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帕金森病患者的在线舞蹈疗法:可行性及对患者参与度的影响

Online Dance Therapy for People With Parkinson's Disease: Feasibility and Impact on Consumer Engagement.

作者信息

Morris Meg E, Slade Susan C, Wittwer Joanne E, Blackberry Irene, Haines Simon, Hackney Madeleine E, McConvey Victor B

机构信息

Academic and Research Collaborative in Health (ARCH), 2080La Trobe University, Melbourne, VIC, Australia.

Victorian Rehabilitation Centre, 22052Healthscope, Melbourne, VIC, Australia.

出版信息

Neurorehabil Neural Repair. 2021 Dec;35(12):1076-1087. doi: 10.1177/15459683211046254. Epub 2021 Sep 29.

Abstract

BACKGROUND

Therapeutic dancing can be beneficial for people living with Parkinson's disease (PD), yet community-based classes can be difficult to access.

OBJECTIVE

To evaluate the feasibility and impact of online therapeutic dancing classes for people in the early to mid-stages of PD.

METHODS

Co-produced with people living with PD, physiotherapists, dance teachers and the local PD association, the 'ParkinDANCE' program was adapted to enable online delivery during the COVID-19 pandemic. Participants completed 8 one-hour sessions of online therapeutic dancing. Each person was assigned their own dance teacher and together they selected music for the classes. A mixed-methods design enabled analysis of feasibility and impact. Feasibility was quantified by attendance and adverse events. Impact was determined from individual narratives pertaining to consumer experiences and engagement, analysed with qualitative methods through a phenomenological lens.

RESULTS

Attendance was high, with people attending 100% sessions. There were no adverse events. Impact was illustrated by the key themes from the in-depth interviews: (i) a sense of achievement, enjoyment and mastery occurred with online dance; (ii) project co-design facilitated participant engagement; (iii) dance instructor capabilities, knowledge and skills facilitated positive outcomes; (iv) music choices were key; and (v) participants were able to quickly adapt to online delivery with support and resources.

CONCLUSIONS

Online dance therapy was safe, feasible and perceived to be of benefit in this sample of early adopters. During the pandemic, it was a viable form of structured physical activity. For the future, online dance may afford benefits to health, well-being and social engagement.

摘要

背景

治疗性舞蹈对帕金森病(PD)患者有益,但社区舞蹈课程却难以参加。

目的

评估针对早期至中期帕金森病患者的在线治疗性舞蹈课程的可行性和效果。

方法

与帕金森病患者、物理治疗师、舞蹈教师及当地帕金森病协会共同制作了“帕金森舞蹈”项目,以使其能在新冠疫情期间进行在线授课。参与者完成了8节为时1小时的在线治疗性舞蹈课程。每人都配有自己的舞蹈老师,他们共同为课程挑选音乐。采用混合方法设计来分析可行性和效果。通过出勤率和不良事件来量化可行性。通过对与消费者体验和参与度相关的个人叙述进行分析,从现象学角度用定性方法来确定效果。

结果

出勤率很高,人们参加了全部课程。未发生不良事件。深入访谈的关键主题体现了效果:(i)在线舞蹈带来了成就感、愉悦感和掌控感;(ii)项目的共同设计促进了参与者的参与度;(iii)舞蹈教师的能力、知识和技能带来了积极效果;(iv)音乐选择很关键;(v)参与者在得到支持和资源的情况下能够迅速适应在线授课。

结论

在这个早期采用者样本中,在线舞蹈疗法是安全、可行的,且被认为有益。在疫情期间,它是一种可行的结构化体育活动形式。展望未来,在线舞蹈可能对健康、幸福感和社交参与有益。

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