Affect, Alzheimer Disease, Balance, Caregiver Burden, Cognition, Cognitive Aging, Cognitive Decline, Cognitive Dysfunction, Cognitive Impairment, Dementia, Depression, Elderly, Executive Function, Exercise, Fall, Gait, Geriatric Assessment, Healthy Aging, Memory Deficit, Memory Disorders, Memory Impairment, Mental Health, Middle Aged, Mild Cognitive Impairment, Music Therapy, Neuropsychological Tests, Outcome Assessment, Health Care, Physical Exertion, Psychosocial Intervention, Respite Care, Walking
Conditions
Keywords
Physical Activity, Rhythmic Entrainment, Synchronous Music, Rhythmic Auditory Stimulation, Rhythmic Auditory Cue, Gait Training, Mobility, Movement, Perceived Exertion, Musical Pleasure, Groove, Memory, Executive Function, Older Adults
Brief summary
Researchers at the University of North Carolina at Greensboro conduct a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment.
Detailed description
Researchers at the University of North Carolina at Greensboro are conducting a single-arm intervention trial to investigate the efficacy of a music-based group exercise program for community-dwelling older adults. Up to forty participants will be recruited to participate in a music-based light-to-moderate intensity group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week), which is designed for older adults with or without functional limitations to exercise with chairs for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace. During the exercise sessions, participants will be trained to move in time with music playlists in synchronous tempos. Primary outcomes are cognitive performance, mobility, and health-related quality of life measured before and after the intervention. Secondary outcomes are adherence to the exercise program as a potential mediator of the treatment. The research team aims to determine whether (1) a music-based light-to-moderate intensity group exercise intervention beneficially impacts mobility, cognitive function, and health-related quality of life in community-dwelling older adults; (2) the treatment effect is mediated by adherence to physical activity; and (3) the treatment effect is moderated by cognitive impairment or functional limitations.
Interventions
BEHAVIORALGroup exercise program
Participants will be asked to join a music-based group exercise program for 24 weeks (up to 6 days/week, 30 - 45 min/day), which is designed for older adults with functional limitations to safely exercise on a chair or in a supported standing posture for the improvement of aerobic capacity, upper and lower body strength, and balance control at a gradually increasing pace in synchrony with music.
Sponsors
University of North Carolina, Greensboro
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be invited to participate in a music-based group exercise program for 20 weeks (30 - 40 min/day, up to 6 days/week).
Eligibility
Sex/Gender
ALL
Age
55 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
* 55 - 99 years old * Capable of being ambulatory with or without an assistive device. * No cardiac or pulmonary conditions or any neurological or musculoskeletal comorbidity or pain that would make light-intensity exercise dangerous, determined by the Physical Activity Readiness Questionnaire for Everyone or confirmed by their local medical practitioner if necessary. * Having adequate hearing for a conversation (including with hearing aids) * Capable of following the study procedures * No severe anxiety or depression * Mild to moderate cognitive impairment
Exclusion criteria
* Age younger than 55 or older than 99 * Severe anxiety or depression * Severe cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of fall risks | Baseline and change from baseline at month 5 | Participants' fall risks will be measured by Timed Up & Go Test |
| Change of walking endurance | Baseline and change from baseline at month 5 | Participants' gait and walking endurance will be measured by 6-Minute Walk Test |
| Change of balance control | Baseline and change from baseline at month 5 | Participants' balance control will be measured by 4-Stage Balance Test |
| Change of lower body strength | Baseline and change from baseline at month 5 | Participants' lower body strength will be measured by 30-second Chair Stand Test |
| Change of cognitive function | Baseline and change from baseline at month 5 | Participants' cognitive function will be measured through Montreal Cognitive Assessment , Flanker Inhibitory Control and Attention test, and Pattern Comparison Processing Speed Test. |
| Change of health-related quality of life | Baseline and change from baseline at month 5 | EuroQol Health Questionnaire |
Countries
United States
Outcome results
None listed