Facilitators and Barriers to Sustainment of a Community Choir Program to Promote Health Among Diverse Older Adults: A Multi-site Study.

IF 0.4 4区 艺术学 0 MUSIC
International Journal of Community Music Pub Date : 2025-03-01 Epub Date: 2025-05-31 DOI:10.1386/ijcm_00116_1
Theresa A Allison, Julene K Johnson, Anita L Stewart, Elena Portacolone, Michaela Simpson, Shireen McSpadden, Sylvia Sherman, Anna M Nápoles
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引用次数: 0

Abstract

This paper reports on the successful sustainment of community choirs for diverse older adults following completion of a cluster randomized trial of choir participation on health and well-being. Trial participants showed decreased loneliness and increased interest in life after 6 months. Following trial completion, we examined the facilitators of, and barriers to, choir sustainment at intrapersonal, interpersonal, and structural/organizational levels. We conducted focus groups with trial participants who continued during the sustainment period. We also interviewed the music professionals and administrators who delivered or supported the program. To further identify barriers, we interviewed trial participants who did not continue in the choirs. We used a mixed inductive-deductive approach for content analysis of the transcripts. On the intrapersonal level, facilitators included a sense of well-being and positive emotions, while barriers included significant health and access issues. On the interpersonal level, relationships and social interactions functioned as both facilitators and barriers, depending on circumstances. On the organizational/structural level, high-quality programs facilitated sustainment; transportation and funding created barriers to sustainment. Facilitators far outweighed barriers to sustainment. Consideration of key facilitators and barriers can provide insights into sustainment of community choirs designed for diverse older adults.

促进不同老年人健康的社区合唱团项目维持的促进因素和障碍:一项多地点研究。
这篇论文报告了成功维持社区唱诗班对不同老年人的健康和福祉参与的随机试验完成后。6个月后,试验参与者表现出孤独感减少,对生活的兴趣增加。在试验完成后,我们在个人、人际关系和结构/组织层面检查了合唱团维持的促进因素和障碍。我们对在维持期继续进行试验的参与者进行了焦点小组讨论。我们还采访了提供或支持该计划的音乐专业人士和管理人员。为了进一步确定障碍,我们采访了没有继续参加合唱团的试验参与者。我们使用了混合的归纳-演绎方法对转录本进行内容分析。在个人层面上,促进因素包括幸福感和积极情绪,而障碍包括重大的健康和获取问题。在人际层面上,关系和社会互动根据具体情况,既起到促进作用,也起到阻碍作用。在组织/结构层面上,高质量的项目有助于维持;运输和资金问题阻碍了可持续发展。促进因素远远超过了维持的障碍。考虑关键的促进因素和障碍,可以为为不同老年人设计的社区合唱团的维持提供见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
42.90%
发文量
16
期刊介绍: The International Journal of Community Music publishes research articles, practical discussions, timely reviews, readers'' notes and special issues concerning all aspects of community music. The editorial board is composed of leading international scholars and practitioners spanning diverse disciplines that reflect the scope of community music practice and theory. This journal is double-blind peer-reviewed in order to maintain the highest standards of scholastic integrity.
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