ARTICLE - CANDIDATE TRANSITION VARIABLES

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Id 96
Author Coulton, S.; Clift, S.; Skingley, A.; Rodriguez, J.
Title Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: Randomised controlled trial.
Reference
Coulton, S., Clift, S., Skingley, A., & Rodriguez, J. (2015). Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial. The British Journal of Psychiatry, 207(3), 250-255.

Link to article https://doi.org/10.1192/bjp.bp.113.129908
Abstract Background As the population ages, older people account for a greater proportion of the health and social care budget. Whereas some research has been conducted on the use of music therapy for specific clinical populations, little rigorous research has been conducted looking at the value of community singing on the mental health-related quality of life of older people. Aims To evaluate the effectiveness and cost-effectiveness of community group singing for a population of older people in England. Method A pilot pragmatic individual randomised controlled trial comparing group singing with usual activities in those aged 60 years or more. Results A total of 258 participants were recruited across five centres in East Kent. At 6 months post-randomisation, significant differences were observed in terms of mental health-related quality of life measured using the SF12 (mean difference = 2.35; 95% CI = 0.06–4.76) in favour of group singing. In addition, the intervention was found to be marginally more cost-effective than usual activities. At 3 months, significant differences were observed for the mental health components of quality of life (mean difference = 4.77; 2.53–7.01), anxiety (mean difference =71.78; 72.5 to 71.06) and depression (mean difference =71.52; 72.13 to 70.92). Conclusions Community group singing appears to have a significant effect on mental health-related quality of life, anxiety and depression, and it may be a useful intervention to maintain and enhance the mental health of older people.


Results:

Candidate transition variables
People indicated their enjoyment of the experience and highlighted the benefits on mental health, well-being and social relationships. .
Community group singing appears to have a significant effect on mental health-related quality of life, anxiety and depression, and it may be a useful intervention to maintain and enhance the mental health of older people..
Our primary hypothesis explored the potential benefits of singing groups on maintaining the mental health-related quality of life of older people. .
This suggests that the greatest benefit occurs when participants are engaged in singing groups and continued access to singing groups may confer important benefits on the mental health of the older population. .
We have undertaken an observational study of group singing for people with enduring and severe mental health issues over a year, and this demonstrated clinically important improvement in mental health outcomes. .