BACKGROUND Participatory art-based activities enhance the well-being and quality of life of patients. Few studies have examined the effects of these activities in community-dwelling older adults. This study aims to examine changes in well-being, quality of life and frailty associated with a weekly art-based activity, known as "Thursday at the Museum", performed at the Montreal Museum of Fine Arts (MMFA) in community-dwelling older adults. METHODS Based on a pre-post intervention, single-arm, prospective and longitudinal design, 130 community-dwelling older adults (mean age 71.6 ± 4.9, 91.5 % female) were enrolled and completed this experimental study. The intervention was a participatory art-based activity carried out at the MMFA. Groups of participants (30-45 individuals) met for 2.3 h once a week for a 12-week period (defining a session). Before and after the first (M0), the fifth (M1), the ninth (M2) and the twelfth (M3) workshops, well-being was assessed. Quality of life, frailty, physician visits and hospitalizations were also assessed. RESULTS The mean well-being score improved after each workshop compared with baseline (P ≤ 0.001), i.e., from M0 to M3. The magnitude of this change in well-being was significant at M3 when M0 was used as a reference value (coefficient of regression beta (ß) = 3.22 with P = 0.037). Quality of life gradually increased from M1 to M3 (ß increased from -0.50 to -2.1 with all P-values ≤0.003). The proportion of vigorous participants increased significantly, whereas the proportion of mild frail participants decreased at M3 only (ß=-0.70 with P = 0.001). CONCLUSION The MMFA participatory art-based activity session had multidimensional positive effects on mental and physical health outcomes. These results suggest that museums may become key partners in public health policy initiatives for health prevention in older populations. TRIALREGISTRATION NCT03557723.

中文翻译：

---

基于艺术的参与性活动、居住在社区的老年人和健康状况的变化：来自事前干预、单臂、前瞻性和纵向研究的结果

背景技术基于艺术的参与性活动提高了患者的幸福感和生活质量。很少有研究检查这些活动对社区老年人的影响。这项研究旨在检查与每周一次的基于艺术的活动（称为“博物馆的星期四”）相关的幸福感、生活质量和虚弱的变化，该活动在蒙特利尔美术博物馆 (MMFA) 在社区居住的老年人中进行成年人。方法 基于事前干预、单臂、前瞻性和纵向设计，招募了 130 名社区居住的老年人（平均年龄 71.6 ± 4.9，91.5% 女性）并完成了这项实验研究。干预是在 MMFA 开展的一项基于艺术的参与性活动。参与者组（30-45 人）会面 2 次。每周 3 小时一次，为期 12 周（定义一个疗程）。在第一次（M0）、第五次（M1）、第九次（M2）和第十二次（M3）研讨会之前和之后，评估了幸福感。还评估了生活质量、虚弱、就诊和住院情况。结果 与基线相比，每次研讨会后的平均幸福感得分都有所提高（P ≤ 0.001），即从 M0 到 M3。当 M0 用作参考值时，这种幸福感变化的幅度在 M3 时显着（回归系数 beta (ß) = 3.22，P = 0.037）。生活质量从 M1 逐渐增加到 M3（ß 从 -0.50 增加到 -2.1，所有 P 值≤0.003）。精力充沛的参与者比例显着增加，而轻度虚弱参与者的比例仅在 M3 下降（ß=-0.70，P = 0.001）。结论 MMFA 参与式以艺术为基础的活动会议对身心健康结果具有多维的积极影响。这些结果表明，博物馆可能成为预防老年人健康的公共卫生政策举措的关键合作伙伴。试用注册 NCT03557723。