A Specific Dance Intervention in Older Adults in Hong Kong

NCT06563661 | Not Yet Recruiting DMC

• 1 other identifier: 21221561
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a fully-powered randomised controlled trial and an essential follow-up study of our pilot work. The 21-style specific dance intervention to improve the balance and reduce the risks of falls (SDIIBRF) was suggested to be interesting, achievable, and compliable, according to the participants' feedback in the investigators' pilot work. Due to the expertly-designed and specifically-designed characteristics of the 21 dance styles in the SDIIBRF for improving balance and reducing risk of falls in older adults, the dance steps included in the SDIIBRF are unique and are largely different from the dance interventions that have already been reported in the literature. Based on the encouraging results of the preliminary efficacy in the investigators' pilot work and dance being a mind-body exercise, the investigators hypothesise that the specific dance programme will be efficacious in reducing the frequency of falls (primary outcome measure), improving the balance (secondary outcome measure for the main fall risk factor), and reducing the physical and psychological fall risk factors (secondary outcome measures) in Hong Kong's at-risk older adults. The findings could provide important new evidence for a feasible option for older adults as an innovative fall prevention exercise programme. The research question is "Can the 21-style SDIIBRF reduce the frequency of falls, improve the balance, and reduce the fall risks in Hong Kong's older adults at moderate to high risk of falling? Therefore, the aim of this proposed study is to examine the efficacy of the 21-style SDIIBRF in reducing the frequency of falls, improving the balance, and reducing the fall risks in Hong Kong's older adults by comparing it with a wait-list control.

Conditions

Fall; Age Problem

Keywords

Efficacy; Dance programme; Falls prevention; Older adults; Balance; Risk of falling; Fall risk factors; Hong Kong SAR; Randomised controlled trial

Outcome Measures

Primary Outcomes (3)

• Baseline Frequency of Falls

  A fall will be counted if it will cause our participant(s) unintentionally coming to rest on the ground or other lower level.

  Day 0

• Changes from Baseline Frequency of Falls at 12 weeks

  A fall will be counted if it will cause our participant(s) unintentionally coming to rest on the ground or other lower level.

  Week 12

• Changes from Baseline Frequency of Falls at 24 weeks

  A fall will be counted if it will cause our participant(s) unintentionally coming to rest on the ground or other lower level.

  Week 24

Secondary Outcomes (31)

• Baseline Balance Ability

  Day 0

• Changes from Baseline Balance Ability at 12 weeks

  Week 12

• Changes from Baseline Balance Ability at 24 weeks

  Week 24

• Baseline Functional Gait and Balance Assessment

  Day 0

• Changes from Baseline Functional Gait and Balance Assessment at 12 weeks

  Week 12

Study Arms (2)

Dance group (DANG)

EXPERIMENTAL

The participants in DANG will participate in 12 dance training sessions with the 21-style specific dance exercises (\~120 minutes each with rest breaks) in a group once a week for 12 weeks.

Other: The 21-style specific dance exercises

Wait-list control group (WLCG)

ACTIVE COMPARATOR

The participants in the WLCG will be provided a fall prevention pamphlet with a set of conventional fall prevention exercises (e.g., including a set of balance, walking, and resistance exercises) at the start and will receive the training from the 21-style specific dance exercises after three scheduled assessment sessions with two waiting periods of 12 weeks and 3 months in between.

Other: The 21-style specific dance exercises

Interventions

The 21-style specific dance exercises OTHER

The 21 dance styles (dance in a group), chosen and modified from seven dance styles, including cha-cha, jive, rumba, salsa, waltz, tango, and macarena, were developed by a group of experienced dance and rehabilitation experts and have been previously practised by a group of older adults in our pilot work, demonstrating good feasibility and positive participants' feedback.

Dance group (DANG); Wait-list control group (WLCG)

Eligibility Criteria

• Age: 65 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• age 65 or above;
• a total score of less than 25/28 in the Tinetti Performance Oriented Mobility Assessment (POMA) scale.

You may not qualify if:

• a total score of less than 24/30 in the Chinese version of the Mini-Mental State Examination (MMSE-C);
• the existence of any untreated cerebral vascular disease, Parkinson's disease, or any other major neurological deficit;
• the existence of any medical condition that can affect their safety during dance training sessions;
• unable to stand independently for at least 15 minutes without a walking aid;
• unable to walk independently indoor for at least 20 metres without a walking aid;
• previous experience of dance training;
• currently participating in any other formal exercise programme.

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead
• The University of Hong Kong: collaborator
• Education University of Hong Kong: collaborator

Study Sites (1)

Thomson Wong

Hong Kong, China

Location

Study Officials

• Thomson Wong, PhD, BScPT

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Thomson Wong, PhD, BScPT

CONTACT

(852)27666717; thomson.wong@polyu.edu.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: A randomised, controlled (wait-list control), and two-armed trial.

Study Record Dates

• First Submitted: August 16, 2024
• First Posted: August 21, 2024
• Study Start: December 1, 2024
• Primary Completion (Estimated): May 31, 2026
• Study Completion (Estimated): May 31, 2026
• Last Updated: August 23, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

CN (1)