Digital music and movement intervention to improve health and wellbeing in older adults in care homes: a pilot mixed methods study.

Autor: De Nys L; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK., Oyebola EF; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK., Connelly J; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK., Ryde GC; School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, Scotland, UK., Whittaker AC; Faculty of Health Sciences and Sport, University of Stirling, Stirling, Scotland, UK. a.c.whittaker@stir.ac.uk.
Jazyk: angličtina
Zdroj: BMC geriatrics [BMC Geriatr] 2024 Sep 04; Vol. 24 (1), pp. 733. Date of Electronic Publication: 2024 Sep 04.
DOI: 10.1186/s12877-024-05324-3
Abstrakt: Background: Low physical activity among older adults is related to adverse health outcomes such as depression and loneliness, poor physical function and increased risk of falls. This study was designed to increase physical activity through a digital, group-based, physical activity and music intervention and to examine its effectiveness on social, mental and physical health outcomes.
Methods: Participants were 34 older adults (65 years +) recruited across four care homes in Scotland to a pilot study. Surveys were administered at baseline and post-intervention, comprising measures of fear of falling, depression and anxiety, loneliness, sleep satisfaction and quality of life. A battery of physical function tests and saliva sampling for cortisol and dehydroepiandrosterone hormone analysis were also conducted at each time point. Additionally, process evaluation measures (recruitment, intervention fidelity, attendance, retention rates and safety) were monitored. The intervention comprised 12 weeks of three prescribed digital sessions per week: movement and music (n = 2) and music-only (n = 1), delivered by an activity coordinator in the care home. Post-intervention interviews with staff and participants were conducted to gain qualitative data on the acceptability of the intervention.
Results: An average of 88% of prescribed sessions were delivered. Pre- to post-intervention intention-to-treat analysis across all participants revealed significant improvements in anxiety, salivary DHEA, fear of falling and loneliness. There were no significant improvements in health-related quality of life, perceived stress, sleep satisfaction or physical function tests, including handgrip strength. Qualitative analysis highlighted benefits of and barriers to the programme.
Conclusions: The digital movement and music intervention was deemed acceptable and delivered with moderate fidelity, justifying progression to a full-scale trial. Although a proper control group would have yielded more confident causal relationships, preliminary psychosocial and biological effects were evident from this trial. To show significant improvements in physical function, it is likely that a bigger sample size providing sufficient power to detect significant changes, greater adherence, longer intervention and/or higher exercise volume may be necessary.
Trial Registration: The trial is registered at ClinicalTrials.gov, number NCT05601102 on 01/11/2022.
(© 2024. The Author(s).)
Databáze: MEDLINE
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