Evaluation of an online arts-based platform to support the health and well-being of older adults during the COVID-19 pandemic: a cross-sectional survey.
Arts-based intervention
COVID-19
Loneliness
Older adults
Social isolation
Survey
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
04 May 2024
04 May 2024
Historique:
received:
20
10
2023
accepted:
26
04
2024
medline:
4
5
2024
pubmed:
4
5
2024
entrez:
3
5
2024
Statut:
epublish
Résumé
The objective of this study was to conduct a formative evaluation of the Art Your Service (AYS) arts-based program to determine the program's potential for improving the social and physical well-being of older adults during the COVID-19 pandemic. An online questionnaire was administered to the AYS members who consented to be invited to participate in the study. Questionnaire items consisted of a Likert scale and open-ended questions delivered using an online platform (SurveyMonkey). Participants provided feedback on their perceptions and experiences of the AYS program, such as its impact on their health and well-being during the COVID-19 pandemic, the benefits and challenges of participating, and any suggestions for program improvement. Quantitative data were analyzed using descriptive statistics (frequencies, means with standard deviations), and open-ended questions (qualitative data) were analyzed using content analysis. Outcomes included participant demographics, perceptions about the program, usability (System Usability Scale [SUS]), eHealth literacy (eHealth Literacy Scale), and social isolation (Lubben Social Network Scale; LSNS-6). Program participants revealed consistent patterns of their perceptions and experiences about the program, including a high satisfaction rate (95%) and a perceived positive impact on participants' health and well-being. The program sessions were perceived to be a well-organized, convenient, and safe way to engage with one another socially during the COVID-19 pandemic. The program usability was also perceived to be high (SUS mean score 86.2). Participants felt a sense of connectedness and had reduced feelings of social isolation. Most participants (75%) reported that the program improved their physical health. Findings from this formative evaluation study identified key strengths and opportunities to improve the Art Your Service arts-based program, which can be used to help enhance the program's functioning and long-term sustainability potential.
Identifiants
pubmed: 38702646
doi: 10.1186/s12889-024-18720-6
pii: 10.1186/s12889-024-18720-6
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1232Informations de copyright
© 2024. The Author(s).
Références
Carswell C, Reid J, Walsh I, McAneney H, Noble H. Implementing an arts-based intervention for patients with end-stage kidney disease whilst receiving haemodialysis: a feasibility study protocol. Pilot Feasibility Stud. 2019;5(1):1–1.
pubmed: 30622728
pmcid: 6320589
doi: 10.1186/s40814-018-0389-y
Davies CR, Rosenberg M, Knuiman M, Ferguson R, Pikora T, Slatter N. Defining arts engagement for population-based health research: art forms, activities and level of engagement. Arts Health. 2012;4(3):203–16.
doi: 10.1080/17533015.2012.656201
Shafir T, Orkibi H, Baker FA, Gussak D, Kaimal G. Editorial: the state of the art in creative arts therapies. Front Psychol. 2020;11:68.
pubmed: 32116898
pmcid: 7012801
doi: 10.3389/fpsyg.2020.00068
Keisari S, Piol S, Elkarif T, Mola G, Testoni I. Crafting life stories in photocollage: an online creative art-based intervention for older adults. Behav Sci (Basel). 2021;12(1):1.
pubmed: 35049612
doi: 10.3390/bs12010001
Li J, Zeng B, Li P. The influence of leisure activity types and involvement levels on leisure benefits in older adults. Front Public Health. 2021;9:659263.
pubmed: 34336761
pmcid: 8316750
doi: 10.3389/fpubh.2021.659263
Balbag MA, Pedersen NL, Gatz M. Playing a musical instrument as a protective factor against dementia and cognitive impairment: a population based twin study. Int J Alzheimer’s Dis. 2014;2014:836748.
Porat S, Goukasian N, Hwang KS, Zanto T, Do T, Pierce J, et al. Dance experience and associations with cortical gray matter thickness in the aging population. Dement Geriatr Cogn Dis Extra. 2016;6(3):508–17.
pubmed: 27920794
pmcid: 5123027
doi: 10.1159/000449130
Trombetti A, Hars M, Herrmann FR, Kressig RW, Ferrari S, Rizzoli R. Effect of music based multitask training on gait, balance, and fall risk in elderly people: a randomized controlled trial. Arch Intern Med. 2011;171(6):525–33.
pubmed: 21098340
doi: 10.1001/archinternmed.2010.446
Väänänen A, Murray M, Koskinen A, Vahtera J, Kouvonen A, Kivimäki M. Engagement in cultural activities and cause-specific mortality: prospective cohort study. Prev Med. 2009;49(2–3):142–7.
pubmed: 19589351
doi: 10.1016/j.ypmed.2009.06.026
Dunphy K, Baker FA, Dumaresq E, Carroll-Haskins K, Eickholt J, Ercole M, et al. Creative arts interventions to address depression in older adults: a systematic review of outcomes, processes, and mechanisms. Front Psychol. 2018;9:2655.
pubmed: 30671000
doi: 10.3389/fpsyg.2018.02655
Brown C, Chirino A, Cortez C, Gearhart C. I’m not creative in that way: older adults’ differential experiences of an arts-based intervention. Innov Aging. 2020;16(4 Suppl 1):835–835.
doi: 10.1093/geroni/igaa057.3058
Galassi F, Merizzi A, D’Amen B, Santini S. Creativity and art therapies to promote healthy aging: A scoping review. Front Psychol. 2022;13:906191.
pubmed: 36225688
pmcid: 9549330
doi: 10.3389/fpsyg.2022.906191
Aula I, Masoodian M. Creativity and health ageing: future research directions. J Popul Ageing. 2023. https://doi.org/10.1007/s12062-023-09431-8 .
doi: 10.1007/s12062-023-09431-8
McQuade L, O’Sullivan R. Arts and Creativity in Later Life: Implications for Health and Wellbeing in Older Adults. A Systematic Evidence Review: Institute of Public Health; 2021.
Seo JH, Geraci L, Sanchez T. Exploring the impact of creative expression through interactive art making on older adults’ well-being. Digit Creat. 2016;27(4):358–68.
doi: 10.1080/14626268.2016.1251946
Cain M, Lakhani A, Istvandity L. Short and long term outcomes for culturally and linguistically diverse (cald) and at-risk communities in participatory music programs: a systematic review. Arts Health. 2016;8(2):105–24.
doi: 10.1080/17533015.2015.1027934
Henry JD, Coundouris SP, Mead J, Thompson B, Hubbard RE, Grainger SA. Social Frailty in Late Adulthood: Social Cognitive and Psychological Well-being Correlates. J Gerontol B Psychol Sci Soc Sci. 2023;78(1):87–96.
pubmed: 36190802
doi: 10.1093/geronb/gbac157
Valtorta N, Hanratty B. Loneliness, isolation, and the health of older adults: do we need a new research agenda? J R Soc Med. 2012;105(12):518–22.
pubmed: 23288086
pmcid: 3536512
doi: 10.1258/jrsm.2012.120128
Brinkhues S, et al. Socially isolated individuals are more prone to have newly diagnosed and prevalent type 2 diabetes mellitus - the Maastricht study. BMC Public Health. 2017;17:955.
pubmed: 29254485
pmcid: 5735891
doi: 10.1186/s12889-017-4948-6
Lauder W, Sharkey S, Mummery K. A community questionnaire of loneliness. J Adv Nurs. 2004;46(1):88–94.
pubmed: 15030445
doi: 10.1111/j.1365-2648.2003.02968.x
Fratiglioni L, Wang HX, Ericsson K, Maytan M, Windblad B. Influence of social network on occurrence of dementia: a community-based longitudinal study. Lancet. 2000;9212:1315–9.
doi: 10.1016/S0140-6736(00)02113-9
Tsutsumimoto K, Doi T, Nakakubo S, Kim M, Kurita S, Ishii H, et al. Impact of social frailty on Alzheimer’s disease onset: a 53-month longitudinal cohort study. JAD. 2019;70(2):587–95.
pubmed: 31256123
doi: 10.3233/JAD-181178
Yoo M, Kim S, Kim BS, Yoo J, Lee S, Jang HC, et al. Moderate hearing loss is related with social frailty in a community-dwelling older adults: The Korean Frailty and Aging Cohort Study (KFACS). Arch Gerontol and Geriatr. 2019;83:126–30.
doi: 10.1016/j.archger.2019.04.004
Landeiro F, Barrows P, Nuttall Musson E, Gray AM, Leal J. Reducing social isolation and loneliness in older people: a systematic review protocol. BMJ Open. 2017;7(5):e013778.
pubmed: 28515187
pmcid: 5623425
doi: 10.1136/bmjopen-2016-013778
Holt-Lunstad J, Smith TB, Layton JB. Social relationships and mortality risk: a meta-analytic review. PLoS Med. 2010;7(7):e1000316.
pubmed: 20668659
pmcid: 2910600
doi: 10.1371/journal.pmed.1000316
Lee Y, Chon D, Kim J, Ki S, Yun J. The predictive value of social frailty on adverse outcomes in older adults living in the community. J Am Med Dir Assoc. 2020;21(10):1464–1469.e2.
pubmed: 32362535
doi: 10.1016/j.jamda.2020.03.010
Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547–60.
pubmed: 32304649
pmcid: 7159850
doi: 10.1016/S2215-0366(20)30168-1
Jowell A, Carstensen LL, Barry M. A life-course model for healthier ageing: lessons learned during the COVID-19 pandemic. Lancet Healthy Longev. 2020;1(1):e9–10.
pubmed: 34173611
pmcid: 7574716
doi: 10.1016/S2666-7568(20)30008-8
Van Dijk SDM, Bouman R, Folmer EH, Den Held RC, Warringa JE, Marijnissen RM, et al. (Vi)-rushed into online group schema therapy based day-treatment for older adults by the covid-19 outbreak in the Netherlands. Am J Geriatr Psychiatry. 2020;28(9):983–8.
pubmed: 32622730
pmcid: 7274959
doi: 10.1016/j.jagp.2020.05.028
Johnson JK, Stewart AL, Acree M, Nápoles AM, Flatt JD, Max WB, et al. A community choir intervention to promote well-being among diverse older adults: results from the Community of Voices Trial. J Gerontol B, Psychol Sci and Soc Sci. 2020;75(3):549–59.
doi: 10.1093/geronb/gby132
O’Shea E, Léime ÁN. The impact of the Bealtaine arts programme on the quality of life, wellbeing and social interaction of older people in Ireland. Ageing Soc. 2012;32(5):851–72.
doi: 10.1017/S0144686X11000717
Chilton G, Scotti V. Snipping, gluing, writing: the properties of collage as an arts-based research practice in art therapy. Art Ther. 2014;31(4):163–71.
doi: 10.1080/07421656.2015.963484
MacRitchie J, Floridou GA, Christensen J, Timmers R, de Witte L. The use of technology for arts-based activities in older adults living with mild cognitive impairment or dementia: A scoping review. Dementia. 2023;22(1):252–80.
pubmed: 36194002
doi: 10.1177/14713012221127359
ArtYourService: Outside the box creative aging, ArtYourService Website. Available at: https://www.artyourservice.org/ . Accessed 12 July 2023.
Eysenbach G. Improving the quality of Web questionnaires: the Checklist for Reporting Results of Internet E-Questionnaires (CHERRIES). J Med Internet Res. 2004;6(3):e34–e34.
pubmed: 15471760
pmcid: 1550605
doi: 10.2196/jmir.6.3.e34
Dillman DA, Phelps G, Tortora R, Swift K, Kohrell J, Berck J, Messer BL. Response rate and measurement differences in mixed-mode questionnaires using mail, telephone, interactive voice response (IVR) and the Internet. Soc Sci Res. 2009;38:1–18.
doi: 10.1016/j.ssresearch.2008.03.007
Lubben J, Blozik E, Gillmann G, et al. Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations. Gerontologist. 2006;46:503–13.
pubmed: 16921004
doi: 10.1093/geront/46.4.503
Chung S-Y, Nahm E-S. Testing reliability and validity of the eHealth literacy scale (eHEALS) for older adults recruited online. Comput Inform Nurs. 2015;33:150–6.
pubmed: 25783223
pmcid: 4442634
doi: 10.1097/CIN.0000000000000146
Brook J. SUS - A “quick and dirty” usability scale. In: Jordan P, Thomas B, editors. Usability evaluation in industry. London: Taylor & Francis; 1996.
Elo S, Kyngash H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107–15.
pubmed: 18352969
doi: 10.1111/j.1365-2648.2007.04569.x
EuroQol. EuroQol: EQ5D, 2017. Available at: https://euroqol.org/information-and-support/euroqol-instruments/eq-5d-5l/ . Accessed 11 March 2024.
Norman CD, Skinner HA. eHEALS: The eHealth literacy scale. J Med Internet Res. 2006;8(4):e27.
pubmed: 17213046
pmcid: 1794004
doi: 10.2196/jmir.8.4.e27
Shiferaw KB, Tilahun BC, Endehabtu BF, Gullslett MK, Mengiste SA. E-health literacy and associated factors among chronic patients in a low-income country: a cross-sectional questionnaire. BMC Med Inform Decis Mak. 2020;20(1):181.
pubmed: 32762745
pmcid: 7407428
doi: 10.1186/s12911-020-01202-1
Bangor A. Determining what individual SUS scores mean: Adding an adjective rating scale. J Usability Stud. 2009;4(3):114–123. https://uxpajournal.org/determining-what-individual-sus-scores-mean-adding-an-adjective-rating-scale/ .
Fakoya OA, McCorry NK, Donnelly M. Loneliness and social isolation interventions for older adults: a scoping review of reviews. BMC Public Health. 2020;20:129.
pubmed: 32054474
pmcid: 7020371
doi: 10.1186/s12889-020-8251-6
Statistics Canada: Loneliness among Seniors. Available at: https://www.statcan.gc.ca/o1/en/plus/4881-look-loneliness-among-seniors .
Health Canada: Social isolation of Seniors. Available at: https://www.canada.ca/en/employment-social-development/corporate/partners/seniors-forum/social-isolation-toolkit-vol1.html .
Statistics Canada 2022: Living solo. Available at: https://www.statcan.gc.ca/o1/en/plus/1908-living-solo . Accessed 21 April 2023.
Gale C, Westbury L, Cooper C. Social isolation, and loneliness as risk factors for the progression of frailty: the English Longitudinal Study of Ageing. Age Ageing. 2018;47:392–7.
pubmed: 29309502
doi: 10.1093/ageing/afx188
World Health Organization. Global action plan on physical activity 2018–2030: more active people for a healthier world. Geneva: World Health Organization; 2018.
McMaster University Optimal Aging Portal 2023. Available at: https://www.mcmasteroptimalaging.org/blog/detail/hitting-the-headlines/2023/05/31/4-key-benefits-of-exercise-for-older-adults .
Cunningham C, O’Sullivan R. Why physical activity matters for older adults in a time of pandemic. Eur Rev Aging Phys Act. 2020;17:16.
pubmed: 32983273
pmcid: 7509818
doi: 10.1186/s11556-020-00249-3