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Domper J, Gayoso L, Goni L, de la O V, Etxeberria U, Ruiz-Canela M. Culinary medicine and healthy ageing: a comprehensive review. Nutr Res Rev 2024; 37:179-193. [PMID: 37605999 DOI: 10.1017/s0954422423000148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/23/2023]
Abstract
Culinary medicine (CM) represents a novel strategy to promote healthy ageing, as it improves adherence to healthy dietary patterns by providing nutritional education and training in cooking skills. We conducted a comprehensive review of the current scientific literature (2011-2022) concerning CM programmes implemented among participants over the age of 40. This review includes fourteen culinary-nutritional interventions. Each CM programme was analysed according to seven variables: health goal, study design, theoretical basis of the intervention, intervention duration, main outcomes, culinary intervention and the effectiveness of intervention. Although CM programmes showed low effectiveness in achieving positive results on psychosocial outcomes, they were successful in improving dietary intake and health-related outcomes. The interventions lasting for at least 5 months and employing study designs with two or more groups seemed to be important factors associated with achieving significant results. Significant results were observed regardless of the prevention phase defined as the health objective of the CM programme. The use of theoretical frameworks as an educational resource did not influence the effectiveness of the interventions. Other variables such as the inclusion of culinary outcomes, the optimisation of the culinary curriculum taught to the participants and the participation of a chef in the intervention are factors that should be taken into account. In addition, several educational components (cooking classes, hands-on cooking, free food delivery, individualized counselling) were promising for achieving health outcomes in ageing people. Our review has shown that CM programmes can be a powerful tool to improve the health status of ageing people.
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Affiliation(s)
- Jara Domper
- Basque Culinary Center, Faculty of Gastronomic Sciences, Mondragon UnibertsitateaDonostia-San Sebastián, Spain
- BCC Innovation, Technology Center in Gastronomy, Basque Culinary Center, Donostia-San Sebastián, Spain
| | - Lucía Gayoso
- Basque Culinary Center, Faculty of Gastronomic Sciences, Mondragon UnibertsitateaDonostia-San Sebastián, Spain
- BCC Innovation, Technology Center in Gastronomy, Basque Culinary Center, Donostia-San Sebastián, Spain
| | - Leticia Goni
- Department of Preventive Medicine and Public Health, University of Navarra, IdiSNA, Pamplona, Spain
- Consorcio Centro de Investigaciones Biomédicas en Red (CIBERObn), Institute of Health Carlos III (ISCIII), Madrid, Spain
| | - Victor de la O
- Department of Preventive Medicine and Public Health, University of Navarra, IdiSNA, Pamplona, Spain
- Cardiometabolic Nutrition Group, IMDEA Food, CEI UAM + CSIC, Madrid, Spain
| | - Usune Etxeberria
- Basque Culinary Center, Faculty of Gastronomic Sciences, Mondragon UnibertsitateaDonostia-San Sebastián, Spain
- BCC Innovation, Technology Center in Gastronomy, Basque Culinary Center, Donostia-San Sebastián, Spain
| | - Miguel Ruiz-Canela
- Department of Preventive Medicine and Public Health, University of Navarra, IdiSNA, Pamplona, Spain
- Consorcio Centro de Investigaciones Biomédicas en Red (CIBERObn), Institute of Health Carlos III (ISCIII), Madrid, Spain
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Gallagher L, Shella T, Bates D, Briskin I, Jukic M, Bethoux F. Utilizing the arts to improve health, resilience, and well-being (HeRe We Arts ®): a randomized controlled trial in community-dwelling individuals with chronic medical conditions. Front Public Health 2024; 12:1242798. [PMID: 38384874 PMCID: PMC10879815 DOI: 10.3389/fpubh.2024.1242798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 01/24/2024] [Indexed: 02/23/2024] Open
Abstract
Background Healthcare workers are concerned with promoting behavior changes that enhance patients' health, wellness, coping skills, and well-being and lead to improved public health. The purpose of this randomized controlled trial was to determine if participation in an 8-week arts-based program leads to improved mood, health, resilience, and well-being in individuals with chronic health conditions as compared to a wait list control group. Methods Self-report questionnaires for well-being, mental health, physical health, overall health, social health, mood, coping, and resilience were administered at baseline, Week 8 (end of program), and Week 16 (8-week follow-up). Results Statistically significant improvements were noted in all outcome measures for the treatment group, as well as in most areas compared to the control group. Many of the positive results at Week 8 were either maintained or further improved at Week 16. Discussion These results suggest that arts-based programming can have a positive effect on the mood, health, resilience, and well-being of individuals with chronic health conditions. Therefore, arts-based programming should be utilized more frequently in the management of chronic conditions in community-dwelling individuals. These benefits should be further assessed in larger clinical trials.
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Affiliation(s)
- Lisa Gallagher
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
| | - Tamara Shella
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Debbie Bates
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Isaac Briskin
- Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, United States
| | - Maria Jukic
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
| | - Francois Bethoux
- Arts and Medicine, Cleveland Clinic, Cleveland, OH, United States
- Department of Physical Medicine and Rehabilitation, Neurological Institute, Cleveland Clinic, Cleveland, OH, United States
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3
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Ma SHX, Tan MKB, Goh SSN, Yeo G, Teng A, Yang Y, Galéry K, Beauchet O, Ho AHY. A qualitative examination on the implementation of participatory "A"rt-based activity on "Health" of older community-dwellers: what worked for the Singapore A-Health Intervention? Front Med (Lausanne) 2023; 10:1238563. [PMID: 38179279 PMCID: PMC10766355 DOI: 10.3389/fmed.2023.1238563] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Accepted: 11/20/2023] [Indexed: 01/06/2024] Open
Abstract
Introduction Art and museum-based interventions are gaining increasing recognition for their potential as low-risk activities for older adults, offering numerous physical, cognitive, and emotional benefits. However, there remains a dearth of knowledge regarding the science of implementation as well as the factors and processes that contribute to their effectiveness from the perspectives of intervention participants. Methods The current research draws on the qualitative evaluation data obtained from a larger mixed-method randomized control trial that evaluated a standardized Participatory "A"rt-Based Activity On "Health" of Older Community-Dwellers-the Singapore A-Health Intervention. Adopting a participatory action research approach, the primary objective is to critically examine the lived experiences and health impact of the Singapore A-Health Intervention with a secondary objective to uncover strategies for optimized implementation outcomes. All 56 participants who completed the intervention filled out a program evaluation survey and a nested sample of 30 participants completed a series of acceptability focus groups. Results Descriptive analyses of the program evaluation survey data revealed that 96.2% of participants were satisfied with the overall experience of the Singapore A-Health intervention (M = 9.00, SD = 1.76), reported that the intervention positively impacted their quality of life (M = 8.90, SD = 1.43), and social wellbeing (M = 8.92, SD = 1.43). Thematic analysis with a grounded theory approach on the qualitative focus group data revealed three interrelated themes detailing how the Singapore A-Health Intervention contributed to positive health and wellbeing outcomes (1. A-Health Experience, 2. Wellbeing Outcomes, 3. Enabling Factors) and nine subthemes (1a. Intellectual Stimulation, 1b. Positive Stress, 1c. Peer Interaction, 2a. Interpersonal Bonds, 2b. Personal Growth, 2c. Mindful Living, 3a. Integrated Support, 3b. Session Design, 3c. Mode of Engagement). Discussion This investigation provides important insights to the Singapore A-Health intervention's effectiveness for enhancing wellbeing among older adults, as well as the factors that enable successful program implementation. These findings offer a culturally unique perspective on the benefits of art and museum interventions, while underscoring the imperative need for strong partnership and collaborations among community stakeholders in supporting the health and wellbeing of ageing populations.
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Affiliation(s)
- Stephanie Hilary Xinyi Ma
- Action Research for Community Health (ARCH) Laboratory, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Michael Koon Boon Tan
- Lab4Living, Culture and Creativity Research Institute, Sheffield Hallam University, Sheffield, United Kingdom
| | - Shannon Shuet Ning Goh
- Action Research for Community Health (ARCH) Laboratory, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Gabriellia Yeo
- Action Research for Community Health (ARCH) Laboratory, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Alicia Teng
- National Gallery Singapore, Community and Access, Singapore, Singapore
| | - Yilin Yang
- National Gallery Singapore, Community and Access, Singapore, Singapore
| | - Kévin Galéry
- Research Centre of the Geriatric University Institute of Montreal, Montreal, QC, Canada
| | - Olivier Beauchet
- Research Centre of the Geriatric University Institute of Montreal, Montreal, QC, Canada
- Departments of Medicine and Geriatrics, Faculty of Medicine, University of Montreal, Montreal, QC, Canada
| | - Andy Hau Yan Ho
- Action Research for Community Health (ARCH) Laboratory, Psychology Program, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
- Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
- Palliative Care Centre for Excellence in Research and Education, Singapore, Singapore
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4
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Mas-Herrero E, Singer N, Ferreri L, McPhee M, Zatorre RJ, Ripollés P. Music engagement is negatively correlated with depressive symptoms during the COVID-19 pandemic via reward-related mechanisms. Ann N Y Acad Sci 2023; 1519:186-198. [PMID: 36401802 DOI: 10.1111/nyas.14931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The COVID-19 pandemic has deeply affected the mental health of millions of people. We assessed which of many leisure activities correlated with positive mental health outputs, with particular attention to music, which has been reported to be important for coping with the psychological burden of the pandemic. Questionnaire data from about 1000 individuals primarily from Italy, Spain, and the United States during May-June 2020 show that people picked music activities (listening to, playing, singing, etc.) most often as the leisure experiences that helped them the most to cope with psychological distress related with the pandemic. During the pandemic, hours of engagement in music and food-related activities were associated with lower depressive symptoms. The negative correlation between music and depression was mediated by individual differences in sensitivity to reward, whereas the correlation between food-related activities and improved mental health outputs was explained by differences in emotion suppression strategies. Our results, while correlational, suggest that engaging in music activities could be related to improved well-being with the underlying mechanism being related to reward, consistent with neuroscience findings. Our data have practical significance in pointing to effective strategies to cope with mental health issues beyond those related to the COVID-19 pandemic.
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Affiliation(s)
- Ernest Mas-Herrero
- Department of Cognition, Development and Education Psychology, Institute of Neurosciences, University of Barcelona, Barcelona, Spain.,Cognition and Brain Plasticity Unit, Bellvitge Biomedical Research Institute, L'Hospitalet de Llobregat, Barcelona, Spain
| | - Neomi Singer
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.,International Laboratory for Brain, Music and Sound Research (BRAMS) and Center for Research in Brain, Language and Music (CRBLM), Montreal, Quebec, Canada.,Sagol Brain Institute and Department of Neurology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel
| | - Laura Ferreri
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.,Laboratoire d'Étude des Mécanismes Cognitifs, Université Lumière Lyon 2, Lyon, France
| | - Michael McPhee
- Department of Psychology, New York University, New York, New York, USA.,Music and Auditory Research Laboratory (MARL), New York University, New York, New York, USA.,Center for Language, Music, and Emotion (CLaME), New York University, New York, New York, USA
| | - Robert J Zatorre
- Montreal Neurological Institute, McGill University, Montreal, Quebec, Canada.,International Laboratory for Brain, Music and Sound Research (BRAMS) and Center for Research in Brain, Language and Music (CRBLM), Montreal, Quebec, Canada
| | - Pablo Ripollés
- Department of Psychology, New York University, New York, New York, USA.,Music and Auditory Research Laboratory (MARL), New York University, New York, New York, USA.,Center for Language, Music, and Emotion (CLaME), New York University, New York, New York, USA
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Cresswell‐Smith J, Mäkikärki N, Appelqvist‐Schmidlechner K, Wahlbeck K. Finding the right words: Articulating the value of mental health promotion. A focus group study. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:2857-2874. [PMID: 35050498 PMCID: PMC9541557 DOI: 10.1002/jcop.22801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 11/24/2021] [Accepted: 01/03/2022] [Indexed: 06/14/2023]
Abstract
The Lapinlahti Hospital initiative in Helsinki has transformed a disused psychiatric hospital into an open site for mental health promotion. The current study uses qualitative methods to explore how the initiative may promote population mental health. The phenomenological study comprised of data from 7 focus group including 28 participants. Resulting data were thematically analysed to articulate how the initiative supports mental wellbeing in different ways. Mental health benefits were categorized into three themes; mental health value, civil values and common values which were comprised of nine subthemes; paradigm shift, social inclusion, personal meaning, regeneration, ambience, stigma, sustainability, democracy and environment. Mental health promotion emphasises the impact of daily environments in which people live their lives. Results from this study support the use of broad based actions which promote different components of mental wellbeing simultaneously. Psychiatric hospitals may offer historically meaningful sites for such actions.
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Affiliation(s)
- Johanna Cresswell‐Smith
- Equality Unit, Mental Health TeamFinnish Institute for Health and Welfare (THL)HelsinkiFinland
| | | | | | - Kristian Wahlbeck
- Mieli, Mental Health FinlandFinnish Institute for Health and Welfare (THL)HelsinkiFinland
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6
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Cooper M, Avery L, Scott J, Ashley K, Jordan C, Errington L, Flynn D. Effectiveness and active ingredients of social prescribing interventions targeting mental health: a systematic review. BMJ Open 2022; 12:e060214. [PMID: 35879011 PMCID: PMC9328101 DOI: 10.1136/bmjopen-2021-060214] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE This study aims to establish the effectiveness and active ingredients of UK-based social prescribing interventions targeting mental health and well-being outcomes. DESIGN Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analysies guidelines and a published protocol. DATA SOURCES Nine databases were systematically searched up to March 2022. ELIGIBILITY CRITERIA Social prescribing interventions in the UK involving adults aged ≥18 years, which reported on mental health outcomes. DATA EXTRACTION AND SYNTHESIS Two reviewers extracted data on study characteristics; outcomes; referral pathways; treatment fidelity strategies; person-centredness; intervention development processes and theory-linked behaviour change techniques (BCTs). Data were narratively synthesised. RESULTS 52 074 records were retrieved by the search, 13 interventions reported across 17 studies were included in this review (N=5036 participants at post-intervention). Fifteen studies were uncontrolled before-and-after designs, one a randomised controlled trial and one a matched groups design. The most frequently reported referral pathway was the link worker model (n=12), followed by direct referrals from community services (n=3). Participants were predominantly working age adults, and were referred for anxiety, depression, social isolation and loneliness. 16 out of 17 studies reported statistically significant improvements in outcomes (mental health, mental well-being, general health, or quality of life). Strategies to enhance treatment fidelity were suboptimal across studies. Only two studies used a specific theoretical framework. A few studies reported engaging service users in codesign (n=2) or usability and/or feasibility testing (n=4). Overall, 22 BCTs were coded across 13 interventions. The most frequently coded BCTs were social support-unspecified (n=11), credible source (n=7) and social support-practical (n=6). CONCLUSIONS Robust conclusions on the effectiveness of social prescribing for mental health-related outcomes cannot be made. Future research would benefit from comprehensive intervention developmental processes, with reference to appropriate theory, alongside long-term follow-up outcome assessment, using treatment fidelity strategies and a focus on principle of person-centred care. PROSPERO REGISTRATION NUMBER CRD42020167887.
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Affiliation(s)
- Matthew Cooper
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
| | - Leah Avery
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
| | - Jason Scott
- Faculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK
| | - Kirsten Ashley
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
| | - Cara Jordan
- School of Health & Life Sciences, Teesside University, Middlesbrough, UK
| | - Linda Errington
- School of Biomedical, Nutritional, and Sport Sciences, Newcastle University, Newcastle Upon Tyne, UK
| | - Darren Flynn
- Faculty of Health & Life Sciences, Northumbria University, Newcastle upon Tyne, UK
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Bendixen RM, Benevides T, Ideishi R, Smythe R, Taylor J, Umeda C, Kerfeld C, Jirikowic T. Community Conversations: Stakeholder-Identified Research Priorities to Foster Community Participation for Individuals With Intellectual and Developmental Disability. FRONTIERS IN REHABILITATION SCIENCES 2022; 3:873415. [PMID: 36188970 PMCID: PMC9397812 DOI: 10.3389/fresc.2022.873415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 04/12/2022] [Indexed: 11/13/2022]
Abstract
To identify future research priorities and meaningful outcomes focused on community-level interventions for children and youth with intellectual and developmental disabilities and families, a group underrepresented in research, we established a diverse patient-centered outcomes research (PCOR) community. We focused on engaging regionally and nationally-diverse stakeholders—individuals, families, healthcare professionals, community, and policy experts—in research development activities that would build partnerships and research capacity. This community of stakeholders also represented the matrix of systems, services, and programs that people frequent in their communities (e.g., cultural arts, worship, sports and recreation, and transportation). We present the engagement process and methods for including individuals with intellectual and developmental disabilities as stakeholders in research planning and processes. The results of planning, completing, and evaluating three face-to-face research capacity-building meetings and their subsequent stakeholder engagement activities include: (1) individuals with intellectual and developmental disabilities and their families clearly expressed a desire to be included and to feel good about their participation in community settings, (2) many of our stakeholders wanted action and change to happen in their communities now, and often did not realize or understand that research takes time, (3) organizations expressed a need for mentoring related to best practices for access and inclusive programming. Overarching issues around societal inclusion, equal opportunities, and life chances for individuals with intellectual and developmental disabilities and their families were front and center across communities and multi-stakeholder groups, and achieving change remains valued and a high priority.
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Affiliation(s)
- Roxanna M. Bendixen
- Department of Occupational Therapy, University of Pittsburgh, Pittsburgh, PA, United States
- *Correspondence: Roxanna M. Bendixen
| | - Teal Benevides
- Department of Occupational Therapy, Augusta University, Augusta, GA, United States
| | - Roger Ideishi
- Department of Occupational Therapy, George Washington University, Washington, DC, United States
| | | | - Joshua Taylor
- College of Education and Human Development, University of Maine, Orono, ME, United States
| | - Caroline Umeda
- Department of Occupational Therapy, Dominican University of California, San Rafael, CA, United States
| | - Cheryl Kerfeld
- Division of Physical Therapy, Seattle Public Schools, Seattle, WA, United States
| | - Tracy Jirikowic
- Department of Occupational Therapy, University of Washington, Seattle, WA, United States
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Tomioka K, Shima M, Saeki K. Age differences in the association of physical leisure activities with incident disability among community-dwelling older adults. Environ Health Prev Med 2022; 27:16. [PMID: 35354710 PMCID: PMC9251618 DOI: 10.1265/ehpm.21-00018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Background The relationship between leisure activities (LA) in old age and prevention of disability has not been fully investigated, and age and gender differences of these relationships are unknown. This study aimed to investigate whether physical and cognitive LA predicted incident disability among community-dwelling older adults by age and gender. Methods We prospectively observed 8,275 residents aged 65 or above without disability at baseline for 3 years. Incident disability was defined as a new certification of the public long-term care insurance system. LA were classified into two types: physical LA and cognitive LA. The frequency of LA was categorized into frequent (i.e., once a week or more), moderate (i.e., monthly or yearly), and non-engagement. Covariates included age, gender, family number, education, perceived economic situation, body mass index, chronic medical conditions, alcohol consumption, smoking status, regular dental visits, depression, cognitive functioning, and social participation. Multivariable Poisson regression models were used to estimate adjusted cumulative incidence ratio (CIR) and 95% confidence interval (CI) for incident disability. We performed stratified analyses by age groups (i.e., the young-old aged 65–74 and the old-old aged 75–97) and gender (i.e., men and women). Results The 3-year cumulative incidence of disability was 7.5%. After adjustment for covariates and mutual adjustment for both types of LA, a significant dose-response relationship between more frequent LA and lower risk of incident disability was found in young-old physical LA (P-trend < 0.001), in old-old cognitive LA (P-trend = 0.012), in male cognitive LA (P-trend = 0.006), and in female physical LA (P-trend = 0.030). Compared with people without LA, adjusted CIR (95% CI) of frequent LA was 0.47 (0.30–0.74) in young-old physical, 0.75 (0.58–0.96) in old-old cognitive, 0.65 (0.46–0.89) in male cognitive, and 0.70 (0.52–0.95) in female physical. Regarding the effect modification according to age and gender, only interaction between age and physical LA significantly prevented incident disability (P for interaction = 0.019). Conclusion We found age differences in the association of physical LA with incident disability among community-dwelling older adults. An effective measure to prevent long-term care in the community would be to recommend frequent physical LA for the young-old. Supplementary information The online version contains supplementary material available at https://doi.org/10.1265/ehpm.21-00018.
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Affiliation(s)
- Kimiko Tomioka
- Nara Prefectural Health Research Center, Nara Medical University
| | - Midori Shima
- Nara Prefectural Health Research Center, Nara Medical University
| | - Keigo Saeki
- Nara Prefectural Health Research Center, Nara Medical University
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9
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Wolman L, Atack L, Khan S, Zwicker S, de la Cruz C, Roy L, Arbeid E. Older adults’ experiences of social distancing and the role of the community center during COVID-19. QUALITY IN AGEING AND OLDER ADULTS 2022. [DOI: 10.1108/qaoa-01-2021-0005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Although very much needed from an infection control perspective, there is deep concern about the impact of social distancing during COVID-19, particularly on older adults.
Design/methodology/approach
A phenomenological design was used to gain insight into older adults’ experiences of living with social distancing during the first wave of COVID-19. Semi-structured interviews were conducted with eight older adults.
Findings
Six themes were identified: a smaller life, feelings of unease, resilience, connection to the community centre, technology: a boon, but one with limitations, and the way through social distancing.
Originality/value
This study captures older adults’ experiences early in COVID-19. Findings indicate that there is much we can learn from these older adults regarding social isolation that could apply to other older adults and potentially other age groups during the time of pandemic and beyond.
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10
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Wang X, Dong JY, Shirai K, Yamagishi K, Kokubo Y, Saito I, Yatsuya H, Iso H, Tsugane S, Sawada N. Having hobbies and the risk of cardiovascular disease incidence: A Japan public health center-based study. Atherosclerosis 2021; 335:1-7. [PMID: 34517285 DOI: 10.1016/j.atherosclerosis.2021.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/19/2021] [Revised: 08/25/2021] [Accepted: 09/02/2021] [Indexed: 11/19/2022]
Abstract
BACKGROUND AND AIMS The role of hobbies as a protective factor against cardiovascular diseases (CVD) has gained increasing attention; however, no large-scale studies were performed to confirm this. We aimed to examine the association between having hobbies and the risk of total CVD, coronary heart disease (CHD), and stroke in a large Japanese cohort. METHODS A total of 56,381 adults aged 45-74 years were divided into the non-hobby, having a hobby, and having many hobbies groups. We performed Cox proportional hazard models to estimate the hazard ratio (HRs) for incident CVD, CHD, and stroke after adjusting for potential confounding factors. RESULTS We identified 3685 incident CVDs (940 CHDs and 2839 strokes) during a median follow-up of 16.3 years. After multivariable adjustment, compared to the non-hobby group, participants having a hobby and many hobbies had a 10% (HR = 0.90 [0.83, 0.97]) and 20% (HR = 0.80 [0.69, 0.93]) lower risk of CVD incidence, respectively. The risk of CHD was lower in those with many hobbies, but the association between having many hobbies and CHD risk was not statistically significant. We also found a similar inverse association for stroke. Compared to the non-hobby group, participants having a hobby and many hobbies had a 13% (HR = 0.87 [0.80, 0.96]) and 20% (HR = 0.80 [0.68, 0.94]) lower risk of stroke. CONCLUSIONS Having hobbies was associated with a lower risk of CVD. Engagement in hobbies may emerge as an important target for healthy lifestyle promotion for the primary prevention of CVD.
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Affiliation(s)
- Xiaowen Wang
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China
| | - Jia-Yi Dong
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Kokoro Shirai
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Kazumasa Yamagishi
- Department of Public Health Medicine, Faculty of Medicine, And Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan
| | - Yoshihiro Kokubo
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
| | - Isao Saito
- Department of Public Health and Epidemiology, Faculty of Medicine, Oita University, Yufu, Japan
| | - Hiroshi Yatsuya
- Department of Public Health, Fujita Health University School of Medicine, Toyoake, Japan
| | - Hiroyasu Iso
- Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Public Health Medicine, Faculty of Medicine, And Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
| | - Shoichiro Tsugane
- Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan
| | - Norie Sawada
- Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan
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11
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Li L, Wiebe C, Fleury C, Sveistrup H, Sheehy L. Impact of an artist-in-residence program in a complex continuing care hospital: a quality improvement investigation. Arts Health 2021; 14:217-236. [PMID: 34210239 DOI: 10.1080/17533015.2021.1948432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Background: The objective was to assess the impact of an Artist-in-Residence (AiR) program on the quality of life of patients living at a complex continuing care hospital.Methods: In the AiR program, a professional Artist facilitated the creation of community art projects by patients in groups (before COVID-19) and individually (during COVID-19). Four patients, four staff and one family member involved with the program were interviewed to assess their experiences.Results: Themes identified included improvements in spiritual, mental and community health, creation of a sense of community, learning skills and knowledge surrounding art and culture, and the importance of the Artist's personal characteristics/personality. It was recommended to continue and expand the program.Conclusions: The patients deeply enjoyed the AiR program and working with the Artist. Non-patient participants also recognized benefits for the hospital community. Procurement of stable funding and expansion of the program are areas to focus on next.
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Affiliation(s)
- Lucy Li
- Bruyère Research Institute, Ottawa, Canada
| | - Carol Wiebe
- Faculty of Medicine, University of Ottawa, Ottawa, Canada.,Bruyère Continuing Care, Ottawa, Canada
| | - Cj Fleury
- Bruyère Continuing Care, Ottawa, Canada
| | - Heidi Sveistrup
- Bruyère Research Institute, Ottawa, Canada.,Bruyère Continuing Care, Ottawa, Canada.,Faculty of Health Sciences, University of Ottawa, Ottawa, Canada
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12
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Patel S, Craigen G, Pinto da Costa M, Inkster B. Opportunities and Challenges for Digital Social Prescribing in Mental Health: Questionnaire Study. J Med Internet Res 2021; 23:e17438. [PMID: 33687338 PMCID: PMC7988390 DOI: 10.2196/17438] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Revised: 07/27/2020] [Accepted: 01/30/2021] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND The concept of digital social prescription usually refers to social prescriptions that are facilitated by using technology. Tools that enable such digital social prescriptions may be beneficial in recommending nonmedical activities to people with mental illness. As these tools are still somewhat novel and emerging, little is known about their potential advantages and disadvantages. OBJECTIVE The objective of this study is to identify the potential opportunities and challenges that may arise from digital social prescriptions. METHODS We developed a qualitative questionnaire that was disseminated through social media (Facebook and Twitter). A purposive sample targeting digital mental health experts and nonexperts was approached. The questionnaire asked participants' views about digital social prescription; the core elements linked with a definition of digital social prescription; and the strengths, weaknesses, opportunities, and threats associated with digital social prescription. RESULTS Four core elements were recommended to define the concept of digital social prescription: digital, facilitate, user, and social. The main strength identified was the possibility to rapidly start using digital social prescription tools, which were perceived as cost-effective. The main weaknesses were their poor adherence and difficulties with using such tools. The main opportunities were an increased access to social prescription services and the prevention of serious mental illness. The main threats were certain groups being disadvantaged, patients being subject to unintended negative consequences, and issues relating to confidentiality and data protection. CONCLUSIONS Although digital social prescriptions may be able to effectively augment the social prescriptions, a careful consideration of practical challenges and data ethics is imperative in the design and implementation of such technologies.
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Affiliation(s)
- Shivani Patel
- South London and Maudsley NHS Trust, London, United Kingdom
| | - Gerry Craigen
- Department of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Becky Inkster
- Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.,Finance and Economics Programme, The Alan Turing Institute, London, United Kingdom
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13
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Garry F, Murphy Tighe S, MacFarlane A, Phelan H. The use of music as an arts-based method in migrant health research: a scoping review protocol. HRB Open Res 2020; 3:75. [PMID: 33954279 PMCID: PMC8063534 DOI: 10.12688/hrbopenres.13121.1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/21/2020] [Indexed: 11/20/2022] Open
Abstract
There is increasing recognition that people’s lived experience needs to be incorporated into health decision-making. This has led to rising imperatives for involving the public in health processes, including research. While there have been significant advances in the field, patterns of exclusion still exist in some areas, including migrant participation in health research. Migration and mobility create challenges around social inclusion and this extends to social and cultural practices used in research. There is an emerging body of literature about improving meaningful, participatory spaces for migrants’ involvement in health research using creative tools and techniques that are attuned to cultural diversity. These include the use of arts-based research methods. There is strong evidence for the use of music, particularly singing, as an effective arts-based participatory
tool
. The goal of this scoping review is to investigate the evidence for the use of music as an arts-based method in migrant health research. Developed by an interdisciplinary team specialising in public and patient involvement; nursing and midwifery; primary health care; and the performing arts, it aims to analyse existing evidence across disciplines that are not usually studied together, identify gaps in current knowledge and use these as a foundation to build effective strategies towards increasing access to and knowledge of participatory, arts-based methods using music in migrant health research. Methods: The protocol for this scoping review follows the guidelines and stages set out in the JBI Reviewer’s Manual (
Peters et al., 2017), and by Levac
et al, (2010), which build on the methodological framework of Arksey and O’Malley (2005). This incorporates six stages: 1) Identifying the research question; 2) Identifying relevant studies; 3) Study selection; 4) Charting the data; 5) Collating, summarising, and reporting results; and 6) Consultation.
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Affiliation(s)
- Fran Garry
- Irish World Academy of Music and Dance, University of Limerick, Limerick, V94 T9PX, Ireland
| | - Sylvia Murphy Tighe
- Department of Nursing & Midwifery and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
| | - Anne MacFarlane
- Public & Patient Involvement Research Unit, Graduate Entry Medical School and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
| | - Helen Phelan
- Irish World Academy of Music and Dance and Health Research Institute (HRI), University of Limerick, Limerick, V94 T9PX, Ireland
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14
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Promotion of Healthy Aging Within a Community Center Through Behavior Change: Health and Fitness Findings From the AgeWell Pilot Randomized Controlled Trial. J Aging Phys Act 2020; 29:80-88. [PMID: 32781433 DOI: 10.1123/japa.2019-0396] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Revised: 04/21/2020] [Accepted: 05/05/2020] [Indexed: 11/18/2022]
Abstract
The purpose of this randomized controlled trial was to determine if behavior change through individual goal setting (GS) could promote healthy aging, including health and fitness benefits in older adults who attended a community "AgeWell" Center for 12 months. Seventy-five older adults were randomly allocated to either a control or a GS group. Health outcomes were measured at baseline and after 12 months of the participants' having access to the exception of Agewell Center facilities. The findings demonstrate that participation in the Center in itself was beneficial, with improved body composition and reduced cardiovascular risk in both groups (p < .05), and that this kind of community-based resource offers valuable potential for promoting protective behaviors and reducing health risk. However, a specific focus on identifying individual behavior change goals was required in order to achieve increased activity engagement (p < .05) and to bring about more substantial improvements in a range of health, diet, and physical function measures (p < .05).
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15
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Tweed LM, Rogers EN, Kinnafick FE. Literature on peer-based community physical activity programmes for mental health service users: a scoping review. Health Psychol Rev 2020; 15:287-313. [PMID: 31937185 DOI: 10.1080/17437199.2020.1715812] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Physical activity is a key determinant of mental health; community programmes aim to increase health and well-being on a community wide scale with emphasis on social interaction. Regular physical activity participation in community settings yields additional social benefits, such as peer support. This scoping review aimed to explore existing literature that has included peer support as a component of community-based physical activity programmes for MHSU. Published literature was examined using electronic databases (SportDiscus, Web of Science, MEDLINE, and PsycINFO), reference lists, and hand searching of journals. Thirteen eligible articles included; adults aged 18 and over, a peer support component, physical activity and/or sport, participants with mental health diagnoses and were community-based. Research published between 2007 and 2019, peer-reviewed and written in English was included. Nine studies found a significant increase in perceived social support, seven studies reported increased mental wellbeing and five studies reported increased physical activity levels. Effectiveness of reviewed programmes were categorised as; overall improvements in physical activity levels, improvements to mental health, exercise related psychosocial benefits, knowledge relating to self-care, and improved social connections. Community-based physical activity programmes produced psychosocial benefits and positive behaviour change for MHSU, warranting greater focus towards implementing effective peer support into community programmes.
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Affiliation(s)
- Lorna M Tweed
- School of Sport and Exercise Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK
| | - Eva N Rogers
- School of Sport and Exercise Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK
| | - Florence-E Kinnafick
- School of Sport and Exercise Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, Loughborough, UK
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16
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Tomioka K, Kurumatani N, Saeki K. Cross-Sectional Association Between Types of Leisure Activities and Self-rated Health According to Gender and Work Status Among Older Japanese Adults. J Epidemiol 2019; 29:424-431. [PMID: 30318494 PMCID: PMC6776474 DOI: 10.2188/jea.je20180108] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/05/2022] Open
Abstract
Background Participation in leisure activities (LA) is essential for successful aging. Our aim was to investigate the cross-sectional association of types of LA with self-rated health (SRH) by gender and work status. Methods The target population was all residents aged ≥65 years in a municipality (n = 16,010; response rate, 62.5%). We analyzed 4,044 men and 4,617 women without disabilities. LA were categorized into 14 types. SRH was assessed through the SF-8. Excellent or very good SRH was defined as positive SRH. Covariates included age, marital status, education, subjective economic status, body mass index, chronic diseases, alcohol, smoking, walking time, depression, and cognitive functioning. Multiple logistic regressions were used to calculate the odds ratio (OR) and 95% confidence interval (CI) for positive SRH, with non-participation as the reference. Results After adjustment for covariates and mutual adjustment for other LA, participation in the following types of LA was positively associated with positive SRH: sports activities among working men (OR 1.46; 95% CI, 1.07–2.00), non-working men (OR 1.33; 95% CI, 1.04–1.69), and non-working women (OR 1.74; 95% CI, 1.41–2.15); cooking among non-working men (OR 1.65; 95% CI, 1.18–2.33) and non-working women (OR 1.28; 95% CI, 1.03–1.60); musical activities among working men (OR 1.44; 95% CI, 1.01–2.05) and non-working women (OR 1.59; 95% CI, 1.29–1.95); and technology usage only among working men (OR 1.41; 95% CI, 1.01–1.96). In contrast, TV watching was negatively associated with positive SRH among non-working women (OR 0.69; 95% CI, 0.56–0.85). Conclusions Our results suggest that encouraging older adults to participate in types of LA appropriate to their gender and work status might be a key to positive SRH.
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Affiliation(s)
- Kimiko Tomioka
- Nara Prefectural Health Research Center, Nara Medical University
| | - Norio Kurumatani
- Nara Prefectural Health Research Center, Nara Medical University
| | - Keigo Saeki
- Nara Prefectural Health Research Center, Nara Medical University
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17
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Wästberg BA, Sandström B, Gunnarsson AB. New way of working: Professionals' expectations and experiences of the Culture and Health Project for clients with psychiatric disabilities: A focus group study. Int J Ment Health Nurs 2018; 27:329-340. [PMID: 28247475 DOI: 10.1111/inm.12324] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/03/2017] [Indexed: 12/01/2022]
Abstract
UNLABELLED There is a need for various types of interventions when meeting needs of clients with psychiatric disabilities and complementary interventions may also influence their well-being. The Culture and Health project, based on complementary interventions with 270 clients, was created in a county in Sweden for clients with psychiatric disabilities and for professionals to carry out the interventions. The aim of this study was to investigate the professionals' expectations regarding the project and their clients' possibilities for participating, and to investigate the professionals' experiences of the project after its completion. Focus group data with a total of 30 professionals participating were collected. A qualitative content analysis revealed four categories of the professionals' expectations before entering the project: "Clients' own possibilities and limitations for their development and independence", "Professionals' possibilities for supporting the clients", "Societal prerequisites", and "Expectations of a new way of working". Furthermore, the analysis regarding professionals' experiences after working with the project revealed three categories: "Adopting the challenges", "Having ways of working that function - prerequisites and possibilities", and "Meeting the future - an ambition to continue". CONCLUSION Working in the Culture and Health project together with the clients in group-based activities was perceived as beneficial, although challenges arose. When implementing cultural activities, support from stakeholder organisations is needed.
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Affiliation(s)
- Birgitta A Wästberg
- Skane University Hospital, Lund, Sweden.,Blekinge Centre of Competence, Karlskrona, Sweden
| | - Boel Sandström
- Blekinge Centre of Competence, Karlskrona, Sweden.,Department of Care Science, Malmö University, Malmö, Sweden
| | - Anna Birgitta Gunnarsson
- Department of Research and Development, Region Kronoberg, Växjö, Sweden.,Department of Clinical Neuroscience and Rehabilitation, the Sahlgrenska Academy at University of Gothenburg, Göteborg, Sweden
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18
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Rempel ES, Wilson EN, Durrant H, Barnett J. Preparing the prescription: a review of the aim and measurement of social referral programmes. BMJ Open 2017; 7:e017734. [PMID: 29025843 PMCID: PMC5652530 DOI: 10.1136/bmjopen-2017-017734] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2017] [Revised: 07/15/2017] [Accepted: 08/03/2017] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Our aim is to review, and qualitatively evaluate, the aims and measures of social referral programmes. Our first objective is to identify the aims of social referral initiatives. Our second objective is to identify the measures used to evaluate whether the aims of social referral were met. DESIGN Literature review. BACKGROUND Social referral programmes, also called social prescribing and emergency case referral, link primary and secondary healthcare with community services, often under the guise of decreasing health system costs. METHOD Following the PRISMA guidelines, we undertook a literature review to address that aim. We searched in five academic online databases and in one online non-academic search engine, including both academic and grey literature, for articles referring to 'social prescribing' or 'community referral'. RESULTS We identified 41 relevant articles and reports. After extracting the aims, measures and type of study, we found that most social referral programmes aimed to address a wide variety of system and individual health problems. This included cost savings, resource reallocation and improved mental, physical and social well-being. Across the 41 studies and reports, there were 154 different kinds of measures or methods of evaluation identified. Of these, the most commonly used individual measure was the Warwick-Edinburgh Mental Well-being Scale, used in nine studies and reports. CONCLUSIONS These inconsistencies in aims and measures used pose serious problems when social prescribing and other referral programmes are often advertised as a solution to health services-budgeting constraints, as well as a range of chronic mental and physical health conditions. We recommend researchers and local community organisers alike to critically evaluate for whom, where and why their social referral programmes 'work'.
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Affiliation(s)
| | - Emma N Wilson
- Department of Psychology, University of Bath, Bath, UK
| | - Hannah Durrant
- Institute for Policy Research, University of Bath, Bath, UK
| | - Julie Barnett
- Department of Psychology, University of Bath, Bath, UK
- Institute for Policy Research, University of Bath, Bath, UK
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19
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Umeda CJ, Fogelberg DJ, Jirikowic T, Pitonyak JS, Mroz TM, Ideishi RI. Expanding the Implementation of the Americans With Disabilities Act for Populations With Intellectual and Developmental Disabilities: The Role of Organization-Level Occupational Therapy Consultation. Am J Occup Ther 2017; 71:7104090010p1-7104090010p6. [DOI: 10.5014/ajot.2017.714001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
The Americans With Disabilities Act (ADA) provides standards and guidance for accessibility and accommodations that remove barriers to facilitate community social participation for individuals with disabilities. However, ADA implementation does not yet fully address the diverse access needs of people with intellectual and developmental disabilities (IDD), who continue to face barriers to community social participation. This article explores the potential for occupational therapy practitioners to provide organization-level consultation as a means of maximizing community social participation among people with IDD. Case examples of occupational therapy practitioners working with community organizations are presented to illustrate organization-level consultation that addresses access needs across diverse community contexts. The relevance of supporting community social participation within the context of health equity is discussed, and key next steps, including developing population-based outcome measures, addressing reimbursement considerations, and developing best practices for organization-level consultation, are outlined.
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Affiliation(s)
- Caroline J. Umeda
- Caroline J. Umeda, PhD, OTR/L, is Doctoral Candidate in Rehabilitation Science, Department of Rehabilitation Medicine, University of Washington, Seattle;
| | - Donald J. Fogelberg
- Donald J. Fogelberg, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
| | - Tracy Jirikowic
- Tracy Jirikowic, PhD, OTR/L, FAOTA, is Associate Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
| | - Jennifer S. Pitonyak
- Jennifer S. Pitonyak, PhD, OTR/L, SCFES, is Clinical Assistant Professor, School of Occupational Therapy, University of Puget Sound, Tacoma, WA
| | - Tracy M. Mroz
- Tracy M. Mroz, PhD, OTR/L, is Assistant Professor, Department of Rehabilitation Medicine, University of Washington, Seattle
| | - Roger I. Ideishi
- Roger I. Ideishi, JD, OT/L, FAOTA, is Associate Professor, College of Public Health, Temple University, Philadelphia, PA
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20
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Genoe MR, Zimmer C. Breathing Easier? The Contradictory Experience of Leisure Among People Living with COPD. ACTIVITIES ADAPTATION & AGING 2017. [DOI: 10.1080/01924788.2017.1306382] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M. Rebecca Genoe
- Kinesiology and Health Studies, University of Regina, Regina, SK, Canada
| | - Chantelle Zimmer
- Department of Physical Education and Recreation, University of Alberta, Edmonton, AB, Canada
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21
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Bickerdike L, Booth A, Wilson PM, Farley K, Wright K. Social prescribing: less rhetoric and more reality. A systematic review of the evidence. BMJ Open 2017; 7:e013384. [PMID: 28389486 PMCID: PMC5558801 DOI: 10.1136/bmjopen-2016-013384] [Citation(s) in RCA: 329] [Impact Index Per Article: 47.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES Social prescribing is a way of linking patients in primary care with sources of support within the community to help improve their health and well-being. Social prescribing programmes are being widely promoted and adopted in the UK National Health Service and so we conducted a systematic review to assess the evidence for their effectiveness. SETTING/DATA SOURCES Nine databases were searched from 2000 to January 2016 for studies conducted in the UK. Relevant reports and guidelines, websites and reference lists of retrieved articles were scanned to identify additional studies. All the searches were restricted to English language only. PARTICIPANTS Systematic reviews and any published evaluation of programmes where patient referral was made from a primary care setting to a link worker or facilitator of social prescribing were eligible for inclusion. Risk of bias for included studies was undertaken independently by two reviewers and a narrative synthesis was performed. PRIMARY AND SECONDARY OUTCOME MEASURES Primary outcomes of interest were any measures of health and well-being and/or usage of health services. RESULTS We included a total of 15 evaluations of social prescribing programmes. Most were small scale and limited by poor design and reporting. All were rated as a having a high risk of bias. Common design issues included a lack of comparative controls, short follow-up durations, a lack of standardised and validated measuring tools, missing data and a failure to consider potential confounding factors. Despite clear methodological shortcomings, most evaluations presented positive conclusions. CONCLUSIONS Social prescribing is being widely advocated and implemented but current evidence fails to provide sufficient detail to judge either success or value for money. If social prescribing is to realise its potential, future evaluations must be comparative by design and consider when, by whom, for whom, how well and at what cost. TRIAL REGISTRATION NUMBER PROSPERO Registration: CRD42015023501.
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Affiliation(s)
- Liz Bickerdike
- Centre for Reviews and Dissemination, University of York, York, UK
| | | | - Paul M Wilson
- Alliance Manchester Business School, University of Manchester, Manchester, UK
| | - Kate Farley
- School of Healthcare, University of Leeds, Leeds, UK
| | - Kath Wright
- Centre for Reviews and Dissemination, University of York, York, UK
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22
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Nyman SR, Szymczynska P. Meaningful activities for improving the wellbeing of people with dementia: beyond mere pleasure to meeting fundamental psychological needs. Perspect Public Health 2017; 136:99-107. [PMID: 26933079 DOI: 10.1177/1757913915626193] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
AIMS Dementia is being increasingly recognised as a major public health issue for our ageing populations. A critical aspect of supporting people with dementia is facilitating their participation in meaningful activities. However, research to date has not drawn on theories of ageing from developmental psychology that would help undergird the importance of such meaningful activity. For the first time, we connect existing activity provision for people with dementia with developmental psychology theories of ageing. METHOD We reviewed the literature in two stages: first, we narratively searched the literature to demonstrate the relevance of psychological theories of ageing for provision of meaningful activities for people with dementia, and in particular focused on stage-based theories of adult development (Carl Jung and Erik Erikson), gerotranscendence (Tornstam), selective optimisation with compensation (Baltes and Baltes), and optimisation in primary and secondary control (Heckhausen and Schulz). Second, we systematically searched PubMed and PsycINFO for studies with people with dementia that made use of the aforementioned theories. RESULTS The narrative review highlights that activity provision for people with dementia goes beyond mere pleasure to meeting fundamental psychological needs. More specifically, that life review therapy and life story work address the need for life review; spiritual/religious activities address the need for death preparation; intergenerational activities address the need for intergenerational relationships; re-acquaintance with previously conducted leisure activities addresses the need for a sense of control and to achieve life goals; and pursuit of new leisure activities addresses the need to be creative. The systematic searches identified two studies that demonstrated the utility of applying Erikson's theory of psychosocial development to dementia care. CONCLUSION We argue for the importance of activity provision for people with dementia to help promote wellbeing among an increasing proportion of older people.
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Affiliation(s)
- Samuel R Nyman
- Bournemouth University Dementia Institute and Department of Psychology, Faculty of Science & Technology, Bournemouth University, UK
| | - Paulina Szymczynska
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Service Development, Newham Centre for Mental Health, Queen Mary University of London, London, UK
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23
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Lee SH. Activity engagement of aging retirees in South Korea. J Phys Ther Sci 2014; 26:239-41. [PMID: 24648639 PMCID: PMC3944296 DOI: 10.1589/jpts.26.239] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2013] [Accepted: 09/01/2013] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to analyze the activity engagement of the
retiree population in South Korea. [Methods] The Korean-Activity Card Sort (K-ACS) was
used to collect research data. A One-way ANOVA and post-hoc comparisons showed significant
group effects among three age groups. The independent t-tests was used to analyze the
differences in mean retained level of activity (MRA) between men and women. [Results] The
one-way ANOVA showed statistically significant differences in MRA among different age
groups. Scheffé’s test revealed a statistically significant decrease in MRA in Group A,
aged more than 75 years, as compared to the other two age groups. When participants were
divided by gender, MRA of instrumental activities showed a statistically significant
difference between the 65–74 years group and the 55–65 years group, but no difference in
females of the leisure activities among the age groups. The independent t-tests
demonstrated significant gender differences in MRA of activity of the 55–64 years group.
[Conclusion] These findings suggest that health professionals should monitor the changes
in retained level of activity after age 75, to maintain their engagement, and the
importance of age-, gender- and activity-specific analyses in order to identifying
patterns of activity engagement.
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Affiliation(s)
- Sang-Heon Lee
- Department of Occupational Therapy, College of Medical Science, Soon Chun Hyang University: 646 Eupnae-ri, Shinchang-myeon, Asan-si, Chungnam 336-745, Republic of Korea
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