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Creative and Expressive Therapies in Head and Neck Cancer Nursing: A Scoping Review and Evidence Map
Tingting Chen1, ShiYu Zhou2, Zhenyu Liao3
1School of Nursing, Shanghai Jiao Tong University, Shanghai, China.
Objectives:
To map creative and expressive therapies used with people with head and neck cancer, describing modalities, delivery characteristics, outcomes, and implementation features relevant to oncology nursing.
Methods:
Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews-guided scoping review. MEDLINE (PubMed), CINAHL, Web of Science Core Collection, the Cochrane Library, and APA PsycINFO were searched from inception to the present (English only). Two reviewers independently screened records and charted study characteristics, intervention delivery (dose/setting/deliverer), outcomes, and implementation features.
Results:
Among 382 records, 284 unique records were screened after de-duplication (n = 98), yielding 11 included studies from six countries/regions. Seven were randomized trials. Modalities comprised narrative/expressive writing, music-based interventions, guided imagery/relaxation, movement/mental imagery with breathing, and calligraphy/art-based practices. Outcomes commonly targeted anxiety/distress, sleep and mood symptoms, stigma/self-esteem, and social functioning, fatigue, pain, and selected physiological indices.
Conclusions:
Evidence is emerging but heterogeneous. Music- and brief writing-based approaches appear feasible for clinic-embedded supportive care, yet stronger implementation reporting and more pragmatic trials are needed to support nursing-integrated delivery.
Implications For Nursing Practice:
Nursing teams may consider piloting workflow-anchored music or relaxation protocols during radiotherapy procedures and structured narrative/writing supports in postoperative and survivorship pathways, with clear training, screening, and referral processes.
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