A Realist Evaluation of the Feasibility of a Digital Music and Movement Intervention for Older People Living in Care Homes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 47
- 试验地点
- 1
- 主要终点
- Participants' Programme Adherence as % Sessions Attended Out of the Possible Maximum Number of Sessions Delivered Per Care Home Aggregated as % Across All Care Homes.
研究概览
简要总结
- The investigators wanted to find out if digital music and movement resources could be delivered in care homes. They rolled out a 12-week programme to 10 care homes and had 47 care home residents participate in the research.
- The investigators also wanted to find out under what circumstances the digital music and movement resources would be most effective for the health and wellbeing of the care home residents.
- A survey measuring the number of falls in the past three months, activities of daily living and health, psychosocial wellbeing (anxiety, depression, stress and loneliness), sleep satisfaction and frailty measures such as appetite and weight loss) was completed before and after the intervention. Also, interviews with residents and focus groups with staff were done after the intervention to find out how they felt about the programme.
详细描述
The specific research objectives were to evaluate the following topics:
- Feasibility: was the activity implemented and/or delivered as planned? Were the resources suitable for this setting? Were adherence rates at an acceptable level?
- Context: what is the role of the care homes in providing resources to the Activity Coordinators (ACs)? In what circumstances would the programme have worked most efficiently? What were the potential barriers for care homes or ACs to provide these resources?
- Mechanism: what underlying mechanisms made the danceSing Care programme work (or not)? Was it the situational context or the programme context?
- Outcome: What were the results? Were the outcomes adequate and realistic for this programme?
- Moderators: were moderating factors responsible? By moderating factors, we are referring to contextual factors that are out of the program's control but may help or hinder the achievement of the outcomes.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •residents in care homes ≥ 65 years,
- •able to complete 12 weeks of a movement and music program,
- •having the capacity to give informed consent.
排除标准
- •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 understand written/spoken English adequately to participate in the measures and intervention (e.g., due to cognitive or sensory impairment).
研究组 & 干预措施
Intervention group
Digital music and movement resources.
干预措施: danceSing Care (Behavioral)
结局指标
主要结局
Participants' Programme Adherence as % Sessions Attended Out of the Possible Maximum Number of Sessions Delivered Per Care Home Aggregated as % Across All Care Homes.
时间窗: Will be evaluated after completion of the 12-week intervention period
The activity coordinators will fill in participants' adherence after each session. The completed files will be sent through to the investigators. Individual participants' adherence is calculated as the number of sessions they individually attended out of the possible number of sessions available to them in their care home. This is reported as the percentage of attended sessions per person per care home out of those delivered averaged per care home then aggregated across all care homes.
Number of Sessions Delivered, Assessed by Attendance Files
时间窗: Will be evaluated after completion after the completion of the 12-week intervention period
The activity coordinators will fill in participants' adherence after each session. The completed files will be sent through to the investigators.
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc.
时间窗: 1 month after completion after the completion of the 12-week intervention period
Investigators will conduct focus groups with the activity coordinators to assess acceptability of the intervention. Guide questions included: Did you enjoy using the danceSing Care online activities? Did you manage to take part in the 3+1 sessions a week? If not, why? Would you say duration of sessions was appropriate? Did you complete most of sessions or have to stop at any point? What did you like about the DSC activities? Was there anything you did not like? If you could change something about this programme to make it work effectively here, what would you change and why? Why did you take part? What made you continue to take part? What do you consider the outcomes of this program to have been for you? Would you like to carry on engaging in the DSC activities? Why/why not? Do you feel part of the DSC family/champions? Has engaging in the DSC activities brought you closer to other residents and staff?
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc.
时间窗: 1 month after completion after the completion of the 12-week intervention period
Investigators will conduct focus groups/interviews with residents to assess acceptability of the intervention. Guide questions included: Did you enjoy using the danceSing Care online activities? Did you manage to take part in the 3+1 sessions a week? If not, why? Would you say duration of sessions was appropriate? Did you complete most of sessions or have to stop at any point? What did you like about the DSC activities? Was there anything you did not like? If you could change something about this programme to make it work effectively here, what would you change and why? Why did you take part? What made you continue to take part? What do you consider the outcomes of this program to have been for you? Would you like to carry on engaging in the DSC activities? Why/why not? Do you feel part of the DSC family/champions? Has engaging in the DSC activities brought you closer to other residents and staff?
次要结局
- Change in Fear of Falling Between Baseline and Within One Month of Completing the Intervention Using the Falls Efficacy Scale - International (Short Form)(FES-I)(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Activities of Daily Living and Health-related Quality of Life From Baseline to Within One Month of the Completion of the Intervention Using The Dartmouth COOP Charts(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Perceived Stress Scale (PSS)(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Appetite From Baseline to Within One Month of Completing the Intervention Using the Simplified Nutritional Appetite Questionnaire (SNAQ)(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Activities of Daily Living and Health-related Quality of Life From Baseline to Within One Month of Completing the Intervention Using EQ-5D-3L(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Hospital Anxiety and Depression Scale (HADS)(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Brief UCLA Loneliness Scale (ULS-6)(Baseline and within 1 month of completion of the 12-week intervention period)
- Change in Participant's Sleep Satisfaction From Baseline to Within One Month of Completing the Intervention Using the National Sleep Foundation's Sleep Satisfaction Tool (SST)(Baseline and within 1 month of completion of the 12-week intervention period)
研究者
Anna Whittaker
Principal Investigator
University of Stirling