Clifford Amanda M, Ni Bhriain Orfhlaith, Byrne Steven, Cheung Pui-Sze, Louw Quinette, Glynn Liam, Moss Hilary, O'Neill Desmond, Woods Catherine B, Sheikhi Ali, Gowran Rosemary Joan, Maher Catherine, Kennelly Brendan, Salsberg Jon, Thabane Lehana
School of Allied Health, Ageing Research Centre, Health Research Institute, University of Limerick, Limerick, V94T9PX, Ireland.
Irish World Academy of Music and Dance, University of Limerick, Limerick, V94DK18, Ireland.
HRB Open Res. 2023 Mar 29;5:42. doi: 10.12688/hrbopenres.13535.2. eCollection 2022.
Arts-based health programmes (ABHP) can enhance the physical and psychosocial health and wellbeing of older people. However, the feasibility and usefulness of such programmes in Ireland are currently unknown. The primary aim of this study is to examine the feasibility of the study design, its application to a music and movement for health programme and associated costs. The secondary aim is to obtain preliminary effect estimates of an ABHP on health and wellbeing in older adults. This study is a pragmatic cluster-randomised controlled feasibility trial. Community-dwelling adults, aged 65 years or older will be recruited in the mid-west region of Ireland via methods including social prescription, traditional and social media. The clusters, based on geographical region, will be block randomised to either the ABHP or control using 1:1 allocation ratio. The programme will comprise a 1.5-hour music and dance session each week for 12-weeks together with a 1-hour home-based music and movement programme for 12-weeks. A qualitative and quantitative process evaluation of the arts-based health programme will be performed. Primary outcomes for feasibility include recruitment rates (the number of participants recruited per cluster per month); retention rate (the number of participants who complete measures at baseline and at follow up post intervention, and minimum average attendance. Secondary outcomes will include physical function, balance, physical activity, loneliness, social isolation, cognition, mood, as well as quality of life and cost. If this pioneering study finds evidence to support feasibility and acceptability, a future larger-scale definitive trial will be conducted to examine the effectiveness of an arts-based health programme for older adults. This research aims to strengthen collaborative efforts to implement effective, sustainable and cost-effective programmes for older adults to support community connection, enhancing health and wellbeing, in turn reducing demands on the healthcare system. ISRCTN35313497 (18/02/2022).
基于艺术的健康项目（ABHP）可以改善老年人的身体和心理社会健康及福祉。然而，此类项目在爱尔兰的可行性和实用性目前尚不清楚。本研究的主要目的是检验研究设计的可行性、其在一项健康音乐与运动项目中的应用以及相关成本。次要目的是获得ABHP对老年人健康和福祉的初步效果评估。本研究是一项实用的整群随机对照可行性试验。将通过社会处方、传统媒体和社交媒体等方法，在爱尔兰中西部地区招募65岁及以上的社区居住成年人。基于地理区域的群组将以1:1的分配比例被整群随机分为ABHP组或对照组。该项目将包括每周一次、为期12周的1.5小时音乐和舞蹈课程，以及为期12周的每周一次、每次1小时的居家音乐与运动项目。将对基于艺术的健康项目进行定性和定量的过程评估。可行性的主要结果包括招募率（每个群组每月招募的参与者数量）；留存率（在基线和干预后随访时完成测量的参与者数量）以及最低平均出勤率。次要结果将包括身体功能、平衡能力、身体活动、孤独感、社会隔离、认知、情绪，以及生活质量和成本。如果这项开创性研究找到支持可行性和可接受性的证据，未来将进行更大规模的确定性试验，以检验基于艺术的健康项目对老年人的有效性。本研究旨在加强合作努力，为老年人实施有效、可持续且具有成本效益的项目，以支持社区联系，增进健康和福祉，进而减少对医疗保健系统的需求。ISRCTN35313497（2022年2月18日）
