1
|
Zhao Y, Yin M, Yao X, Li Z. Effects of nurse-led square dancing on older patients with mild cognitive impairment combined with depressive symptoms: A pilot study. Geriatr Nurs 2021; 42:1164-1171. [PMID: 34425421 DOI: 10.1016/j.gerinurse.2021.06.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Revised: 06/29/2021] [Accepted: 06/30/2021] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The present study aimed to verify the feasibility and preliminary effects of nurse-led square dancing designed to improve older adults' cognitive function and depressive symptoms who with MCI. METHODS A quasi-experimental pilot study design was adopted for the present study. Screening for cognitive function was conducted among older adults (≥ 60 years old) living in two communities in Beijing who complained of memory loss. A total of 107 older patients with MCI and depressive symptoms were diagnosed after obtaining informed consent. Thirty-five patients selected from each community were included in the study as control and intervention groups, respectively. The two groups of patients received health education while the intervention group participated in a square dance intervention program led by nurses three times per week for 60 min per session over a period of three months. The Montreal Cognitive Assessment-Peking version (MoCA-P) and Geriatric Depression Scale (GDS-30) were used to assess the cognitive function and depressive symptoms of patients in the two groups at three time intervals; before intervention, at the end of the three-month intervention period, and over a three-month follow-up period after the end of intervention. RESULTS Feasibility of the intervention was established with a high completion rate of 90%. Data collection for 63 out of 70 patients enrolled for the study was completed after six months. MoCA-P and GDS-30 scores of the intervention group were significantly different after the intervention when compared with the control group. A significant improvement in cognition was observed in the intervention group, and depressive symptoms decreased after intervention and follow-up when compared with the control group. During the intervention and follow-up phases, the MoCA-P score of the intervention group increased gradually with time. Furthermore, the MoCA-P and GDS-30 scores of the control group remained unchanged. CONCLUSION This study has revealed that square dance intervention exerts a positive impact on cognitive function and depressive symptoms among older patients suffering from MCI and depressive symptoms. The results of this study support the feasibility and preliminary effects of square dancing on relieving cognitive decline and depressive symptoms. Square dancing is a recommended type of intervention that can be applied to the local Chinese population because of its simplicity, convenience, and suitability for the older adults.
Collapse
Affiliation(s)
- Yu Zhao
- Nursing Department, Peking University First Hospital, Beijing, 100034, PR China.
| | - Min Yin
- School of Nursing, Lanzhou University, 28 Yan Xi Rd, Chengguan District. Lanzhou, Gansu province, 730030, PR China.
| | - Xiuyu Yao
- School of Nursing, Peking Union Medical College, No 0.33, Badachu Road, Shijingshan District, Beijing, 100144, PR China.
| | - Zheng Li
- School of Nursing, Peking Union Medical College, No 0.33, Badachu Road, Shijingshan District, Beijing, 100144, PR China.
| |
Collapse
|
2
|
Feng Z, Cramm JM, Nieboer AP. Social participation is an important health behaviour for health and quality of life among chronically ill older Chinese people. BMC Geriatr 2020; 20:299. [PMID: 32831028 PMCID: PMC7444063 DOI: 10.1186/s12877-020-01713-6] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Accepted: 08/16/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Health behaviours (physical activity, maintenance of a healthy diet and not smoking) are known to be beneficial to the health and well-being of chronically ill people. With China's ageing population and increased prevalence of people with chronic diseases, the improvement of unhealthy behaviours in this population has become crucial. Although recent studies have highlighted the importance of social participation for health and quality of life (QoL) among older people, no study to date has included social participation along with more traditional health behaviours. Therefore, this study aimed to identify associations of multiple health behaviours (social participation, physical activity, maintenance of a healthy diet and not smoking) with health and QoL outcomes (including cognitive and physical function) among chronically ill older adults in China. METHODS For this nationally representative cross-sectional study, wave 1 data from the World Health Organization's Study on global AGEing and adult health (China) were examined. In total, 6629 community-dwelling older adults (mean age, 64.9 years) with at least one chronic disease were included. Multivariate linear regression analyses were used to evaluate associations of health behaviours with health and QoL outcomes while controlling for background characteristics. RESULTS Greater social participation was associated with better QoL [β = 0.127, standard error (SE) = 0.002, p < 0.001], cognitive function (β = 0.154, SE = 0.033, p < 0.001) and physical function (β = - 0.102, SE = 0.008, p < 0.001). Physical activity was associated with better QoL (β = 0.091, SE = 0.015, p < 0.001) and physical function (β = - 0.155, SE = 0.062, p < 0.001). Sufficient fruit and vegetable consumption was associated with better QoL (β = 0.087, SE = 0.015, p < 0.001). CONCLUSIONS Our findings suggest that social participation is an important health behaviour for quality of life and cognitive function among chronically ill older people in China. Health promotion programmes should expand their focus to include social participation as a health behaviour, in addition to physical activity, maintenance of a healthy diet and not smoking.
Collapse
Affiliation(s)
- Zeyun Feng
- Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, DR. Rotterdam, Rotterdam, 3000 the Netherlands
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Jianguo Road 602, Shanghai, 200031 China
| | - Jane Murray Cramm
- Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, DR. Rotterdam, Rotterdam, 3000 the Netherlands
| | - Anna Petra Nieboer
- Department of Socio-Medical Sciences, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, P.O. Box 1738, DR. Rotterdam, Rotterdam, 3000 the Netherlands
| |
Collapse
|
3
|
Dunphy K, Baker FA, Dumaresq E, Carroll-Haskins K, Eickholt J, Ercole M, Kaimal G, Meyer K, Sajnani N, Shamir OY, Wosch T. Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms. Front Psychol 2019; 9:2655. [PMID: 30671000 PMCID: PMC6331422 DOI: 10.3389/fpsyg.2018.02655] [Citation(s) in RCA: 46] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 12/10/2018] [Indexed: 01/26/2023] Open
Abstract
Depression experienced by older adults is proving an increasing global health burden, with rates generally 7% and as high as 27% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama, and music modalities, are utilized internationally to target depression and depressive symptoms in older adults. This includes interventions led by trained arts therapists as well as other health and arts professionals. However, to date there has not been a systematic review that reports effects and examines the processes (why) and mechanisms (how) of creative arts interventions are used to address depression in this older age group. This systematic review of studies on creative arts interventions for older adults experiencing depression examined: outcomes of four creative arts modalities (art, dance movement, drama, and music); with particular attention paid to processes documented as contributing to change in each modality; and mechanisms considered to result from these processes. Our analysis of 75 articles (17 art, 13 dance, 4 drama, and 41 music) indicates mostly significant quantitative or positive qualitative findings, particularly for interventions led by creative arts therapists. Mechanisms of change gleaned from the studies that were common across modalities include physical (e.g., increased muscle strength; neurochemical effects, such as endorphin release), intra-personal (e.g., enhanced self-concept, strengthened agency and mastery; processing and communication of emotions), cultural (e.g., creative expression, aesthetic pleasure), cognitive (e.g., stimulation of memory), and social (e.g., increased social skills and connection), that were all considered to contribute to reduced depression and symptoms. Recommendations for future research includes stronger focus on testing of processes and mechanisms.
Collapse
Affiliation(s)
- Kim Dunphy
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
| | - Felicity A. Baker
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
| | - Ella Dumaresq
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
| | - Katrina Carroll-Haskins
- Health, Arts, Learning & Evaluation Lab, Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, United States
| | - Jasmin Eickholt
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
- Music Therapy Lab, Faculty of Applied Social Sciences, University of Applied Sciences Würzburg-Schweinfurt, Würzburg, Germany
| | - Maya Ercole
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
| | - Girija Kaimal
- Health, Arts, Learning & Evaluation Lab, Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, PA, United States
| | - Kirsten Meyer
- Creative Arts and Music Therapy Research Unit, University of Melbourne, Melbourne, VIC, Australia
| | - Nisha Sajnani
- Theatre and Health Lab, Department of Music and Performing Arts Professions, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, United States
| | - Opher Y. Shamir
- Theatre and Health Lab, Department of Music and Performing Arts Professions, Steinhardt School of Culture, Education, and Human Development, New York University, New York, NY, United States
| | - Thomas Wosch
- Music Therapy Lab, Faculty of Applied Social Sciences, University of Applied Sciences Würzburg-Schweinfurt, Würzburg, Germany
| |
Collapse
|
4
|
Daykin N, Mansfield L, Meads C, Julier G, Tomlinson A, Payne A, Grigsby Duffy L, Lane J, D'Innocenzo G, Burnett A, Kay T, Dolan P, Testoni S, Victor C. What works for wellbeing? A systematic review of wellbeing outcomes for music and singing in adults. Perspect Public Health 2017; 138:39-46. [PMID: 29130840 PMCID: PMC5753835 DOI: 10.1177/1757913917740391] [Citation(s) in RCA: 87] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Aims: The role of arts and music in supporting subjective wellbeing (SWB) is increasingly recognised. Robust evidence is needed to support policy and practice. This article reports on the first of four reviews of Culture, Sport and Wellbeing (CSW) commissioned by the Economic and Social Research Council (ESRC)-funded What Works Centre for Wellbeing (https://whatworkswellbeing.org/). Objective: To identify SWB outcomes for music and singing in adults. Methods: Comprehensive literature searches were conducted in PsychInfo, Medline, ERIC, Arts and Humanities, Social Science and Science Citation Indexes, Scopus, PILOTS and CINAHL databases. From 5,397 records identified, 61 relevant records were assessed using GRADE and CERQual schema. Results: A wide range of wellbeing measures was used, with no consistency in how SWB was measured across the studies. A wide range of activities was reported, most commonly music listening and regular group singing. Music has been associated with reduced anxiety in young adults, enhanced mood and purpose in adults and mental wellbeing, quality of life, self-awareness and coping in people with diagnosed health conditions. Music and singing have been shown to be effective in enhancing morale and reducing risk of depression in older people. Few studies address SWB in people with dementia. While there are a few studies of music with marginalised communities, participants in community choirs tend to be female, white and relatively well educated. Research challenges include recruiting participants with baseline wellbeing scores that are low enough to record any significant or noteworthy change following a music or singing intervention. Conclusions: There is reliable evidence for positive effects of music and singing on wellbeing in adults. There remains a need for research with sub-groups who are at greater risk of lower levels of wellbeing, and on the processes by which wellbeing outcomes are, or are not, achieved.
Collapse
Affiliation(s)
- Norma Daykin
- Centre for the Arts as Wellbeing, University of Winchester, Winchester SO22 4NR, UK
| | - Louise Mansfield
- Doctor, Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University, London, Uxbridge, UK
| | | | - Guy Julier
- Professor, College of Arts and Humanities, University of Brighton, Brighton, UK
| | - Alan Tomlinson
- Professor, College of Arts and Humanities, University of Brighton, Brighton, UK
| | | | - Lily Grigsby Duffy
- Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | - Jack Lane
- College of Arts and Humanities, University of Brighton, Brighton, UK
| | - Giorgia D'Innocenzo
- Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | | | - Tess Kay
- Professor, Welfare, Health and Wellbeing, Institute for Environment, Health and Societies, Brunel University London, Uxbridge, UK
| | - Paul Dolan
- London School of Economics and Political Science, London, UK
| | - Stefano Testoni
- London School of Economics and Political Science, London, UK
| | - Christina Victor
- Professor, Ageing Studies, Institute for Environment Health and Societies, Brunel University London, Uxbridge, UK
| |
Collapse
|
5
|
Marks R. Narrative Review of Dance-based Exercise and Its Specific Impact on Depressive Symptoms in Older Adults. AIMS MEDICAL SCIENCE 2016. [DOI: 10.3934/medsci.2016.1.61] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
|