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dc.contributor.authorHo, Andy Hau Yanen_US
dc.contributor.authorMa, Stephanie Hilary Xinyien_US
dc.contributor.authorHo, Ringo Moon-Hoen_US
dc.contributor.authorPang, Joyce Shu Minen_US
dc.contributor.authorOrtega, Emilyen_US
dc.contributor.authorBajpai, Ramen_US
dc.identifier.citationHo, 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-2019-029555en_US
dc.description.abstractObjective: 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.en_US
dc.relation.ispartofBMJ Openen_US
dc.rights© 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.en_US
dc.subjectSocial sciences::Psychologyen_US
dc.titleArts 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 ageen_US
dc.typeJournal Articleen
dc.contributor.schoolSchool of Social Sciencesen_US
dc.contributor.schoolLee Kong Chian School of Medicine (LKCMedicine)en_US
dc.contributor.organizationCentre for Population Health Sciences (CePHaS)en_US
dc.description.versionPublished versionen_US
dc.subject.keywordsHolistic Well-beingen_US
dc.subject.keywordsPropensity Score Matching (PSM)en_US
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