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-sectiona...

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Main Authors: Ho, Andy Hau Yan, Ma, Stephanie Hilary Xinyi, Ho, Ringo Moon-Ho, Pang, Joyce Shu Min, Ortega, Emily, Bajpai, Ram
Other Authors: School of Social Sciences
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:https://hdl.handle.net/10356/142372
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author Ho, Andy Hau Yan
Ma, Stephanie Hilary Xinyi
Ho, Ringo Moon-Ho
Pang, Joyce Shu Min
Ortega, Emily
Bajpai, Ram
author2 School of Social Sciences
author_facet School of Social Sciences
Ho, Andy Hau Yan
Ma, Stephanie Hilary Xinyi
Ho, Ringo Moon-Ho
Pang, Joyce Shu Min
Ortega, Emily
Bajpai, Ram
author_sort Ho, Andy Hau Yan
collection NTU
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.
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spelling ntu-10356/1423722020-06-19T07:45:12Z 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 Ho, Andy Hau Yan Ma, Stephanie Hilary Xinyi Ho, Ringo Moon-Ho Pang, Joyce Shu Min Ortega, Emily Bajpai, Ram School of Social Sciences Lee Kong Chian School of Medicine (LKCMedicine) Centre for Population Health Sciences (CePHaS) Social sciences::Psychology Holistic Well-being Propensity Score Matching (PSM) 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. Published version 2020-06-19T07:45:12Z 2020-06-19T07:45:12Z 2019 Journal Article Ho, A. H. Y., Ma, S. H. X., Ho, R. M.-H., Pang, J. S. M., Ortega, E., & Bajpai, R. (2019). 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, 9(11), e029555-. doi:10.1136/bmjopen-2019-029555 2044-6055 https://hdl.handle.net/10356/142372 10.1136/bmjopen-2019-029555 31753869 2-s2.0-85075540083 11 9 en BMJ Open © 2019 Author(s) (or their employer(s)). Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. application/pdf
spellingShingle Social sciences::Psychology
Holistic Well-being
Propensity Score Matching (PSM)
Ho, Andy Hau Yan
Ma, Stephanie Hilary Xinyi
Ho, Ringo Moon-Ho
Pang, Joyce Shu Min
Ortega, Emily
Bajpai, Ram
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 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
topic Social sciences::Psychology
Holistic Well-being
Propensity Score Matching (PSM)
url https://hdl.handle.net/10356/142372
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