Community Choirs To Promote Healthy Aging; Community of Voices Chorus

NCT01869179 | Completed

• 1 other identifier: R01AG042526
• Study Type: interventional
• Target: 390
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators will recruit 450 older adults and will utilize 12 Administration on Aging (AoA)-supported senior centers to implement a multisite, cluster randomized (by center), wait-list clinical trial. Centers will be randomized to receive the choir program immediately (intervention group) or after a 6-month delayed intervention phase (control group). The community choirs will be led by professional music directors. The investigators will assess both primary and secondary outcomes at baseline, 6 and 12 months, with the main intervention group comparison being at 6 months. The investigators will also evaluate the start-up and ongoing program costs for senior centers, including cost/person served and determine quality adjusted life years. The hypotheses are:

1. 1.Compared to delayed intervention controls, participation in a community choir program will be associated with improvements/maintenance on the primary outcomes of physical function (balance, walking speed, strength), depressive symptoms, and cognition (executive function and memory) at 6 months. The investigators also predict within-group improvements on these primary outcomes at 12 months.
2. 2.Compared to delayed intervention controls, participation in a community choir program will be associated with improvements in the secondary outcomes of well-being (depressive symptoms, loneliness, resilience, social participation, health-related quality of life, shortness of breath, functional status, falls, and health services use) at 6 months. The investigators also predict within-group improvements on these secondary outcomes at 12 months.

Conditions

Well Being

Keywords

Well being; Low income; Choir singing; Spanish speaking; Community based; Seniors; 60+ aged adults; health disparities

Outcome Measures

Primary Outcomes (3)

• Physical function

  We will measure several physical function outcomes. The Short Physical Performance Battery (SPPB) chair stands will be the primary outcome measure. Baseline, 6 months, 12 months. Additional motor function outcomes using the NIH Toolbox are listed below.

  up to 12 months

• Cognitive Function

  We will use the Trailmaking Test as a primary outcome of executive function. Baseline, 6 months, 12 months. Additional tests of executive function and memory are listed as secondary outcomes.

  up to 12 months

• Depressive Symptoms

  We will use the Patient Health Questionnaire (PHQ-8) as a primary measure of depressive symptoms. Baseline, 6 months, 12 months. Additional NIH Toolbox Emotion measures are listed as secondary outcomes.

  up to 12 months

Secondary Outcomes (7)

• Health-Related Quality of Life

  up to 12 months

• Health Care Services Utilization

  up to 12 months

• Falls

  up to 12 months

• Shortness of breath

  up to 12 months

• Balance and Endurance

  up to 12 months

Study Arms (2)

Community of Voices choir program

EXPERIMENTAL

Participants will receive the 12 month choir program as soon as possible after study enrollment.

Behavioral: Community of Voices choir program

Wait-list control group

EXPERIMENTAL

Waits six months, and at the end of the six months is offered the option of participating in the 12 month choir program.

Behavioral: Community of Voices choir program; Behavioral: Wait-list control group

Interventions

Community of Voices choir program BEHAVIORAL

Attend weekly choir sessions for 12 months at the Senior Center. All choir sessions will include activities that focus on cognitive, psychosocial, and physical engagement components Choir sessions will last 90 minutes each with a 10 minute break. Take part in 3-4 informal choir concerts.

Community of Voices choir program; Wait-list control group

Wait-list control group BEHAVIORAL

Wait-list control group

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60 and older
• Living independently
• Have adequate visual and auditory acuity (with correction) to complete testing
• Speak English or Spanish (including both bilingual and monolingual Spanish speakers)

You may not qualify if:

• A baseline diagnosis of dementia, determined by the screening tool or self-report of diagnosis
• Have an unstable or serious medical condition that would limit participation in the weekly choir sessions or assessments, including current (but not prior) severe psychiatric disorder
• Currently singing in a choir, within the last 6 months
• Plans to move out of the area within 12 months

Sponsors & Collaborators

• University of California, San Francisco: lead
• San Francisco Community Music Center: collaborator
• Department of Aging and Adults Services San Francisco: collaborator

Study Sites (1)

UCSF Institute for Health & Aging

San Francisco, California, 94118, United States

Location

Related Publications (4)

• Johnson JK, Napoles AM, Stewart AL, Max WB, Santoyo-Olsson J, Freyre R, Allison TA, Gregorich SE. Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults. BMC Public Health. 2015 Oct 13;15:1049. doi: 10.1186/s12889-015-2395-9.

  PMID: 26463176 BACKGROUND

• Johnson JK, Gregorich SE, Acree M, Napoles AM, Flatt JD, Pounds D, Pabst A, Stewart AL. Recruitment and baseline characteristics of the Community of Voices choir study to promote the health and well-being of diverse older adults. Contemp Clin Trials Commun. 2017 Dec;8:106-113. doi: 10.1016/j.conctc.2017.09.006. Epub 2017 Sep 17.

  PMID: 29399643 RESULT

• Johnson JK, Stewart AL, Acree M, Napoles AM, Flatt JD, Max WB, Gregorich SE. A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial. J Gerontol B Psychol Sci Soc Sci. 2020 Feb 14;75(3):549-559. doi: 10.1093/geronb/gby132.

  PMID: 30412233 RESULT

• Allison TA, Napoles AM, Johnson JK, Stewart AL, Rodriguez-Salazar M, Peringer J, Sherman S, Ortez-Alfaro J, Villero O, Portacolone E. Multi-cultural perspectives on group singing among diverse older adults. Geriatr Nurs. 2020 Nov-Dec;41(6):1006-1012. doi: 10.1016/j.gerinurse.2020.07.011. Epub 2020 Aug 8.

  PMID: 32778434 DERIVED

Related Links

• Community of Voices trial website, including program manual

Study Officials

• Julene K Johnson, PhD

  University of California, San Francisco

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Randomization assignment was not revealed to study personnel or study participants until after baseline assessments were completed for each pair of centers.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Cluster-randomized controlled design

Study Record Dates

• First Submitted: January 9, 2013
• First Posted: June 5, 2013
• Study Start: February 1, 2013
• Primary Completion: December 1, 2016
• Study Completion: August 1, 2018
• Last Updated: January 18, 2020

Record last verified: 2020-01

Locations

US (1)