Smart Taiko-Drum Playing for Older Adults With Cognitive Frailty
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
- Study design:
- Randomized Control Trial
- Participants:
- Community-dwelling older adults with cognitive frailty
- Setting:
- Community centres for seniors
- 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.
- Waitlist-control group
- Will receive usual care
- 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
- Feasibility evaluation
-
recruitment
-
retention
-
satisfactory survey
-
compliance with the survey
-
safety
-
focus group intervention with participants
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Smart Taiko Drumming Group Smart Taiko Drumming |
Behavioral: Smart 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.
|
| No Intervention: Usual Care Waitlist Control Group Usual care |
Outcome Measures
Primary Outcome Measures
- 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?"
- 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).
Secondary Outcome Measures
- Safety concerns of the intervention [Through study completion, an average of 2 years.]
Any adverse events during the intervention period
- 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.
- 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.
- 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.
- 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.
- Frailty status [6 months]
FRAIL scale with the possible score range from 0 - 5. Higher score refers to higher frailty.
- 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.
Other Outcome Measures
- Heart rate [6 months]
Will be monitored for evaluating the intervention process
Eligibility Criteria
Criteria
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.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | School of Nursing, The Hong Kong Polytechnic University | Hong Kong | Hong Kong |
Sponsors and Collaborators
- The Hong Kong Polytechnic University
Investigators
- Principal Investigator: Daphne Sze Ki Cheung, PhD, The Hong Kong Polytechnic University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- P0046219