Dance for people with chronic respiratory disease: a qualitative study

Keir Elmslie James Philip, Adam Lewis, Sian Williams, Sara Catherine Buttery, Michael I Polkey, William Man, Daisy Fancourt, Nicholas S Hopkinson, Keir Elmslie James Philip, Adam Lewis, Sian Williams, Sara Catherine Buttery, Michael I Polkey, William Man, Daisy Fancourt, Nicholas S Hopkinson

Abstract

Objectives: To explore the experiences and perceived impact on health and well-being related to participation in a dance group for people with chronic respiratory disease (CRD).

Design: An exploratory qualitative study using thematic analysis of semistructured interviews.

Setting: A community dance group in a UK health centre.

Participants: Convenience sample of long-term dance group participants.

Intervention: Weekly community dance sessions designed for people with breathlessness, lasting 75 min, led by a trained community dance leader.

Results: Convenience sample of eight participants, six females, aged 57-87 years (mean 75), with a median 2-year attendance at weekly dance sessions. Long-term attendance was driven by strongly held beliefs regarding the health and well-being benefits of participation. Four key themes were identified: dance as (1) a holistically beneficial activity, with physical and psychosocial health benefits including improved or maintained physical fitness and psychological well-being, and reduced need for healthcare; (2) an integral part of their life; (3) an enjoyable activity; and (4) a source of deep social cohesion.

Conclusions: Dance group participants perceived a broad range of health benefits of relevance to the biopsychosocial impacts of their respiratory disease. The themes identified are useful in the ongoing planning and evaluation of dance as a holistic complex intervention for people with CRD. Further research is required to assess the extent of health impacts identified, and how dance might be most effectively placed as an option in the management of CRD.

Trial registration number: NCT04006015.

Keywords: adult thoracic medicine; chronic airways disease; complementary medicine; rehabilitation medicine.

Conflict of interest statement

Competing interests: SW is the founder of the dance group and leads the sessions. She was not involved in the thematic analysis.

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.

Figures

Figure 1
Figure 1
A thematic map showing the main four themes and the key ways they relate to one another.

References

    1. Ferkol T, Schraufnagel D. The global burden of respiratory disease. Ann Am Thorac Soc 2014;11:404–6. 10.1513/AnnalsATS.201311-405PS
    1. Kelly JL, Bamsey O, Smith C, et al. . Health status assessment in routine clinical practice: the chronic obstructive pulmonary disease assessment test score in outpatients. Respiration 2012;84:193–9. 10.1159/000336549
    1. Nishiyama O, Taniguchi H, Kondoh Y, et al. . Quadriceps weakness is related to exercise capacity in idiopathic pulmonary fibrosis. Chest 2005;127:2028–33. 10.1378/chest.127.6.2028
    1. Gardiner C, Gott M, Payne S, et al. . Exploring the care needs of patients with advanced COPD: an overview of the literature. Respir Med 2010;104:159–65. 10.1016/j.rmed.2009.09.007
    1. Yohannes AM, Alexopoulos GS. Depression and anxiety in patients with COPD. Eur Respir Rev 2014;23:345–9. 10.1183/09059180.00007813
    1. Bu F, Philip K, Fancourt D. Social isolation and loneliness as risk factors for hospital admissions for respiratory disease among older adults. Thorax 2020;75:597–9. 10.1136/thoraxjnl-2019-214445
    1. Philip KEJ, Polkey MI, Hopkinson NS, et al. . Social isolation, loneliness and physical performance in older-adults: fixed effects analyses of a cohort study. Sci Rep 2020;10:13908. 10.1038/s41598-020-70483-3
    1. Spruit MA, Singh SJ, Garvey C, et al. . An official American thoracic Society/European respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 2013;188:e13–64. 10.1164/rccm.201309-1634ST
    1. Hopkinson NS, Molyneux A, Pink J, et al. . Chronic obstructive pulmonary disease: diagnosis and management: summary of updated NICE guidance. BMJ 2019;366:l4486. 10.1136/bmj.l4486
    1. Rochester CL, Vogiatzis I, Holland AE, et al. . An official American thoracic Society/European respiratory Society policy statement: enhancing implementation, use, and delivery of pulmonary rehabilitation. Am J Respir Crit Care Med 2015;192:1373–86. 10.1164/rccm.201510-1966ST
    1. Boutou AK, Tanner RJ, Lord VM, et al. . An evaluation of factors associated with completion and benefit from pulmonary rehabilitation in COPD. BMJ Open Respir Res 2014;1:e000051. 10.1136/bmjresp-2014-000051
    1. Philip K, Gaduzo S, Rogers J, et al. . Patient experience of COPD care: outcomes from the British lung Foundation patient Passport. BMJ Open Respir Res 2019;6:e000478. 10.1136/bmjresp-2019-000478
    1. Polkey MI, Qiu Z-H, Zhou L, et al. . Tai chi and pulmonary rehabilitation compared for treatment-naive patients with COPD: a randomized controlled trial. Chest 2018;153:1116–24. 10.1016/j.chest.2018.01.053
    1. Lewis A, Hopkinson NS. Tai Chi movements for wellbeing - evaluation of a British Lung Foundation pilot. Perspect Public Health 2020;140:180 10.1177/1757913919872515
    1. Nolan CM, Rochester CL. Exercise training modalities for people with chronic obstructive pulmonary disease. COPD 2019;16:378–89. 10.1080/15412555.2019.1637834
    1. Lewis A, Cave P, Hopkinson NS. Singing for lung health: a qualitative assessment of a British lung Foundation programme for group leaders. BMJ Open Respir Res 2017;4:e000216. 10.1136/bmjresp-2017-000216
    1. Lewis A, Cave P, Hopkinson NS. Singing for lung health: service evaluation of the British lung Foundation programme. Perspect Public Health 2018;138:215–22. 10.1177/1757913918774079
    1. 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. 10.1038/npjpcrm.2016.80
    1. Lord VM, Cave P, Hume VJ, et al. . Singing teaching as a therapy for chronic respiratory disease-a randomised controlled trial and qualitative evaluation. BMC Pulm Med 2010;10:41. 10.1186/1471-2466-10-41
    1. Lord VM, Hume VJ, Kelly JL, et al. . Singing classes for chronic obstructive pulmonary disease: a randomized controlled trial. BMC Pulm Med 2012;12:69. 10.1186/1471-2466-12-69
    1. Drinkwater C, Wildman J, Moffatt S. Social prescribing. BMJ 2019;364:l1285. 10.1136/bmj.l1285
    1. Fancourt D, Finn S. What is the evidence on the role of the arts in improving health and well-being? A scoping review. World Health Organisation, 2019.
    1. Fancourt D, Steptoe A. The art of life and death: 14 year follow-up analyses of associations between arts engagement and mortality in the English longitudinal study of ageing. BMJ 2019;367:l6377. 10.1136/bmj.l6377
    1. Philip K, Lewis A, Hopkinson NS. Music and dance in chronic lung disease. Breathe 2019;15:116–20. 10.1183/20734735.0007-2019
    1. Philip KEJ, Williams S, Simpson J, et al. . Exploring participants current experiences and opinions regarding use of music/dance in pulmonary rehabilitation. European respiratory Society conference; Milan, Italy. Europ Resp J 2017.
    1. Fong Yan A, Cobley S, Chan C, et al. . The effectiveness of dance interventions on physical health outcomes compared to other forms of physical activity: a systematic review and meta-analysis. Sports Med 2018;48:933–51. 10.1007/s40279-017-0853-5
    1. Hwang PW-N, Braun KL. The effectiveness of dance interventions to improve older adults' health: a systematic literature review. Altern Ther Health Med 2015;21:64–70.
    1. Jeong Y-J, Hong S-C, Lee MS, et al. . Dance movement therapy improves emotional responses and modulates neurohormones in adolescents with mild depression. Int J Neurosci 2005;115:1711–20. 10.1080/00207450590958574
    1. Merom D, Ding D, Stamatakis E. Dancing participation and cardiovascular disease mortality: a pooled analysis of 11 population-based British cohorts. Am J Prev Med 2016;50:756–60. 10.1016/j.amepre.2016.01.004
    1. Murrock CJ, Graor CH. Effects of dance on depression, physical function, and disability in underserved adults. J Aging Phys Act 2014;22:380–5. 10.1123/JAPA.2013-0003
    1. Patterson KK, Wong JS, Prout EC, et al. . Dance for the rehabilitation of balance and gait in adults with neurological conditions other than Parkinson’s disease: a systematic review. Heliyon 2018;4:e00584. 10.1016/j.heliyon.2018.e00584
    1. Rodrigues-Krause J, Krause M, Reischak-Oliveira A. Dancing for healthy aging: functional and metabolic perspectives. Altern Ther Health Med 2019;25:44–63.
    1. Sharp K, Hewitt J. Dance as an intervention for people with Parkinson’s disease: a systematic review and meta-analysis. Neurosci Biobehav Rev 2014;47:445–56. 10.1016/j.neubiorev.2014.09.009
    1. Philip KEJ. Sing a song of lung health-beyond the UK. BMJ 2019;364:l652. 10.1136/bmj.l652
    1. Philip KE, Akylbekov A, Stambaeva B, et al. . Music, dance, and Harmonicas for people with COPD. Respir Care 2019;64:359. 10.4187/respcare.06701
    1. Philip KEJ, Katagira W, Jones R. Dance for respiratory patients in low-resource settings. JAMA 2020;324:921–2. 10.1001/jama.2020.15426
    1. Harrison SL BK, Edwards J, McFaull V, et al. . Dance for people with chronic breathlessness: a feasibility study. Thorax 2019.
    1. Wshah A, Butler S, Patterson K, et al. . “Let’s Boogie”: Feasibility of a dance intervention in patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil Prev 2019;39:E14–19. 10.1097/HCR.0000000000000428
    1. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3:77–101. 10.1191/1478088706qp063oa
    1. Terry G, Hayfield N, Clarke V, et al. . Thematic analysis in: the SAGE Handbook of qualitative research in psychology. London: SAGE Publications Ltd, 2017.
    1. Maslow AH. A theory of human motivation. Psychol Rev 1943;50:370–96. 10.1037/h0054346
    1. Zoumot Z, Jordan S, Hopkinson NS. Emphysema: time to say farewell to therapeutic nihilism. Thorax 2014;69:973–5. 10.1136/thoraxjnl-2014-205667
    1. Arnold E, Bruton A, Ellis-Hill C. Adherence to pulmonary rehabilitation: a qualitative study. Respir Med 2006;100:1716–23. 10.1016/j.rmed.2006.02.007
    1. Eyigor S, Karapolat H, Durmaz B, et al. . A randomized controlled trial of Turkish folklore dance on the physical performance, balance, depression and quality of life in older women. Arch Gerontol Geriatr 2009;48:84–8. 10.1016/j.archger.2007.10.008
    1. Granacher U, Muehlbauer T, Bridenbaugh SA, et al. . Effects of a salsa dance training on balance and strength performance in older adults. Gerontology 2012;58:305–12. 10.1159/000334814
    1. Alfredsson Olsson E, Heikkinen S. “I will never quit dancing”. The emotional experiences of social dancing among older persons. J Aging Stud 2019;51:100786. 10.1016/j.jaging.2019.100786
    1. Atkins R, Deatrick JA, Gage GS, et al. . Partnerships to evaluate the social impact of dance for health: a qualitative inquiry. J Community Health Nurs 2019;36:124–38. 10.1080/07370016.2019.1630963

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