TY - JOUR
T1 - Findings from a pragmatic cluster randomised controlled feasibility trial of a music and dance programme for community dwelling older adults
AU - Clifford, Amanda M
AU - Cheung, Pui-Sze
AU - Malley, Nicola O'
AU - Byrne, Steven
AU - Whiston, Aoife
AU - Kennelly, Brendan
AU - Mphepo, Tumeliwa
AU - Eshghimanesh, Zohreh
AU - Thabane, Lehana
AU - Louw, Quinette
AU - Moss, Hilary
AU - Gowran, Rosemary Joan
AU - Neill, Desmond O'
AU - Glynn, Liam
AU - Woods, Catherine B
AU - Maher, Catherine
AU - Sheikhi, Ali
AU - Salsberg, Jon
AU - Bhriain, Orfhlaith Ni
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/7
Y1 - 2024/7
N2 - INTRODUCTION: Functional decline, chronic illness, reduced quality of life and increased healthcare utilisation are common in older adults. Evidence suggests music and dance can support healthy ageing in older adults. This study explored the feasibility, potential for effect and cost effectiveness of the Music and Movement for Health (MMH) programme among community-dwelling older adults using a pragmatic cluster-randomised, controlled feasibility trial design.METHODS: Community-dwelling adults aged 65 years or older were recruited to seven clusters in the Mid-West region of Ireland. Clusters were block randomised to either the MMH intervention or control. Primary feasibility outcomes included recruitment, retention, adherence, fidelity, and safety. Secondary outcomes measured physical activity, physical and cognitive performance, and psychosocial well-being, along with healthcare utilisation were assessed at baseline and after 12 weeks.RESULTS: The study successfully met feasibility targets, with recruitment (n = 100), retention (91 %), adherence (71 %), data completeness (92 %) and intervention fidelity (21 out of 24) all meeting predetermined criteria. Both groups exhibited an increase in self-reported physical activity and improved physical function. Participants in the intervention group scored consistently better in psychosocial measures compared to the control group at follow-up. The health economic analysis confirmed the feasibility of the methodology employed and points to the potential cost-effectiveness of the MMH relative to the control or no organised programme.DISCUSSION AND IMPLICATIONS: The MMH intervention and study design were found to be feasible and acceptable with important findings to inform future evaluation of the clinical and cost-effectiveness of a definitive randomised controlled trial.
AB - INTRODUCTION: Functional decline, chronic illness, reduced quality of life and increased healthcare utilisation are common in older adults. Evidence suggests music and dance can support healthy ageing in older adults. This study explored the feasibility, potential for effect and cost effectiveness of the Music and Movement for Health (MMH) programme among community-dwelling older adults using a pragmatic cluster-randomised, controlled feasibility trial design.METHODS: Community-dwelling adults aged 65 years or older were recruited to seven clusters in the Mid-West region of Ireland. Clusters were block randomised to either the MMH intervention or control. Primary feasibility outcomes included recruitment, retention, adherence, fidelity, and safety. Secondary outcomes measured physical activity, physical and cognitive performance, and psychosocial well-being, along with healthcare utilisation were assessed at baseline and after 12 weeks.RESULTS: The study successfully met feasibility targets, with recruitment (n = 100), retention (91 %), adherence (71 %), data completeness (92 %) and intervention fidelity (21 out of 24) all meeting predetermined criteria. Both groups exhibited an increase in self-reported physical activity and improved physical function. Participants in the intervention group scored consistently better in psychosocial measures compared to the control group at follow-up. The health economic analysis confirmed the feasibility of the methodology employed and points to the potential cost-effectiveness of the MMH relative to the control or no organised programme.DISCUSSION AND IMPLICATIONS: The MMH intervention and study design were found to be feasible and acceptable with important findings to inform future evaluation of the clinical and cost-effectiveness of a definitive randomised controlled trial.
KW - Aged
KW - Aged, 80 and over
KW - Female
KW - Humans
KW - Male
KW - Cost-Benefit Analysis
KW - Dance Therapy/methods
KW - Dancing/psychology
KW - Exercise
KW - Feasibility Studies
KW - Healthy Aging/psychology
KW - Independent Living
KW - Ireland
KW - Music Therapy/methods
KW - Quality of Life
UR - http://www.scopus.com/inward/record.url?scp=85187557610&partnerID=8YFLogxK
U2 - 10.1016/j.archger.2024.105371
DO - 10.1016/j.archger.2024.105371
M3 - Article
C2 - 38471410
AN - SCOPUS:85187557610
SN - 0167-4943
VL - 122
SP - 105371
JO - Archives of Gerontology and Geriatrics
JF - Archives of Gerontology and Geriatrics
M1 - 105371
ER -