BAILA: Being Active, Increasing Latinos Healthy Aging

Not Applicable

Completed

Conditions: Mobility Limitation

Interventions: Behavioral: Health Education Control Group
Behavioral: BAILAMOS© Dance Program

Registration Number: NCT01988233

Lead Sponsor: University of Illinois at Chicago

Brief Summary: Investigators propose a randomized controlled trial (RCT) to test the efficacy of the revised 4-month BAILAMOS© program for improving lifestyle PA and health outcomes (physical and cognitive function, self-reported functional limitations, disability) in sedentary older Latinos at risk for disability relative to an attention control group.

Detailed Description: Older Latinos comprised 7% of the older adult population in 2002, but are expected to constitute 20% by 2050. Physical activity (PA) can influence potential declines in the health outcomes of physical and cognitive function that lead to functional limitations (self-reported restrictions in performance) and disability (functional limitations placed in a social context). Unfortunately, Latinos aged 65-74 are 46% less likely to engage in leisure time PA than older non-Latino whites and little is known about PA maintenance among ethnic minorities compared to non-Latino whites. In part as a result of low levels of PA, the physical and cognitive function of older Latinos is poor relative to older non-Latino whites.

Participation in PA has substantial potential to help older Latinos maintain both physical and cognitive function as they age. Walking and dancing are the two most commonly reported forms of PA among older Latinos. However, urban older Latinos cite unsafe neighborhoods and extreme weather conditions as significant barriers to walking. Dance is a widely popular form of PA among Latinos of all ages, and holds considerable promise as a culturally appropriate form of PA that challenges individuals both physically and cognitively. To date, PA programs designed for older Latinos are lacking. BAILAMOS© is an innovative dance program that has been developed by Dr. Marquez (PI) based on focus group input from older community-dwelling Latinos and in collaboration with an accomplished Latin dance instructor.

Investigators propose a randomized controlled trial (RCT) to test the efficacy of the revised 4-month BAILAMOS© program for improving lifestyle PA and health outcomes (physical and cognitive function, self-reported functional limitations, disability) in sedentary older Latinos at risk for disability relative to an attention control group. Investigators will also test whether lifestyle PA and health outcomes can be maintained over an additional 4-months through BAILAMOS© maintenance activities, which include using indigenous dance leaders. This study will use an RCT (N=166 Treatment, 166 Control) with a health education control group that will allow investigators to examine the adoption of PA and its impact on health outcomes (first 4 months), and the short-term maintenance of PA and its impact on health outcomes (8 months) among older Latinos.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 333

Inclusion Criteria

age > 55 years old
self-identification as Latino/Hispanic
ability to speak Spanish
participation in <3 day/week of aerobic exercise
at risk for disability
adequate cognitive status as assessed by the Mini Mental State Examination
danced < 2 times/month over the past 12 months
willingness to be randomly assigned to treatment or control group
no plans to leave the country for more than two consecutive weeks over the next year

Exclusion Criteria

uncontrolled cardiovascular disease
uncontrolled diabetes mellitus
pacemaker in situ
severe chronic obstructive pulmonary disease (COPD)
recent healing or unhealed fracture(s)
use of an assistance device to walk (cane, walker, or wheelchair)

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Health Education Control Group	Health Education Control Group	Health Education Control Group: Sedentary older Latinos randomly assigned to the health education control group will participate in classes developed for older adults and offered by the University of Illinois Extension. All classes are conducted in Spanish by extension staff using Spanish-language materials. Classes will meet one day per week for two hours, to provide equitable social contact as the treatment group.
BAILAMOS© Dance Program	BAILAMOS© Dance Program	BAILAMOS© Dance Program + Maintenance Program: includes a 4-month twice-weekly adoption phase and a 4-month twice-weekly maintenance phase. Each month during adoption a new dance style is introduced by a professional dance instructor. During the 4-month maintenance phase an indigenous dance leader, trained by the professional dance instructor, will lead dance with participants twice per week

Primary Outcome Measures

Name	Time	Method
Minutes Per Week of Moderate to Vigorous Physical Activity	Change from baseline to post-intervention 4 months	CHAMPS PA Questionnaire assesses weekly frequency and duration of a variety of lifestyle physical activities that are meaningful and appropriate for older adults.

Secondary Outcome Measures

Name	Time	Method
Physical Function Performance as Assessed by Time of 400 Meter Walk	Change from baseline to post-intervention 4 months	400 Meter walk
Cognitive Function	Change from baseline to post-intervention 4 months	Working Memory: The score is the number of correctly retrieved strings in each part of the Digit Span Test plus the number of correctly reordered strings from the Digit Ordering. Higher scores indicated better outcomes. Higher change indicate better outcomes.
Self-Reported Functional Limitations	Change from baseline to post-intervention 4 months	Function Subscale of Late Life Function \& Disability Instrument. Higher scores reflect more limitation in performing tasks. Range on questionnaire is 15-75. Change is reported here.

Trial Locations

Locations (12): St. Agnes of Bohemia Parish
🇺🇸
Chicago, Illinois, United States
Catholic Charities of the Archdioceses of Chicago St Mary of Celle Strengthening Center
🇺🇸
Berwyn, Illinois, United States
Northwest (Copernicus) Regional Senior Center
🇺🇸
Chicago, Illinois, United States
West Suburban Senior Services, Inc
🇺🇸
Bellwood, Illinois, United States
West Town Senior Center
🇺🇸
Chicago, Illinois, United States
Kelvyn Park Senior Center
🇺🇸
Chicago, Illinois, United States
Holy Cross/Immaculate Heart of Mary Parish
🇺🇸
Chicago, Illinois, United States
Villa Guadalupe Senior Services, Inc.
🇺🇸
Chicago, Illinois, United States
Southwest Senior Center
🇺🇸
Chicago, Illinois, United States
Dance Academy of Salsa
🇺🇸
Chicago, Illinois, United States
Our Lady of Mount Carmel
🇺🇸
Melrose Park, Illinois, United States
Pilsen Senior Center
🇺🇸
Chicago, Illinois, United States