Allison Theresa A, Johnson Julene K, Stewart Anita L, Portacolone Elena, Simpson Michaela, McSpadden Shireen, Sherman Sylvia, Nápoles Anna M
Division of Geriatrics, Department of Medicine; Department of Family & Community Medicine at the University of California, San Francisco, 490 Illinois St., Box 1265, 94143 CA, USA.
Institute for Health & Aging at the University of California, San Francisco, CA, USA.
Int J Community Music. 2025 Mar;18(1):9-30. doi: 10.1386/ijcm_00116_1. Epub 2025 May 31.
This paper reports on the successful sustainment of community choirs for diverse older adults following completion of a cluster randomized trial of choir participation on health and well-being. Trial participants showed decreased loneliness and increased interest in life after 6 months. Following trial completion, we examined the facilitators of, and barriers to, choir sustainment at intrapersonal, interpersonal, and structural/organizational levels. We conducted focus groups with trial participants who continued during the sustainment period. We also interviewed the music professionals and administrators who delivered or supported the program. To further identify barriers, we interviewed trial participants who did not continue in the choirs. We used a mixed inductive-deductive approach for content analysis of the transcripts. On the intrapersonal level, facilitators included a sense of well-being and positive emotions, while barriers included significant health and access issues. On the interpersonal level, relationships and social interactions functioned as both facilitators and barriers, depending on circumstances. On the organizational/structural level, high-quality programs facilitated sustainment; transportation and funding created barriers to sustainment. Facilitators far outweighed barriers to sustainment. Consideration of key facilitators and barriers can provide insights into sustainment of community choirs designed for diverse older adults.
本文报告了在一项关于合唱团参与对健康和幸福影响的整群随机试验完成后，不同老年人群体社区合唱团的成功维持情况。试验参与者在6个月后孤独感降低，对生活的兴趣增加。试验完成后，我们在个人、人际和结构/组织层面研究了合唱团维持的促进因素和障碍。我们对在维持期继续参与的试验参与者进行了焦点小组访谈。我们还采访了提供或支持该项目的音乐专业人员和管理人员。为了进一步确定障碍，我们采访了没有继续参加合唱团的试验参与者。我们采用归纳-演绎混合方法对访谈记录进行内容分析。在个人层面，促进因素包括幸福感和积极情绪，而障碍包括严重的健康问题和参与机会问题。在人际层面，人际关系和社交互动根据具体情况既起到促进作用，也构成障碍。在组织/结构层面，高质量的项目促进了维持；交通和资金成为维持的障碍。促进因素远远超过维持的障碍。考虑关键的促进因素和障碍可以为维持为不同老年人群体设计的社区合唱团提供见解。
