A Specific Dance Intervention in Older Adults in Hong Kong
NCT Number: NCT06563661
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Fall|Age Problem
Interventions: OTHER: The 21-style specific dance exercises
Sponsor: The Hong Kong Polytechnic University
Collaborators: The University of Hong Kong|Education University of Hong Kong
Sex: ALL
Age: OLDER_ADULT
Enrollment: 100
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (INVESTIGATOR, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-12-01
Completion Date: 2026-05-31
Locations: Thomson Wong, Hong Kong, China

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.

Primary Outcome Measures: 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 Outcome Measures: Baseline Balance Ability, Berg Balance Scale (BBS) with scores range from 0 to 56. Higher scores represent better balance ability., Day 0|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., Week 12|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., Week 24|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., Day 0|Changes from Baseline Functional Gait and Balance Assessment at 12 weeks, The Tinetti Performance Oriented Mobility Assessment (POMA) with scores range from 0 to 28. Higher scores represent better functional gait and balance., Week 12|Changes from Baseline Functional Gait and Balance Assessment at 24 weeks, The Tinetti Performance Oriented Mobility Assessment (POMA) with scores range from 0 to 28. Higher scores represent better functional gait and balance., Week 24|Baseline Functional Gait Assessment, Timed Up and Go (TUG) test, Day 0|Changes from Baseline Functional Gait Assessment at 12 weeks, Timed Up and Go (TUG) test, Week 12|Changes from Baseline Functional Gait Assessment at 24 weeks, Timed Up and Go (TUG) test, Week 24|Baseline Flexibility, The Chair Sit-and-Reach test (CSR), Day 0|Changes from Baseline Flexibility at 12 weeks, The Chair Sit-and-Reach test (CSR), Week 12|Changes from Baseline Flexibility at 24 weeks, The Chair Sit-and-Reach test (CSR), Week 24|Baseline Muscle Strength, Muscle strength of the major lower limb muscles groups (e.g., knee and hip extensors) will be measured using the well-recognised Lafayette manual muscle testing system (e.g., Model 01163 or equivalent)., Day 0|Changes from Baseline Muscle Strength at 12 weeks, Muscle strength of the major lower limb muscles groups (e.g., knee and hip extensors) will be measured using the well-recognised Lafayette manual muscle testing system (e.g., Model 01163 or equivalent)., Week 12|Changes from Baseline Muscle Strength at 24 weeks, Muscle strength of the major lower limb muscles groups (e.g., knee and hip extensors) will be measured using the well-recognised Lafayette manual muscle testing system (e.g., Model 01163 or equivalent)., Week 24|Baseline Agility, The 8 Foot Up-and-Go Test (8FUG), Day 0|Changes from Baseline Agility at 12 weeks, The 8 Foot Up-and-Go Test (8FUG), Week 12|Changes from Baseline Agility at 24 weeks, The 8 Foot Up-and-Go Test (8FUG), Week 24|Preliminary Cognitive Function, The Chinese version of the Mini-Mental State Examination (MMSE-C) with scores range from 0 to 30. Higher scores represent better cognitive function., Day 0|Baseline Fear of Falling, The Chinese version of the Falls Efficacy Scale International \[FES-I (Ch)\] with scores range from 16 to 64. Higher scores represent higher fear of falling., Day 0|Changes from Baseline Fear of Falling at 12 weeks, The Chinese version of the Falls Efficacy Scale International \[FES-I (Ch)\] with scores range from 16 to 64. Higher scores represent higher fear of falling., Week 12|Changes from Baseline Fear of Falling at 24 weeks, The Chinese version of the Falls Efficacy Scale International \[FES-I (Ch)\] with scores range from 16 to 64. Higher scores represent higher fear of falling., Week 24|Baseline Balance Confidence, The Activities-specific Balance Confidence Scale \[ABC (Ch)\] with scores range from 0 to 100. Higher scores represent higher balance confidence., Day 0|Changes from Baseline Balance Confidence at 12 weeks, The Activities-specific Balance Confidence Scale \[ABC (Ch)\] with scores range from 0 to 100. Higher scores represent higher balance confidence., Week 12|Changes from Baseline Balance Confidence at 24 weeks, The Activities-specific Balance Confidence Scale \[ABC (Ch)\] with scores range from 0 to 100. Higher scores represent higher balance confidence., Week 24|Baseline Depression Levels, The Chinese version of the four-item Geriatric Depression Scale (GDS-4C) with scores range from 0 to 4. Higher scores represent higher depression level., Day 0|Changes from Baseline Depression Levels at 12 weeks, The Chinese version of the four-item Geriatric Depression Scale (GDS-4C) with scores range from 0 to 4. Higher scores represent higher depression level., Week 12|Changes from Baseline Depression Levels at 24 weeks, The Chinese version of the four-item Geriatric Depression Scale (GDS-4C) with scores range from 0 to 4. Higher scores represent higher depression level., Week 24|Baseline Anxiety Levels, The Chinese version of the State-Trait Anxiety Inventory (STAT-SC \& STAI-TC) with scores range from 20 to 80. Higher scores represent higher anxiety level., Day 0|Changes from Baseline Anxiety Levels at 12 weeks, The Chinese version of the State-Trait Anxiety Inventory (STAT-SC \& STAI-TC) with scores range from 20 to 80. Higher scores represent higher anxiety level., Week 12|Changes from Baseline Anxiety Levels at 24 weeks, The Chinese version of the State-Trait Anxiety Inventory (STAT-SC \& STAI-TC) with scores range from 20 to 80. Higher scores represent higher anxiety level., Week 24