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© 2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:  https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Introduction

Music and dance are increasingly used as adjunctive arts-in-health interventions in high-income settings, with a growing body of research suggesting biopsychosocial benefits. Such low-cost, low-resource interventions may have application in low-resource settings such as Uganda. However, research on perceptions of patients and healthcare professionals regarding such approaches is lacking.

Methods

We delivered sample sessions of music and dance for chronic respiratory disease (CRD) to patients and healthcare professionals. Seven participants took part in one singing and dance sample session. One patient completed only the dance session. We then conducted an exploratory qualitative study using thematic analysis of semistructured interviews with healthcare professionals and patients regarding (1) the role of music and dance in Ugandan life and (2) the perceived acceptability and feasibility of using music and dance in CRD management in Uganda.

Results

We interviewed 19 participants, made up of 11 patients with long-term respiratory conditions and 8 healthcare professionals, who were selected by purposeful convenience sampling. Four key themes were identified from interview analysis: music and dance (1) were central components of daily life; (2) had an established role supporting health and well-being; and (3) had strong therapeutic potential in respiratory disease management. The fourth theme was (4) the importance of modulating demographic considerations of culture, religion and age.

Conclusion

Music and dance are central to life in Uganda, with established roles supporting health and well-being. These roles could be built on in the development of music and dance interventions as adjuncts to established components of CRD disease management like pulmonary rehabilitation. Through consideration of key contextual factors and codevelopment and adaptation of interventions, such approaches are likely to be well received.

Details

Title
Music and dance in respiratory disease management in Uganda: a qualitative study of patient and healthcare professional perspectives
Author
Keir EJ Philip 1   VIAFID ORCID Logo  ; Cartwright, Lucy L 2 ; Westlake, Debra 2 ; Nyakoojo, Grace 3 ; Kimuli, Ivan 3 ; Kirenga, Bruce 3 ; Brakema, Evelyn A 4 ; Orme, Mark W 5   VIAFID ORCID Logo  ; Fancourt, Daisy 6   VIAFID ORCID Logo  ; Hopkinson, Nicholas S 7 ; Jones, Rupert 8 ; Katagira, Winceslaus 3   VIAFID ORCID Logo 

 National Heart and Lung Institute, Imperial College London, London, UK; NIHR Imperial Biomedical Research Centre, Imperial College London, London, UK 
 Faculty of Health, University of Plymouth, Plymouth, UK 
 Makerere University Lung Institute, Makerere University, Kampala, Uganda 
 Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands 
 Department of Respiratory Sciences, University of Leicester, Leicester, UK 
 Department of Behavioural Science and Health, University College London, London, UK 
 National Heart and Lung Institute, Imperial College London, London, UK 
 PUPSMD, University of Plymouth, Plymouth, UK 
First page
e053189
Section
Respiratory medicine
Publication year
2021
Publication date
2021
Publisher
BMJ Publishing Group LTD
e-ISSN
20446055
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2665125698
Copyright
© 2021 Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See:  https://creativecommons.org/licenses/by/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.