Does Cognitive Groove (Brought to You by GERAS DANCE) Improve Physical Performance in Community-Dwelling Older Adults With Frailty: A Parallel Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- McMaster University
- Enrollment
- 250
- Locations
- 2
- Primary Endpoint
- Change in Physical Performance
Study Overview
Brief Summary
The goal of this clinical trial is to determine the effect of a community-based rehabilitation intervention (Cognitive Groove, Brought to you by GERAS DANCE), compared to usual care, on clinical outcomes in community-dwelling older adults living with frailty. The main questions it aims to answer are:
- In community-dwelling older adults living with frailty, is Cognitive Groove more effective than usual care in improving functional movement, physical performance and strength?
- In community-dwelling older adults living with frailty is Cognitive Groove more effective than usual care in improving frailty status, fear of falling, balance confidence, mood, cognition, grip strength, activities of daily living, life space mobility, loneliness, and quality of life?
- As a community-based rehabilitation intervention, is Cognitive Groove a cost-effective intervention embedded within the community for older adults living with frailty after 12-months?
Participants will participate in Cognitive Groove classes twice per week for 3 months or receive no intervention (usual care).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 65 Years to 100 Years (Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Community-dwelling aged ≥65 years
- •At high risk for mobility disability/functional limitations as assessed by the FRAIL Scale ≥2
- •Able to ambulate independently (25 m) with or without an assistive device
- •Able to follow two-step instructions
- •Medical clearance from referring clinician, or for self-referrals, medical clearance from family physician to safely participate in exercise
- •Can arrange transportation to the YMCA up to 2 times per week
Exclusion Criteria
- •Unable to speak or understand English
- •Current regular participation in a structured exercise program or receiving active physical therapy services
- •Severe cardiac or pulmonary disease
- •Unstable angina or heart failure
- •Severe osteoarthritis (e.g., awaiting joint replacement)
- •Parkinson's disease or other progressive neurological disorder
- •Receiving palliative care
- •Travel/commitments requiring missing more than two weeks
Arms & Interventions
Cognitive Groove (GERAS DANCE)
Classes will occur twice per week for 3 months. Classes follow a consistent sequence of activities (orientation and socialization [10-mins]; warm-up [5-mins]; structured dance [30-mins]; cool-down [5-mins]; socialization and review of weekly hand-outs for balance exercises [10-mins]. The curriculum schedule includes five foundations and seven routines. Cognitive Groove (GERAS DANCE) foundations emphasize learning the ABCs of movement and increasing participants' confidence to move their bodies forward and backward and side-to-side with improved speed and rhythmicity. Cognitive Groove (GERAS DANCE) routines combine the foundational skills into full choreographed dances to music from the '50s and '60s (e.g., rock and roll, jazz, salsa, cha cha cha, rhythm soul, swing, disco, and Bollywood). Participants will receive an intervention-specific study manual that describes the homework exercises for each week.
Intervention: Dance Rehabilitation Intervention (Other)
Usual Care
The control arm participants will continue with their usual care and normal activities. They will not receive any intervention during the study but will be given the opportunity to participate in Cognitive Groove (GERAS DANCE) programming after the study.
Outcomes
Primary Outcomes
Change in Physical Performance
Time Frame: Baseline and 3-months
Physical function will be assessed with the Short Performance Physical Battery \[total score\]. Higher scores indicate better physical performance \[range 0-12\].
Secondary Outcomes
- Change in Cognition(Baseline and 3-months)
- Change in Balance Confidence(Baseline and 3-months)
- Change in Depression/Mood(Baseline and 3-months)
- Change in Loneliness(Baseline and 3-months)
- Change in Basic Activities of Daily Living(Baseline and 3-months)
- Change in Instrumental Activities of Daily Living(Baseline and 3-months)
- Change in Life Space Mobility(Baseline and 3-months)
- Change in Health-related Quality of Life(Baseline, 3-months, and 12-months)
- Change in Walking Speed(Baseline to 3-months)
- Change in Functional Mobility(Baseline and 3-months)
- Change in Dual Task Ability(Baseline and 3-months)
- Change in Static Postural Control(Baseline and 3-months)
- Change in Hand Grip Strength(Baseline and 3-months)
- Change in Cognition(Baseline and 3-months)
- Change in Frailty(Baseline and 3-months)
- Change in Fear of Falling(Baseline and 3-months)
- Change in Healthcare Utilization(Baseline, 3-months, and 12-months)
- Change in Falls(Baseline to 3-months)
- Change in Falls-Related Injuries(Baseline to 3-months)
- Change in Mobility(Baseline to 3-months)
- Adherence(Baseline to 3-months)
- Change in Hand Grip Strength(Baseline and 3-months)
- Change in Walking Speed(Baseline to 3-months)
- Change in Functional Mobility(Baseline and 3-months)
- Change in Dual Task Ability(Baseline and 3-months)
- Change in Static Postural Control(Baseline and 3-months)
- Change in Frailty(Baseline and 3-months)
- Change in Fear of Falling(Baseline and 3-months)
- Change in Balance Confidence(Baseline and 3-months)
- Change in Depression/Mood(Baseline and 3-months)
- Change in Loneliness(Baseline and 3-months)
- Change in Basic Activities of Daily Living(Baseline and 3-months)
- Change in Instrumental Activities of Daily Living(Baseline and 3-months)
- Change in Life Space Mobility(Baseline and 3-months)
- Change in Health-related Quality of Life(Baseline, 3-months, and 12-months)
- Change in Healthcare Utilization(Baseline, 3-months, and 12-months)
- Change in Falls(Baseline to 3-months)
- Change in Falls-Related Injuries(Baseline to 3-months)
- Change in Mobility(Baseline to 3-months)
- Adherence(Baseline to 3-months)
- Change in Walking Speed(Baseline and 3-months)
Investigators
Alexandra Papaioannou
Professor, Department of Medicine
McMaster University