National Heart and Lung Institute, Imperial College London, London, UK
NIHR Imperial Biomedical Research Centre, Imperial College London, London, UK.
BMJ Open. 2021 Sep 23;11(9):e053189. doi: 10.1136/bmjopen-2021-053189.
Music and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource interventions may have application in low-resource settings such as Uganda. However, research on perceptions of patients and healthcare professionals regarding such approaches is lacking.
We delivered sample sessions of music and dance for chronic respiratory disease (CRD) to patients and healthcare professionals. Seven participants took part in one singing and dance sample session. One patient completed only the dance session. We then conducted an exploratory qualitative study using thematic analysis of semistructured interviews with healthcare professionals and patients regarding (1) the role of music and dance in Ugandan life and (2) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.
We interviewed 19 participants, made up of 11 patients with long-term respiratory conditions and 8 healthcare professionals, who were selected by purposeful convenience sampling. Four key themes were identified from interview analysis: music and dance (1) were central components of daily life; (2) had an established role supporting health and well-being; and (3) had strong therapeutic potential in respiratory disease management. The fourth theme was (4) the importance of modulating demographic considerations of culture, religion and age.
Music and dance are central to life in Uganda, with established roles supporting health and well-being. These roles could be built on in the development of music and dance interventions as adjuncts to established components of CRD disease management like pulmonary rehabilitation. Through consideration of key contextual factors and codevelopment and adaptation of interventions, such approaches are likely to be well received.
音乐和舞蹈越来越多地被用作高收入环境中的辅助艺术-健康干预措施，越来越多的研究表明它们具有生物心理社会益处。这种低成本、低资源的干预措施可能适用于乌干达等资源匮乏的环境。然而，关于患者和医疗保健专业人员对这些方法的看法的研究还很缺乏。
我们向慢性呼吸系统疾病（CRD）患者和医疗保健专业人员提供了音乐和舞蹈样本课程。七名参与者参加了一次唱歌和舞蹈样本课程。一名患者仅完成了舞蹈课程。然后，我们使用对医疗保健专业人员和患者的半结构化访谈的主题分析，对以下两个方面进行了探索性定性研究：（1）音乐和舞蹈在乌干达生活中的作用；（2）在乌干达的 CRD 管理中使用音乐和舞蹈的可接受性和可行性。
我们采访了 19 名参与者，他们由 11 名患有长期呼吸系统疾病的患者和 8 名医疗保健专业人员组成，这些参与者是通过有目的的便利抽样选择的。从访谈分析中确定了四个主要主题：音乐和舞蹈（1）是日常生活的核心组成部分；（2）在支持健康和幸福方面具有既定的作用；（3）在呼吸疾病管理方面具有强大的治疗潜力。第四个主题是（4）调整文化、宗教和年龄等人口统计学考虑因素的重要性。
音乐和舞蹈是乌干达生活的核心，具有支持健康和幸福的既定作用。可以在开发音乐和舞蹈干预措施时，将这些作用建立在 CRD 疾病管理中已经建立的组件之上，例如肺康复。通过考虑关键的背景因素以及共同开发和改编干预措施，这些方法很可能会受到欢迎。
