A Specific Dance Intervention in Older Adults in Hong Kong

ConditionsFallAge Problem
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age65-99
SponsorThe Hong Kong Polytechnic University

About this trial

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.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

age 65 or above;

a total score of less than 25/28 in the Tinetti Performance Oriented Mobility Assessment (POMA) scale.

Disqualifiers

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;

Trial design

Design model

Parallel

Treatments tested in this trial

  • The 21-style specific dance exercises

    Other intervention

    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.

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Dance group (DANG)Experimental treatment 1 intervention
Group B: Wait-list control group (WLCG)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

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.

Time frame
Day 0
2

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.

Time frame
Week 12
3

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.

Time frame
Week 24

Secondary outcomes

1

Baseline Balance Ability

Berg Balance Scale (BBS) with scores range from 0 to 56. Higher scores represent better balance ability.

Time frame
Day 0
2

Changes from Baseline Balance Ability at 12 weeks

Berg Balance Scale (BBS) with scores range from 0 to 56. Higher scores represent better balance ability.

Time frame
Week 12
3

Changes from Baseline Balance Ability at 24 weeks

Berg Balance Scale (BBS) with scores range from 0 to 56. Higher scores represent better balance ability.

Time frame
Week 24
4

Baseline Functional Gait and Balance Assessment

The Tinetti Performance Oriented Mobility Assessment (POMA) with scores range from 0 to 28. Higher scores represent better functional gait and balance.

Time frame
Day 0

Other outcomes

Sponsors and contacts

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The Hong Kong Polytechnic University

Lead sponsor

The University of Hong Kong

Collaborator

Education University of Hong Kong

Collaborator

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