School of Health and Life Sciences, Teesside University, Middlesbrough, North Yorkshire, UK.
Department of Anthropology, Durham University, Durham, UK.
BMJ Open Respir Res. 2020 Nov;7(1). doi: 10.1136/bmjresp-2020-000696.
A transdisciplinary research approach was used to develop a holistic understanding of the physical and psychosocial benefits of dance as an intervention for people living with chronic breathlessness.
The dance programme was developed in collaboration with British Lung Foundation Breathe Easy members in NE England (Darlington) and London (Haringey). Members of the Darlington group were invited to participate in the programme. An exercise instructor, trained and mentored by a dance facilitator delivered 60-90 min dance classes for 10 consecutive weeks. Exercise capacity, mobility, quadriceps strength, health status, mood and interoceptive awareness were assessed at baseline and after the 10-week programme. Second-to-second heart rate (HR) monitoring was conducted during one of the classes.
Ten individuals were enrolled (n=8 women). Mean (SD) age was 70 (24); Body Mass Index 29.7 (8.1) kg/m; one participant used oxygen and one a walking aid. Seven completed the dance programme. Improvements in all outcome measures were detected, with the exception of the Multidimensional Assessment of Interoceptive Awareness, which individuals found hard to comprehend. Eight participants wore HR monitors during one dance class and spent on average 43.5 (21.8) min with HR corresponding to at least moderate intensity physical activity (≥64% HRmax). People found the dance classes enjoyable and those with relevant past experiences who are optimistic, committed to staying well and playful readily adopted the programme.
A dance programme bringing both physical and psychosocial benefits for people with chronic breathlessness is acceptable when coproduced and evaluated through a transdisciplinary approach.
采用跨学科研究方法，全面了解舞蹈作为一种干预措施对慢性呼吸困难患者的身体和心理益处。
该舞蹈项目是与英国肺部基金会（英国肺脏基金会）在英格兰东北部（达灵顿）和伦敦（哈林盖）的“呼吸轻松”成员合作开发的。达灵顿组的成员被邀请参加该项目。一位受过舞蹈指导员培训和指导的运动指导员，为 10 名连续 10 周的参与者提供 60-90 分钟的舞蹈课程。在基线和 10 周方案后评估运动能力、移动能力、股四头肌力量、健康状况、情绪和内感受意识。在其中一节舞蹈课中进行逐拍心率（HR）监测。
共招募了 10 名参与者（n=8 名女性）。平均（SD）年龄为 70（24）岁；体重指数 29.7（8.1）kg/m；1 名参与者使用氧气，1 名参与者使用助行器。7 人完成了舞蹈课程。除了多维内感受意识评估外，所有结果测量都有所改善，而参与者发现该评估难以理解。在一节舞蹈课中，有 8 名参与者佩戴了 HR 监测器，平均有 43.5（21.8）分钟的 HR 对应于至少中等强度的体力活动（≥64% HRmax）。参与者发现舞蹈课很有趣，那些有相关过往经验、乐观、致力于保持健康和爱玩的人很容易接受该项目。
通过跨学科方法共同制定和评估，为慢性呼吸困难患者带来身体和心理益处的舞蹈项目是可以接受的。
