1
|
Clifford AM, Cheung PS, Malley NO, Byrne S, Whiston A, Kennelly B, Mphepo T, Eshghimanesh Z, Thabane L, Louw Q, Moss H, Gowran RJ, Neill DO, Glynn L, Woods CB, Maher C, Sheikhi A, Salsberg J, Bhriain ON. Findings from a pragmatic cluster randomised controlled feasibility trial of a music and dance programme for community dwelling older adults. Arch Gerontol Geriatr 2024; 122:105371. [PMID: 38471410 DOI: 10.1016/j.archger.2024.105371] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Revised: 02/09/2024] [Accepted: 02/15/2024] [Indexed: 03/14/2024]
Abstract
INTRODUCTION Functional decline, chronic illness, reduced quality of life and increased healthcare utilisation are common in older adults. Evidence suggests music and dance can support healthy ageing in older adults. This study explored the feasibility, potential for effect and cost effectiveness of the Music and Movement for Health (MMH) programme among community-dwelling older adults using a pragmatic cluster-randomised, controlled feasibility trial design. METHODS Community-dwelling adults aged 65 years or older were recruited to seven clusters in the Mid-West region of Ireland. Clusters were block randomised to either the MMH intervention or control. Primary feasibility outcomes included recruitment, retention, adherence, fidelity, and safety. Secondary outcomes measured physical activity, physical and cognitive performance, and psychosocial well-being, along with healthcare utilisation were assessed at baseline and after 12 weeks. RESULTS The study successfully met feasibility targets, with recruitment (n = 100), retention (91 %), adherence (71 %), data completeness (92 %) and intervention fidelity (21 out of 24) all meeting predetermined criteria. Both groups exhibited an increase in self-reported physical activity and improved physical function. Participants in the intervention group scored consistently better in psychosocial measures compared to the control group at follow-up. The health economic analysis confirmed the feasibility of the methodology employed and points to the potential cost-effectiveness of the MMH relative to the control or no organised programme. DISCUSSION AND IMPLICATIONS The MMH intervention and study design were found to be feasible and acceptable with important findings to inform future evaluation of the clinical and cost-effectiveness of a definitive randomised controlled trial.
Collapse
Affiliation(s)
- Amanda M Clifford
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa.
| | - Pui-Sze Cheung
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
| | - Nicola O' Malley
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland
| | - Steven Byrne
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Department of Nursing & Midwifery, University of Limerick, Ireland
| | - Aoife Whiston
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland
| | - Brendan Kennelly
- Cairnes School of Business and Economics, University of Ireland Galway, Galway, Ireland
| | - Tumeliwa Mphepo
- Cairnes School of Business and Economics, University of Ireland Galway, Galway, Ireland
| | | | - Lehana Thabane
- Department of Health Research Methods, McMaster University, Hamilton ON, Canada; Research Institute of St Joe's Hamilton, St Joseph's Healthcare Hamilton, Hamilton ON, Canada; Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
| | - Quinette Louw
- Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa
| | - Hilary Moss
- Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
| | - Rosemary Joan Gowran
- School of Allied Health, Ageing Research Centre, University of Limerick, Limerick, V94T9PX, Ireland; Health Research Institute, University of Limerick, Limerick, Ireland; Assisting Living and Learning (ALL) Institute, Maynooth University, Maynooth, Ireland
| | - Desmond O' Neill
- Centre for Ageing, Neuroscience and the Humanities, Trinity College Dublin, Dublin, Ireland
| | - Liam Glynn
- Health Research Institute, University of Limerick, Limerick, Ireland; School of Medicine, University of Limerick, Limerick, Ireland
| | - Catherine B Woods
- Health Research Institute, University of Limerick, Limerick, Ireland; Physical Activity for Health Research Cluster, Department of Physical Education and Sport Sciences, University of Limerick, Limerick, Ireland
| | - Catherine Maher
- Rehabilitation Unit, Community Hospital of the Assumption, HSE, Thurles, Tipperary, Ireland
| | - Ali Sheikhi
- Health Research Institute, University of Limerick, Limerick, Ireland
| | - Jon Salsberg
- Health Research Institute, University of Limerick, Limerick, Ireland; School of Medicine, University of Limerick, Limerick, Ireland
| | - Orfhlaith Ni Bhriain
- Health Research Institute, University of Limerick, Limerick, Ireland; Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland
| |
Collapse
|
2
|
Toohey B, Hutchinson M, Moloney G. More Than Just Movement: Exploring Embodied Group Synchrony During Seated Dance for Older Adults Living in Residential Aged Care Communities. J Appl Gerontol 2024; 43:657-669. [PMID: 37991872 PMCID: PMC11055412 DOI: 10.1177/07334648231214946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Revised: 10/19/2023] [Accepted: 10/30/2023] [Indexed: 11/24/2023] Open
Abstract
One in six people in Australia are aged over 65, with many older adults currently living in residential aged care communities (RACC). Fostering meaningful human connection through social activities, such as dance, is imperative to maintain or improve the quality of life in these settings. Drawing from an embodied cognition framework, this mixed-methods study explored synchrony during a seated dance program with 15 older adults living in a RACC. Qualitative video content analysis was used to code movement, language and music cooccurrences, resulting in five group synchrony labels. Hierarchical Cluster Analysis (HCA) was then employed to distil ten higher-order forms of embodied group synchrony. Using existing neurocognitive evidence, we detail the therapeutic and interpersonal implications of the most prominent forms of embodied group synchrony. These findings can be used to choreograph therapeutic forms of embodied group synchrony in dance programs with older adults.
Collapse
Affiliation(s)
- Blake Toohey
- Southern Cross University, Coffs Harbour, NSW, Australia
| | | | - Gail Moloney
- Southern Cross University, Coffs Harbour, NSW, Australia
| |
Collapse
|
3
|
Dowlen R, Pina I, Liddon L, Robertshaw H, Robertshaw L, Armitage C, Astill S. Using Ripple Effects Mapping to understand the longer-term impacts of delivering a dance programme for older adults on dance artists. Arts Health 2024:1-17. [PMID: 38700328 DOI: 10.1080/17533015.2024.2347984] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Accepted: 04/22/2024] [Indexed: 05/05/2024]
Abstract
BACKGROUND The dance workforce plays a central role in delivering arts and health programmes yet there is little exploration of how programme delivery impacts dance artists in a professional or personal capacity. This study explored the experiences of dance artists delivering Dance On, which engages inactive older people 55yrs+. METHODS Ripple Effects Mapping was used to explore the short- and long term experiences and practices of dance artists delivering a dance programme. FINDINGS Two ripples were developed 1) Becoming a specialist 2) Connecting with communities. These ripples highlighted the strengths of the sustained nature of the programme and emphasised the need for ongoing support from employing organisations, communities, and dance artist peers. CONCLUSION This study showcases the central role dance artists play in upholding the outcomes we observe in arts and health work - their role, expertise, and commitment to programmes should be further illuminated and supported through ongoing discourse about their practice.
Collapse
Affiliation(s)
- Robyn Dowlen
- School of Biomedical Sciences, University of Leeds, Leeds, UK
| | - Ilaria Pina
- School of Biomedical Sciences, University of Leeds, Leeds, UK
| | | | | | | | | | - Sarah Astill
- School of Biomedical Sciences, University of Leeds, Leeds, UK
| |
Collapse
|
4
|
Yoong SQ, Wu VX, Jiang Y. Experiences of older adults participating in dance exergames: A systematic review and meta-synthesis. Int J Nurs Stud 2024; 152:104696. [PMID: 38301305 DOI: 10.1016/j.ijnurstu.2024.104696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 12/27/2023] [Accepted: 01/10/2024] [Indexed: 02/03/2024]
Abstract
BACKGROUND Interventions to encourage adequate physical activity amongst older adults have had limited long-term success. Dancing and exergames, two beneficial and enjoyable physical activities for older adults, may make regular exercise more interesting and effective. Dance exergames are physical exercises that integrate sensory, cognitive, psychological, and physical functions by requiring users to interact with game scenarios through deliberate body motions and receive real-time feedback. They provide an inherently enjoyable gaming and workout experience, which may boost exercise adherence. However, little is known about older adults' experiences with dance exergames. OBJECTIVE To synthesise the qualitative experiences of older adults participating in dance exergames. DESIGN Systematic review and meta-synthesis. METHODS Dance exergame studies (peer-reviewed and grey literature) involving older adults in any setting published in English from inception to 17 August 2023 were included. Qualitative or mixed-method studies must use immersive or non-immersive virtual-reality platforms. PubMed, Scopus, CINAHL, The Cochrane Library, ProQuest Dissertations & Theses Global, Google Scholar, and reference lists of relevant studies and reviews were searched for eligible studies. The search strategy for Scopus was: (TITLE-ABS-KEY (danc*) AND TITLE-ABS-KEY (exergames OR exergame OR video AND games OR virtual AND reality) AND TITLE-ABS-KEY (older AND adults OR elderly OR seniors OR geriatrics)). Thematic synthesis by Thomas and Harden was used for meta-synthesis. RESULTS Eleven studies (n = 200 older adults) were included. Three themes and 14 subthemes were synthesised: 1) Dance exergames as dual-task training for physical, cognitive, and psychological well-being, 2) Concerns on usability issues, and 3) Possible enhancements of dance exergames. Older adults recognised that dance exergames could improve their physical, cognitive, and psychological well-being. Existing dance exergame systems had several usability issues. For example, some older adults were unfamiliar with using new technology and had trouble in navigating the game systems. The older adults also provided various suggestions for adaptation to their age group, such as ensuring a variety of dances, difficulty levels suited for older adults' cultural backgrounds, and physical and cognitive capabilities. CONCLUSIONS Dance exergames may be an attractive way to encourage older adults to exercise, but appropriate modifications are needed. When designing/selecting dance exergames for older persons, researchers, healthcare professionals, and senior care centres should consider using exergames that have simple designs, varied dances that are locally adapted, and appeal to a large proportion of older adults. REGISTRATION PROSPERO CRD42023395709.
Collapse
Affiliation(s)
- Si Qi Yoong
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Vivien Xi Wu
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| | - Ying Jiang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
| |
Collapse
|
5
|
Dumitru C. Exploring the transformative power of dance: A scoping review of dance interventions for adults with intellectual disabilities. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2023:17446295231218781. [PMID: 38059909 DOI: 10.1177/17446295231218781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
The aim of this scoping literature review (SCR) was to analyze the impact of dance on adults with intellectual disabilities, specifically examining its influence on their mobility, interpersonal relationships, well-being, and overall quality of life. A total of 15 papers were reviewed in order to explore the effects of dance on the well-being and quality of life of adults with intellectual disabilities. The findings indicated significant improvements in body awareness, increased engagement in physical activity, and enhanced mental health. This SCR demonstrates that dance is an effective means of facilitating social interaction among adults with intellectual disabilities, both with their therapists and family members. Additionally, the review uncovered valuable data on dance therapy programs designed for adults with intellectual disabilities, highlighting their potential to promote physical activity and reduce stress levels.
Collapse
Affiliation(s)
- Cristina Dumitru
- Department of Educational Sciences, The National University of Science and Technology POLITEHNICA Bucharest, Pitești University Centre, Romania
| |
Collapse
|