参与式社区歌唱项目作为老年人健康促进干预措施的有效性和成本效益：一项随机对照试验的方案。

The effectiveness and cost-effectiveness of a participative community singing programme as a health promotion initiative for older people: protocol for a randomised controlled trial.

机构信息

Sidney De Haan Research Centre for Arts & Health, Canterbury Christ Church University, University Centre Folkestone, Folkestone, UK.

出版信息

BMC Public Health. 2011 Feb 28;11:142. doi: 10.1186/1471-2458-11-142.

DOI:10.1186/1471-2458-11-142

PMID:21356071

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3053252/

Abstract

BACKGROUND

The growth in numbers of older people represents a considerable cost to health and social care services in the United Kingdom. There is an acknowledged need to address issues of social exclusion and both the physical and mental health of this age group. In recent years there has been much interest in the potential contribution of the arts to the health of communities and individuals. There is some evidence that participative singing may be of benefit to older people, however studies to date are limited in number and have lacked rigour. There is therefore a need to build on this knowledge base to provide more quantifiable evidence of both effectiveness and cost effectiveness of singing as a health intervention for this population group.

METHODS

The proposed study is a pragmatic randomised controlled trial with two parallel arms. The primary hypothesis is that singing groups for older people improve both physical and mental aspects of quality of life when compared to usual activities. Potential participants will be volunteers over 60 years living in the community and recruited through publicity. Eligible and consenting participants will be randomized to either a singing group or a control group. Singing groups will take part in a twelve week planned programme of singing and control groups will continue with usual activities. The primary outcome measure will be the York SF-12, a health related quality of life measure which will be administered at baseline, three and six months after baseline. The study will evaluate both effectiveness and cost-effectiveness.

DISCUSSION

This study proposes to add to the existing body of evidence on the value of singing for older people by using a rigorous methodological design, which includes a power calculation, a standardised intervention and assessment of cost-effectiveness. It should be regarded as a stage in a progressive programme of studies in this area. If group singing is found to be effective and cost-effective it may offer an alternative means to maintaining the health of people in later life.

TRIAL REGISTRATION

ISRCTN62404401.

摘要

背景

英国，人口老龄化数量的增长对医疗和社会保健服务造成了巨大的负担。解决这一年龄群体的社会排斥问题以及身心健康问题已成为当务之急。近年来，人们对艺术对社区和个人健康的潜在贡献产生了浓厚的兴趣。有证据表明，参与式歌唱可能对老年人有益，然而，迄今为止的研究数量有限且缺乏严谨性。因此，需要在此知识库的基础上进一步研究，为歌唱作为这一人群健康干预措施的有效性和成本效益提供更多可量化的证据。

方法

拟议的研究是一项具有两个平行臂的实用随机对照试验。主要假设是，与常规活动相比，老年人歌唱组可改善身心健康状况。潜在参与者将是居住在社区中的 60 岁以上的志愿者，并通过宣传招募。符合条件并同意参加的参与者将被随机分配到歌唱组或对照组。歌唱组将参加为期 12 周的有计划的歌唱计划，而对照组将继续进行常规活动。主要结局指标将是约克 SF-12，一种健康相关的生活质量衡量标准，将在基线、基线后 3 个月和 6 个月进行评估。该研究将评估有效性和成本效益。