Cognitive Impairment, Frailty
Conditions
Keywords
Cognitive frailty, Motor-Cognitive Training, Drumming
Brief summary
The objective of this randomised controlled feasibility trial is to evaluate the feasibility of the Smart Taiko Drum-playing intervention embedding the cognitive-motor dual-task training concept for older adults with cognitive frailty, and identify the preliminary efficacy of the intervention on cognitive and physical functions and frailty status.
Detailed description
1. Study design: \- Randomized Control Trial 2. Participants: \- Community-dwelling older adults with cognitive frailty 3. Setting: \- Community centres for seniors 4. Intervention * Playing Smart Taiko three times/weeks x 16 weeks for 30 - 45 minutes each session * A Smart Taiko Drumming system has been developed for older adults to play the drumming game with their preferred music genres. 5. Waitlist-control group \- Will receive usual care 6. Health outcomes that will be assessed three times at baseline, during (8th week) and immediate post-intervention (16th week) * cognitive functions * physical functions * mental health * physical frailty status * body composition 7. Feasibility evaluation * recruitment * retention * satisfactory survey * compliance with the survey * safety * focus group intervention with participants
Interventions
BEHAVIORALSmart Taiko Drumming
Participants will play drumming with the developed Smart Taiko Drumming System for 30-45 minutes three times per week for 16 weeks, in addition to usual care.
Sponsors
The Hong Kong Polytechnic University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Trained research assistants will collect the data blinded to group assignment.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* with cognitive frailty * without a diagnosis of a neurological or psychiatric condition that could affect cognitive function * live independently or with partial assistance * with pre-frailty
Exclusion criteria
* with a significant sensory or motor impairment that would preclude participation in the intervention * are unable to understand or follow instructions due to language or hearing impairment * have already been in another cognitive or physical intervention programme within the past three months * are taking medications that could significantly affect cognitive or physical functions * with any medical condition or treatment that would contraindicate participation in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Completion Rate | Through study completion, an average of 2 years. | Overall intervention completion rate -defined as the proportion of participants who completed the allocated intervention with a minimum of 80% attendance. Calculated as number of participants allocated to the intervention that completed the minimum attendance (numerator)/number of participants allocated to treatment (denominator). |
| Attrition rate | Through study completion, an average of 2 years | Overall attrition rate-defined as the proportion of participants at defined study points who discontinued the intervention or were lost to follow-up (calculated as number of participants that withdraw (numerator)/number of participants randomised (denominator)). |
| Recruitment rate | Through study completion, an average of 2 years | The Proportion of eligible people recruited (= proportion of people randomised/proportion of people eligible). |
| Satisfaction to the intervention | Through study completion, an average of 2 years | Satisfaction questionnaire, including questions of Does the game provide an engaging environment for training?, Do you think the exercise intensity suits you? |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall cognitive function | 6 months | The Hong Kong version of the Montreal Cognitive Assessment with the possible score from 0 - 30, with a higher score indicates better cognition |
| Executive function | 6 months | Frontal Assessment Battery Total score with the possible score from 0 - 18, higher scores indicating better performance |
| Memory | 6 months | Fuld Object Memory Evaluation Total Storage score ranges from 0 -50, with a higher score indicate better memory. |
| Verbal fluency | 6 months | Modified Verbal Fluency Test will be used to assess the verbal fluency, with no highest score. Higher score indicates better verbal fluency. |
| Mobility and Balance | 6 months | Time Up and Go Test will be used. The test measures how long it takes to stand up, walk a distance of 10 feet, turn, walk back, and sit down again. Shorter time indicate better mobility and balance. |
| Handgrip strength | 6 months | To be measured with a hand-held Jamar Hand Dynamometer |
| Functional capacity and endurance | 6 months | Six-Minute-Walk-Test. The longer distance walked indicates better functional capacity and endurance. |
| Happiness | 6 months | Subjective Happiness Scale will be used. The four items will be responded on 7-Likert scale. The total is the average score of the 4-items, ranges from 1 - 7. Higher score is more happy. |
| Body composition - Body weight | 6 months | Bioelectrical impedance analysis will be used for measuring body composition using the InBody S10, Korea except those with contradictions, such as wearing a pacemaker. |
| Body composition - Skeletal muscle mass | 6 months | Bioelectrical impedance analysis will be used for measuring body composition using the InBody S10, Korea except those with contradictions, such as wearing a pacemaker. |
| Body composition - body mass index | 6 months | Body weight in kg is divided by square of body height |
| Body composition - body fat mass | 6 months | Bioelectrical impedance analysis will be used for measuring body composition using the InBody S10, Korea except those with contradictions, such as wearing a pacemaker. |
| Body composition - percent body fat. | 6 months | InBody S10, Korea except those with contradictions, such as wearing a pacemaker. |
| Mental wellbeing | 6 months | Hospital Anxiety and Depression Scale is a 14-item measure designed to assess anxiety and depression symptoms. The total score ranges from 0 - 42, with a higher score indicates poorer mental wellbeing. |
| Frailty status | 6 months | FRAIL scale with the possible score range from 0 - 5. Higher score refers to higher frailty. |
| Loneliness | 6 months | De Jong Gierveld Loneliness Scale will be used. In this 6-item scale, three statements are made about 'emotional loneliness' and three about 'social loneliness'. Total score ranged from 0-6, with a higher score means higher loneliness. |
| Safety concerns of the intervention | Through study completion, an average of 2 years. | Any adverse events during the intervention period |
Other
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | 6 months | Will be monitored for evaluating the intervention process |
Countries
Hong Kong
Contacts
Primary ContactDaphne Sze Ki Cheung, PhD
Backup ContactDaphne Sze Ki Cheung, PhD
Outcome results
None listed