intervention by comparing differences between pre- and post-ratings of self-reported pain and stress.ResultsThe results indicated a significant decrease from pre- to post- ratings for both perceived pain and stress that corresponded with large effect sizes.ConclusionThis suggests that a watercolor visual arts intervention is a viable and feasible non-pharmaceutical complementary alternative to opioid prescriptions for pain management.Copyright © 2025 Elsevier Ltd. All rights reserved.

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