基于参与式艺术活动的社区居住老年人健康状况变化的干预性、单臂、前瞻性和纵向研究结果。
Participatory art-based activity, community-dwelling older adults and changes in health condition: Results from a pre-post intervention, single-arm, prospective and longitudinal study.
机构信息
Department of Medicine, Division of Geriatric Medicine, Sir Mortimer B. Davis - Jewish General Hospital and Lady Davis Institute for Medical Research, McGill University, Montreal, Quebec, Canada; Dr. Joseph Kaufmann Chair in Geriatric Medicine, Faculty of Medicine, McGill University, Montreal, Quebec, Canada; Centre of Excellence on Longevity of McGill Integrated University Health Network, Quebec, Canada; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore.
Education and Wellness Department of the Montreal Museum of Fine Arts, Montreal, Quebec, Canada.
出版信息
Maturitas. 2020 Apr;134:8-14. doi: 10.1016/j.maturitas.2020.01.006. Epub 2020 Jan 13.
BACKGROUND
Participatory art-based activities enhance the well-being and quality of life of patients. Few studies have examined the effects of these activities in community-dwelling older adults. This study aims to examine changes in well-being, quality of life and frailty associated with a weekly art-based activity, known as "Thursday at the Museum", performed at the Montreal Museum of Fine Arts (MMFA) in community-dwelling older adults.
METHODS
Based on a pre-post intervention, single-arm, prospective and longitudinal design, 130 community-dwelling older adults (mean age 71.6 ± 4.9, 91.5 % female) were enrolled and completed this experimental study. The intervention was a participatory art-based activity carried out at the MMFA. Groups of participants (30-45 individuals) met for 2.3 h once a week for a 12-week period (defining a session). Before and after the first (M0), the fifth (M1), the ninth (M2) and the twelfth (M3) workshops, well-being was assessed. Quality of life, frailty, physician visits and hospitalizations were also assessed.
RESULTS
The mean well-being score improved after each workshop compared with baseline (P ≤ 0.001), i.e., from M0 to M3. The magnitude of this change in well-being was significant at M3 when M0 was used as a reference value (coefficient of regression beta (ß) = 3.22 with P = 0.037). Quality of life gradually increased from M1 to M3 (ß increased from -0.50 to -2.1 with all P-values ≤0.003). The proportion of vigorous participants increased significantly, whereas the proportion of mild frail participants decreased at M3 only (ß=-0.70 with P = 0.001).
CONCLUSION
The MMFA participatory art-based activity session had multidimensional positive effects on mental and physical health outcomes. These results suggest that museums may become key partners in public health policy initiatives for health prevention in older populations.
TRIALREGISTRATION
NCT03557723.
背景
参与式艺术活动可以提高患者的幸福感和生活质量。很少有研究调查这些活动对社区居住的老年人的影响。本研究旨在调查每周一次在蒙特利尔美术馆（MMFA）进行的名为“周四在博物馆”的基于艺术的活动对社区居住的老年人的幸福感、生活质量和虚弱程度的变化。
方法
基于一项预干预、单臂、前瞻性和纵向设计，共招募了 130 名社区居住的老年人（平均年龄 71.6±4.9 岁，91.5%为女性）并完成了这项实验研究。干预措施是在 MMFA 进行的参与式艺术活动。参与者小组（30-45 人）每周一次会面 2.3 小时，为期 12 周（定义为一次会议）。在第一次（M0）、第五次（M1）、第九次（M2）和第十二次（M3）研讨会之前和之后，评估了幸福感。还评估了生活质量、虚弱、医生就诊和住院情况。
结果
与基线相比，每次研讨会后幸福感平均得分均有所提高（P≤0.001），即从 M0 到 M3。当 M0 作为参考值时，M3 时这种幸福感变化的幅度具有统计学意义（回归系数β（ß）=3.22，P=0.037）。生活质量从 M1 到 M3 逐渐增加（ß从-0.50 增加到-2.1，所有 P 值均≤0.003）。剧烈活动参与者的比例显著增加，而仅在 M3 时轻度虚弱参与者的比例下降（ß=-0.70，P=0.001）。
结论
MMFA 参与式艺术活动对身心健康结果具有多维积极影响。这些结果表明，博物馆可能成为公共卫生政策倡议的关键合作伙伴，为老年人口的健康预防做出贡献。
试验注册
NCT03557723。
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