Impact of A Group-Singing Program on Older Adult Health in ......-Special appreciation to the...
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Impact of A Group-Singing Program on Older Adult Health in Senior Living Communities: A Pilot Study Musetta C. Fu, PhD(c), MM, RN; Basia Belza, PhD, RN, FAAN; Huong Nguyen, PhD, RN; Rebecca Logsdon, PhD; Steven Demorest, PhD BACKGROUND • The number of older adults will triple by 2050 (AoA,2013). • Aging contributes to biological, cognitive, and physical declines that affect functioning and well-being • Participating in a group-singing program may be beneficial to healthy aging through engaging in active music-making activities and breathing exercises (Luo et al, 2012; Engen, 2005; Bonilha et al, 2009). PURPOSE • Evaluate the impact of a group-singing program on older adults’ cognitive function, pulmonary health, and quality of life (QoL) • Determine the feasibility of a group singing program. METHOD • Pre/post-test quasi-experimental design • Group singing intervention: pre-singing exercises, song-singing and learning, and socialization. • Classes were 75 minutes/week for 12 weeks. • Inclusion criteria: ≥ 60 years, no self-reported diagnosis of dementia, and able to hear conversations within 2 feet. • Study sites: 3 senior living communities (Pacific NW) • Outcomes: - Cognition: Trail Making Tests (TMT), Verbal Fluency Tests (VFT), and Word Recall Tests (WRT) - Lung function: Spirometry FEV1, Maximum Inspiratory/Expiratory Pressure (MIP; MEP) - QoL: CASP-19 (Control, Autonomy, Self-realization, and Pleasure) - Program feasibility & acceptability: Study exit survey (20 items, each with a 10-point Likert Scale) • A paired t-test with 2-sided alpha level at 0.05 RESULTS Funding: de Tornyay Doctoral Healthy Aging Scholarship, NCATS Grant TL1 TR000422, ARCS Scholarship, Hester McLaws Nursing Dissertation Scholarship; Aljoya Endowed Professorship in Aging A group-singing program with deep breathing training and song-learning may promote memory, language, speech information processing, executive function, and respiratory muscle strength in older adults. The program was feasible and well-accepted. A clinical trial with a larger sample is indicated. Participant Demographics N=49 Mean age: 83.6 years Overall Retention: 82% Pre Mean Pre SD Post Mean Post SD Diff Mean Diff SD P value TMT A (sec.) 50.26 17.47 48.95 18.53 -1.31 16.85 0.315 TMT B (sec.) 130.95 68.15 128.64 72.29 -2.31 50.14 0.388 VFT (FAS) 37.69 9.91 43.31 12.60 5.62 7.14 <0.0001* VFT (Animal) 13.88 4.73 16.14 4.80 2.26 4.05 0.0004* VFT (Fruit) 12.29 3.40 12.45 3.71 0.17 3.21 0.337 WRT 18.48 4.57 20.26 4.80 1.79 2.50 <0.0001* WRT (delayed) 5.81 2.27 6.31 2.85 0.50 1.76 0.036 FEV1 (L/min) 1.70 0.64 1.72 0.61 0.02 0.18 0.229 FEV1% 0.92 0.47 0.93 0.48 0.02 0.02 0.208 MIP 45.27 21.00 54.63 21.53 9.37 14.00 0.0001* MEP 61.59 22.16 74.49 27.01 12.90 17.54 <0.0001* CASP-19 44.69 5.39 45.14 6.29 0.45 3.23 0.185 CONCLUSION Outcomes Program Acceptability [1 (low) - 10 (high)] Acknowledgements: - Special appreciation to the interventionist, Shih-Yin Lin and volunteer research assistants, Minhui Liu, Ivy Lura and Sarah Shulbank-Smith Contact: Musetta Chang-Chi Fu, PhD(c), MM, RN Email – [email protected]
Transcript of Impact of A Group-Singing Program on Older Adult Health in ......-Special appreciation to the...
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Impact of A Group-Singing Program on Older Adult Health in Senior Living Communities: A Pilot Study
Musetta C. Fu, PhD(c), MM, RN; Basia Belza, PhD, RN, FAAN; Huong Nguyen, PhD, RN; Rebecca Logsdon, PhD; Steven Demorest, PhD
BACKGROUND
• The number of older adults will triple by 2050 (AoA,2013). • Aging contributes to biological, cognitive, and physical
declines that affect functioning and well-being • Participating in a group-singing program may be
beneficial to healthy aging through engaging in active music-making activities and breathing exercises (Luo et al, 2012; Engen, 2005; Bonilha et al, 2009).
PURPOSE
• Evaluate the impact of a group-singing program on older adults’ cognitive function, pulmonary health, and quality of life (QoL)
• Determine the feasibility of a group singing program.
METHOD
• Pre/post-test quasi-experimental design • Group singing intervention: pre-singing exercises,
song-singing and learning, and socialization. • Classes were 75 minutes/week for 12 weeks. • Inclusion criteria: ≥ 60 years, no self-reported
diagnosis of dementia, and able to hear conversations within 2 feet.
• Study sites: 3 senior living communities (Pacific NW) • Outcomes:
- Cognition: Trail Making Tests (TMT), Verbal Fluency Tests (VFT), and Word Recall Tests (WRT)
- Lung function: Spirometry FEV1, Maximum Inspiratory/Expiratory Pressure (MIP; MEP)
- QoL: CASP-19 (Control, Autonomy, Self-realization, and Pleasure)
- Program feasibility & acceptability: Study exit survey (20 items, each with a 10-point Likert Scale)
• A paired t-test with 2-sided alpha level at 0.05
RESULTS
Funding: de Tornyay Doctoral Healthy Aging Scholarship, NCATS Grant TL1 TR000422, ARCS Scholarship, Hester McLaws Nursing Dissertation Scholarship; Aljoya Endowed Professorship in Aging
A group-singing program with deep breathing training and song-learning may promote memory, language, speech information processing, executive function, and respiratory muscle strength in older adults. The program was feasible and well-accepted. A clinical trial with a larger sample is indicated.
Participant Demographics N=49 Mean age: 83.6 years
Overall Retention: 82%
Pre Mean Pre SD Post Mean Post SD Diff Mean
Diff SD P value
TMT A (sec.) 50.26 17.47 48.95 18.53 -1.31 16.85 0.315 TMT B (sec.) 130.95 68.15 128.64 72.29 -2.31 50.14 0.388 VFT (FAS) 37.69 9.91 43.31 12.60 5.62 7.14
