College of Health, Psychology and Social Care, University of Derby, Derby, UK.
College of Health, Psychology and Social Care, University of Derby, Derby, UK.
Public Health. 2021 Sep;198:280-289. doi: 10.1016/j.puhe.2021.07.020. Epub 2021 Sep 6.
We aimed to assess evidence of the effectiveness of song-based public health programmes and to examine the analyses of song lyrics to learn what their key qualities for public health promotion are.
A systematic search was employed to identify empirical studies that examined song interventions for public health education and promotion. We searched the following databases: MEDLINE, PubMed, CINAHL, PsycINFO and AMED. We also backwards searched references of all relevant studies.
Of the 137 studies identified, ten studies were included: four were quantitative and six were qualitative. The qualities of the included studies were assessed to be fair or good. The studies were from developing/low-income countries, South Africa and the United States, involving children and adults. Through a narrative data synthesis, three themes were identified; song-based programmes increased public health knowledge and changed behaviours. Additionally, developing songs for public health promotion involved consultations with local people utilising culturally and socially relevant genres or songs.
Although the current evidence is limited by the small number of available studies and their heterogeneity, there is evidence that songs may be an effective method to deliver public health messages that result in improved education and changes in behaviour. Several advantages of using songs as public health strategies were identified that included their social and cultural relevance, ubiquity, low cost and enjoyment. Given these advantages, further research with the robust methodology is required to assess the benefits of songs using quantifiable outcomes along with evaluation of processes. We recommend that public health professionals, stakeholders and communities utilise songs as public health strategies.
评估基于歌曲的公共卫生计划的有效性证据，并研究歌词分析，以了解其促进公共卫生的关键特质。
采用系统检索来识别考察歌曲干预对公共卫生教育和促进作用的实证研究。我们检索了以下数据库：MEDLINE、PubMed、CINAHL、PsycINFO 和 AMED。我们还回溯检索了所有相关研究的参考文献。
在确定的 137 项研究中，纳入了 10 项研究：4 项为定量研究，6 项为定性研究。纳入研究的质量评估为良好或中等。这些研究来自发展中/低收入国家、南非和美国，涉及儿童和成人。通过叙述性数据综合，确定了三个主题；基于歌曲的项目提高了公共卫生知识并改变了行为。此外，为促进公共卫生而创作歌曲需要与当地人进行协商，利用具有文化和社会相关性的流派或歌曲。
尽管目前的证据受到可用研究数量有限和异质性的限制，但有证据表明歌曲可能是一种有效的方法，可以传递公共卫生信息，从而提高教育水平并改变行为。确定了利用歌曲作为公共卫生策略的几个优势，包括其社会和文化相关性、普及性、低成本和娱乐性。鉴于这些优势，需要采用更稳健的方法进行进一步研究，以评估歌曲在使用可量化结果的情况下的益处，同时评估其过程。我们建议公共卫生专业人员、利益相关者和社区将歌曲用作公共卫生策略。
