Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial

Abstract The Structured Water Dance Intervention (SWAN) is a dance-oriented aquatic group activity directed to give opportunities for the joy of movement, relaxation, and reduced stress. This study aimed to evaluate the effects of SWAN on salivary cortisol and stress in adults with profound intellec...

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Main Authors: Lars-Olov Lundqvist, Marie Matérne, Andre Frank, Evalotte Mörelius, Anna Duberg
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-21573-x
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author Lars-Olov Lundqvist
Marie Matérne
Andre Frank
Evalotte Mörelius
Anna Duberg
author_facet Lars-Olov Lundqvist
Marie Matérne
Andre Frank
Evalotte Mörelius
Anna Duberg
author_sort Lars-Olov Lundqvist
collection DOAJ
description Abstract The Structured Water Dance Intervention (SWAN) is a dance-oriented aquatic group activity directed to give opportunities for the joy of movement, relaxation, and reduced stress. This study aimed to evaluate the effects of SWAN on salivary cortisol and stress in adults with profound intellectual and multiple disabilities (PIMD). A total of 34 adults with PIMD at four habilitation centres in Sweden completed the SWAN intervention. The intervention was administered for 40 min once a week during a 12-week period. Saliva cortisol was collected in the morning and evening at baseline one week before the intervention, thrice during the intervention period, and one week after the intervention. Moreover, in connection with the SWAN sessions, the participants’ level of stress was also assessed by the accompanying assistants. The results showed that salivary cortisol and participants stress decreased significantly, directly after the SWAN sessions compared with measures directly before sessions. The study demonstrates that adults with PIMD have diurnal salivary cortisol patterns consistent with those observed in adults without disability and that the SWAN reduces salivary cortisol levels and stress in people with PIMD; this justifies that SWAN could be considered in the choice of interventions to reduce stress in adults with PIMD. Trial registration: This study is registered 09/04/2019 on ClinicalTrials.gov (ID: NCT03908801).
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spelling doaj.art-90e24356d269415481b64370af5821aa2022-12-22T02:37:10ZengNature PortfolioScientific Reports2045-23222022-10-0112111010.1038/s41598-022-21573-xSalivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trialLars-Olov Lundqvist0Marie Matérne1Andre Frank2Evalotte Mörelius3Anna Duberg4University Health Care Research Center, Faculty of Medicine and Health, Örebro UniversityUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro UniversityUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro UniversityDivision of Nursing Sciences and Reproductive Health, Department of Health, Medicine and Caring Sciences, Linköping UniversityUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro UniversityAbstract The Structured Water Dance Intervention (SWAN) is a dance-oriented aquatic group activity directed to give opportunities for the joy of movement, relaxation, and reduced stress. This study aimed to evaluate the effects of SWAN on salivary cortisol and stress in adults with profound intellectual and multiple disabilities (PIMD). A total of 34 adults with PIMD at four habilitation centres in Sweden completed the SWAN intervention. The intervention was administered for 40 min once a week during a 12-week period. Saliva cortisol was collected in the morning and evening at baseline one week before the intervention, thrice during the intervention period, and one week after the intervention. Moreover, in connection with the SWAN sessions, the participants’ level of stress was also assessed by the accompanying assistants. The results showed that salivary cortisol and participants stress decreased significantly, directly after the SWAN sessions compared with measures directly before sessions. The study demonstrates that adults with PIMD have diurnal salivary cortisol patterns consistent with those observed in adults without disability and that the SWAN reduces salivary cortisol levels and stress in people with PIMD; this justifies that SWAN could be considered in the choice of interventions to reduce stress in adults with PIMD. Trial registration: This study is registered 09/04/2019 on ClinicalTrials.gov (ID: NCT03908801).https://doi.org/10.1038/s41598-022-21573-x
spellingShingle Lars-Olov Lundqvist
Marie Matérne
Andre Frank
Evalotte Mörelius
Anna Duberg
Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
Scientific Reports
title Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
title_full Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
title_fullStr Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
title_full_unstemmed Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
title_short Salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the Structured Water Dance Intervention: a randomised controlled crossover trial
title_sort salivary cortisol levels and stress in adults with profound intellectual and multiple disabilities participating in the structured water dance intervention a randomised controlled crossover trial
url https://doi.org/10.1038/s41598-022-21573-x
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