The Art of Moving for Sustainable Health (ART-M2)

The Art of Moving for Sustainable Health: Influence of a Museum Visit on the Physical Demands and Well-being of Sedentary People

Sedentary behaviour is particularly high among the older and in the presence of a chronic pathology. Physical activity is limited mainly by the lack of accessibility to activities offered in the city and the lack of motivation.

The objective is to study the physical solicitations and the well-being during the visit of a museum (free or guided visit). Our hypothesis is that this cultural activity induces a sufficient physical solicitation for sedentary people and for individuals with a post-stroke motor disability.

All the tests will be carried out during the same day by experienced physiotherapists. Physical and well-being tests will be performed before and after the visits. The number of steps taken during the visit will be measured.

This is a different approach to promote physical activity and this proposal is an original way to stimulate the physical, psychic and social health of sedentary people. If the results are beneficial, museums could become real health partners to stimulate the activity of sedentary people.

Study Overview

• Status: Completed
• Conditions: Stroke; Sedentary Behavior
• Intervention / Treatment: Other: Free visit; Other: Guided visit; Other: Guided visit (stroke)

• Study Type: Interventional
• Enrollment (Actual): 85
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Virginie Cuvelier; Email: virginie.cuvelier@hesge.ch

Study Locations

• Switzerland
  • Geneva, Switzerland
    • Musées de la ville de Genève

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 50 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Age > 50 years
• Sedentary condition (<150 minutes of physical activity per week)
• Medical stability
• Mini Mental State Evauation > 22
• Walking independently with or without assistance
• MiniBESTest > 20/28
• For individuals with stroke: chronic post-stroke condition.

Exclusion Criteria:

• Refusal to participate;
• Person with other conditions affecting independent walking;
• Contraindications to prolonged standing;
• Pain greater than 4/10 on the NRS;
• Concomitant pathologies that may interfere with the results;
• Inability to follow the study procedure (cognitive disorders, dementia, psychological disorders, language problems...).

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Free visit; Free visit of the museum during 75 minutes for individuals in sedentary condition (healthy)	Other: Free visit; The persons with sedentary (healthy) in this group will have to visit the museum freely (without a guide) for a period of 75 minutes.
Experimental: Guided visit; Guided visit of the museum during 75 minutes for individuals in sedentary condition (healthy)	Other: Guided visit; The persons with sedentary (healthy) in this group will have to visit the museum with a guide for a period of 75 minutes.
Other: Guided visit for individuals after stroke; This arm is specific for individuals with motor disability after stroke (non randomized condition)	Other: Guided visit (stroke); The persons with motor disability after stroke in this group will have to visit the museum with a guide for a period of 75 minutes.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Number of steps during visit in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	An activity tracker on the visitor's wrist will measure the number of steps taken while visiting the museum. Parameter: number of steps.	75 minutes

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure displacement (mm).	75 minutes
Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure speed (mm/s).	75 minutes
Change from baseline (pre-visit): Postural control in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The standing balance will be tested in bipedal with forceplate. Parameters: center of pressure sway area (mm2).	75 minutes
Change from baseline (pre-visit): gait speed in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The gait speed will be tested with the Ten-meter walking test. Parameter: gait speed (m/s)	75 minutes
Change from baseline (pre-visit): sit to stand transfert in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The sit to stand transfert will be tested with the five sit to stand test. Parameter: duration to realize five sit-to stand transferts (seconds)	75 minutes
Change from baseline (pre-visit): lower limb muscle strength in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The knee extensors muscle strength will be measured with an hand-held dynamometer. Parameter: maximal voluntary force in Newton (N).	75 minutes
Change from baseline (pre-visit): fatigue in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The fatigue will be tested with the Numeric Rating Scale. Parameter: 10-points score.	75 minutes
Change from baseline (pre-visit): pain in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The pain will be tested with the Numeric Rating Scale. Parameter: 10-points score.	75 minutes
Change from baseline (pre-visit): anxiety in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The anxiety will be tested with the Numeric Rating Scale. Parameter: 10-points score.	75 minutes
Change from baseline (pre-visit): museum well-being in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The well-being will be tested with the museum well-being survey.	75 minutes
Safety endpoint 1: fatigue	The fatigue will be tested with the Numeric Rating Scale. Parameter: 10-points score.	3 hours
Safety endpoint 2: pain	The fatigue will be tested with the Numeric Rating Scale. Parameter: 10-points score.	3 hours
Safety endpoint 3: number of subjects	The safety endpoint will be tested with the calculation of the number of subjects who completed the visit and the tests.	3 hours

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cognitive status in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The cognitive function will be tested with the Mini Mental State Evaluation. Parameter: score / 28 points.	baseline 60 minutes
Motor status in the three groups (free visit vs. guided visit and guided visit for individuals with stroke)	The motor function will be tested with the Mini BESTest. Parameter: score in percentage.	baseline 60 minutes

Collaborators and Investigators

• Sponsor: School of Health Sciences Geneva

Publications and helpful links

General Publications

• Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, De Bourdeaudhuij I, Ewald B, Gardner AW, Hatano Y, Lutes LD, Matsudo SM, Ramirez-Marrero FA, Rogers LQ, Rowe DA, Schmidt MD, Tully MA, Blair SN. How many steps/day are enough? For older adults and special populations. Int J Behav Nutr Phys Act. 2011 Jul 28;8:80. doi: 10.1186/1479-5868-8-80.
• Harvey JA, Chastin SF, Skelton DA. Prevalence of sedentary behavior in older adults: a systematic review. Int J Environ Res Public Health. 2013 Dec 2;10(12):6645-61. doi: 10.3390/ijerph10126645.
• Camic PM, Chatterjee HJ. Museums and art galleries as partners for public health interventions. Perspect Public Health. 2013 Jan;133(1):66-71. doi: 10.1177/1757913912468523.
• Mastandrea S, Fagioli S, Biasi V. Art and Psychological Well-Being: Linking the Brain to the Aesthetic Emotion. Front Psychol. 2019 Apr 4;10:739. doi: 10.3389/fpsyg.2019.00739. eCollection 2019.

Study record dates

Study Major Dates

• Study Start (Actual): November 15, 2021
• Primary Completion (Actual): March 14, 2023
• Study Completion (Actual): March 14, 2023

Study Registration Dates

• First Submitted: July 21, 2021
• First Submitted That Met QC Criteria: August 2, 2021
• First Posted (Actual): August 3, 2021

Study Record Updates

• Last Update Posted (Actual): April 27, 2023
• Last Update Submitted That Met QC Criteria: April 26, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Stroke; Physical activity; Well-being; Sedentary; Museum
• Additional Relevant MeSH Terms: Cardiovascular Diseases; Vascular Diseases; Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Stroke
• Other Study ID Numbers: 112187

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: De-identified individual participant data for all primary and secondary outcome measure will be made available.
• IPD Sharing Time Frame: Data will be available within 6 months of study completion
• IPD Sharing Access Criteria: At the end of the project the data will be deposited in the Yareta repository developed by the University of Geneva OR in an institutional repository. This choice will ensure that data is archived and shared in accordance with FAIR principles.
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No