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Gallagher L, Shella T, Bates D, Briskin I, Jukic M, Bethoux F. Utilizing the arts to improve health, resilience, and well-being (HeRe We Arts ®): a randomized controlled trial in community-dwelling individuals with chronic medical conditions. Front Public Health 2024; 12:1242798. [PMID: 38384874 PMCID: PMC10879815 DOI: 10.3389/fpubh.2024.1242798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024] Open
Abstract
Background Healthcare workers are concerned with promoting behavior changes that enhance patients' health, wellness, coping skills, and well-being and lead to improved public health. The purpose of this randomized controlled trial was to determine if participation in an 8-week arts-based program leads to improved mood, health, resilience, and well-being in individuals with chronic health conditions as compared to a wait list control group. Methods Self-report questionnaires for well-being, mental health, physical health, overall health, social health, mood, coping, and resilience were administered at baseline, Week 8 (end of program), and Week 16 (8-week follow-up). Results Statistically significant improvements were noted in all outcome measures for the treatment group, as well as in most areas compared to the control group. Many of the positive results at Week 8 were either maintained or further improved at Week 16. Discussion These results suggest that arts-based programming can have a positive effect on the mood, health, resilience, and well-being of individuals with chronic health conditions. Therefore, arts-based programming should be utilized more frequently in the management of chronic conditions in community-dwelling individuals. These benefits should be further assessed in larger clinical trials.
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Affiliation(s)
- Lisa Gallagher
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
| | - Tamara Shella
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Debbie Bates
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Isaac Briskin
- Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States
| | - Maria Jukic
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Francois Bethoux
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
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Larnyo E, Tettegah S, Griffin B, Nutakor JA, Preece N, Addai-Dansoh S, Dubon N, Liu S. Effect of social capital, social support and social network formation on the quality of life of American adults during COVID-19. Sci Rep 2024; 14:2647. [PMID: 38302613 PMCID: PMC10834438 DOI: 10.1038/s41598-024-52820-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2023] [Accepted: 01/24/2024] [Indexed: 02/03/2024] Open
Abstract
This study aims to evaluate the effect of social capital (SC), social support (SS), and social network formation (SNF) on the quality of life of American adults during COVID-19. Using a probability sample of American adults aged 49+, 2370 respondents were selected from the National Social Life Health and Aging Project (NSHAP) dataset for analysis using an integrated partial least squares based on structural equation modeling (PLS-SEM)-K-fold cross-validation approach. The analysis showed that social capital assessed using civic engagement, social cohesion, socioeconomic status (SES), social support, and social network formation were significantly and positively associated with American adults' quality of life during the COVID-19 pandemic. Furthermore, the results showed that using the PLS-SEM and K-fold cross-validation approach produced a medium predictive power of the overall model, confirming the importance of SC, SS, and SNF in predicting quality of life-outcomes. These findings suggest that efforts to promote the well-being of American adults, especially older adults, during the pandemic should focus on strengthening social capital, social support and social network formation.
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Affiliation(s)
- Ebenezer Larnyo
- Center for Black Studies Research, University of California, Santa Barbara, Santa Barbara, CA, 93106, USA.
| | - Sharon Tettegah
- Center for Black Studies Research, University of California, Santa Barbara, Santa Barbara, CA, 93106, USA
| | - Brianna Griffin
- University of California, Santa Barbara, Santa Barbara, CA, 93106, USA
| | - Jonathan Aseye Nutakor
- Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu Province, China
| | - Natasha Preece
- University of California, Santa Barbara, Santa Barbara, CA, 93106, USA
| | - Stephen Addai-Dansoh
- Department of Health Policy and Management, School of Management, Jiangsu University, 301 Xuefu Road, Zhenjiang, Jiangsu Province, China
| | - Natalia Dubon
- University of California, Santa Barbara, Santa Barbara, CA, 93106, USA
| | - Senyuan Liu
- University of California, Santa Barbara, Santa Barbara, CA, 93106, USA
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HABIB DANIELRS, KLEIN LAURENM, PERRIN ELIANAM, PERRIN ANDREWJ, JOHNSON SARAB. The Role of Primary Care in Advancing Civic Engagement and Health Equity: A Conceptual Framework. Milbank Q 2023; 101:731-767. [PMID: 37347445 PMCID: PMC10509514 DOI: 10.1111/1468-0009.12661] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 05/16/2023] [Accepted: 06/08/2023] [Indexed: 06/23/2023] Open
Abstract
Policy Points Health and civic engagement are reciprocally and longitudinally linked: Poor health is associated with less civic engagement. Well-established social drivers of health and health inequality such as inadequate access to health care, poverty, racism, housing instability, and food insecurity are also drivers of lower civic engagement. A robust primary care system can play a key role in advancing civic engagement (e.g., voting, volunteerism, community service, and political involvement) at the population level but has received little attention. Policy and practice solutions at the individual and structural levels should support and leverage potential synergies among health equity, civic engagement, and primary care. CONTEXT Health and civic engagement are linked. Healthier people may be able to participate more fully in civic life, although those with poorer health may be motivated to address the roots of their health challenges using collective action. In turn, civically active people may experience better health, and societies with more equitable health and health care may experience healthier civic life. Importantly, a robust primary care system is linked to greater health equity. However, the role of primary care in advancing civic engagement has received little study. METHODS We synthesize current literature on the links among health, civic engagement, and primary care. We propose a conceptual framework to advance research and policy on the role of primary care in supporting civic engagement as a means for individuals to actualize their health and civic futures. FINDINGS Current literature supports relationships between health equity and civic engagement. However, this literature is primarily cross-sectional and confined to voting. Our integrative conceptual framework highlights the interconnectedness of primary care structures, health equity, and civic engagement and supports the crucial role of primary care in advancing both civic and health outcomes. Primary care is a potentially fruitful setting for cultivating community and individual health and power by supporting social connectedness, self-efficacy, and collective action. CONCLUSIONS Health and civic engagement are mutually reinforcing. Commonalities between social determinants of health and civic engagement constitute an important convergence for policy, practice, and research. Responsibility for promoting both health and civic engagement is shared by providers, community organizations, educators, and policymakers, as well as democratic and health systems, yet these entities rarely work in concert. Future work can inform policy and practice to bolster primary care as a means for promoting health and civic engagement.
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Affiliation(s)
- DANIEL R. S. HABIB
- These authors contributed equally to this work
- Johns Hopkins University School of Medicine
- Vanderbilt University School of Medicine
| | - LAUREN M. KLEIN
- These authors contributed equally to this work
- Johns Hopkins University School of Medicine
| | - ELIANA M. PERRIN
- Johns Hopkins University School of Medicine
- Johns Hopkins University School of Nursing
- SNF Agora InstituteKrieger School of Arts and SciencesJohns Hopkins University
| | - ANDREW J. PERRIN
- Krieger School of Arts and SciencesJohns Hopkins University
- SNF Agora InstituteKrieger School of Arts and SciencesJohns Hopkins University
| | - SARA B. JOHNSON
- Johns Hopkins University School of Medicine
- SNF Agora InstituteKrieger School of Arts and SciencesJohns Hopkins University
- Johns Hopkins Bloomberg School of Public Health
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Singh R, Javed Z, Yahya T, Valero-Elizondo J, Acquah I, Hyder AA, Maqsood MH, Amin Z, Al-Kindi S, Cainzos-Achirica M, Nasir K. Community and Social Context: An Important Social Determinant of Cardiovascular Disease. Methodist Debakey Cardiovasc J 2021; 17:15-27. [PMID: 34824678 PMCID: PMC8588761 DOI: 10.14797/mdcvj.846] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2021] [Accepted: 08/18/2021] [Indexed: 12/21/2022] Open
Abstract
Disease prevention frameworks and clinical practice guidelines in the United States (US) have traditionally ignored upstream social determinants of health (SDOH), which are critical for reducing disparities in cardiovascular disease (CVD)-the leading cause of death in the US. Existing evidence demonstrates a protective effect of social support, social cohesion, and community engagement on overall health and wellbeing. Increasing community and social support is a major objective of the Healthy People 2030 initiative, with special provisions for vulnerable populations. However, to date, existing evidence of the association between community and social context (CSC)-an integral SDOH domain-and CVD has not been reviewed extensively. In particular, the individual and cumulative impact of CSC on CVD risk and the pathways linking CSC to cardiovascular outcomes are not well understood. In this review, we critically appraise current knowledge of the association between CSC and CVD, describe potential pathways linking CSC to CVD, and identify opportunities for evidence-based policy and practice interventions to improve CVD outcomes.
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Affiliation(s)
- Rahul Singh
- Department of Cardiology, University of Minnesota, Minnesota, US
| | - Zulqarnain Javed
- Division of Health Equity & Disparities Research, Center for Outcomes Research, Houston Methodist, Houston, Texas, US
| | - Tamer Yahya
- Center for Outcomes Research, Houston Methodist, Houston, Texas, US
| | - Javier Valero-Elizondo
- Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.,Center for Cardiovascular Computational Health & Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, US
| | - Isaac Acquah
- Center for Outcomes Research, Houston Methodist, Houston, Texas, US
| | | | | | - Zahir Amin
- University of Houston, Houston, Texas, US
| | - Sadeer Al-Kindi
- Case Western Reserve University School of Medicine, Cleveland, Ohio, US
| | - Miguel Cainzos-Achirica
- Center for Outcomes Research, Houston Methodist, Houston, Texas, US.,Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.,Center for Cardiovascular Computational Health & Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, US
| | - Khurram Nasir
- Center for Outcomes Research, Houston Methodist, Houston, Texas, US.,Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas, USA.,Center for Cardiovascular Computational Health & Precision Medicine (C3-PH), Houston Methodist, Houston, Texas, US
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Marquez B, Norman G, Fowler J, Gans K, Marcus B. Weight and weight control behaviors of Latinas and their social ties. Health Psychol 2018; 37:318-325. [PMID: 29389157 PMCID: PMC5880731 DOI: 10.1037/hea0000597] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
OBJECTIVE Shared behaviors have been implicated in the clustering of obesity among socially connected people. This study determined how weight and weight control behaviors of participants and their social ties are related and how these factors are associated with weight change in participants. METHOD Adult Latinas participating in a lifestyle intervention completed an egocentric network measure of weight and weight control behaviors. Participant weight was objectively measured at baseline and 12 months. Multivariable regression models determined the relationship between weight and weight control behaviors of participants and their social ties. RESULTS Participants and their social ties shared similarities in weight control behaviors and weight change. Participants who reported social ties that had lost weight were more likely to eat small portions and low-fat foods, but those with social ties that had gained weight were more likely to use herbal supplements. Participants who reported more social ties who exercised, drank liquid meal replacements, took herbal supplements, and self-weighed were more likely to lose weight whereas those with fewer social ties that exercised were more likely to gain weight. Weight loss and weight gain by social ties predicted participant weight loss and weight gain, respectively. CONCLUSIONS Given that weight and weight control behaviors of Latinas reflect that of their social ties, targeting existing social networks for lifestyle interventions may more effectively improve and sustain health-promoting behaviors and outcomes. (PsycINFO Database Record
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Child S, Kaczynski AT, Moore S. Meeting Physical Activity Guidelines: The Role of Personal Networks Among Residents of Low-Income Communities. Am J Prev Med 2017; 53:385-391. [PMID: 28601404 DOI: 10.1016/j.amepre.2017.04.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2016] [Revised: 03/21/2017] [Accepted: 04/06/2017] [Indexed: 10/19/2022]
Abstract
INTRODUCTION Despite known benefits of regular physical activity (PA), residents of low-income communities have disproportionately high rates of physical inactivity. Mounting evidence suggests that social network characteristics may be associated with health behaviors, including PA. The purpose of the current study was to examine associations between egocentric network characteristics and meeting PA guidelines among residents of low-income and predominantly African-American communities. METHODS Data from the Greenville Healthy Neighborhoods Project (2014), a cross-sectional study, examined social network characteristics, including the PA behavior of social ties, and whether participants met PA guidelines (150 minutes per week of aerobic exercise). Respondent-driven sampling (non-random) was utilized to recruit participants (n=430) within eight low-income communities. Logistic regression analyses, performed in 2016, included robust sandwich estimation to account for clustering (non-independence) of observations. RESULTS Participants were predominantly older (M=54.4 years, SD=15.1 years), African American (88.0%), and female (70.7%). More than one third of participants had an annual household income <$15,000 (41.6%) or reported meeting the current aerobic PA guidelines (45.8%). Controlling for sociodemographic characteristics, greater network extensity (based on the occupation of ego's network ties; OR=1.11, 95% CI=1.03, 1.20, p=0.02) and a higher percentage of physically active network members (OR=1.97, 95% CI=1.02, 3.82, p=0.04) were associated with higher odds of meeting PA guidelines. CONCLUSIONS Social network characteristics are associated with individual PA behavior among residents of low-income communities. Interventions to increase PA among low-income and predominantly African-American communities should leverage personal networks, including the implementation of walking groups or buddy systems.
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Affiliation(s)
- Stephanie Child
- Department of Sociology, University of California, Berkeley, Berkeley, California.
| | - Andrew T Kaczynski
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; Prevention Research Center, University of South Carolina, Columbia, South Carolina
| | - Spencer Moore
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina; School of Kinesiology and Health Studies, Queen's University, Kingston, Ontario, Canada
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