scholarly journals Music and dance in respiratory disease management in Uganda: a qualitative study of patient and healthcare professional perspectives

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e053189
Author(s):  
Keir EJ Philip ◽  
Lucy L Cartwright ◽  
Debra Westlake ◽  
Grace Nyakoojo ◽  
Ivan Kimuli ◽  
...  
Keyword(s):  
Disease Management ◽  
Qualitative Study ◽  
Respiratory Disease ◽  
Healthcare Professionals ◽  
Therapeutic Potential ◽  
Low Cost ◽  
Well Being ◽  
Chronic Respiratory Disease ◽  
Low Resource ◽  
Health And Well Being

IntroductionMusic and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource interventions may have application in low-resource settings such as Uganda. However, research on perceptions of patients and healthcare professionals regarding such approaches is lacking.MethodsWe delivered sample sessions of music and dance for chronic respiratory disease (CRD) to patients and healthcare professionals. Seven participants took part in one singing and dance sample session. One patient completed only the dance session. We then conducted an exploratory qualitative study using thematic analysis of semistructured interviews with healthcare professionals and patients regarding (1) the role of music and dance in Ugandan life and (2) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.ResultsWe interviewed 19 participants, made up of 11 patients with long-term respiratory conditions and 8 healthcare professionals, who were selected by purposeful convenience sampling. Four key themes were identified from interview analysis: music and dance (1) were central components of daily life; (2) had an established role supporting health and well-being; and (3) had strong therapeutic potential in respiratory disease management. The fourth theme was (4) the importance of modulating demographic considerations of culture, religion and age.ConclusionMusic and dance are central to life in Uganda, with established roles supporting health and well-being. These roles could be built on in the development of music and dance interventions as adjuncts to established components of CRD disease management like pulmonary rehabilitation. Through consideration of key contextual factors and codevelopment and adaptation of interventions, such approaches are likely to be well received.

scholarly journals Music and Dance in respiratory disease management in Uganda: A qualitative study of patient and healthcare professional perspectives

2021 ◽  
Author(s):  
Keir EJ Philip ◽  
Lucy L Cartwright ◽  
Debra Westlake ◽  
Grace Nyakoojo ◽  
Ivan Kimuli ◽  
...  
Keyword(s):  
Disease Management ◽  
Respiratory Disease ◽  
Healthcare Professionals ◽  
Low Cost ◽  
Low Resource ◽  
Health And Wellbeing ◽  
New Findings ◽  
Respiratory Conditions

AbstractIntroductionMusic and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource interventions may have application in low-resource settings such as Uganda. However, research on perceptions of patients and healthcare professionals regarding such approaches is lacking.MethodsWe delivered taster music and dance for chronic respiratory disease (CRD) sessions to patients and healthcare professionals. We then conducted an exploratory qualitative study, using thematic analysis of semi-structured interviews with the healthcare professionals and patients regarding i) the role of music and dance in Ugandan life and ii) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.ResultsEleven patients with long-term respiratory conditions and eight healthcare professionals were interviewed after selection by purposeful convenience sampling. Four key themes were identified from (interview) analysis: Music and dance: 1) were central components of daily life; 2) had an established role supporting health and wellbeing; 3) had strong therapeutic potential in respiratory disease management; 4) the importance of modulating demographic considerations of culture and religion, and age.ConclusionMusic and dance are central to life in Uganda, with established roles supporting health and wellbeing. These roles could be built on in the development of music and dance interventions as adjuncts to established components of CRD disease management like pulmonary rehabilitation. Through consideration of key contextual factors, and co-development and adaptation of interventions, such approaches are likely to be well received.Summary Box: Key QuestionsWhat is already known?Music and dance are increasingly being used as adjunctive components of CRD management in high resource settings, with a growing body of research suggesting such approaches are effective, well-received, and can be delivered at low cost. However, the perceptions of patients and healthcare professionals about potential application of such approaches in low-resource settings, such as Uganda, is not known.What are the new findings?Music and dance have central roles in the social, religious and cultural life in Uganda, including a clear view that participation supports both collective and individual health and wellbeing. In this study, both healthcare professionals and patients saw great potential for the use of music and dance as interventions for people with CRD, and highlighted important factors for consideration for successful implementation.What do the new findings imply?Music and dance interventions for people with long-term respiratory conditions in Uganda are likely to be accepted with enthusiasm due to the existing role of such activities in daily life. Delivery is likely to be feasible, but interventions would need to be co-developed with patients, their family members, and healthcare professionals, considering a number of key factors. Suggested approaches to address these considerations are provided. More generally, this study highlights how genuine co-design processes can provide valuable insights into health intervention development.

scholarly journals Dance for people with chronic respiratory disease: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038719
Author(s):  
Keir Elmslie James Philip ◽  
Adam Lewis ◽  
Sian Williams ◽  
Sara Catherine Buttery ◽  
Michael I Polkey ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Respiratory Disease ◽  
Health Centre ◽  
Health Benefits ◽  
Well Being ◽  
Chronic Respiratory Disease ◽  
Convenience Sample ◽  
Community Dance ◽  
Health And Well Being

ObjectivesTo explore the experiences and perceived impact on health and well-being related to participation in a dance group for people with chronic respiratory disease (CRD).DesignAn exploratory qualitative study using thematic analysis of semistructured interviews.SettingA community dance group in a UK health centre.ParticipantsConvenience sample of long-term dance group participants.InterventionWeekly community dance sessions designed for people with breathlessness, lasting 75 min, led by a trained community dance leader.ResultsConvenience sample of eight participants, six females, aged 57–87 years (mean 75), with a median 2-year attendance at weekly dance sessions. Long-term attendance was driven by strongly held beliefs regarding the health and well-being benefits of participation. Four key themes were identified: dance as (1) a holistically beneficial activity, with physical and psychosocial health benefits including improved or maintained physical fitness and psychological well-being, and reduced need for healthcare; (2) an integral part of their life; (3) an enjoyable activity; and (4) a source of deep social cohesion.ConclusionsDance group participants perceived a broad range of health benefits of relevance to the biopsychosocial impacts of their respiratory disease. The themes identified are useful in the ongoing planning and evaluation of dance as a holistic complex intervention for people with CRD. Further research is required to assess the extent of health impacts identified, and how dance might be most effectively placed as an option in the management of CRD.Trial registration numberNCT04006015.

Ambiguous Encounters: Revisiting Foucault and Goffman at an Activation Programme for Asylum-seekers

2020 ◽  
Vol 39 (2) ◽  
pp. 177-206 ◽  
Author(s):  
Katrine Syppli Kohl
Keyword(s):  
Qualitative Study ◽  
Asylum Seekers ◽  
Well Being ◽  
Strategic Interactions ◽  
Cyclical Process ◽  
Health And Well Being ◽  
Roll Out

Abstract This qualitative study combined the approaches of Foucault and Goffman to investigate the consequences of a “roll-out” neoliberal “activation” programme on Denmark’s reception of asylum-seekers. The analysis found that the activation programme is an ambiguous technology of power intended to shape asylum-seekers into productive citizens by simultaneously disciplining them and improving their health and well-being, while using their labour to reduce costs. The strategic interactions in the job centre reflected the ambiguities created by these oft-incongruent aims, and activation caused conflicts as it amplified activities experienced as meaningless and humiliating. I argue that these consequences stem from the ambiguity, uncertainty, and trouble produced at the intersection of competing projects of rule in a “sensitive space”, and that the individualisation of responsibility for their own marginalisation, simultaneously serve to exclude asylum-seekers and to confine them to categories that license continued institutional discipline. Thereby, the intervention feeds cyclical process of failed integration and ill-fated interventions. Indeed, by individualising the responsibility for integration, such interventions depoliticise the marginalisation of citizens of immigrant decent and legitimise efforts to reduce immigration by fuelling problematisations of immigrants as expensive, deviant, and less employable.

scholarly journals Protective and Risk Factors of Italian Healthcare Professionals during the COVID-19 Pandemic Outbreak: A Qualitative Study

2021 ◽  
Vol 18 (2) ◽  
pp. 453
Author(s):  
Amalia De Leo ◽  
Eloisa Cianci ◽  
Paolo Mastore ◽  
Caterina Gozzoli
Keyword(s):  
Risk Factors ◽  
Qualitative Study ◽  
Extrinsic Motivation ◽  
Healthcare Professionals ◽  
Well Being ◽  
Organizational Level ◽  
Emotional Impact ◽  
Snowball Sampling ◽  
Structured Interviews ◽  
Interpersonal Level

The COVID-19 pandemic put the Italian health system under great stress. The sudden reorganization of work practices and the emotional impact of the large number of the victims had many consequences on the well-being of the healthcare professionals (HCPs) involved in managing the crisis. In the available literature, most studies have focused on the risk aspects while only few studies also take into account protective factors. For this reason, it was decided to conduct, within psycho-sociological perspective, a qualitative study with the aim to explore in depth the protective and risk factors as experienced by HCPs who worked in the Italian healthcare system during the COVID-19 outbreak. A total of 19 semi-structured interviews were conducted with HCPs–9 nurses and 10 physicians (7M and 12F) with an average age of 43 (SD = 13.4)–selected using snowball sampling. Considering three different levels of analysis the results highlight the protective and risk factors: personal history level (intrinsic/ethical motivation and flexible role versus extrinsic motivation and static role), interpersonal level (perception of supportive relationships with colleagues, patients, and family versus bad relationships), and organizational level (good leadership and sustainable work purpose versus absence of support from management and undefined or confused tasks).

scholarly journals Developing a best practice pathway to support improvements in Indigenous Australians’ mental health and well-being: a qualitative study: Figure 1

BMJ Open ◽  
2015 ◽  
Vol 5 (8) ◽  
pp. e007938 ◽  
Author(s):  
Rachael Hinton ◽  
David J Kavanagh ◽  
Lesley Barclay ◽  
Richard Chenhall ◽  
Tricia Nagel
Keyword(s):  
Mental Health ◽  
Qualitative Study ◽  
Best Practice ◽  
Well Being ◽  
Indigenous Australians ◽  
Health And Well Being

scholarly journals ‘It’s a real fine balancing act’: directly employed care workers’ experiences of engaging with health services

2021 ◽  
Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe
Keyword(s):  
Health Services ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Well Being ◽  
Care Work ◽  
Structured Interviews ◽  
Care Workers ◽  
The Impact ◽  
Health And Well Being

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.

scholarly journals Forest bathing: a narrative review of the effects on health for outdoor and environmental education use in Canada

2019 ◽  
Author(s):  
Sandrine Mathias ◽  
Patrick Daigle ◽  
Kelsey Needham Dancause ◽  
Tegwen Gadais
Keyword(s):  
Health Professionals ◽  
Healthcare Professionals ◽  
Well Being ◽  
Alternative Intervention ◽  
Education And Health ◽  
Canadian Context ◽  
French And English ◽  
Narrative Literature ◽  
Narrative Literature Review ◽  
Health And Well Being

Background: Education and health professionals from a range of disciplines seek alternatives to promote well-being through nature. Shinrin Yoku, originating from Japan, means “forest baths” or “taking in the forest atmosphere” and provides the opportunity to reconnect with nature and its benefits, with great potential in Canada. This brief review aims to highlight the potential for the use of Shinrin Yoku in the Canadian context of education and healthcare. Methods: We conducted a narrative literature review including a search of four French and English databases (Google Scholar, Pubmed, Scopus, Cairn) from 1985 to 2017. Then, we classified 26 articles according to three main categories that emerged from the first reading of the abstracts. Results: Benefits of Shinrin Yoku have been classified into physiological, psychological, and environmental categories. We synthesize key benefits of Shinrin Yoku and highlight opportunities to use this alternative intervention by educators and health professionals in Canada. Conclusion: A growing body of research suggests that Shinrin Yoku can have benefits on many aspects of an individual's health and well-being. Given the resources already available in Canada, Shinrin Yoku could be integrated into existing programs and interventions, and could provide another option to educators and healthcare professionals seeking low-risk educational and intervention alternatives for their students and patients.

Health care of immigrant patients in Italy: the perspective of health professionals

2021 ◽  
Vol 70 (2) ◽  
pp. 183-194
Author(s):  
Claudia Spinosa ◽  
Laura Angioletti ◽  
Michela Balconi
Keyword(s):  
Healthcare Professionals ◽  
Well Being ◽  
Depth Information ◽  
Analysis Method ◽  
Cultural Backgrounds ◽  
Healthcare Facilities ◽  
Foreign Population ◽  
Quantitative Analysis Method ◽  
Specific Care ◽  
Health And Well Being

Within a multicultural society, healthcare professionals (HPs) need to implement specific care pathways to meet the needs of patients with different cultural backgrounds who regularly present themselves in healthcare facilities in Italy. This study intends to examine the experiences and representations lived by HPs who deal with the care and management of foreign immigrant patients living in Italy, with chronic diseases. For this goal, a survey was conducted on a sample of 54 HPs recruited in hospital and outpatient facilities. The survey was analyzed with a quantitative analysis method. The results underlined that it is necessary to provide specific training paths to work with chronic immigrant patients, standardizing the training of medical staff both in hospitals and clinics, and providing for other types of professionals specialized in relations with foreign patients, to respond to all requests from foreign users, and not just healthcare ones. This study proposes a new survey model aimed at obtaining in-depth information on the representation of HPs towards the health and well-being of chronic immigrant patients, to provide concrete answers to the needs of the foreign population, providing for the collaboration of several specialised professionals.

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