Determinants of preventative behaviors for health promotion in brazilian musicians
Objective: This study aimed to investigate the determinants of behaviours that prevent musculoskeletal injuries in musicians. The study had the following specific objectives: 1) to analyse the muscular health of the participants, 2) to investigate the adoption of preventive behaviours, 3) to identify possible relationship of the presence or absence of symptoms with the adoption of preventive behaviours, and 4) to analyse the possible influence of the social and physical environment on the adoption of preventive behaviours.
Method: The analysis was based on the ecological perspective. A cross-sectional study was performed with 136 musicians from the Brazil’s central region. Data were collected using the Inventory for Evaluation of Preventive Behaviors for Musicians (IADCP-MUS).
Results: In total, 59.5% of participants reported the presence of pain and claimed that social norms and others’ behaviours influenced their adoption of preventive behaviours.
Conclusion: The social environment influences the adoption of preventive behaviours. The presence of symptoms did not motivate the intention to engage in self-care except when they manifested to the point of impaired function.
Key words: health promotion, health musician, ecological perspective, health behaviour
World Health Organization. The Ottawa Charter for Health Promotion [Internet]. WHO. World Health Organization; 2016 [cited 2019 Apr 1]. Available from: https://www.who.int/healthpromotion/conferences/previous/ottawa/en/
Golden SD, McLeroy KR, Green LW, Earp JAL, Lieberman LD. Upending the Social Ecological Model to Guide Health Promotion Efforts Toward Policy and Environmental Change. Heal Educ Behav. 2015;42(1_suppl):8S–14S.
Gallant MP. Social Networks, Social Support, and Health-Related Behavior. In: The Oxford handbook of health communication, behavior change, and treatment adherence. Oxford University Press; 2013 p. 305–22.
Painter J, Borba C, Hynes M, Mays D, Glanz K. The use of theory in health behavior research from 2000 to 2005: a systematic review. Ann Behav Med. 2008;35(3):358–62.
Fragelli TBO, Günther I de A. Ecological approach to evaluate of preventive behavior: proposal of an inventory applied to musicians [in Portuguese]. Per Musi. 2012;(25):73–84.
Schölmerich VLN, Kawachi I. Translating the Socio-Ecological Perspective Into Multilevel Interventions. Heal Educ Behav. 2016;43(1):17–20.
Stokols D. Translating Social Ecological Theory into Guidelines for Community Health Promotion. Am J Heal Promot. 1996 ;10(4):282–98.
McLaren L, Hawe P. Ecological perspectives in health research. J Epidemiol Community Health [Internet]. 2005;59(1):6–14.
Kok LM, Huisstede BMA, Voorn VMA, Schoones JW, Nelissen RGHH. The occurrence of musculoskeletal complaints among professional musicians: a systematic review. Int Arch Occup Environ Health. 2016;89(3):373–96.
Baadjou VAE, Roussel NA, Verbunt JAMCF, Smeets RJEM, de Bie RA. Systematic review: risk factors for musculoskeletal disorders in musicians. Occup Med. 2016;66(8):614–22.
Whiting WC, Zernicke LW. Overview and perspectives on injury. In: Biomechanics of Musculoskeletal Injury. Champaign: Human Kinetics; 2008. p. 1–13.
Vieira ER, Kumar S, Narayan Y. Smoking, no-exercise, overweight and low back disorder in welders and nurses. Int J Ind Ergon. 2008;38(2):143–9.
Iida I, Buarque L. Ergonomia Projeto e Produção [Internet]. São Paulo: Edgard Bluncher; 2016. 630 p.
Robertson M, Amick BC, DeRango K, Rooney T, Bazzani L, Harrist R, et al. The effects of an office ergonomics training and chair intervention on worker knowledge, behavior and musculoskeletal risk. Appl Ergon. 2009;40(1):124–35.
Ohlendorf D, Wanke EM, Filmann N, Groneberg DA, Gerber A. Fit to play: posture and seating position analysis with professional musicians - a study protocol. J Occup Med Toxicol. 2017;12(1):5.
Foxman I, Burgel BJ. Musician Health and Safety. AAOHN J. 2006;54(7):309–16.
Pasquali L. Tests relating to construct: Theory and model construction. In: Psychological instruments: Practical Handbook of Development [in Portuguese]. Porto Alegre: Artmed; 2010. p. 165–198.
Kaur J, Singh S. Neuromusculoskeletal Problems of Upper Extremities in Musicians-A Literature Review. Int J Ther Rehabil Res. 2016;5(2):14–8.
Fragelli TBO, Carvalho GA, Pinho DLM. Musician’s injuries: When pain overcomes art. Rev Neurociencias. 2008;16(4).
Wilson IM, Doherty L, McKeown L. Perceptions of Playing-Related Musculoskeletal Disorders (PRMDs) in Irish traditional musicians: a focus group study. Work. 2014;49(4):679–88.
Panebianco-Warrens CR, Fletcher L, Kreutz G. Health-promoting behaviors in South African music students: A replication study. Psychol Music. 2015;43(6):779–92.
Stanhope J. Physical performance and musculoskeletal disorders: Are musicians and sportspeople on a level playing field? Perform Enhanc Heal. 2016;4(1–2):18–26.
Martín López T, Farías Martínez J. Strategies to promote health and prevent musculoskeletal injuries in students from the high conservatory of music of Salamanca, Spain. Med Probl Perform Art. 2013;28(2):100–6.
Rickert D. Injury and the Orchestral Environment: Part III. The Role of Psychosocial Factors in the Experience of Musicians Undertaking Rehabilitation. Med Probl Perform Art. 2014;29(3):125–35.