{"id":4983,"date":"2022-09-12T12:59:15","date_gmt":"2022-09-12T04:59:15","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/nmsc\/?p=4983"},"modified":"2022-09-12T14:16:31","modified_gmt":"2022-09-12T06:16:31","slug":"choir-singing-improve-cognitive-outcomes","status":"publish","type":"post","link":"https:\/\/medicine.nus.edu.sg\/nmsc\/choir-singing-improve-cognitive-outcomes\/","title":{"rendered":"Choir Singing to Improve Cognitive Outcomes"},"content":{"rendered":"<p><span lang=\"EN-GB\">In 2021, it is estimated that there are 92,000 people living with dementia in Singapore. The Ministry of Health (MOH) predicts that number to increase to 152,000 by 2030. Now, more than ever, there is a compelling need for preventive interventions to prevent and delay the symptoms of dementia.<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\n<p><span lang=\"EN-GB\">Mind Science Centre has been on a mission to study various psychosocial interventions to slow or delay cognitive decline. As part of that project, we embarked on a study to compare the health benefits of choral singing to health education in preventing dementia.<\/span><\/p>\n<h1><span lang=\"EN-GB\">Why Choir Singing?<\/span><\/h1>\n<p><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"681\" src=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5-1024x681.jpeg\" alt=\"senior choir choral singing performance\" class=\"size-large wp-image-4985 aligncenter\" srcset=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5-1024x681.jpeg 1024w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5-300x200.jpeg 300w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5-768x511.jpeg 768w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5-1536x1022.jpeg 1536w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/JAS-Choir-5.jpeg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p><span lang=\"EN-GB\">Choir singing is a cost-effective multi-domain activity that is widely accepted across the globe. The idea for a clinical study was first suggested by Dr Maurine Tsakok, a member of the NUS Society Choir and a former NUS Professor of Obstetrics and Gynaecology. <\/span><\/p>\n<p><span lang=\"EN-GB\">Our literature review found that there have been numerous studies which suggest the benefits of singing and music interventions for the elderly (Tan et al., 2018). A study found that choir singing brought significant changes in mental health factors including quality of life, anxiety, and depression.<\/span><\/p>\n<p><span lang=\"EN-GB\">In addition, choir singing is multi-dimensional in that it involves physical, cognitive, social, and affective components. Researchers theorize that this might grant better benefits than activities that target only one single domain. <\/span><\/p>\n<h1><span lang=\"EN-GB\">Mind Science Centre\u2019s 2-Year Randomised Controlled Trial<\/span><\/h1>\n<p><span lang=\"EN-GB\">Our study involved 93 community-dwelling, non-demented seniors who were randomly assigned to two parallel arms:<\/span><\/p>\n<ul>\n<li><span lang=\"EN-GB\"> <\/span><span lang=\"EN-GB\">Choral Singing Intervention (CSI) or,<\/span><\/li>\n<li><span lang=\"EN-GB\"> <\/span><span lang=\"EN-GB\">Health Education Programme (HEP)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 8pt\">\u00a0<\/span><span lang=\"EN-GB\">The study lasted for 2 years in which participants had to join weekly one-hour sessions of their assigned intervention (Feng et al., 2020).<\/span><\/p>\n<p><iframe title=\"Seniors Choir - There Was A Time [organised by Mind Science Centre]\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/-BfSSmUMNUg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/p>\n<h3><span lang=\"EN-GB\" style=\"font-size: 14pt\">Choral Singing Intervention (CSI)<\/span><\/h3>\n<p><span lang=\"EN-GB\">Weekly sessions were held at the NUS Yong Siew Toh Conservatory of Music. 70 \u2013 80% of the songs were those from the olden days and the other 20 \u2013 30% comprised of new music to promote further cognitive stimulation. To provide added motivation, performances were organised every 3 \u2013 4 months (Kua &amp; Lim, 2022).<\/span><\/p>\n<h3><span lang=\"EN-GB\" style=\"font-size: 14pt\">Health Education Programme (HEP)<\/span><\/h3>\n<p><span lang=\"EN-GB\">In the weekly sessions, topics of high prevalence to the lives of older adults were discussed. Topics discussed include hypertension, diabetes, dementia, depression, medications, coping with grief, exercise and diet, and social support, amongst many others<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\n<p><span lang=\"EN-GB\">This programme is delivered by <\/span>a panel of healthcare professionals including clinicians, nurses, and psychologists, led by Prof Goh Lee Gan.<span lang=\"EN-GB\"><\/span><\/p>\n<h1><span lang=\"EN-GB\">Study Results: Improved Cognitive Test Score &amp; Social Connectivity<\/span><\/h1>\n<p><img decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2.png\" alt=\"choir choral singing improves cognitive scores\" class=\"alignnone wp-image-4984 size-full\" width=\"9000\" height=\"4282\" srcset=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2.png 9000w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2-300x143.png 300w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2-1024x487.png 1024w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2-768x365.png 768w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2-1536x731.png 1536w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/09-Choral-Siging-Choir_Results2-2048x974.png 2048w\" sizes=\"(max-width: 9000px) 100vw, 9000px\" \/><\/p>\n<p><span lang=\"EN-GB\">At the end of the 24-months intervention, an improved Composite Cognitive Test Score (CCTS) was found in both groups (Feng et al., 2020). The CCTS evaluates cognitive function in specific domains such as verbal memory, attention, executive function, visuospatial functioning, information processing speed, and language (Tan et al., 2018).<\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\n<p><span lang=\"EN-GB\">The CCTS score for the choral singing group increased more than those in the control group, though this difference does not have statistical significance.<\/span><\/p>\n<p><span lang=\"EN-GB\">This finding shows that choir singing can improve cognitive performance in older adults. It also suggests that choir singing is superior to general health education, though further research is still necessary to draw a definite conclusion.<\/span><\/p>\n<p><span lang=\"EN-GB\">Above cognitive measures, we also observed improved social connectivity between the participants in the choral singing group. Participants also reported that they enjoyed the choir singing sessions, showing that this intervention has great potential for success when extended to the greater community (Feng et al., 2020).<\/span><\/p>\n<h1><span lang=\"EN-GB\">More Psychosocial Interventions for Dementia<\/span><\/h1>\n<p><img decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM.png\" alt=\"maelab choir choral singing virtual tour\" class=\"aligncenter wp-image-4992 size-full\" width=\"3024\" height=\"1666\" srcset=\"https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM.png 3024w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM-300x165.png 300w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM-1024x564.png 1024w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM-768x423.png 768w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM-1536x846.png 1536w, https:\/\/medicine.nus.edu.sg\/nmsc\/wp-content\/uploads\/sites\/4\/2022\/09\/Screenshot-2022-09-10-at-5.30.41-PM-2048x1128.png 2048w\" sizes=\"(max-width: 3024px) 100vw, 3024px\" \/><\/p>\n<p><span lang=\"EN-GB\">Mind Science Centre\u2019s MAELab in an innovative space for discovery of creative and integrative interventions through art, mindfulness, and transdisciplinary research to promote mental wellness and enhance quality of mind. <\/span><\/p>\n<p><span lang=\"EN-GB\">Click here to journey through our <\/span><a href=\"https:\/\/medicine.nus.edu.sg\/MAELab-Vtour\/\"><span lang=\"EN-GB\">virtual tour!<\/span><\/a><span lang=\"EN-GB\"><\/span><\/p>\n<hr \/>\n<h1><span lang=\"EN-GB\">References<\/span><\/h1>\n<p><span lang=\"EN-GB\">National Volunteer and Philanthropy Centre. Dementia Colabs Report (2022). <\/span><a href=\"https:\/\/cityofgood.sg\/wp-content\/uploads\/2022\/04\/Dementia-Colabs-Public-Report-5-April-2022.pdf\"><span lang=\"EN-GB\">https:\/\/cityofgood.sg\/wp-content\/uploads\/2022\/04\/Dementia-Colabs-Public-Report-5-April-2022.pdf<\/span><\/a><span lang=\"EN-GB\"><\/span><span lang=\"EN-GB\">\u00a0<\/span><\/p>\n<p><span lang=\"EN-GB\">Tan, J., Tsakok, F. H. M., Ow, E. K., Lanskey, B., Lim, K. S. D., Goh, L. G., Tan, C.-H., Cheah, I. K.-M., Larbi, A., Foo, R., Loh, M., Wong, C. K. Y., Suckling, J., Li, J., Mahendran, R., Kua, E.-H., &amp; Feng, L. (2018). Study Protocol for a Randomized Controlled Trial of Choral Singing Intervention to Prevent Cognitive Decline in At-Risk Older Adults Living in the Community. Frontiers in Aging Neuroscience, 10. <\/span><a href=\"https:\/\/doi.org\/10.3389\/fnagi.2018.00195\"><span lang=\"EN-GB\">https:\/\/doi.org\/10.3389\/fnagi.2018.00195<\/span><\/a><span lang=\"EN-GB\"><\/span><\/p>\n<p><span lang=\"EN-GB\">Feng, L., Romero-Garcia, R., Suckling, J., Tan, J., Larbi, A., Cheah, I., Wong, G., Tsakok, M., Lanskey, B., Lim, D., Li, J., Yang, J., Goh, B., Teck, T. G. C., Ho, A., Wang, X., Yu, J.-T., Zhang, C., Tan, C., &amp; Chua, M. (2020). Effects of choral singing versus health education on cognitive decline and aging: a randomized controlled trial. Aging, 12(24), 24798\u201324816. <\/span><a href=\"https:\/\/doi.org\/10.18632\/aging.202374\"><span lang=\"EN-GB\">https:\/\/doi.org\/10.18632\/aging.202374<\/span><\/a><span><span lang=\"EN-GB\"><\/span><\/span><\/p>\n<p><span lang=\"EN-GB\">Kua, E. H. &amp; Lim, D. (2022). Choral Singing. In E. H. Kua &amp; R. Mahendran (Eds.), Ageing with Dignity: A 10-year Study on Positive Ageing and Dementia Prevention in Singapore (pp. 33-37). Write Editions.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In 2021, it is estimated that there are 92,000 people living with dementia in Singapore. The Ministry of Health (MOH)&#8230;<\/p>\n","protected":false},"author":8976,"featured_media":4995,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[62,4],"tags":[53,40,123,44,29,78,24,71,107,43,124,125],"class_list":["post-4983","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dementia-asia","category-upcoming-events","tag-active-ageing","tag-ageing","tag-choir","tag-choral-singing","tag-dementia","tag-dementia-prevention","tag-mental-health","tag-mental-health-research","tag-research","tag-singing","tag-social","tag-social-connectedness"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Choir Singing to Improve Cognitive Outcomes - Yeo Boon Khim Mind Science Centre<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicine.nus.edu.sg\/nmsc\/choir-singing-improve-cognitive-outcomes\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Choir Singing to Improve Cognitive Outcomes - Yeo Boon Khim Mind Science Centre\" \/>\n<meta property=\"og:description\" content=\"In 2021, it is estimated that there are 92,000 people living with dementia in Singapore. 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