Effects of participatory ‘A’rt-Based Activity On ‘Health’ of Older Community-Dwellers: results from a randomized control trial of the Singapore A-Health Intervention

HO, Andy Hau Yan, MA, Stephanie Hilary Xinyi, TAN, Michael, BAJPAI, Ram, GOH, Shannon Shuet Ning, YEO, Gabriellia, TENG, Alicia, YANG, Yilin, GALÉRY, Kévin and BEAUCHET, Olivier (2023). Effects of participatory ‘A’rt-Based Activity On ‘Health’ of Older Community-Dwellers: results from a randomized control trial of the Singapore A-Health Intervention. Frontiers in Medicine, 10: 1238562.

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Official URL: https://www.frontiersin.org/articles/10.3389/fmed....
Open Access URL: https://www.frontiersin.org/articles/10.3389/fmed.... (Published version)
Link to published version:: https://doi.org/10.3389/fmed.2023.1238562


Introduction: The practice of participatory art has been found to support the promotion, prevention, and management of health across the lifespan. However, clinical trials investigating the benefits of creative activities curated with and conducted in museums among older adults in East Asia remains limited. Methods: The current research utilized a single-site, open-label randomized control trial (RCT) to evaluate a standardized Participatory ‘A’rt-Based Activity On ‘Health’ of Older Community-Dwellers – the Singapore A-Health Intervention. Outcome measures include frailty as assessed by the Centre of Excellence on Longevity Self-administered Questionnaire, wellbeing as assessed by the Warwick-Edinburgh Mental Wellbeing Scales, and quality of life as assessed by the EuroQol-5D. 112 participants aged 60 and above were randomized into the intervention group (n = 56) or an inactive control group (n = 56). Participants completed four standardized online self-administered assessments at baseline, 5-week, 9-week and 12-week follow-up during the intervention period. Results: Linear mixed model analyses revealed no statistically significant differences between the intervention group and control group for all outcome measures. However, within the intervention group, a consistent significant reduction in frailty was observed across time from baseline to 9 weeks (MD −0.44, 95% CI −0.85 to −0.039, p = 0.032), 5-weeks to 9-weeks (MD −0.64, 95% CI −1.03 to −0.24, p = 0.002), and 5-weeks to 12-weeks (MD −0.51, 95% CI −0.91 to −0.10, p = 0.014). Moreover, the post-test mean wellbeing score in the intervention group significantly improved over time at 9-weeks (MD 1.65, 95% CI 0.09 to 3.22, p = 0.039) and 12-week (MD 2.42, 95% CI 0.67 to 4.16, p = 0.006) as compared to baseline scores. Discussion: The findings demonstrate the potential of a structured art and museum-based intervention as a resource for promoting health among aging populations. Such benefits transcend social, cultural, and societal contexts. Clinical trial registration: ClinicalTrial.gov, NCT05945589.

Item Type: Article
Additional Information: ** From Frontiers via Jisc Publications Router ** Licence for this article: http://creativecommons.org/licenses/by/4.0/ ** Peer reviewed: TRUE ** Acknowledgements: This study is made possible with the generous support of (1) NTU Research Team: Oindrila Dutta, Jodie Yam, Reen Ho; (2) National Gallery Singapore: Koh Yishi, Mark Chia; (3) National Gallery Singapore (Docents): Constance, Jenny, Jacqueline, Mae, Pauline, Roopa, Chee Sing; (4) Participating Art Educators: Joanne Lio, Karen Koh; (5) all participants and volunteers. We thank you for your time and meaningful efforts. RB would also like to acknowledge the NIHR Applied Research Collaboration (ARC) West Midlands. RB is a member of the College of Experts in Versus Arthritis. **Journal IDs: eissn 2296-858X **History: published_online 21-12-2023; accepted 23-11-2023; submitted 12-06-2023; collection 2023
Uncontrolled Keywords: randomized control trial, older adults, wellbeing, Singapore, social prescribing, frailty, museum, participatory arts
Identification Number: https://doi.org/10.3389/fmed.2023.1238562
SWORD Depositor: Colin Knott
Depositing User: Colin Knott
Date Deposited: 09 Jan 2024 12:15
Last Modified: 09 Jan 2024 12:15
URI: https://shura.shu.ac.uk/id/eprint/32941

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