Effects of an ActiveMusic Therapy Programon Functional Fitness in Community Older Adults

10.1097/jnr.0000000000000391

Shu-Ya CHAN；Chun-Fei CHEN

active group music therapy ； community older adults ； functional fitness

The Journal of Nursing Research

28卷5期（2020 / 10 / 01）

1 - 11

英文

Background: Health problems common among older adults living in community settings include a lack of functional fitness. Many studies have confirmed that exercises and static music therapy improve physical and psychological health problems. Exercise programs involving music have a higher frequency of attendance and motivation than other exercise programs. Active participation in active group music therapy results in better therapeutic effects. Purpose: This study was designed to test the effectiveness of a 3-month active group music therapy program on the functional fitness of community older adults in Taiwan. Methods: A quasi-experimental design with repeated measures was applied. A convenience cluster sample of older adults was drawn from seven senior-citizen activity centers in southern Taiwan. All participants were assigned to either an experimental group (n = 77) or a comparison group (n = 69) based on the requests of each senior center. The experimental group participated in the active group music therapy program for 3 months (twice per week and 60 minutes per session). The comparison group maintained their daily activities. Each participant's level of functional fitness was measured at baseline and at 1 and 3 months after the start of the intervention. Results: Seventy-one participants in the experimental group and 62 participants in the comparison group completed the 3-month study. At the 1-month measurement, the experimental group had greater improvements in cardiopulmonary fitness, upper body flexibility, lower body flexibility, upper limb muscle power, lower limb muscle endurance, and balance than the comparison group (all ps ＜ .05). These significant improvements persisted through the 3-month intervention (all ps ＜ .05). Conclusions/Implications for Practice: Active group music therapy is an effective complementary and alternative therapy for improving six items of functional fitness in community-dwelling older adults. Healthcare professionals may incorporate this active group music therapy program as a health promotion activity for older adults living in community settings.

1. Chan, S. Y.,Kuo, C. C.,Chen, K. M.,Tseng, W. S.,Huang, H. T.,Li, C. H.(2016).Health promotion outcomes of a newly-developed elastic band exercise program for older adults in community: A pilot-testing.The Journal of Nursing Research,24(2),137-144.
   連結：
2. Chen, H. T.,Lin, C. H.,Yu, L. H.(2009).Normative physical fitness scores for community-dwelling older adults.The Journal of Nursing Research,17(1),30-41.
   連結：
3. Lee, C. L.,Cheng, C. F.(2010).Relationships between physical activity levels and functional fitness test for elderly in Taiwan.Sports & Exercise Research,12(4),79-82.
   連結：
4. Lin, H. C.(2016).The impact of group music therapy activities to physical fitness for community elderly.Changhua Nursing,23(3),24-31.
   連結：
5. Burns, N.,Grove, S. K.(2005).The practice of nursing research: Conduct, critique, and utilization.Elsevier/Saunders.
6. Cervellin, G.,Lippi, G.(2011).From music-beat to heart-beat: A journey in the complex interactions between music, brain and heart.European Journal of Internal Medicine,22(4),371-374.
7. Chan, S. Y.,Chen, K. M.(2017).Self-perceived health status and sleep quality of older adults living in community after elastic band exercises.Journal of Clinical Nursing,26(13-14),2064-2072.
8. Chang, S. C.(2007).Taichung, Taiwan,Hungkuang University.
9. Chen, S. L.,Lin, H. C.,Jane, S. W.(2009).Perceptions of group music therapy among elderly nursing home residents in Taiwan.Complementary Therapies in Medicine,17(4),190-195.
10. Cheng, H. Y.(2007).Taipei, Taiwan, ROC.,National University of Taiwan.
11. Department of Statistics, Ministry of Interior, Taiwan, ROC. (2020). Monthly bulletin of interior statistics: Resident population by age of 0-14, 15-64, 65+ and by 6-year age group. https://www.moi.gov.tw/files/site_stuff/321/1/month/month.html (Original work published in Chinese)
12. Dunbar, R. I.,Kaskatis, K.,Macdonald, I.,Barra, V.(2012).Performance of music elevates pain threshold and positive affect: Implications for the evolutionary function of music.Evolutionary Psychology,10(4),688-702.
13. Gerra, G.,Zaimovic, A.,Franchini, D.,Palladino, M.,Giucastro, G.,Reali, N.,Maestri, D.,Caccavari, R.,Delsignore, R.,Brambilla, F.(1998).Neuroendocrine responses of healthy volunteers to 'techno-music': Relationships with personality traits and emotional state.International Journal of Psychophysiology,28(1),99-111.
14. Grau-Sanchez, J.,Duarte, E.,Ramos-Escobar, N.,Sierpowska, J.,Rueda, N.,Redon, S.,Veciana de Las Heras, M.,Pedro, J.,Sarkamo, T.,Rodriguez-Fornells, A.(2018).Music-supported therapy in the rehabilitation of subacute stroke patients: A randomized controlled trial.Annals of the New York Academy of Sciences,1423,318-328.
15. Hars, M.,Herrmann, F. R.,Fielding, R. A.,Reid, K. F.,Rizzoli, R.,Trombetti, A.(2014).Long-term exercise in older adults: 4-year outcomes of music-based multitask training.Calcified Tissue International,95(5),393-404.
16. Innes, K. E.,Selfe, T. K.,Kandati, S.,Wen, S.,Huysmans, Z.(2018).Effects of mantra meditation versus music listening on knee pain, function, and related outcomes in older adults with knee osteoarthritis: An exploratory randomized clinical trial (RCT).Evidence-based Complementary and Alternative Medicine,2018,7683897.
17. Jeon, E. Y.,Kim, S. Y.,Yoo, H. S.(2009).Effects of music therapy and rhythmic exercise on quality of life, blood pressure and upper extremity muscle strength in institution-dwelling elderly women.Journal of Korean Academy of Nursing,39(6),829-839.
18. Kao, K. S.,Lung, C. H.,Lin,W. Y.,Lee, I. Y.(2007).The case study of hospice care with Kagayashiki music care.Taiwan Journal of Hospice Palliative Care,12(2),172-186.
19. Lai, H. L.,Good, M.(2002).An overview of music therapy.The Journal of Nursing,49(2),80-84.
20. Langhammer, B.,Stanghelle, J. K.(2011).Functional fitness in elderly Norwegians measured with the senior fitness test.Advances in Physiotherapy,13(4),137-144.
21. Liang, Y.,Lu, P.(2014).Medical insurance policy organized by Chinese government and the equity health problems of the elderly: Longitudinal comparison based on effect of new cooperative medical scheme on health of rural elderly in 22 provinces and cities.International Journal for Equity in Health,13(37),1-15.
22. Mahon, E. M.,Mahon, S. M.(2011).Music therapy: A valuable adjunct in the oncology setting.Clinical Journal of Oncology Nursing,15(4),353-356.
23. Mahoney, F. I.,Barthel, D. W.(1965).Functional evaluation: The Barthel index.Maryland State Medicine Journal,14,56-61.
24. Ministry of Health and Welfare, Taiwan, ROC. (2019). Report of the senior citizen condition survey 2017. https://dep.mohw.gov.tw/DOS/cp-1767-38429-113.html (Original work published in Chinese)
25. Ministry of Health and Welfare, Taiwan, ROC. (2017). Report of the senior citizen condition survey 2013. https://www.mohw.gov.tw/dl-4707-e91899c0-d62d-49d9-9dbe-4a2def8e516c.htm(Original work published in Chinese)
26. Okada, K.,Kurita, A.,Takase, B.,Otsuka, T.,Kodani, E.,Kusama, Y.,Atarashi, H.,Mizuno, K.(2009).Effects of music therapy on autonomic nervous system activity, incidence of heart failure events, and plasma cytokine and catecholamine levels in elderly patients with cerebrovascular disease and dementia.International Heart Journal,50(1),95-110.
27. Pfeiffer, E.(1975).A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patient.Journal of the American Geriatric Society,23(10),433-441.
28. Rikli, R. E.,Jones, C. J.(2012).Senior fitness test manual.Human Kinetics.
29. Shimizu, N.,Umemura, T.,Hirai, T.,Tamura, T.,Sato, K.,Kusaka, Y.(2013).Effects of movement music therapy with the Naruko clapper on psychological, physical and physiological indices among elderly females: A randomized controlled trial.Gerontology,59(4),355-367.
30. Suda, M.,Morimoto, K.,Obata, A.,Koizumi, H.,Maki, A.(2008).Emotional responses to music: Towards scientific perspectives on music therapy.Neuroreport,19(1),75-78.
31. Sung, K. W.(2007).The effect of a health maintenance program on physical function andmental health of the elderly in nursing homes.Journal of Korean Academy of Nursing,37(4),478-489.
32. Taiwan Kagayashiki Miyamoto Music Care Association(2019).Taiwan Kagayashiki Miyamoto Music Care Association. (2019). 53rd Taiwan Kagayashiki Miyamoto Music Care Elementary course-Kaohsiung field. Symposium conducted at the Kaohsiung Hero Hotel, Kaohsiung City, Taiwan, ROC. (Original work published in Chinese).
33. Trombetti, A.,Hars, M.,Herrmann, F. R.,Kressig, R. W.,Ferrari, S.,Rizzoli, R.(2011).Effect of music-based multitask training on gait, balance, and fall risk in elderly people: A randomized controlled trial.Archives of Internal Medicine,171(6),525-533.
34. Tung, H. T.,Chen, K. M.(2007).Effects of music therapy on cognition, behavior problems, and depression among demented older adults in long-term care facilities.Journal of Evidence-Based Nursing,3(4),309-318.
35. Wang, Q.,Chair, S. Y.,Wong, E.M.,Li, X.(2016).The effects of music intervention on sleep quality in community-dwelling elderly.Journal of Alternative and Complementary Medicine,22(7),576-584.
36. World Health Organization. (2018). Ageing and health. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
37. Wu, S. J.,Chou, F. H.(2008).The effectiveness of music therapy in reducing physiological and psychological anxiety in mechanically ventilated patients.The Journal of Nursing,55(5),35-44.
38. Xu, B.,Sui, Y.,Zhu, C.,Yang, X.,Zhou, J.,Li, L.,Ren, L.,Wang, X.(2017).Music intervention on cognitive dysfunction in healthy older adults: A systematic review and meta-analysis.Neurological Sciences,38(6),983-992.