Lundqvist, Lars-OlovMaterne, MarieGranberg, AnetteFrank, AndreArvidsson, PatrikDuberg, Anna2021-04-202021-04-202020-07Lars-Olov Lundqvist, Marie Matérne, Anette Granberg, André Frank, Patrik Arvidsson, Anna Duberg, Structured Water Dance Intervention (SWAN) for adults with profound intellectual and multiple disabilities: study protocol, Heliyon, Volume 6, Issue 7, 2020, e04242, https://doi.org/10.1016/j.heliyon.2020.e04242.2405-8440 (online)10.1016/j.heliyon.2020.e04242.http://hdl.handle.net/2263/79505BACKGROUND: People with profound intellectual and multiple disabilities (PIMD) have a combination of severe intellectual disability, extensive physical impairment, sensory impairments and medical health problems. There is, however, a lack of evidence-based physical and health-promoting interventions for people with PIMD. OBJECTIVE: Structured Water Dance Intervention (SWAN) is a new method developed to fill this gap. This paper reports a protocol for an intervention study which aims to evaluate SWAN with regard to its effects on physiological, psychological and social health-related variables as well as its cost-effectiveness and potential for implementation in health care. METHODS: The evaluation of SWAN is performed in a multi-center randomized crossover study. Data is collected through cortisol measurement, physiological assessments, proxy ratings, video observations and interviews. CONCLUSIONS: This is one of few attempts to evaluate rigorously an innovative intervention for people with PIMD, a group that is rarely considered for health promotion interventions. This study will provide important information about the efficacy, cost-effectiveness and potential to implement SWAN in health care.en© 2020 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license.RehabilitationQuality of lifeDisabilityPhysical activityMusculoskeletal systemHealth psychologyWell-beingInterventionRandomized clinical trialHealth-related quality of lifeStudy protocolProfound intellectual and multiple disabilities (PIMD)Structured water dance intervention (SWAN)Article