Dose-response Effect of Community Dance Programme
Dose-response Effect of Community Dance Programme on the Physical, Cognitive, Psychosocial Health of Pre-frail and Mildly Frail Older Adults: A Cluster Randomised Trial With Co-design Approach and Process Evaluation
National University of Singapore
284 participants
May 7, 2025
INTERVENTIONAL
Conditions
Summary
The goal of this interventional study is to examine the dose-response effect of Community Dance Programme (CDP) on the physical, cognitive and psychological health of pre-frail and mildly frail community-dwelling older adults. The main questions it aims to answer are: Hypothesis 1: Two sessions of CDP per week (75 minutes each) significantly increase the physical outcomes (i.e. CFS, EFS, SPPB, grip strength) of community-dwelling older adults as compared to one session of CDP per week. Hypothesis 2: Two sessions of CDP per week significantly improve the cognitive outcomes (i.e. MoCA, SDMT) of community-dwelling older adults as compared to one session of CDP per week. Hypothesis 3: Two sessions of CDP per week significantly improve the psychosocial outcomes (i.e. WHOQOL-OLD, De Jong Giervald Loneliness Scale, GPIC scale, SHS, SSQ) of community-dwelling older adults as compared to one session of CDP per week. Intervention: The participants will be asked to attend two sessions of CDP per week for 12 weeks at their respective Active Ageing Centres (AACs). Active control: The participants will be asked to attend one session of CDP per week for 12 weeks AACs. * The participants will be asked to go to the AACs at baseline and after 12 weeks of CDP intervention for the collection of data. * The participants will be asked to wear fitness trackers to track their heart rates during the CDP sessions to ensure that the dance curriculum is kept within the moderate intensity.
Eligibility
Inclusion Criteria10
- Aged 60 to 85.
- Able to understand and communicate in either English or Mandarin.
- Able to give consent to participate.
- Able to commit for three months and able to achieve at least an attendance rate of 75% for the dance program.
- Lives within the community setting.
- Abbreviated Mental Test (AMT) score>= 8
- Obtain a score of less than or equal to 7 in Edmonton Frail Scale - Acute Care or less than or equal to 5 in Clinical Frailty Scale
- Able to ambulate with minimal assistance
- Willing to avoid other physical exercise during the interventional period.
- Consent to video and photography of the dance sessions and audio recording of the FGDs.
Exclusion Criteria7
- Abbreviated Mental Test (AMT) score of less than 8.
- A score of more than 7 on the Edmonton Frail Scale - Acute Care or a score of more than 5 on Clinical Frailty Scale
- Diagnosed with severe cognitive or psychiatric disorders.
- Have severe hearing or vision impairments
- Have medical conditions which results in limitation of dancing (e.g. walking aids, wheelchair etc.)
- Older adults with serious chronic diseases (e.g. postural hypotension etc.)
- Registered in any other dance group during the intervention period
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Interventions
CDP was designed based on a 12-week dance curriculum, which involves 3 separate blocks of choreography of increasing complexity and intensity. According to World Health Organization, a minimum of 150 minutes of moderate intensity exercise would result in improvement in physical health, therefore, the intervention arm would involve 2 sessions of CDP, 75 minutes per session each week.
CDP was designed based on a 12-week dance curriculum, which involves 3 separate blocks of choreography of increasing complexity and intensity. According to World Health Organization, a minimum of 150 minutes of moderate intensity exercise would result in improvement in physical health, therefore, the active control arm would only include 60 minutes of CDP (1 session) per week to assess the effect of CDP on the cognitive and physical health of older adults.
Locations(1)
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NCT07081191