Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age
Objective To assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being.Design Cross-sectional s...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2019-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/11/e029555.full |
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| author | Ram Bajpai Andy Hau Yan Ho Stephanie Hilary Xinyi Ma Moon-Ho Ringo Ho Joyce Shu Min Pang Emily Ortega |
| author_facet | Ram Bajpai Andy Hau Yan Ho Stephanie Hilary Xinyi Ma Moon-Ho Ringo Ho Joyce Shu Min Pang Emily Ortega |
| author_sort | Ram Bajpai |
| collection | DOAJ |
| description | Objective To assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being.Design Cross-sectional stratified household survey.Setting All residential areas across Singapore’s Central, East, North, North-East and West Regions.Participants 1067 community-dwelling, Singaporean older adults between the ages of 50 and 95 years were recruited.Primary and secondary outcome measures Respondents completed a self-reported questionnaire, consisting of standardised ad hoc items assessing the frequencies and durations of active and passive participatory arts engagement, as well as validated psychometric assessments on psychosociospiritual health including the primary outcome measure on quality of life, and the secondary outcome measures on physical, psychological, emotional, spiritual, and social well-being. sociodemographic information, as well as frequency and intensity of physical activity were also collected.Results Passive engagement (60%) and active engagement (17%) in the arts were associated with better holistic wellness and social support. Specifically, findings from the propensity score matching and independent t-test analyses revealed that adults aged 50 and above who passively engaged in arts and culture-related events experienced higher quality of life (t(728)=3.35, p=0.0008, d=0.25), perceived health (t(728)=2.21, p=0.0277, d=0.16) and sense of belonging (t(728)=2.17, p=0.03, d=0.16), as compared with those who did not. Moreover, those who actively engaged in participatory arts experienced greater quality of life (t(442)=3.68, p=0.0003, d=0.36), self-rated health (t(442)=2.59, p=0.0099, d=0.25), spiritual well-being (t(442)=3.75, p=0.0002, d=0.37), meaning in life (t(442)=5.03, p<0.0001, d=0.50) and sense of peace (t(442)=3.72, p=0.0002, d=0.36), as compared with those who did not actively engaged in the arts.Conclusion This study provided robust evidence to support a significant causal relationship between arts engagements and holistic well-being. Recommendations for art-based public health and elderly care research, practice and policy are discussed. |
| format | Article |
| id | doaj-art-a2bfb88202864c18b267fc6f412ce98f |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-a2bfb88202864c18b267fc6f412ce98f2024-12-12T22:15:09ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-029555Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of ageRam Bajpai0Andy Hau Yan Ho1Stephanie Hilary Xinyi Ma2Moon-Ho Ringo Ho3Joyce Shu Min Pang4Emily Ortega5lecturer in biostatistics3 The Palliative Care Centre for Excellence in Education and Research (PalC), Singapore, Singapore1 Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore1 Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore1 Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore4 Psychology Programme, School of Humanities and Behavioral Sciences, Singapore University of Social Sciences, Singapore, SingaporeObjective To assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being.Design Cross-sectional stratified household survey.Setting All residential areas across Singapore’s Central, East, North, North-East and West Regions.Participants 1067 community-dwelling, Singaporean older adults between the ages of 50 and 95 years were recruited.Primary and secondary outcome measures Respondents completed a self-reported questionnaire, consisting of standardised ad hoc items assessing the frequencies and durations of active and passive participatory arts engagement, as well as validated psychometric assessments on psychosociospiritual health including the primary outcome measure on quality of life, and the secondary outcome measures on physical, psychological, emotional, spiritual, and social well-being. sociodemographic information, as well as frequency and intensity of physical activity were also collected.Results Passive engagement (60%) and active engagement (17%) in the arts were associated with better holistic wellness and social support. Specifically, findings from the propensity score matching and independent t-test analyses revealed that adults aged 50 and above who passively engaged in arts and culture-related events experienced higher quality of life (t(728)=3.35, p=0.0008, d=0.25), perceived health (t(728)=2.21, p=0.0277, d=0.16) and sense of belonging (t(728)=2.17, p=0.03, d=0.16), as compared with those who did not. Moreover, those who actively engaged in participatory arts experienced greater quality of life (t(442)=3.68, p=0.0003, d=0.36), self-rated health (t(442)=2.59, p=0.0099, d=0.25), spiritual well-being (t(442)=3.75, p=0.0002, d=0.37), meaning in life (t(442)=5.03, p<0.0001, d=0.50) and sense of peace (t(442)=3.72, p=0.0002, d=0.36), as compared with those who did not actively engaged in the arts.Conclusion This study provided robust evidence to support a significant causal relationship between arts engagements and holistic well-being. Recommendations for art-based public health and elderly care research, practice and policy are discussed.https://bmjopen.bmj.com/content/9/11/e029555.full |
| spellingShingle | Ram Bajpai Andy Hau Yan Ho Stephanie Hilary Xinyi Ma Moon-Ho Ringo Ho Joyce Shu Min Pang Emily Ortega Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age BMJ Open |
| title | Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age |
| title_full | Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age |
| title_fullStr | Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age |
| title_full_unstemmed | Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age |
| title_short | Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age |
| title_sort | arts for ageing well a propensity score matching analysis of the effects of arts engagements on holistic well being among older asian adults above 50 years of age |
| url | https://bmjopen.bmj.com/content/9/11/e029555.full |
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