Dance for Respiratory Patients in Low-Resource Settings

Philip, Keir; Katagira, Winceslaus; Jones, Rupert

doi:10.1001/jama.2020.15426

Cited by 13 publications

(12 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[26][27][28][29][30][31][32][33] Furthermore, dance is a core aspect of societies and cultures globally, hence has great potential as an enjoyable, engaging intervention in respiratory care throughout the world. [34][35][36] Regarding dance for people with CRD, two feasibility studies found dance for CRD interventions to be feasible, 37 38 one also suggested dance may improve functional capacity, balance, anxiety and depression, physical activity and health-related quality of life. 38 However, no studies have assessed…”

Section: Introductionmentioning

confidence: 99%

Dance for people with chronic respiratory disease: a qualitative study

et al. 2020

View full text Add to dashboard Cite

ObjectivesTo explore the experiences and perceived impact on health and well-being related to participation in a dance group for people with chronic respiratory disease (CRD).DesignAn exploratory qualitative study using thematic analysis of semistructured interviews.SettingA community dance group in a UK health centre.ParticipantsConvenience sample of long-term dance group participants.InterventionWeekly community dance sessions designed for people with breathlessness, lasting 75 min, led by a trained community dance leader.ResultsConvenience sample of eight participants, six females, aged 57–87 years (mean 75), with a median 2-year attendance at weekly dance sessions. Long-term attendance was driven by strongly held beliefs regarding the health and well-being benefits of participation. Four key themes were identified: dance as (1) a holistically beneficial activity, with physical and psychosocial health benefits including improved or maintained physical fitness and psychological well-being, and reduced need for healthcare; (2) an integral part of their life; (3) an enjoyable activity; and (4) a source of deep social cohesion.ConclusionsDance group participants perceived a broad range of health benefits of relevance to the biopsychosocial impacts of their respiratory disease. The themes identified are useful in the ongoing planning and evaluation of dance as a holistic complex intervention for people with CRD. Further research is required to assess the extent of health impacts identified, and how dance might be most effectively placed as an option in the management of CRD.Trial registration numberNCT04006015.

show abstract

Section: Introductionmentioning

confidence: 99%

Dance for people with chronic respiratory disease: a qualitative study

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Additionally, an evaluation of SFB Uganda, a singing project for people with CRD in Uganda, provided anecdotal reports that participation was enjoyed 21 , and our findings are broadly in keeping with the evaluation of SFB. Similarly, anecdotal experience of related singing and dance projects for people with long-term respiratory conditions in other low-resource settings have been enjoyed with participants reporting a range of biopsychosocial benefits 31 . A study of culturally adapted PR in the MLI also showed high-levels of acceptability 8 .…”

Section: Discussionmentioning

confidence: 99%

Music and Dance in respiratory disease management in Uganda: A qualitative study of patient and healthcare professional perspectives

Philip

Cartwright

Westlake

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

IntroductionMusic 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.MethodsWe delivered taster music and dance for chronic respiratory disease (CRD) sessions to patients and healthcare professionals. We then conducted an exploratory qualitative study, using thematic analysis of semi-structured interviews with the healthcare professionals and patients regarding i) the role of music and dance in Ugandan life and ii) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.ResultsEleven patients with long-term respiratory conditions and eight healthcare professionals were interviewed after selection 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 wellbeing; 3) had strong therapeutic potential in respiratory disease management; 4) the importance of modulating demographic considerations of culture and religion, and age.ConclusionMusic and dance are central to life in Uganda, with established roles supporting health and wellbeing. 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 co-development and adaptation of interventions, such approaches are likely to be well received.Summary Box: Key QuestionsWhat is already known?Music and dance are increasingly being used as adjunctive components of CRD management in high resource settings, with a growing body of research suggesting such approaches are effective, well-received, and can be delivered at low cost. However, the perceptions of patients and healthcare professionals about potential application of such approaches in low-resource settings, such as Uganda, is not known.What are the new findings?Music and dance have central roles in the social, religious and cultural life in Uganda, including a clear view that participation supports both collective and individual health and wellbeing. In this study, both healthcare professionals and patients saw great potential for the use of music and dance as interventions for people with CRD, and highlighted important factors for consideration for successful implementation.What do the new findings imply?Music and dance interventions for people with long-term respiratory conditions in Uganda are likely to be accepted with enthusiasm due to the existing role of such activities in daily life. Delivery is likely to be feasible, but interventions would need to be co-developed with patients, their family members, and healthcare professionals, considering a number of key factors. Suggested approaches to address these considerations are provided. More generally, this study highlights how genuine co-design processes can provide valuable insights into health intervention development.

show abstract

“…8 The popularity of SLH for people with respiratory disease continues to grow. Around 100 groups exist in the UK, with many more internationally, [18][19][20] and now also online. 17 Such approaches are potentially deliverable at relatively low financial and resource costs through using existing social and cultural capital, and as such, ongoing work suggests a great deal of potential for these approaches in low-resource settings.…”

Section: Introductionmentioning

confidence: 99%

“…17 Such approaches are potentially deliverable at relatively low financial and resource costs through using existing social and cultural capital, and as such, ongoing work suggests a great deal of potential for these approaches in low-resource settings. 20 21 Furthermore, it is known that exercise training is one of the most effective management strategies for people with long-term respiratory conditions, 22 usually in the form of pulmonary rehabilitation (PR), however many people are unable to access PR, 23 or do not want to do it, Open access hence alternative approaches could be complementary in expanding provision of exercise training opportunities and diversifying delivery modalities, if an evidence base were to be established.…”

Section: Introductionmentioning

confidence: 99%

Physiological demands of singing for lung health compared with treadmill walking

et al. 2021

View full text Add to dashboard Cite

IntroductionParticipating in singing is considered to have a range of social and psychological benefits. However, the physiological demands of singing and its intensity as a physical activity are not well understood.MethodsWe compared cardiorespiratory parameters while completing components of Singing for Lung Health sessions, with treadmill walking at differing speeds (2, 4 and 6 km/hour).ResultsEight healthy adults were included, none of whom reported regular participation in formal singing activities. Singing induced acute physiological responses that were consistent with moderate intensity activity (metabolic equivalents: median 4.12, IQR 2.72–4.78), with oxygen consumption, heart rate and volume per breath above those seen walking at 4 km/hour. Minute ventilation was higher during singing (median 22.42 L/min, IQR 16.83–30.54) than at rest (11 L/min, 9–13), lower than 6 km/hour walking (30.35 L/min, 26.94–41.11), but not statistically different from 2 km/hour (18.77 L/min, 16.89–21.35) or 4 km/hour (23.27 L/min, 20.09–26.37) walking.ConclusionsOur findings suggest the acute metabolic demands of singing are comparable with walking at a moderately brisk pace, hence, physical effects may contribute to the health and well-being benefits attributed to singing participation. However, if physical training benefits result remains uncertain. Further research including different singing styles, singers and physical performance impacts when used as a training modality is encouraged.Trial registration numberClinicalTrials.gov registry (NCT04121351).

show abstract

Dance for Respiratory Patients in Low-Resource Settings

Abstract: Community dance session for people with chronic respiratory disease and their family members outside a rural clinic in the Kyrgyz Republic.

Cited by 13 publications

References 6 publications

Dance for people with chronic respiratory disease: a qualitative study

Dance for people with chronic respiratory disease: a qualitative study

Music and Dance in respiratory disease management in Uganda: A qualitative study of patient and healthcare professional perspectives

Physiological demands of singing for lung health compared with treadmill walking

Contact Info

Product

Resources

About