Pub Date : 2023-07-27DOI: 10.21926/obm.icm.2303032
Michael Lincoln, Stephen R. Aichele, E. Clark, Maggie Dungan, Ashley Harvey, Lillian Hoyer, Yuqin Jiao, Steffany Josslin, F. Russell, Z. Biringen
Fathers are a historically underrepresented population in developmental research and must be considered for their modern presentation in parenting processes. Emotional Availability (EA) is a construct that captures the parent-child relationship quality and predicts positive outcomes for children. A recently developed intervention, the EA Brief, is a program conceptualized for easy administration that may be utilized to improve father-child dyadic functioning across a range of child ages. The final sample of interested fathers was 18 fathers with children between 4-months and 13.5-years. For pretest sessions, all fathers completed surveys (demographic information, the Emotional Availability Self Report, and the Flourishing Scale) via Qualtrics, followed by a 20-minute filmed interaction via Zoom which was later coded for EA. Immediate Intervention Group (IIG) received one pretest before the intervention and one posttest after the intervention over a 3-5 week intervention delivery. The intervention involved a 2-hour interactive Zoom workshop where information about EA, attachment, and mindfulness was provided, a 1-hour individualized, Zoom EA feedback/coaching session, and two weeks of text reminders about the covered content. In contrast to the IIG, the Waitlist Control (WC) participants received two pretests (same assessments as above) separated by the 3-5 week time period corresponding to the timing of intervention delivery for the IIG. After the second pretest, they received the same intervention as the IIG. All IIG and WC fathers received posttest sessions (exact same assessments as for the pretests noted above). Across 16 target variables assessing EA, six observed variables showed post-intervention improvement (α < 0.05) though no significant findings were found on self-reported measures. These findings suggest that fathers respond to programs that provide guidance for clinically informed, research-based parenting despite the program having limited effect on their self-perceptions of how they parent.
{"title":"Emotional Availability (EA) Brief: Single Session Feedback and Coaching for Improving Fathers’ Emotional Availability for Children Across a Wide Developmental Spectrum","authors":"Michael Lincoln, Stephen R. Aichele, E. Clark, Maggie Dungan, Ashley Harvey, Lillian Hoyer, Yuqin Jiao, Steffany Josslin, F. Russell, Z. Biringen","doi":"10.21926/obm.icm.2303032","DOIUrl":"https://doi.org/10.21926/obm.icm.2303032","url":null,"abstract":"Fathers are a historically underrepresented population in developmental research and must be considered for their modern presentation in parenting processes. Emotional Availability (EA) is a construct that captures the parent-child relationship quality and predicts positive outcomes for children. A recently developed intervention, the EA Brief, is a program conceptualized for easy administration that may be utilized to improve father-child dyadic functioning across a range of child ages. The final sample of interested fathers was 18 fathers with children between 4-months and 13.5-years. For pretest sessions, all fathers completed surveys (demographic information, the Emotional Availability Self Report, and the Flourishing Scale) via Qualtrics, followed by a 20-minute filmed interaction via Zoom which was later coded for EA. Immediate Intervention Group (IIG) received one pretest before the intervention and one posttest after the intervention over a 3-5 week intervention delivery. The intervention involved a 2-hour interactive Zoom workshop where information about EA, attachment, and mindfulness was provided, a 1-hour individualized, Zoom EA feedback/coaching session, and two weeks of text reminders about the covered content. In contrast to the IIG, the Waitlist Control (WC) participants received two pretests (same assessments as above) separated by the 3-5 week time period corresponding to the timing of intervention delivery for the IIG. After the second pretest, they received the same intervention as the IIG. All IIG and WC fathers received posttest sessions (exact same assessments as for the pretests noted above). Across 16 target variables assessing EA, six observed variables showed post-intervention improvement (α < 0.05) though no significant findings were found on self-reported measures. These findings suggest that fathers respond to programs that provide guidance for clinically informed, research-based parenting despite the program having limited effect on their self-perceptions of how they parent.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47945770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-21DOI: 10.21926/obm.icm.2303031
G. Litscher
The editorial lists 10 important topics that need to be considered more closely in the future in acupuncture research.
这篇社论列出了未来针灸研究中需要更仔细考虑的10个重要话题。
{"title":"Mysteries in Acupuncture - Future Research?","authors":"G. Litscher","doi":"10.21926/obm.icm.2303031","DOIUrl":"https://doi.org/10.21926/obm.icm.2303031","url":null,"abstract":"The editorial lists 10 important topics that need to be considered more closely in the future in acupuncture research.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42402587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-20DOI: 10.21926/obm.icm.2303030
Tammy Lennox, A. Kennedy
The current article describes the application of the Compassion Focussed (CF) formulation to the interaction between individuals and their social context. The standard CF formulation [1] would see the person’s fears as inadvertently reinforced by their attempts to cope with the underlying issue. However, sometimes such attempts to cope can also reinforce the fears of another person or party. Interpersonal CF formulations could provide a compassionate, non-blaming way of enlightening people in their interactions to remove blame and focus intervention plans on what is helpful for each party, in the context of their difficulties. This article describes two examples of intersubjective Compassion Focussed formulation. The first application is to two individuals in a relationship. The second application is in understanding the hermeneutics between an individual and an organisation or system.
{"title":"Using Structured Compassion Focused Formulations Towards Change in Couples and Organisations","authors":"Tammy Lennox, A. Kennedy","doi":"10.21926/obm.icm.2303030","DOIUrl":"https://doi.org/10.21926/obm.icm.2303030","url":null,"abstract":"The current article describes the application of the Compassion Focussed (CF) formulation to the interaction between individuals and their social context. The standard CF formulation [1] would see the person’s fears as inadvertently reinforced by their attempts to cope with the underlying issue. However, sometimes such attempts to cope can also reinforce the fears of another person or party. Interpersonal CF formulations could provide a compassionate, non-blaming way of enlightening people in their interactions to remove blame and focus intervention plans on what is helpful for each party, in the context of their difficulties. This article describes two examples of intersubjective Compassion Focussed formulation. The first application is to two individuals in a relationship. The second application is in understanding the hermeneutics between an individual and an organisation or system.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45608300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-19DOI: 10.21926/obm.icm.2303029
Deborah Sharpe, Lisa Hinz
This study explored how the global COVID-19 pandemic changed the ways in which art therapists use art in their therapeutic practice. Art has repeatedly been linked to healing in a variety of settings, but generally art therapists have been accustomed to conducting therapy sessions in person. Prior to the pandemic most art therapists preferred in-person sessions for a variety of therapeutic reasons. Although there are clearly downsides to meeting remotely, there have been unforeseen advantages, as well. The present study surveyed 74 art therapists from around the world to understand the changes to art therapy practice that occurred during and after COVID-19. A selection of nine individuals participated in follow-up interviews to clarify and amplify survey findings. Changes to art therapeutic practices, as well as the challenges and benefits of conducting art remotely were highlighted in quantitative and qualitative data analyses. Qualitative data analysis highlighted art therapists’ creativity and resilience in adapting their practices to the new telehealth format. Telehealth practices initiated by the COVID-19 pandemic are here to stay. This study generated a list of practical suggestions for working effectively with art therapy clients at a distance. Future research should focus on creating best practice guidelines for art therapists who will continue to provide online therapy services.
{"title":"The Course of COVID: How the Pandemic Changed Art Therapy Practice","authors":"Deborah Sharpe, Lisa Hinz","doi":"10.21926/obm.icm.2303029","DOIUrl":"https://doi.org/10.21926/obm.icm.2303029","url":null,"abstract":"This study explored how the global COVID-19 pandemic changed the ways in which art therapists use art in their therapeutic practice. Art has repeatedly been linked to healing in a variety of settings, but generally art therapists have been accustomed to conducting therapy sessions in person. Prior to the pandemic most art therapists preferred in-person sessions for a variety of therapeutic reasons. Although there are clearly downsides to meeting remotely, there have been unforeseen advantages, as well. The present study surveyed 74 art therapists from around the world to understand the changes to art therapy practice that occurred during and after COVID-19. A selection of nine individuals participated in follow-up interviews to clarify and amplify survey findings. Changes to art therapeutic practices, as well as the challenges and benefits of conducting art remotely were highlighted in quantitative and qualitative data analyses. Qualitative data analysis highlighted art therapists’ creativity and resilience in adapting their practices to the new telehealth format. Telehealth practices initiated by the COVID-19 pandemic are here to stay. This study generated a list of practical suggestions for working effectively with art therapy clients at a distance. Future research should focus on creating best practice guidelines for art therapists who will continue to provide online therapy services.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46119650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-11DOI: 10.21926/obm.icm.2303027
Hofit Edna Mashiah, Susana Pendzik
This paper follows a preliminary study that examined how 6 (n = 6) creative arts therapists (3 art therapists and 3 drama therapists) coped with the transition to remote therapy in schools during the first lockdown in Israel due to the Coronavirus pandemic. The preliminary research explored the therapists’ experiences and views about working online upon returning to regular in-person meetings. The current paper adds a follow-up interview examining their perspective on this period, two years later. The 1st set of interviews was analyzed using the Six-Key Model, which shed light on the various aspects of the therapists’ clinical experience as creative arts therapists. The follow-up interviews were analyzed through thematic analysis and informed by Lakoff’s views on metaphor. The results suggest that, at the time, the therapists were preoccupied with the viability of the treatment, considering their little experience in remote therapy and the need to incorporate their specific art medium into the therapeutic setting. The results also highlight specific similarities and differences between art and drama therapists. The follow-up reinforces the preliminary findings, reiterating the framing of this period as a liminal space, from which the therapists emerged personally and professionally transformed, and more resilient.
{"title":"Revisiting the Experience of Art Therapists and Drama Therapists Working in Schools Two Years after the First Lockdown: A Qualitative Pilot","authors":"Hofit Edna Mashiah, Susana Pendzik","doi":"10.21926/obm.icm.2303027","DOIUrl":"https://doi.org/10.21926/obm.icm.2303027","url":null,"abstract":"This paper follows a preliminary study that examined how 6 (n = 6) creative arts therapists (3 art therapists and 3 drama therapists) coped with the transition to remote therapy in schools during the first lockdown in Israel due to the Coronavirus pandemic. The preliminary research explored the therapists’ experiences and views about working online upon returning to regular in-person meetings. The current paper adds a follow-up interview examining their perspective on this period, two years later. The 1st set of interviews was analyzed using the Six-Key Model, which shed light on the various aspects of the therapists’ clinical experience as creative arts therapists. The follow-up interviews were analyzed through thematic analysis and informed by Lakoff’s views on metaphor. The results suggest that, at the time, the therapists were preoccupied with the viability of the treatment, considering their little experience in remote therapy and the need to incorporate their specific art medium into the therapeutic setting. The results also highlight specific similarities and differences between art and drama therapists. The follow-up reinforces the preliminary findings, reiterating the framing of this period as a liminal space, from which the therapists emerged personally and professionally transformed, and more resilient.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43811959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-11DOI: 10.21926/obm.icm.2303028
Or Shalev
This case report explores the shifts in therapeutic power relations during the COVID-19 pandemic between an art therapist and her Deaf client diagnosed with schizophrenia. A therapeutic journey of two and a half years is described, accompanied by examples of the client's artwork. This case report demonstrates how a shared reality in times of global crisis enabled the rethinking of therapeutic power relations and the way art was used to shift these dynamics. The art therapist's ability to use her shared reality experience to reposition herself to facilitate the therapeutic relationship is discussed.
{"title":"Art Therapy during COVID-19 with a Deaf Client Diagnosed with Schizophrenia: A Case Report","authors":"Or Shalev","doi":"10.21926/obm.icm.2303028","DOIUrl":"https://doi.org/10.21926/obm.icm.2303028","url":null,"abstract":"This case report explores the shifts in therapeutic power relations during the COVID-19 pandemic between an art therapist and her Deaf client diagnosed with schizophrenia. A therapeutic journey of two and a half years is described, accompanied by examples of the client's artwork. This case report demonstrates how a shared reality in times of global crisis enabled the rethinking of therapeutic power relations and the way art was used to shift these dynamics. The art therapist's ability to use her shared reality experience to reposition herself to facilitate the therapeutic relationship is discussed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44323290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-05DOI: 10.21926/obm.icm.2303026
Rebecca MacDonald, Carol Wiebe, G. Comeau
The arts offer many health benefits and can be especially impactful in hospital or continuing care facilities through group art interventions or personalized art activities. Arts can also be socially prescribed to fulfill social needs, improve emotional well-being, and have a positive impact of the social determinants of heath. This feasibility study explores the value of a pilot program that brought personalized virtual 1-on-1 art performances to residents in long-term care (LTC) during the Covid-19 pandemic which limited social activities and caused feelings of uncertainty and stress for many people. The purpose of this study was to document the process of developing and executing this pilot program, to evaluate its feasibility, and to provide a testimony to the benefits of art programs in LTC. This study qualifies as a feasibility study because it aimed to evaluate the quality, efficiency, and financial feasibility of the pilot project, making the primary objective of this research quality improvement. Online surveys were completed by the participating LTC residents, the Recreation Staff in the LTC facility, the hired artists, and the organizing team (Radical Connections). The results of the surveys strongly indicate that the pilot was successful and proved to be viable; the sessions were high quality, person-centered artistic care was made accessible to a vulnerable population at a sustainable cost, and most importantly, a demand for this type of program was revealed.
{"title":"Unmasked Connections: Piloting Virtual Interactive Artist Performances in Healthcare — A Feasibility Study","authors":"Rebecca MacDonald, Carol Wiebe, G. Comeau","doi":"10.21926/obm.icm.2303026","DOIUrl":"https://doi.org/10.21926/obm.icm.2303026","url":null,"abstract":"The arts offer many health benefits and can be especially impactful in hospital or continuing care facilities through group art interventions or personalized art activities. Arts can also be socially prescribed to fulfill social needs, improve emotional well-being, and have a positive impact of the social determinants of heath. This feasibility study explores the value of a pilot program that brought personalized virtual 1-on-1 art performances to residents in long-term care (LTC) during the Covid-19 pandemic which limited social activities and caused feelings of uncertainty and stress for many people. The purpose of this study was to document the process of developing and executing this pilot program, to evaluate its feasibility, and to provide a testimony to the benefits of art programs in LTC. This study qualifies as a feasibility study because it aimed to evaluate the quality, efficiency, and financial feasibility of the pilot project, making the primary objective of this research quality improvement. Online surveys were completed by the participating LTC residents, the Recreation Staff in the LTC facility, the hired artists, and the organizing team (Radical Connections). The results of the surveys strongly indicate that the pilot was successful and proved to be viable; the sessions were high quality, person-centered artistic care was made accessible to a vulnerable population at a sustainable cost, and most importantly, a demand for this type of program was revealed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44757394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-28DOI: 10.21926/obm.icm.2302025
Deepti Singh, A. Khurana, M. Trivedi, Pinaken Trivedi, Sarita Gola, Parul Singh
This retrospective data analysis study aims to analyze the data collected during adjunctive homeopathy treatment of COVID-19 patients by the Homoeopathic medical officers (HMO) in Gujarat state-dedicated COVID-19 hospitals (DCH) during the first wave of the pandemic. The HMOs used the standard data collection forms/sheets to record each patient's demographic information, clinical symptoms, homoeopathic management, and outcome data. Data of all cases hospitalized with COVID-19 of any age, and both genders were included, and entries with missing values or incomplete/ incorrect information were excluded from the analysis. The outcome measure is the recovery duration, time to clinical improvement, worsening symptoms, and indicated homeopathic medicines. Data from 2581 cases analyzed showed clinical recovery time after adjunctive homeopathy as 05 days (IQR: 3-7); the Mean was 5.19 days (SD:4.62), with 80% of patients (2063 out of 2581) discharged between 0-7 days out of which more than 20.4% patients (419 out of 2063) having at least one of the comorbidities. Only 03 deaths of male patients above 50 years with comorbidities and 67 cases (2.6%) with worsening symptoms were reported. The homeopathic medicines used were Arsenic album in 73.0% and Bryonia alba in 17.6% of cases. Adjunctive Homoeopathy and standard care in COVID-19 patients had a promising role in the early relief of clinical symptoms and less progression into severity in the risk group of elderly patients with comorbidities. There were no reported adverse effects of taking the adjunctive Homoeopathy, making it a potential choice for integrated use in managing COVID-19 patients.
{"title":"Evaluation of Adjunctive Homoeopathy Treatment in COVID-19 Hospitalised Patients at the Gujarat State’s Dedicated COVID-19 Hospitals and Covid-Care Clinics During the First Wave of COVID-19 Pandemic: A Multicentric, Single-Arm Retrospective Data Analysis Study","authors":"Deepti Singh, A. Khurana, M. Trivedi, Pinaken Trivedi, Sarita Gola, Parul Singh","doi":"10.21926/obm.icm.2302025","DOIUrl":"https://doi.org/10.21926/obm.icm.2302025","url":null,"abstract":"This retrospective data analysis study aims to analyze the data collected during adjunctive homeopathy treatment of COVID-19 patients by the Homoeopathic medical officers (HMO) in Gujarat state-dedicated COVID-19 hospitals (DCH) during the first wave of the pandemic. The HMOs used the standard data collection forms/sheets to record each patient's demographic information, clinical symptoms, homoeopathic management, and outcome data. Data of all cases hospitalized with COVID-19 of any age, and both genders were included, and entries with missing values or incomplete/ incorrect information were excluded from the analysis. The outcome measure is the recovery duration, time to clinical improvement, worsening symptoms, and indicated homeopathic medicines. Data from 2581 cases analyzed showed clinical recovery time after adjunctive homeopathy as 05 days (IQR: 3-7); the Mean was 5.19 days (SD:4.62), with 80% of patients (2063 out of 2581) discharged between 0-7 days out of which more than 20.4% patients (419 out of 2063) having at least one of the comorbidities. Only 03 deaths of male patients above 50 years with comorbidities and 67 cases (2.6%) with worsening symptoms were reported. The homeopathic medicines used were Arsenic album in 73.0% and Bryonia alba in 17.6% of cases. Adjunctive Homoeopathy and standard care in COVID-19 patients had a promising role in the early relief of clinical symptoms and less progression into severity in the risk group of elderly patients with comorbidities. There were no reported adverse effects of taking the adjunctive Homoeopathy, making it a potential choice for integrated use in managing COVID-19 patients.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41572482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-13DOI: 10.21926/obm.icm.2302024
Rebecca MacDonald, A. Zumbansen
Group singing as a social musical activity can be used to improve the quality of life, well-being, and overall health of people with dementia and caregivers. Online choirs have gained awareness since the COVID-19 pandemic; however, singing in an online choir is an unsatisfying experience for most choir members in the general population. In order to report on the feasibility of creating an online choir for people with dementia, we studied a successful case of such a choir. This choir began and continued online for over a year, maintaining a group of about ten people. The objectives were to understand the participants' experience and explore factors contributing to its success. We surveyed 12 members using closed and open-ended questions (5 choristers with dementia, 5 caregivers, the choir director, and a volunteer). The thematic analysis of the responses revealed that (1) an online choir is better than no choir for participants with dementia, (2) participants sought and found in the online choir an accessible way to socialize and enjoy singing, and (3) obstacles to participate in an online choir (mostly technology-related) are not the same as those to participate in an in-person choir (mostly travel related). The success of this online choir may in part be attributed to the fact that it first started online (the members did not compare the experience to previous in-person rehearsals and had more flexible expectations); most participants with dementia had mild cognitive symptoms and had extensive previous choral singing experience.
{"title":"Successful Online Choir for People Living with Dementia: A Qualitative Case Study","authors":"Rebecca MacDonald, A. Zumbansen","doi":"10.21926/obm.icm.2302024","DOIUrl":"https://doi.org/10.21926/obm.icm.2302024","url":null,"abstract":"Group singing as a social musical activity can be used to improve the quality of life, well-being, and overall health of people with dementia and caregivers. Online choirs have gained awareness since the COVID-19 pandemic; however, singing in an online choir is an unsatisfying experience for most choir members in the general population. In order to report on the feasibility of creating an online choir for people with dementia, we studied a successful case of such a choir. This choir began and continued online for over a year, maintaining a group of about ten people. The objectives were to understand the participants' experience and explore factors contributing to its success. We surveyed 12 members using closed and open-ended questions (5 choristers with dementia, 5 caregivers, the choir director, and a volunteer). The thematic analysis of the responses revealed that (1) an online choir is better than no choir for participants with dementia, (2) participants sought and found in the online choir an accessible way to socialize and enjoy singing, and (3) obstacles to participate in an online choir (mostly technology-related) are not the same as those to participate in an in-person choir (mostly travel related). The success of this online choir may in part be attributed to the fact that it first started online (the members did not compare the experience to previous in-person rehearsals and had more flexible expectations); most participants with dementia had mild cognitive symptoms and had extensive previous choral singing experience.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68396419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-31DOI: 10.21926/obm.icm.2302023
B. Foroutan
Aging is a stage of the natural life cycle. It is a set of natural and coordinated growth changes all organs and body systems undergo to burnout. It is impossible to determine the exact time of old age for two reasons. First, the aging process is different for humans due to individual, hereditary factors. Second, aging has a set of physiological, psychological and, social factors. This review aimed to gather appropriate clinical information and facts for clinicians when practicing heart medications in elderly patients, preventing potentially inappropriate practices. The absorption of heart medications decreases due to diminished bowel movements in the elderly. In the elderly, the blood flows to the entire gastrointestinal tract decreases and as a result, the entry of the medications into the general bloodstream decreases. Delayed absorption weakens the potency of the medication while prolonging its effects. These effects might be unsafe because most heart medications have a narrow therapeutic index. Factors influencing the selection of alpha & beta blockers, nitrates, CCCBs, ACE-Is, diuretics, and digoxin will be reviewed.
{"title":"A Review of Clinical Influencing Factors in the Selection of Cardiac Medications in the Elderly","authors":"B. Foroutan","doi":"10.21926/obm.icm.2302023","DOIUrl":"https://doi.org/10.21926/obm.icm.2302023","url":null,"abstract":"Aging is a stage of the natural life cycle. It is a set of natural and coordinated growth changes all organs and body systems undergo to burnout. It is impossible to determine the exact time of old age for two reasons. First, the aging process is different for humans due to individual, hereditary factors. Second, aging has a set of physiological, psychological and, social factors. This review aimed to gather appropriate clinical information and facts for clinicians when practicing heart medications in elderly patients, preventing potentially inappropriate practices. The absorption of heart medications decreases due to diminished bowel movements in the elderly. In the elderly, the blood flows to the entire gastrointestinal tract decreases and as a result, the entry of the medications into the general bloodstream decreases. Delayed absorption weakens the potency of the medication while prolonging its effects. These effects might be unsafe because most heart medications have a narrow therapeutic index. Factors influencing the selection of alpha & beta blockers, nitrates, CCCBs, ACE-Is, diuretics, and digoxin will be reviewed.","PeriodicalId":74333,"journal":{"name":"OBM integrative and complimentary medicine","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68396256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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