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      Moving online: Experiences and potential benefits of digital dance for older adults and people with Parkinson’s disease

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          Abstract

          Background

          Dance provides a range of beneficial effects for older adults including individuals with age-related neurological conditions such as Parkinson’s disease (PD). The COVID-19 pandemic accelerated the development of at-home dance programs delivered digitally through live and pre-recorded media, but little is known about how participants may engage with and benefit from these resources.

          Objective

          This study explored experiences and potential benefits of digital dance participation among healthy older adults and people with PD.

          Methods

          An online survey consisting of fixed-choice and open questions was designed in collaboration with dance program providers and distributed between June and November 2020.

          Results

          Healthy older adults (N = 149) and people with PD (N = 178) participating in at-home dance programs reported frequent engagement and a range of benefits. People with PD reported greater levels of motor (e.g., ease of movement, balance) than non-motor (e.g., energy, confidence) outcomes, while healthy older adults reported similar numbers of motor and non-motor outcomes. Positive outcomes were associated with the use of movement imagery during dance in both groups, while singing was associated with benefits in people with PD and vocalising was associated with benefits in older adults. At-home dance resources were found to offer convenience and flexibility, but participants missed the interaction, support, and routine provided by in-person classes. The majority expressed a preference to continue with both digital and in-person participation in the future. Qualitative analysis of participants’ comments further revealed that digital participation could help to maintain connection and well-being, as well as identifying further considerations for improving accessibility and facilitating digital engagement.

          Conclusions

          At-home dance appears to be accessible, engaging, and potentially beneficial for older adults and people with PD, although barriers to participation should be addressed. Digital resources will be increasingly important to enable cost-effective, large-scale provision of home-based therapeutic activities.

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          Most cited references66

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          Using thematic analysis in psychology

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            Global, regional, and national burden of Parkinson's disease, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

            Summary Background Neurological disorders are now the leading source of disability globally, and ageing is increasing the burden of neurodegenerative disorders, including Parkinson's disease. We aimed to determine the global burden of Parkinson's disease between 1990 and 2016 to identify trends and to enable appropriate public health, medical, and scientific responses. Methods Through a systematic analysis of epidemiological studies, we estimated global, regional, and country-specific prevalence and years of life lived with disability for Parkinson's disease from 1990 to 2016. We estimated the proportion of mild, moderate, and severe Parkinson's disease on the basis of studies that used the Hoehn and Yahr scale and assigned disability weights to each level. We jointly modelled prevalence and excess mortality risk in a natural history model to derive estimates of deaths due to Parkinson's disease. Death counts were multiplied by values from the Global Burden of Disease study's standard life expectancy to compute years of life lost. Disability-adjusted life-years (DALYs) were computed as the sum of years lived with disability and years of life lost. We also analysed results based on the Socio-demographic Index, a compound measure of income per capita, education, and fertility. Findings In 2016, 6·1 million (95% uncertainty interval [UI] 5·0–7·3) individuals had Parkinson's disease globally, compared with 2·5 million (2·0–3·0) in 1990. This increase was not solely due to increasing numbers of older people, because age-standardised prevalence rates increased by 21·7% (95% UI 18·1–25·3) over the same period (compared with an increase of 74·3%, 95% UI 69·2–79·6, for crude prevalence rates). Parkinson's disease caused 3·2 million (95% UI 2·6–4·0) DALYs and 211 296 deaths (95% UI 167 771–265 160) in 2016. The male-to-female ratios of age-standardised prevalence rates were similar in 2016 (1·40, 95% UI 1·36–1·43) and 1990 (1·37, 1·34–1·40). From 1990 to 2016, age-standardised prevalence, DALY rates, and death rates increased for all global burden of disease regions except for southern Latin America, eastern Europe, and Oceania. In addition, age-standardised DALY rates generally increased across the Socio-demographic Index. Interpretation Over the past generation, the global burden of Parkinson's disease has more than doubled as a result of increasing numbers of older people, with potential contributions from longer disease duration and environmental factors. Demographic and potentially other factors are poised to increase the future burden of Parkinson's disease substantially. Funding Bill & Melinda Gates Foundation.
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              Consequences of physical inactivity in older adults: A systematic review of reviews and meta‐analyses

              Globally, populations are ageing. Typically, physical activity levels decline and health worsens as we age; however, estimates of the impact of physical inactivity for population health often fail to specifically focus on older adults.
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                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: VisualizationRole: Writing – original draftRole: Writing – review & editing
                Role: MethodologyRole: Project administrationRole: Writing – review & editing
                Role: MethodologyRole: Project administrationRole: Writing – review & editing
                Role: Formal analysisRole: Writing – review & editing
                Role: MethodologyRole: VisualizationRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLOS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                18 November 2022
                2022
                : 17
                : 11
                : e0277645
                Affiliations
                [1 ] School of Psychology, College of Social Sciences and Law, University College Dublin, Dublin Ireland
                [2 ] Division of Psychology Communication and Human Neuroscience, School of Health Sciences, Faculty of Biology Medicine and Health, University of Manchester, Manchester, United Kingdom
                [3 ] Mark Morris Dance Group—Dance for PD, Brooklyn, NY, United States of America
                [4 ] Faculty of Education, Royal Academy of Dance, London, United Kingdom
                PLOS (Public Library of Science), UNITED KINGDOM
                Author notes

                Competing Interests: David Leventhal is a full-time employee of the Mark Morris Dance Group, which administers the Dance for PD® program. Michelle Groves is a full-time employee of the Royal Academy of Dance and is involved in the development of its Silver Swans® initiative. The remaining authors have no conflicts of interest. This does not alter our adherence to PLOS ONE policies on sharing data and materials. MG is a full-time employee of the Royal Academy of Dance and is involved in the development of its Silver Swans® initiative. She has no affiliations with or involvement in any other organisation or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

                Author information
                https://orcid.org/0000-0003-3926-1788
                https://orcid.org/0000-0002-3545-8826
                Article
                PONE-D-21-26351
                10.1371/journal.pone.0277645
                9674152
                36399444
                353cc65e-3800-4edd-9cca-d2e17a945616
                © 2022 Bek et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 14 August 2021
                : 1 November 2022
                Page count
                Figures: 3, Tables: 3, Pages: 17
                Funding
                The authors received no specific funding for this work.
                Categories
                Research Article
                People and Places
                Population Groupings
                Age Groups
                Adults
                Elderly
                Medicine and Health Sciences
                Medical Conditions
                Neurodegenerative Diseases
                Movement Disorders
                Parkinson Disease
                Medicine and Health Sciences
                Neurology
                Neurodegenerative Diseases
                Movement Disorders
                Parkinson Disease
                People and Places
                Population Groupings
                Professions
                Instructors
                Research and Analysis Methods
                Research Design
                Survey Research
                Surveys
                Medicine and Health Sciences
                Epidemiology
                Pandemics
                Research and Analysis Methods
                Research Design
                Qualitative Studies
                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Viral Diseases
                Covid 19
                Engineering and Technology
                Electronics Engineering
                Computer Engineering
                Man-Computer Interface
                Virtual Reality
                Computer and Information Sciences
                Computer Architecture
                User Interfaces
                Virtual Reality
                Custom metadata
                The data underlying the results presented in the study are available from OSF: https://osf.io/h7kda/?view_only=1fb84911b9c9492d9ff19326178b7671.

                Uncategorized
                Uncategorized

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