None listed
Conditions
Brief summary
Background: Regular exercise is fundamental for older adults with heart disease. However, most find it difficult to meet the National Physical Activity Guidelines of 150 minutes per week moderate intensity exercise (for example, walking). Music is easy to use and may motivate older adults with heart disease to complete more physical activity. Aim: To find out if listening to music while walking helps older adults with heart disease to achieve recommended amounts of physical activity. Design: A randomised controlled trial, comparing one group of participants walking with self-selected music, and another group walking without music. Measures will be collected at discharge from cardiac rehabilitation (baseline), and at weeks 6 and 26 following discharge. Participants: We will recruit 53 participants and randomly allocate then to either walking with or without music. Participants will be eligible if they are 60 years and older, have been diagnosed with heart disease, and walk independently. Measures: Amounts of physical activity will be measured over 7-days using an accelerometer, a small device attached to each participant's thigh. We will also test walking endurance, blood pressure, weight, and waist circumference. Participants will be asked to answer a questionnaire about exercise and complete an exercise log-book. Intervention: All participants in the music group will receive a personal music playing device with their preferred music to use during walking. Participants in the group without music will receive usual care. Data analysis: Comparisons between the two groups will aim to see if there are more participants in the music group who meet the National Physical Activity Guidelines than in the group without music.
Interventions
According to usual cardiac rehabilitation protocol, all participants, whether allocated to the experimental group (with participant-selected music) or the control group (with usual care), will receive the National Heart Foundation Guidelines during group presentations and in individual physiotherapy consultations. The guidelines encourage participants to complete at least 30 minutes of moderate physical activity (e.g., walking in 10 minute blocks or more) for five days of each week (150 minutes)
According to usual cardiac rehabilitation protocol, all participants, whether allocated to the experimental group (with participant-selected music) or the control group (with usual care), will receive the National Heart Foundation Guidelines during group presentations and in individual physiotherapy consultations. The guidelines encourage participants to complete at least 30 minutes of moderate physical activity (e.g., walking in 10 minute blocks or more) for five days of each week (150 minutes) with an opportunity to rest on two days if desired. Participants in both groups will be asked to maintain these guidelines following discharge from the cardiac rehabilitation program using walking as a moderate level physical activity. All participants, whether allocated to the music or control group will receive a weekly phone call for the first 6 weeks of the study and then monthly until week 26. The phone calls will ask participants if they have any question or concerns. Participants in both groups will also be asked to maintain an exercise logbook for the first 6 weeks of the study. Participants allocated to the music intervention (experimental group) will meet with a registered music therapist to select preferred music for walking. Experimental group participants will be able to freely select music that they expect to find physiologically arousing and/or evoke supportive emotions for walking-based exercise. Participants will be encouraged to select as many songs as they wish, potentially several hours of music. Music selection will be assisted by the Brunel Music Rating Inventory-2 (BMRI-2), a 6-item scale with quotients ranging from 6 (low) to 42 (highly motivating) (Karageorghis et al., 2006). Preferred music rated as motivating for walking will be loaded onto lightweight portable music playing devices (MP3 players) for personal use over the 6-month period of the study. Participants will be asked to use the portable music devices when walking. Participants in the experimental group will also be offered an opportunity to review their music at 3-months. Reference: Karageorghis CI, Priest DL, Terry PC, Chatzisarantis NL, Lane AM. Redesign and initial validation of an instrument to assess the motivational qualities of music in exercise: The Brunel Music Rating Inventory-2. J Sports Sci 2006; 24: 899-909.
Sponsors
La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Aged 60 years or older Able to walk independently Assessed as a low falls risk assessed as having intact cognitive functioning Attended 80% of cardiac rehabilitation sessions Assessed as having functional hearing
Exclusion criteria
Individuals less than 60 years of age.
Outcome results
None listed