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Published in: BMC Geriatrics 1/2020

Open Access 01-12-2020 | Study protocol

Sing4Health: protocol of a randomized controlled trial of the effects of a singing group intervention on the well-being, cognitive function and health of older adults

Authors: Iolanda Costa Galinha, Manuel Farinha, Maria Luísa Lima, António Labisa Palmeira

Published in: BMC Geriatrics | Issue 1/2020

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Abstract

Background

Singing is a multimodal activity that requires physical, cognitive and psychosocial performance, with benefits to various domains of well-being and health in older adults. In recent years, research has increasingly studied group singing as an important cost-effective intervention to promote active and healthy aging. However, the specific factors responsible for these benefits need further experimental support, as most studies do not allow for causal inferences. This study responds to the need for further randomized controlled trials (RCT), with follow-up measurement, on the benefits of group singing in older adults from a low socioeconomic background. Also, while most studies often focus on specific outcome measure dimensions, in this study, the conjoint effect of several physical, psychosocial, psychoemotional and cognitive dimensions are analyzed, testing mediation effects of psychosocial and psychoemotional variables on the well-being and health of the participants.

Methods

We implement and measure the effects of a singing group program for older adults, with an RCT crossover design study, in a natural context, before and after the intervention and in a follow-up, 6 months after the intervention.

Participants

140 retired older adults (> 60 years) users of a social support institution, will be invited to participate in a singing group program and randomly allocated to an experimental (n = 70) and a control (n = 70) group, which will enroll in the regular activities proposed by the institution. The intervention consists of 34 bi-weekly group singing sessions, of 2 h each, for 4 months. Measures on social and emotional well-being, cognitive function, and health indicators (e.g., blood pressure, glycemia, cholesterol, c-reactive protein, sedimentation rate, respiratory function, body balance, sleep quality, medication intake, and health services attendance) will be collected. Interviews will be conducted on the motivation and perceived benefits of participation.

Discussion

Significant improvements are expected in the outcome measures in the experimental group after the intervention, validating singing groups as a cost-effective intervention for healthy aging. Psychosocial and psychoemotional variables are expected to be mediators of the effects of the program in the cognitive function, well-being and health of the participants.

Trial registration

NCT03985917. Registered 14th June 2019 (retrospectively registered).
Literature
1.
go back to reference Bülow MH, Söderqvist T. Successful ageing: a historical overview and critical analysis of a successful concept. J Aging Stud. 2014;31:139–49.PubMedCrossRef Bülow MH, Söderqvist T. Successful ageing: a historical overview and critical analysis of a successful concept. J Aging Stud. 2014;31:139–49.PubMedCrossRef
2.
go back to reference Menichetti J, Cipresso P, Bussolin D, Graffigna G. Engaging older people in healthy and active lifestyles: a systematic review. Ageing Soc. 2016;36(10):2036–60.CrossRef Menichetti J, Cipresso P, Bussolin D, Graffigna G. Engaging older people in healthy and active lifestyles: a systematic review. Ageing Soc. 2016;36(10):2036–60.CrossRef
3.
go back to reference Tan J, Tsakok FHM, Ow EK, Lanskey B, Lim KSD, Goh LG, et al. Study protocol for a randomized controlled trial of choral singing intervention to prevent cognitive decline in at-risk older adults living in the community. Front Aging Neurosci. 2018;10:195.PubMedPubMedCentralCrossRef Tan J, Tsakok FHM, Ow EK, Lanskey B, Lim KSD, Goh LG, et al. Study protocol for a randomized controlled trial of choral singing intervention to prevent cognitive decline in at-risk older adults living in the community. Front Aging Neurosci. 2018;10:195.PubMedPubMedCentralCrossRef
4.
go back to reference Johnson JK, Nápoles AM, Stewart AL, Max WB, Santoyo-Olsson J, Freyre R, et al. Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults. BMC Public Health. 2015;15:1049–61.PubMedPubMedCentralCrossRef Johnson JK, Nápoles AM, Stewart AL, Max WB, Santoyo-Olsson J, Freyre R, et al. Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults. BMC Public Health. 2015;15:1049–61.PubMedPubMedCentralCrossRef
5.
go back to reference Castora-Binkley NM, Noelker L, Prohaska T, Satariano W. Impact of arts participation on health outcomes for older adults. J Aging Human Arts. 2010;4:352–67.CrossRef Castora-Binkley NM, Noelker L, Prohaska T, Satariano W. Impact of arts participation on health outcomes for older adults. J Aging Human Arts. 2010;4:352–67.CrossRef
6.
go back to reference Coulton S, Clift S, Skingley A, Rodriguez J. Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial. Brit J Psychiat. 2015;207(3):250–5.PubMedCrossRef Coulton S, Clift S, Skingley A, Rodriguez J. Effectiveness and cost-effectiveness of community singing on mental health-related quality of life of older people: randomised controlled trial. Brit J Psychiat. 2015;207(3):250–5.PubMedCrossRef
7.
go back to reference Särkämö T. Music for the ageing brain: cognitive, emotional, social, and neural benefits of musical leisure activities in stroke and dementia. Dementia. 2018;17(6):670–85.PubMedCrossRef Särkämö T. Music for the ageing brain: cognitive, emotional, social, and neural benefits of musical leisure activities in stroke and dementia. Dementia. 2018;17(6):670–85.PubMedCrossRef
8.
go back to reference Stewart NJ, Lonsdale AJ. It’s better together: the psychological benefits of singing in a choir. Psychol Music. 2016;44:1240–54.CrossRef Stewart NJ, Lonsdale AJ. It’s better together: the psychological benefits of singing in a choir. Psychol Music. 2016;44:1240–54.CrossRef
9.
go back to reference Clift SM, Hancox G. The significance of choral singing for sustaining psychological wellbeing: findings from a survey of choristers in England, Australia and Germany. Music Perform Res. 2010;3(1):79–96. Clift SM, Hancox G. The significance of choral singing for sustaining psychological wellbeing: findings from a survey of choristers in England, Australia and Germany. Music Perform Res. 2010;3(1):79–96.
10.
go back to reference Fu MC, Belza B, Nguyen H, Logsdon R, Demorest S. Impact of group-singing on older adult health in senior living communities: a pilot study. Arch Gerontol Geriatr. 2018;76:138–46.PubMedCrossRef Fu MC, Belza B, Nguyen H, Logsdon R, Demorest S. Impact of group-singing on older adult health in senior living communities: a pilot study. Arch Gerontol Geriatr. 2018;76:138–46.PubMedCrossRef
11.
go back to reference Potter J, Sorrell N. A history of singing. New York: Cambridge University Press; 2012.CrossRef Potter J, Sorrell N. A history of singing. New York: Cambridge University Press; 2012.CrossRef
12.
go back to reference Clift SM, Hancox G, Morrison I, Hess B, Stewart D. Choral singing and psychological wellbeing: quantitative and qualitative findings from English choirs in a cross-national survey. J Applied Arts Health. 2010;1:19–34.CrossRef Clift SM, Hancox G, Morrison I, Hess B, Stewart D. Choral singing and psychological wellbeing: quantitative and qualitative findings from English choirs in a cross-national survey. J Applied Arts Health. 2010;1:19–34.CrossRef
13.
go back to reference Pires A, Galinha I, Herédia A. Estudo Experimental sobre o Impacto dos Grupos de Canto no Bem-estar Subjetivo dos Seniores. Psychol Community Health. 2017;6:186–200.CrossRef Pires A, Galinha I, Herédia A. Estudo Experimental sobre o Impacto dos Grupos de Canto no Bem-estar Subjetivo dos Seniores. Psychol Community Health. 2017;6:186–200.CrossRef
14.
go back to reference Skingley A, Martin A, Clift S. The contribution of community singing groups to the well-being of older people: participant perspectives from the United Kingdom. J Appl Gerontol. 2016;35:1302–24.PubMedCrossRef Skingley A, Martin A, Clift S. The contribution of community singing groups to the well-being of older people: participant perspectives from the United Kingdom. J Appl Gerontol. 2016;35:1302–24.PubMedCrossRef
15.
go back to reference Mohammadi AZ, Shahabi T, Panah FM. An evaluation of the effect of group music therapy on stress, anxiety and depression levels in nursing home residents. Can J Music Ther. 2011;17:55–68. Mohammadi AZ, Shahabi T, Panah FM. An evaluation of the effect of group music therapy on stress, anxiety and depression levels in nursing home residents. Can J Music Ther. 2011;17:55–68.
16.
go back to reference Johnson JK, Louhivuori J, Stewart AL, Tolvanen A, Ross L, Era P. Quality of life (QOL) of older adult community choral singers in Finland. Int Psychogeriatr. 2013;25:1055–64.PubMedPubMedCentralCrossRef Johnson JK, Louhivuori J, Stewart AL, Tolvanen A, Ross L, Era P. Quality of life (QOL) of older adult community choral singers in Finland. Int Psychogeriatr. 2013;25:1055–64.PubMedPubMedCentralCrossRef
17.
go back to reference Johnson JK, Louhivuori J, Siljander E. Comparison of well-being of older adult choir singers and the general population in Finland: a case-control study. Music Sci. 2017;21:178–94.PubMedCrossRef Johnson JK, Louhivuori J, Siljander E. Comparison of well-being of older adult choir singers and the general population in Finland: a case-control study. Music Sci. 2017;21:178–94.PubMedCrossRef
18.
go back to reference Unwin MM, Kenny DF, Davis PJ. The effects of group singing on mood. Psychol Music Music Educ. 2002;30:175–85.CrossRef Unwin MM, Kenny DF, Davis PJ. The effects of group singing on mood. Psychol Music Music Educ. 2002;30:175–85.CrossRef
19.
go back to reference Karp A, Pailard-Bong S, Wang HX, Silverstein M, Winblad B, Fratiglioni L. Mental, physical and social components in leisure activities equally contribute to decrease dementia risk. Dement Geriatr Cogn. 2006;21:65–73.CrossRef Karp A, Pailard-Bong S, Wang HX, Silverstein M, Winblad B, Fratiglioni L. Mental, physical and social components in leisure activities equally contribute to decrease dementia risk. Dement Geriatr Cogn. 2006;21:65–73.CrossRef
20.
go back to reference Gleibs IH, Haslam C, Haslam SA, Jones JM. Water clubs in residential care: is it the water or the Club that enhances health and well-being? Psychol Health. 2011;26(10):1361–77.PubMedCrossRef Gleibs IH, Haslam C, Haslam SA, Jones JM. Water clubs in residential care: is it the water or the Club that enhances health and well-being? Psychol Health. 2011;26(10):1361–77.PubMedCrossRef
21.
go back to reference Haslam SA, Jetten J, Postmes T, Haslam C. Social identity, health and well-being: an emerging agenda for applied psychology. Appl Psychol-Int Rev. 2009;58:1–23.CrossRef Haslam SA, Jetten J, Postmes T, Haslam C. Social identity, health and well-being: an emerging agenda for applied psychology. Appl Psychol-Int Rev. 2009;58:1–23.CrossRef
22.
go back to reference Jetten J, Haslam C, Haslam SA. The social cure: identity, health, and well-being. Hove, East Sussex: Psychology Press; 2012.CrossRef Jetten J, Haslam C, Haslam SA. The social cure: identity, health, and well-being. Hove, East Sussex: Psychology Press; 2012.CrossRef
23.
go back to reference Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: a critical review. Ann Phys Rehabil Med. 2017;61(6):414–8.PubMedCrossRef Särkämö T. Cognitive, emotional, and neural benefits of musical leisure activities in aging and neurological rehabilitation: a critical review. Ann Phys Rehabil Med. 2017;61(6):414–8.PubMedCrossRef
24.
go back to reference Särkämö T, Tervaniemi M, Laitinen S, Numminen A, Kurki M, Johnson JK. Cognitive, emotional and social benefits of regular musical activities in early dementia: randomized controlled study. Gerontologist. 2014;54:634–50.PubMedCrossRef Särkämö T, Tervaniemi M, Laitinen S, Numminen A, Kurki M, Johnson JK. Cognitive, emotional and social benefits of regular musical activities in early dementia: randomized controlled study. Gerontologist. 2014;54:634–50.PubMedCrossRef
25.
go back to reference Maguire LE, Wanschura PB, Battaglia MM, Howell SN, Flinn JM. Participation in active singing leads to cognitive improvements in individuals with dementia. J Am Geriatr Soc. 2015;63:815–6.PubMedCrossRef Maguire LE, Wanschura PB, Battaglia MM, Howell SN, Flinn JM. Participation in active singing leads to cognitive improvements in individuals with dementia. J Am Geriatr Soc. 2015;63:815–6.PubMedCrossRef
26.
go back to reference Satoh M, Yuba T, Tabei K-I, Okubo I, Kida H, Sakuma H, et al. Music therapy using singing training improves psychomotor speed in patients with Alzheimer’s disease: a neuropsychological study and fMRI study. Dement Geriatr Cogn. 2015;5:296–308.CrossRef Satoh M, Yuba T, Tabei K-I, Okubo I, Kida H, Sakuma H, et al. Music therapy using singing training improves psychomotor speed in patients with Alzheimer’s disease: a neuropsychological study and fMRI study. Dement Geriatr Cogn. 2015;5:296–308.CrossRef
27.
go back to reference Clements-Cortes A. Buddy's glee Club 2: choral singing benefits for older adults. Can J Music Ther. 2014;20(1):85–109. Clements-Cortes A. Buddy's glee Club 2: choral singing benefits for older adults. Can J Music Ther. 2014;20(1):85–109.
28.
go back to reference Dingle GA, Clift S, Finn S, Gilbert R, Groarke JM, Irons JY, et al. An agenda for best practice research in group singing, health, and well-being. Music Sci. 2019;2:1–15.CrossRef Dingle GA, Clift S, Finn S, Gilbert R, Groarke JM, Irons JY, et al. An agenda for best practice research in group singing, health, and well-being. Music Sci. 2019;2:1–15.CrossRef
29.
go back to reference Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults. Gerontologist. 2006;46:726–34.PubMedCrossRef Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health, and social functioning of older adults. Gerontologist. 2006;46:726–34.PubMedCrossRef
30.
go back to reference Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health and social functioning of older adults – 2-year results. J Aging Human Arts. 2007;1:5–22.CrossRef Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted cultural programs on the physical health, mental health and social functioning of older adults – 2-year results. J Aging Human Arts. 2007;1:5–22.CrossRef
31.
go back to reference Clift SM, Hancox G, Staricoff R, Whitmore C. Singing and health: a systematic mapping and review of non-clinical research. Canterbury: Canterbury Christ Church University; 2008. Clift SM, Hancox G, Staricoff R, Whitmore C. Singing and health: a systematic mapping and review of non-clinical research. Canterbury: Canterbury Christ Church University; 2008.
32.
go back to reference Berkemeyer K, Wijndaele K, White T, Cooper AJM, Luben R, Westgate K, et al. The descriptive epidemiology of accelerometer-measured physical activity in older adults. Int J Behav Nutr Phy. 2016;13(2):1–10. Berkemeyer K, Wijndaele K, White T, Cooper AJM, Luben R, Westgate K, et al. The descriptive epidemiology of accelerometer-measured physical activity in older adults. Int J Behav Nutr Phy. 2016;13(2):1–10.
33.
go back to reference Hall MH, Smagula SF, Boudreau RM, Ayonayon HN, Goldman SE, Harris TB, et al. Association between sleep duration and mortality is mediated by markers of inflammation and health in older adults: the Health, Aging and Body Composition Study. Sleep. 2015;38(2):189–95.PubMedPubMedCentralCrossRef Hall MH, Smagula SF, Boudreau RM, Ayonayon HN, Goldman SE, Harris TB, et al. Association between sleep duration and mortality is mediated by markers of inflammation and health in older adults: the Health, Aging and Body Composition Study. Sleep. 2015;38(2):189–95.PubMedPubMedCentralCrossRef
34.
go back to reference Taylor B, Johnson B. The Pulmonary Circulation and Exercise Responses in the Elderly. Semin Resp Critical Care. 2010;31(5):528–38.CrossRef Taylor B, Johnson B. The Pulmonary Circulation and Exercise Responses in the Elderly. Semin Resp Critical Care. 2010;31(5):528–38.CrossRef
35.
go back to reference Bonilha AG, Onofre F, Vieira ML, Prado MYA, Martinez JAB. Effects of singing classes on pulmonary function and quality of life of COPD patients. Int J Chronic Obstr. 2009;4:1–8. Bonilha AG, Onofre F, Vieira ML, Prado MYA, Martinez JAB. Effects of singing classes on pulmonary function and quality of life of COPD patients. Int J Chronic Obstr. 2009;4:1–8.
36.
go back to reference Nistor AR, Onac I, Ştefănescu A, Borda IM, Ciortea V, Irsay L, et al. The role of singing therapy in pulmonary rehabilitation. Palestrica Third Millennium Civilization Sport. 2015;16(2):158–63. Nistor AR, Onac I, Ştefănescu A, Borda IM, Ciortea V, Irsay L, et al. The role of singing therapy in pulmonary rehabilitation. Palestrica Third Millennium Civilization Sport. 2015;16(2):158–63.
37.
go back to reference Lewis A, Cave P, Stern M, et al. Singing for Lung Health-a systematic review of the literature and consensus statement. NPJ Prim Care Respir Med. 2016;26:16080.PubMedPubMedCentralCrossRef Lewis A, Cave P, Stern M, et al. Singing for Lung Health-a systematic review of the literature and consensus statement. NPJ Prim Care Respir Med. 2016;26:16080.PubMedPubMedCentralCrossRef
38.
go back to reference McNamara RJ, Epsley C, Coren E, McKeough ZJ. Singing for adults with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev. 2017;12:CD012296.PubMed McNamara RJ, Epsley C, Coren E, McKeough ZJ. Singing for adults with chronic obstructive pulmonary disease (COPD). Cochrane Database Syst Rev. 2017;12:CD012296.PubMed
39.
go back to reference Beck RJ, Cesario TC, Yousefi A, Enamoto H. Choral singing, performance perception and immune system changes in salivary immunoglobulin A and cortisol. Music Percept. 2000;18:87–106.CrossRef Beck RJ, Cesario TC, Yousefi A, Enamoto H. Choral singing, performance perception and immune system changes in salivary immunoglobulin A and cortisol. Music Percept. 2000;18:87–106.CrossRef
40.
go back to reference Kreutz G, Univer CVO, Frank G, Kreutz G, Bongard S, Rohrmann S. Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state. J Behav Med. 2005;27:623–35.CrossRef Kreutz G, Univer CVO, Frank G, Kreutz G, Bongard S, Rohrmann S. Effects of choir singing or listening on secretory immunoglobulin A, cortisol, and emotional state. J Behav Med. 2005;27:623–35.CrossRef
41.
go back to reference Ryan R, Booth S, Spathis A, Mollart S, Clow A. Use of salivary diurnal cortisol as an outcome measure in randomised controlled trials: a systematic review. Ann Behav Med. 2016;50(2):210–36. Ryan R, Booth S, Spathis A, Mollart S, Clow A. Use of salivary diurnal cortisol as an outcome measure in randomised controlled trials: a systematic review. Ann Behav Med. 2016;50(2):210–36.
42.
go back to reference Valentine E, Evans C. The effects of solo singing, choral singing and swimming on mood and physiological indices. Brit J Med Psychol. 2001;74(Pt1):115–20.PubMedCrossRef Valentine E, Evans C. The effects of solo singing, choral singing and swimming on mood and physiological indices. Brit J Med Psychol. 2001;74(Pt1):115–20.PubMedCrossRef
43.
go back to reference Sun J, Buys N, Merrick J. Community singing approach to promote health. J Altern Med Res. 2013;5(2):99–100. Sun J, Buys N, Merrick J. Community singing approach to promote health. J Altern Med Res. 2013;5(2):99–100.
44.
go back to reference Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):85–94.CrossRef Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):85–94.CrossRef
45.
go back to reference Southcott J, Li S. “Something to Live For”: Weekly Singing Classes at a Chinese University for Retirees. Inter J Music Educ. 2018;36(2):283–96.CrossRef Southcott J, Li S. “Something to Live For”: Weekly Singing Classes at a Chinese University for Retirees. Inter J Music Educ. 2018;36(2):283–96.CrossRef
46.
go back to reference Clark I, Harding K. Psychosocial outcomes of active singing interventions for therapeutic purposes: a systematic review of the literature. Nord J Music Ther. 2012;21(1):80–98.CrossRef Clark I, Harding K. Psychosocial outcomes of active singing interventions for therapeutic purposes: a systematic review of the literature. Nord J Music Ther. 2012;21(1):80–98.CrossRef
48.
go back to reference Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49:71–5.PubMedCrossRef Diener E, Emmons RA, Larsen RJ, Griffin S. The satisfaction with life scale. J Pers Assess. 1985;49:71–5.PubMedCrossRef
49.
go back to reference Neto F, Barros J, Barros A. Satisfação com a vida. In: Almeida L, Santiago R, Silva P, Caetano O, Marques J, editors. A Acção educativa: Análise psico-social. Leiria: ESEL/APPORT; 1990. p. 105. Neto F, Barros J, Barros A. Satisfação com a vida. In: Almeida L, Santiago R, Silva P, Caetano O, Marques J, editors. A Acção educativa: Análise psico-social. Leiria: ESEL/APPORT; 1990. p. 105.
50.
go back to reference Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS Scales. J Pers Soc Psychol. 1988;54:1063–70.PubMedCrossRef Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS Scales. J Pers Soc Psychol. 1988;54:1063–70.PubMedCrossRef
51.
go back to reference Galinha I, Pais-Ribeiro JL II. Contribuição para o estudo da versão portuguesa da Positive and Negative Affect Schedule (PANAS): II – Estudo psicométrico. Análise Psicológica. 2005b;23:219–27. Galinha I, Pais-Ribeiro JL II. Contribuição para o estudo da versão portuguesa da Positive and Negative Affect Schedule (PANAS): II – Estudo psicométrico. Análise Psicológica. 2005b;23:219–27.
52.
go back to reference Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press; 1965.CrossRef Rosenberg M. Society and the adolescent self-image. Princeton: Princeton University Press; 1965.CrossRef
53.
go back to reference Pechorro P, Marôco J, Poiares C, Vieira RX. Validação da escala de autoestima de Rosenberg com adolescentes portugueses em contexto forense e escolar. Arq Medicin. 2011;25:174–9. Pechorro P, Marôco J, Poiares C, Vieira RX. Validação da escala de autoestima de Rosenberg com adolescentes portugueses em contexto forense e escolar. Arq Medicin. 2011;25:174–9.
54.
go back to reference Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335–43.PubMedCrossRef Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav Res Ther. 1995;33:335–43.PubMedCrossRef
55.
go back to reference Pais-Ribeiro J, Honrado A, Leal I. Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de lovibond e lovibond. Psicol Saúde Doenças. 2004;5:229–39. Pais-Ribeiro J, Honrado A, Leal I. Contribuição para o estudo da adaptação portuguesa das escalas de ansiedade, depressão e stress (EADS) de 21 itens de lovibond e lovibond. Psicol Saúde Doenças. 2004;5:229–39.
57.
go back to reference Vilar MM. Avaliação da qualidade de Vida em Adultos Idosos: Estudos de adaptação, validação e normalização do WHOQOL-OLD para a população portuguesa. Coimbra: Universidade de Coimbra; 2015. Vilar MM. Avaliação da qualidade de Vida em Adultos Idosos: Estudos de adaptação, validação e normalização do WHOQOL-OLD para a população portuguesa. Coimbra: Universidade de Coimbra; 2015.
58.
go back to reference WHOQOL Group. Development of World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med. 1998;28:551–8.CrossRef WHOQOL Group. Development of World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med. 1998;28:551–8.CrossRef
59.
go back to reference Vaz Serra A, Canavarro MC, Simões MR, Pereira M, Gameiro S, Quartilho MJ, et al. Estudos Psicométricos do Instrumento de Avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-Bref) para Português de Portugal. Psiquiatr Clín. 2006;27(1):2741–9. Vaz Serra A, Canavarro MC, Simões MR, Pereira M, Gameiro S, Quartilho MJ, et al. Estudos Psicométricos do Instrumento de Avaliação da Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-Bref) para Português de Portugal. Psiquiatr Clín. 2006;27(1):2741–9.
60.
go back to reference Pocinho M, Farate C, Dias CA. Validação psicométrica da escala UCLA-loneliness para idosos portugueses. Interações. 2010;10(18):65–77. Pocinho M, Farate C, Dias CA. Validação psicométrica da escala UCLA-loneliness para idosos portugueses. Interações. 2010;10(18):65–77.
61.
go back to reference Doosje B, Ellemers N, Spears R. Perceived intragroup variability as a function of group status and identification. J Exp Soc Psychol. 1995;31:410–36.CrossRef Doosje B, Ellemers N, Spears R. Perceived intragroup variability as a function of group status and identification. J Exp Soc Psychol. 1995;31:410–36.CrossRef
62.
63.
go back to reference Silva A. Bem-Estar Social na Idade Adulta: adaptação e validação da Social Well-Being Scales no contexto português Avaliação da qualidade de Vida em Adultos Idosos: Estudos de adaptação, validação e normalização do WHOQOL-OLD para a população portuguesa. Lisboa: Universidade Lusófona do Porto; 2016. Silva A. Bem-Estar Social na Idade Adulta: adaptação e validação da Social Well-Being Scales no contexto português Avaliação da qualidade de Vida em Adultos Idosos: Estudos de adaptação, validação e normalização do WHOQOL-OLD para a população portuguesa. Lisboa: Universidade Lusófona do Porto; 2016.
64.
go back to reference Nasreddine Z, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for Mild Cognitive Impairment. Am Geriatr Soc. 2005;53:695–9.CrossRef Nasreddine Z, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The Montreal Cognitive Assessment, MoCA: A brief screening tool for Mild Cognitive Impairment. Am Geriatr Soc. 2005;53:695–9.CrossRef
65.
go back to reference Simões MR, Freitas S, Santana I, Firmino H, Martins C, Nasreddine Z, Vilar M. Montreal Cognitive Assessment (MoCA): Versão final portuguesa. Coimbra: Serviço de Avaliação Psicológica, Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra; 2008. Simões MR, Freitas S, Santana I, Firmino H, Martins C, Nasreddine Z, Vilar M. Montreal Cognitive Assessment (MoCA): Versão final portuguesa. Coimbra: Serviço de Avaliação Psicológica, Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra; 2008.
66.
go back to reference Freitas S, Simões MR, Alves L, Santana I. Montreal Cognitive Assessment (MoCA): Influence of sociodemographic and health variables. Arch Clin Neuropsych. 2012;27:165–75.CrossRef Freitas S, Simões MR, Alves L, Santana I. Montreal Cognitive Assessment (MoCA): Influence of sociodemographic and health variables. Arch Clin Neuropsych. 2012;27:165–75.CrossRef
67.
go back to reference Schmidt M. Rey Auditory-Verbal Learning Test. Los Angeles: Western Psychological Services; 1996. Schmidt M. Rey Auditory-Verbal Learning Test. Los Angeles: Western Psychological Services; 1996.
68.
go back to reference Cavaco S, Gonçalves A, Pinto C, Almeida E, Gomes F, Moreira I, et al. Auditory Verbal Learning Test in a large nonclinical portuguese population. Appl Neuropsych-Adult. 2015;22(5):321–31.CrossRef Cavaco S, Gonçalves A, Pinto C, Almeida E, Gomes F, Moreira I, et al. Auditory Verbal Learning Test in a large nonclinical portuguese population. Appl Neuropsych-Adult. 2015;22(5):321–31.CrossRef
69.
go back to reference Reitan RM. The validity of the Trail Making Test as an indicator of organic brain damage. Percept Mot Skill. 1958;8:271–6.CrossRef Reitan RM. The validity of the Trail Making Test as an indicator of organic brain damage. Percept Mot Skill. 1958;8:271–6.CrossRef
70.
go back to reference Cavaco S, Gonçalves A, Pinto C, Almeida E, Gomes F, Moreira I, et al. Trail making test: regression-based norms for the Portuguese population. Arch Clin Neuropsych. 2013;28(2):189–98. Cavaco S, Gonçalves A, Pinto C, Almeida E, Gomes F, Moreira I, et al. Trail making test: regression-based norms for the Portuguese population. Arch Clin Neuropsych. 2013;28(2):189–98.
71.
go back to reference Wechsler D. Escala de Inteligência de Wechsler para Adultos-Terceira Edição (WAIS-III). Lisboa: Cegoc; 2008. Wechsler D. Escala de Inteligência de Wechsler para Adultos-Terceira Edição (WAIS-III). Lisboa: Cegoc; 2008.
72.
go back to reference Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther. 1998;52(8):666–71.PubMedCrossRef Whitney SL, Poole JL, Cass SP. A review of balance instruments for older adults. Am J Occup Ther. 1998;52(8):666–71.PubMedCrossRef
73.
go back to reference Rosenberger ME, Buman MP, Haskell WL, McConnell MV, Carstensen LL. 24 hours of sleep, sedentary behavior, and physical activity with nine wearable devices. Med Sci Sport Exer. 2016;48(3):457.CrossRef Rosenberger ME, Buman MP, Haskell WL, McConnell MV, Carstensen LL. 24 hours of sleep, sedentary behavior, and physical activity with nine wearable devices. Med Sci Sport Exer. 2016;48(3):457.CrossRef
74.
go back to reference Ferreira-Valente M, Pais-Ribeiro JL, Jensen M. Interferência da Dor na Vida Diaria: Validação de uma versão Portuguesa da Escala de Interferência da Dor do Brief Pain Inventory. Viseu: V CISCS; 2009. Ferreira-Valente M, Pais-Ribeiro JL, Jensen M. Interferência da Dor na Vida Diaria: Validação de uma versão Portuguesa da Escala de Interferência da Dor do Brief Pain Inventory. Viseu: V CISCS; 2009.
Metadata
Title
Sing4Health: protocol of a randomized controlled trial of the effects of a singing group intervention on the well-being, cognitive function and health of older adults
Authors
Iolanda Costa Galinha
Manuel Farinha
Maria Luísa Lima
António Labisa Palmeira
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2020
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-020-01686-6

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