danceSing Care Evaluation: Testing the Effectiveness

NCT05601102 | Completed Results DMC

• 1 other identifier: dC 3735
• Study Type: interventional
• Target: 34
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot randomised controlled trial aims to compare the effectiveness of a 12-week music and movement intervention in older adults in care homes compared to a waitlist control group. The main questions it aims to answer are:

• Do salivary cortisol and DHEAS levels improve after the intervention, compared to the waitlist control group?
• Do feelings of anxiety and depression improve after the intervention, compared to the waitlist control group?
• Does the quality of life improve after the intervention, compared to the waitlist control group?
• Does physical function improve after the intervention, compared to the waitlist control group? Participants will engage in music and movement sessions three times per week for 12 weeks. Researchers will compare the intervention group to the waitlist control group to see if any effects occur.

Conditions

Older Adults; Healthy Aging; Aging; Quality of Life; Depression, Anxiety; Stress, Physiological

Keywords

randomised controlled trial; clinical trial; music and movement intervention; care home; cortisol; DHEAS

Outcome Measures

Primary Outcomes (2)

• Change From Baseline Salivary Cortisol Levels

  Saliva samples will be obtained to determine free salivary cortisol. If the test is done around 9 AM, the results would be between 100 and 750 ng/dL. Any dysregulation, notably higher cortisol levels, may indicate poor health outcomes.

  Baseline (within 1 week prior to intervention starting) and post-intervention, within 1 week of completion of the 12-week intervention period.

• Change From Baseline Psychosocial Wellbeing Using the Hospital Anxiety and Depression Scale (HADS)

  The HADS questionnaire has seven items each for depression and anxiety subscales. Scoring for each item ranges from zero to three, with three denoting highest anxiety or depression level. A total subscale score of \>8 points out of a possible 21 denotes considerable symptoms of anxiety or depression. The range of scores for each of the two subscales (anxiety and depression) is 0-21, respectively.

  Baseline (within 1 week prior to intervention starting) and post-intervention, within 1 week of completion of the 12-week intervention period.

Secondary Outcomes (10)

• Change From Baseline Fear of Falling Using the Falls Efficacy Scale - International (Short Form)(FES-I)

  Before and 1 month after completion of the 12-week intervention period.

• Change From Baseline Activities of Daily Living and Health-related Quality of Life Using The Dartmouth COOP Charts

  Before and 1 month after completion of the 12-week intervention period.

• Change From Baseline Psychosocial Wellbeing Using the Brief UCLA Loneliness Scale (ULS-6)

  Before and 1 month after completion of the 12-week intervention period.

• Change From Baseline Psychosocial Wellbeing Using the Perceived Stress Scale (PSS)

  Before and 1 month after completion of the 12-week intervention period.

• Change From Baseline Sleep Satisfaction Using the National Sleep Foundation's Sleep Satisfaction Tool (SST)

  Before and 1 month after completion of the 12-week intervention period.

Other Outcomes (1)

• Acceptability of the Intervention

  12weeks

Study Arms (2)

Intervention group

EXPERIMENTAL

The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of two movement sessions and one music session each week, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Behavioral: danceSing Care

Waitlist control group

NO INTERVENTION

Waitlist for 12 weeks before participating in the digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/).

Interventions

danceSing Care BEHAVIORAL

\- Physical activity interventions, including multi-component (chair-based) exercises or dancing, and music therapies have been shown to improve multidimensional health markers in older adults.

Intervention group

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• residents in care homes ≥ 65 years,
• able to complete 12 weeks of a movement and music program,
• having the capacity to give informed consent as assessed by care staff and confirmed in discussion about the project with the research team using the British Psychological Society capacity checklist

You may not qualify if:

• currently taking part in any other clinical trial which could potentially have an impact upon or influence the findings of the current study,
• pre-existing conditions or concurrent diagnoses which would profoundly impact their capacity to undergo the intervention, even once adaptations have been made,
• inability to adequately understand written/spoken English to participate in the measures and intervention (e.g., due to cognitive or sensory impairment).

Sponsors & Collaborators

• University of Stirling: lead

Study Sites (1)

Holmes Care group

Upminster, Essex, RM14 3DH, United Kingdom

Location

Related Publications (1)

• De Nys L, Oyebola EF, Connelly J, Ryde GC, Whittaker AC. Digital music and movement intervention to improve health and wellbeing in older adults in care homes: a pilot mixed methods study. BMC Geriatr. 2024 Sep 4;24(1):733. doi: 10.1186/s12877-024-05324-3.

  PMID: 39232667 DERIVED

MeSH Terms

Conditions

Depression; Anxiety Disorders

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders

Results Point of Contact

• Title: Professor Anna C. Whittaker
• Organization: University of Stirling

a.c.whittaker@stir.ac.uk

0178646

Study Officials

• Anna Whittaker&, PhD

  University of Stirling

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: Multicentre Randomized (1:1), waitlist Controlled, parallel-group Trial (RCT).

Study Record Dates

• First Submitted: October 24, 2022
• First Posted: November 1, 2022
• Study Start: March 20, 2023
• Primary Completion: June 20, 2023
• Study Completion: August 20, 2023
• Last Updated: May 20, 2025
• Results First Posted: February 20, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

GB (1)