Abstract
There is increasing international interest in the idea that well-being and health are related to resilience. Participative community singing is beneficial for well-being not only in people who are free from health problems, but especially for those whose physical and mental health is compromised. This study examined the development of five Aboriginal and Torres Strait Islander singing groups and the benefits relating to promoting resilience and ultimately preventing chronic disease in this population. Mixed methods, including both quantitative and qualitative approaches, were used. Questionnaires were administered to collect data on chronic life stresses, resilience, social support and social connectedness. Focus group interviews were conducted to obtain data on the participants’ and stakeholders’ perceptions of the impact of the singing groups. Multivariate analysis of variance was used to test the effectiveness of the intervention program on improving resilience at both the individual and the community levels. Structural equation modelling was used to analyse the pathways from the benefits gained from the singing program to the prevention of chronic disease. The results suggested that the singing groups served multiple functions, which are underpinned by social ecological resilience mechanisms to promote self-esteem, learning and education and confidence at the individual level, as well as community connectedness, reduction of loneliness and promoting social support from family, community and the social context such as support from community-controlled health services, and ultimately preventing chronic disease.
The authors received financial support from Griffith Health Institute of Griffith University, Queensland Aboriginal and Islander Health Council in Australia, and Queensland Centre for Social Science Innovation in Queensland, Australia. The authors also wish to acknowledge the support of the following Aboriginal Community Controlled Health Services: Kambu Medical Services Inc., Kalwun Health Service, Brisbane Aboriginal and Torres Strait Islander Community Health Service Brisbane Ltd., Goolburri Health Advancement Corporation, and Warwick Total Health and Education Foundation. The authors also wish to thank all the participants from five Aboriginal and Torres Strait Islander communities. The authors also want to thank Lindsay Johnson’s assistance with data collection and work.
Conflict of interest statement
Authors’ conflict of interest disclosure: Authors declare there are no conflict of interests.
References
1. Olssona CA, Bonda L, Burnsb JM, Vella-Brodrickc DA, Sawyerd SM. Adolescent resilience: a concept analysis. J Adolesc 2003;26:1–11.10.1016/S0140-1971(02)00118-5Suche in Google Scholar
2. Ong AD, Bergeman CS, Bisconti TL, Wallace KA. Psychological resilience, positive emotions, and successful adaptation to stress in later life. J Pers Soc Psychol 2006;91:730–49.10.1037/0022-3514.91.4.730Suche in Google Scholar PubMed
3. Bartley M, Schoon I, Mitchell R, Blane D. Resilience as an asset for healthy development. In: Ziglio E, Morgan A, editors. Health assets and the social determinants of health. Venice: WHO European Office for Investment for Health and Development, 2012:1–22.Suche in Google Scholar
4. Bartley M, Schoon I, Mitchell R, Blane D. Resilience as an asset for healthy development. In: Morgan A, Davies M, Ziglio E, editors. Healthy assets in a global context: theory, methods, action. New York: Springer, 2010:101–6.Suche in Google Scholar
5. Masten AS. Resilience in individual development: successful adaptation despite risk and adversity. In: Wang MC, Gordon EW, editors. Educational resilience in inner-city America: challenges and prospects. Hillsdale, NJ: Lawrence Erlbaum, 1994:141–9.Suche in Google Scholar
6. Sun J, Buys N. Effectiveness of participatory community singing and mental health promotion in Aboriginal and Torres Strait Islander people. In: Victor O, editor. Essential notes in psychiatry. Online publication: InTech, 2012.Suche in Google Scholar
7. Bronfenbrenner U. Ecological systems theory. Ann Child Dev 1989;6:187–249.Suche in Google Scholar
8. Sun J, Stewart D. Development of population based resiliency measures in the primary school setting in Australia using exploratory and confirmatory factor analysis. Health Educ 2007;45:575–99.10.1108/09654280710827957Suche in Google Scholar
9. Werner EE, Smith RS. Journeys from childhood to midlife: risk, resilience, and recovery. Introduction to the Special Issue on Resilience. Subst Use Misuse 2001;39:657–70.Suche in Google Scholar
10. WHO. Mental health, resilience and inequalities. Copenhagen: World Health Organization, 2010.Suche in Google Scholar
11. McCubbin MA, McCubbin HI, Thompson AI. Family hardiness index. In: McCubbin HI, Thompson AI, McCubbin MA, editors. Family assessment: resiliency, coping and adaptation. Madison, WI: University of Wisconsin Publishers, 1987:839.Suche in Google Scholar
12. Smith G. Resilience concept and findings: implications for family therapy. J Fam Ther 1999;21:154–8.10.1111/1467-6427.00110Suche in Google Scholar
13. Sorensen G, Stoddard AM, Dubowitz T, Barbeau EM, Bigby JA, Karen M, et al. The influence of social context on changes in fruit and vegetable consumption: results of the Healthy Directions Studies. Am J Public Health 2007;97:1216–27.10.2105/AJPH.2006.088120Suche in Google Scholar PubMed PubMed Central
14. Sun J, Buys N, Tatow D, Johnson L. Ongoing health inequality in Aboriginal and Torres Strait Islander population in Australia: stressful event, resilience, and mental health and emotional well-being dfficulties. Int J Psychol Behav Sci 2012;2: 38–45.10.5923/j.ijpbs.20120201.06Suche in Google Scholar
15. Brissette I, Scheier MF, Carver CS. The role of optimism in social network development, coping, and psychological adjustment during a life transition. J Pers Soc Psychol 2002;82:102–11.10.1037/0022-3514.82.1.102Suche in Google Scholar
16. Lob GV, Camic P, Clift S. The use of singing in a group as a response to adverse life events. Int J Ment Health Promot 2011;12:45–53.Suche in Google Scholar
17. Clift S, Hancox G, Morrison I, Hess B, Kreutz G, Stewart D. Choral singing and psychological wellbeing: quantitative and qualitative findings from English choirs in a cross-national survey. J Appl Arts Health 2010;1:19–34.10.1386/jaah.1.1.19/1Suche in Google Scholar
18. Clift S, Morrison I. Group singing fosters mental health and wellbeing: findings from the East Kent “singing for health” network project. Ment Health Soc Inclusion 2011;15:88–97.10.1108/20428301111140930Suche in Google Scholar
19. Bailey B, Davidson J. Effects of group singing and performance for marginalized and middle-class singers. Psychol Music 2005;33:269–303.10.1177/0305735605053734Suche in Google Scholar
20. Putnam R. Making democracy work: civic traditions in modern Italy. Princeton, NJ: Princeton University Press, 1993.Suche in Google Scholar
21. Riley KL, Gridley H. Harmony in the community: group perspectives on the health benefits of singing. UNESCO Observatory, Faculty of Arthitecture, Building and Planning, The University of Melbourne Referred E-Journal 2010:2.Suche in Google Scholar
22. Klorer GP. Expressive therapy with severely maltreated children: neuroscience contributions. J Am Ther Asso 2005;22: 213–20.10.1080/07421656.2005.10129523Suche in Google Scholar
23. Stuckey HL, Nobel J. The connection between art, healing, and public health: a review of current literature. Am J Public Health 2010;100:254–63.10.2105/AJPH.2008.156497Suche in Google Scholar PubMed PubMed Central
24. Limb CJ, Braun AR. Neural substrates of spontaneous musical performance: an fMRI study of jazz improvisation. PloS One 2012;3:e1679.10.1371/journal.pone.0001679Suche in Google Scholar PubMed PubMed Central
25. Australian Bureau of Statistics. Australian social trends 2007: selected chronic conditions among Aboriginal and Torres Strait Islander peoples. Canberra 2007. Report No. 4102.0.Suche in Google Scholar
26. Kubzansky LD. Key 2010 publications in behavioral medicine. Clevel Clin J Med 2010;78 (Suppl 1):s65–8.10.3949/ccjm.78.s1.11Suche in Google Scholar PubMed
27. Cohen GD, Perlstein S, Chapline J, Kelly J, Firth KM, Simmens S. The impact of professionally conducted culturally programs on the physical health, mental health and social functioning of older people – 2 year results. J Aging Human Arts 2007; 1:5–22.10.1080/19325610701410791Suche in Google Scholar
28. Sun J, Stewart D. Development of population based resilience measures in the primary school setting. Health Educ 2007;107:575–99.10.1108/09654280710827957Suche in Google Scholar
29. National Heart Foundation of Australia. Quick guide to management of hypertension. 2010.Suche in Google Scholar
30. McGorry P, Killackey E, Elkins K, Lambert M, Lambert T. The RANZCP Clinical Practice Guideline Team for the Treatment of Schizophrenia. Summary Australian and New Zealand clinical practice guideline for the treatment of schizophrenia (2003). Aust Psych 2003;11:136–47.10.1046/j.1039-8562.2003.00535.xSuche in Google Scholar
31. Charmaz K. Constructing grounded theory. A practical guide through qualitative analysis. London: Sage, 2006.Suche in Google Scholar
32. Muthen LK, Muthen BO. Mplus user’s guide. Los Angeles, CA: Muthen & Muthen, 1998–2010.Suche in Google Scholar
33. Corbin JM, Strauss A. Grounded theory research: procedures, canons, and evaluative criteria. Qual Sociol 1990;13:3–21.10.1007/BF00988593Suche in Google Scholar
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Artikel in diesem Heft
- Masthead
- Masthead
- Editorial
- Substance use, addiction, and history
- Reviews
- International accessibility: a proposal for a system of symbols for people with disabilities
- Perceived parenting as related to emotional competence of visually and hearing impaired adolescents
- Wheelchair-related falls – a review
- Original Articles
- Health-risk behaviors and a healthy lifestyle among students from different environmental and cultural backgrounds
- Severity of symptomatology and subtypes in ADHD children with comorbid oppositional defiant and conduct disorders
- Comparison between neurological examination and computerized test of attention for suspected ADHD: implications for assessment of a common childhood disability
- Effectiveness of a participative community singing program to improve health behaviors and increase physical activity in Australian Aboriginal and Torres Strait Islander people
- Improving Aboriginal and Torres Strait Islander Australians’ well-being using participatory community singing approach
- Participatory community singing program to enhance quality of life and social and emotional well-being in Aboriginal and Torres Strait Islander Australians with chronic diseases
- The disability gap in happiness across welfare regimes
- Evaluation of disable friendliness of a railway transport facility in Ludhiana city of Punjab, India
- The relationship between phonological awareness time and reading abilities: an assessment using self-organizing maps
- Patterns of adaptive performance by individuals with autism spectrum disorders on the Behavior Assessment System for Children II (BASC-2)
- Comparative study on the efficacy of electromyography and galvanic skin resistance biofeedback in tension type headache: a single blinded randomized controlled trial
- Changes in Barthel Index outcomes as result of poststroke rehabilitation using NDT-Bobath method
- Morbidity pattern among the disabled in Ibadan, Nigeria: a retrospective analysis
- Short Communication
- Eclectic approach as the natural way of development in neurorehabilitation of adults
- Case Reports
- Angelman syndrome patient management: 5 years of clinical experience
- Complex visual hallucinations in a patient with chronic schizophrenia and alcohol dependence: a case report and literature review
- Book Review
- A practitioner’s guide to prescribing antiepileptics and mood stabilizers for adults with intellectual disabilities
- Erratum
- A longitudinal study of institutional downsizing and challenging behaviors among adults with intellectual disability