{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T16:10:09Z","timestamp":1749312609689,"version":"3.41.0"},"reference-count":40,"publisher":"Intellect","issue":"1","funder":[{"name":"National Center for Advancing Translational Sciences at the National Institutes of Health","award":["UL1 TR000004"],"award-info":[{"award-number":["UL1 TR000004"]}]},{"name":"National Institute on Aging at the National Institutes of Health","award":["R01AG042526","AG042526-02S1"],"award-info":[{"award-number":["R01AG042526","AG042526-02S1"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"<jats:p>This article reports on the successful sustainment of community choirs for diverse older adults following completion of a cluster randomized trial of choir participation on health and well-being. Trial participants showed decreased loneliness and increased interest in life after six months. Following trial completion, we examined the facilitators of, and barriers to, choir sustainment at intrapersonal, interpersonal and structural\/organizational levels. We conducted focus groups with trial participants who continued during the sustainment period. We also interviewed the music professionals and administrators who delivered or supported the programme. To further identify barriers, we interviewed trial participants who did not continue in the choirs. We used a mixed inductive-deductive approach for content analysis of the transcripts. On the intrapersonal level, facilitators included a sense of well-being and positive emotions, while barriers included significant health and access issues. On the interpersonal level, relationships and social interactions functioned as both facilitators and barriers, depending on circumstances. On the organizational\/structural level, high-quality programmes facilitated sustainment, while transportation and funding created barriers to sustainment. Facilitators far outweighed barriers to sustainment. Consideration of key facilitators and barriers can provide insights into sustainment of community choirs designed for diverse older adults.<\/jats:p>","DOI":"10.1386\/ijcm_00116_1","type":"journal-article","created":{"date-parts":[[2025,6,7]],"date-time":"2025-06-07T15:33:02Z","timestamp":1749310382000},"page":"9-30","source":"Crossref","is-referenced-by-count":0,"title":["Facilitators and barriers to sustainment of a community choir programme to promote health among diverse older adults: A multi-site study"],"prefix":"10.1386","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4745-8468","authenticated-orcid":true,"given":"Theresa A.","family":"Allison","sequence":"first","affiliation":[{"name":"ISNI: 0000000122976811 University of California, San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julene K.","family":"Johnson","sequence":"additional","affiliation":[{"name":"ISNI: 0000000122976811 University of California, San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anita L.","family":"Stewart","sequence":"additional","affiliation":[{"name":"ISNI: 0000000122976811 University of California, San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Portacolone","sequence":"additional","affiliation":[{"name":"ISNI: 0000000122976811 University of California, San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michaela","family":"Simpson","sequence":"additional","affiliation":[{"name":"ISNI: 0000000122976811 University of California, San Francisco"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shireen","family":"McSpadden","sequence":"additional","affiliation":[{"name":"San Francisco Department of Homelessness and Supportive Housing"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Sherman","sequence":"additional","affiliation":[{"name":"San Francisco Community Music Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna M.","family":"N\u00e1poles","sequence":"additional","affiliation":[{"name":"ISNI: 0000000405338369 National Institute on Minority Health and Health Disparities"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"358","reference":[{"issue":"6","key":"CIT0001","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1016\/j.gerinurse.2020.07.011","article-title":"Multi-cultural perspectives on group singing among diverse older adults","volume":"41","year":"2020","journal-title":"Geriatric Nursing"},{"issue":"1","key":"CIT0002","doi-asserted-by":"crossref","first-page":"1","DOI":"10.14302\/issn.2574-612X.ijpr-17-1546","article-title":"Effects of music therapy on psychological aspects of family-caregivers and care staffs in palliative care ward as a pilot study","volume":"1","year":"2017","journal-title":"International Journal of Psychotherapy Practice and 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