A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial.
Identifieur interne : 000031 ( Main/Exploration ); précédent : 000030; suivant : 000032A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial.
Auteurs : Julene K. Johnson [États-Unis] ; Anita L. Stewart [États-Unis] ; Michael Acree [États-Unis] ; Anna M. Nápoles [États-Unis] ; Jason D. Flatt [États-Unis] ; Wendy B. Max [États-Unis] ; Steven E. Gregorich [États-Unis]Source :
- The journals of gerontology. Series B, Psychological sciences and social sciences [ 1758-5368 ] ; 2020.
Abstract
OBJECTIVES
To test effects of the Community of Voices choir intervention on the health, well-being, and health care costs of racial/ethnically diverse older adults.
METHOD
Twelve Administration-on-Aging-supported senior centers were cluster randomized into two groups: the intervention group started the choir immediately and a wait-list control group began the choir 6 months later. The choir program was designed for community-dwelling adults aged 60 years and older. The multimodal intervention comprises activities that engage participants cognitively, physically, and socially. Outcome measures assessed these three domains as well as health care utilization and costs. The intention-to-treat comparison was at 6 months.
RESULTS
The sample (N = 390) had a mean age of 71.3 years (SD = 7.2); 65% were nonwhite. Six-month retention was 92%. Compared to controls, intervention group members experienced significantly greater improvements in loneliness (p = .02; standardized effect size [ES = 0.34] and interest in life (p = .008, ES = 0.39). No significant group differences were observed for cognitive or physical outcomes or for health care costs.
DISCUSSION
Findings support adoption of community choirs for reducing loneliness and increasing interest in life among diverse older adults. Further efforts need to examine the mechanisms by which engagement in choirs improves aspects of well-being and reduces health disparities among older adults, including potential longer-term effects.
CLINICALTRIALS.GOV REGISTRATION
NCT01869179 registered January 9, 2013.
DOI: 10.1093/geronb/gby132
PubMed: 30412233
PubMed Central: PMC7328053
Affiliations:
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Johnson</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Institute for Health & Aging, University of California San Francisco, Bethesda</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Stewart, Anita L" sort="Stewart, Anita L" uniqKey="Stewart A" first="Anita L" last="Stewart">Anita L. Stewart</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Institute for Health & Aging, University of California San Francisco, Bethesda</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Acree, Michael" sort="Acree, Michael" uniqKey="Acree M" first="Michael" last="Acree">Michael Acree</name><affiliation wicri:level="2"><nlm:affiliation>Osher Center for Integrative Medicine, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Osher Center for Integrative Medicine, University of California San Francisco, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Napoles, Anna M" sort="Napoles, Anna M" uniqKey="Napoles A" first="Anna M" last="Nápoles">Anna M. Nápoles</name><affiliation wicri:level="2"><nlm:affiliation>Intramural Research Program, National Institute of Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Intramural Research Program, National Institute of Minority Health and Health Disparities, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Flatt, Jason D" sort="Flatt, Jason D" uniqKey="Flatt J" first="Jason D" last="Flatt">Jason D. Flatt</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Institute for Health & Aging, University of California San Francisco, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Max, Wendy B" sort="Max, Wendy B" uniqKey="Max W" first="Wendy B" last="Max">Wendy B. Max</name><affiliation wicri:level="2"><nlm:affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Institute for Health & Aging, University of California San Francisco, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Gregorich, Steven E" sort="Gregorich, Steven E" uniqKey="Gregorich S" first="Steven E" last="Gregorich">Steven E. Gregorich</name><affiliation wicri:level="2"><nlm:affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda</wicri:cityArea></affiliation><affiliation><nlm:affiliation>Division of General Internal Medicine, Department of Medicine, University of California San Francisco.</nlm:affiliation><wicri:noCountry code="subField">University of California San Francisco</wicri:noCountry></affiliation></author></analytic><series><title level="j">The journals of gerontology. Series B, Psychological sciences and social sciences</title><idno type="eISSN">1758-5368</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To test effects of the Community of Voices choir intervention on the health, well-being, and health care costs of racial/ethnically diverse older adults.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>Twelve Administration-on-Aging-supported senior centers were cluster randomized into two groups: the intervention group started the choir immediately and a wait-list control group began the choir 6 months later. The choir program was designed for community-dwelling adults aged 60 years and older. The multimodal intervention comprises activities that engage participants cognitively, physically, and socially. Outcome measures assessed these three domains as well as health care utilization and costs. The intention-to-treat comparison was at 6 months.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The sample (N = 390) had a mean age of 71.3 years (SD = 7.2); 65% were nonwhite. Six-month retention was 92%. Compared to controls, intervention group members experienced significantly greater improvements in loneliness (p = .02; standardized effect size [ES = 0.34] and interest in life (p = .008, ES = 0.39). No significant group differences were observed for cognitive or physical outcomes or for health care costs.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Findings support adoption of community choirs for reducing loneliness and increasing interest in life among diverse older adults. Further efforts need to examine the mechanisms by which engagement in choirs improves aspects of well-being and reduces health disparities among older adults, including potential longer-term effects.</p></div><div type="abstract" xml:lang="en"><p><b>CLINICALTRIALS.GOV REGISTRATION</b></p><p>NCT01869179 registered January 9, 2013.</p></div></front></TEI><pubmed><MedlineCitation Status="In-Data-Review" Owner="NLM"><PMID Version="1">30412233</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1758-5368</ISSN><JournalIssue CitedMedium="Internet"><Volume>75</Volume><Issue>3</Issue><PubDate><Year>2020</Year><Month>Feb</Month><Day>14</Day></PubDate></JournalIssue><Title>The journals of gerontology. Series B, Psychological sciences and social sciences</Title></Journal><ArticleTitle>A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial.</ArticleTitle><Pagination><MedlinePgn>549-559</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/geronb/gby132</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To test effects of the Community of Voices choir intervention on the health, well-being, and health care costs of racial/ethnically diverse older adults.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">Twelve Administration-on-Aging-supported senior centers were cluster randomized into two groups: the intervention group started the choir immediately and a wait-list control group began the choir 6 months later. The choir program was designed for community-dwelling adults aged 60 years and older. The multimodal intervention comprises activities that engage participants cognitively, physically, and socially. Outcome measures assessed these three domains as well as health care utilization and costs. The intention-to-treat comparison was at 6 months.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The sample (N = 390) had a mean age of 71.3 years (SD = 7.2); 65% were nonwhite. Six-month retention was 92%. Compared to controls, intervention group members experienced significantly greater improvements in loneliness (p = .02; standardized effect size [ES = 0.34] and interest in life (p = .008, ES = 0.39). No significant group differences were observed for cognitive or physical outcomes or for health care costs.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Findings support adoption of community choirs for reducing loneliness and increasing interest in life among diverse older adults. Further efforts need to examine the mechanisms by which engagement in choirs improves aspects of well-being and reduces health disparities among older adults, including potential longer-term effects.</AbstractText><AbstractText Label="CLINICALTRIALS.GOV REGISTRATION" NlmCategory="UNASSIGNED">NCT01869179 registered January 9, 2013.</AbstractText><CopyrightInformation>© The Author(s) 2018. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Johnson</LastName><ForeName>Julene K</ForeName><Initials>JK</Initials><AffiliationInfo><Affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>Anita L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Acree</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Osher Center for Integrative Medicine, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nápoles</LastName><ForeName>Anna M</ForeName><Initials>AM</Initials><AffiliationInfo><Affiliation>Intramural Research Program, National Institute of Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Flatt</LastName><ForeName>Jason D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Max</LastName><ForeName>Wendy B</ForeName><Initials>WB</Initials><AffiliationInfo><Affiliation>Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gregorich</LastName><ForeName>Steven E</ForeName><Initials>SE</Initials><AffiliationInfo><Affiliation>Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Division of General Internal Medicine, Department of Medicine, University of California San Francisco.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT01869179</AccessionNumber></AccessionNumberList></DataBank></DataBankList><GrantList CompleteYN="Y"><Grant><GrantID>P30 AG015272</GrantID><Acronym>AG</Acronym><Agency>NIA NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 AG042526</GrantID><Acronym>AG</Acronym><Agency>NIA NIH 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IdType="pubmed">21565815</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Johnson, Julene K" sort="Johnson, Julene K" uniqKey="Johnson J" first="Julene K" last="Johnson">Julene K. Johnson</name></region><name sortKey="Acree, Michael" sort="Acree, Michael" uniqKey="Acree M" first="Michael" last="Acree">Michael Acree</name><name sortKey="Flatt, Jason D" sort="Flatt, Jason D" uniqKey="Flatt J" first="Jason D" last="Flatt">Jason D. Flatt</name><name sortKey="Gregorich, Steven E" sort="Gregorich, Steven E" uniqKey="Gregorich S" first="Steven E" last="Gregorich">Steven E. Gregorich</name><name sortKey="Johnson, Julene K" sort="Johnson, Julene K" uniqKey="Johnson J" first="Julene K" last="Johnson">Julene K. Johnson</name><name sortKey="Max, Wendy B" sort="Max, Wendy B" uniqKey="Max W" first="Wendy B" last="Max">Wendy B. Max</name><name sortKey="Napoles, Anna M" sort="Napoles, Anna M" uniqKey="Napoles A" first="Anna M" last="Nápoles">Anna M. Nápoles</name><name sortKey="Stewart, Anita L" sort="Stewart, Anita L" uniqKey="Stewart A" first="Anita L" last="Stewart">Anita L. Stewart</name><name sortKey="Stewart, Anita L" sort="Stewart, Anita L" uniqKey="Stewart A" first="Anita L" last="Stewart">Anita L. Stewart</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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