Community Choirs To Promote Healthy Aging; Community of Voices Chorus

NCT ID: NCT01869179

Last Updated: 2020-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

390 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-02-28

Study Completion Date

2018-08-01

Brief Summary

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The investigators will recruit 450 older adults and will utilize 12 Administration on Aging (AoA)-supported senior centers to implement a multisite, cluster randomized (by center), wait-list clinical trial. Centers will be randomized to receive the choir program immediately (intervention group) or after a 6-month delayed intervention phase (control group). The community choirs will be led by professional music directors. The investigators will assess both primary and secondary outcomes at baseline, 6 and 12 months, with the main intervention group comparison being at 6 months. The investigators will also evaluate the start-up and ongoing program costs for senior centers, including cost/person served and determine quality adjusted life years.

The hypotheses are:

1. Compared to delayed intervention controls, participation in a community choir program will be associated with improvements/maintenance on the primary outcomes of physical function (balance, walking speed, strength), depressive symptoms, and cognition (executive function and memory) at 6 months. The investigators also predict within-group improvements on these primary outcomes at 12 months.
2. Compared to delayed intervention controls, participation in a community choir program will be associated with improvements in the secondary outcomes of well-being (depressive symptoms, loneliness, resilience, social participation, health-related quality of life, shortness of breath, functional status, falls, and health services use) at 6 months. The investigators also predict within-group improvements on these secondary outcomes at 12 months.

Detailed Description

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Conditions

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Well Being

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Cluster-randomized controlled design
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Randomization assignment was not revealed to study personnel or study participants until after baseline assessments were completed for each pair of centers.

Study Groups

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Community of Voices choir program

Participants will receive the 12 month choir program as soon as possible after study enrollment.

Group Type EXPERIMENTAL

Community of Voices choir program

Intervention Type BEHAVIORAL

Attend weekly choir sessions for 12 months at the Senior Center. All choir sessions will include activities that focus on cognitive, psychosocial, and physical engagement components Choir sessions will last 90 minutes each with a 10 minute break. Take part in 3-4 informal choir concerts.

Wait-list control group

Waits six months, and at the end of the six months is offered the option of participating in the 12 month choir program.

Group Type EXPERIMENTAL

Community of Voices choir program

Intervention Type BEHAVIORAL

Attend weekly choir sessions for 12 months at the Senior Center. All choir sessions will include activities that focus on cognitive, psychosocial, and physical engagement components Choir sessions will last 90 minutes each with a 10 minute break. Take part in 3-4 informal choir concerts.

Wait-list control group

Intervention Type BEHAVIORAL

Interventions

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Community of Voices choir program

Attend weekly choir sessions for 12 months at the Senior Center. All choir sessions will include activities that focus on cognitive, psychosocial, and physical engagement components Choir sessions will last 90 minutes each with a 10 minute break. Take part in 3-4 informal choir concerts.

Intervention Type BEHAVIORAL

Wait-list control group

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 60 and older
* Living independently
* Have adequate visual and auditory acuity (with correction) to complete testing
* Speak English or Spanish (including both bilingual and monolingual Spanish speakers)

Exclusion Criteria

* A baseline diagnosis of dementia, determined by the screening tool or self-report of diagnosis
* Have an unstable or serious medical condition that would limit participation in the weekly choir sessions or assessments, including current (but not prior) severe psychiatric disorder
* Currently singing in a choir, within the last 6 months
* Plans to move out of the area within 12 months
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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San Francisco Community Music Center

UNKNOWN

Sponsor Role collaborator

Department of Aging and Adults Services San Francisco

UNKNOWN

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Julene K Johnson, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California, San Francisco

Locations

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UCSF Institute for Health & Aging

San Francisco, California, United States

Site Status

Countries

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United States

References

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Johnson JK, Napoles AM, Stewart AL, Max WB, Santoyo-Olsson J, Freyre R, Allison TA, Gregorich SE. Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults. BMC Public Health. 2015 Oct 13;15:1049. doi: 10.1186/s12889-015-2395-9.

Reference Type BACKGROUND
PMID: 26463176 (View on PubMed)

Johnson JK, Gregorich SE, Acree M, Napoles AM, Flatt JD, Pounds D, Pabst A, Stewart AL. Recruitment and baseline characteristics of the Community of Voices choir study to promote the health and well-being of diverse older adults. Contemp Clin Trials Commun. 2017 Dec;8:106-113. doi: 10.1016/j.conctc.2017.09.006. Epub 2017 Sep 17.

Reference Type RESULT
PMID: 29399643 (View on PubMed)

Johnson JK, Stewart AL, Acree M, Napoles AM, Flatt JD, Max WB, Gregorich SE. A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial. J Gerontol B Psychol Sci Soc Sci. 2020 Feb 14;75(3):549-559. doi: 10.1093/geronb/gby132.

Reference Type RESULT
PMID: 30412233 (View on PubMed)

Allison TA, Napoles AM, Johnson JK, Stewart AL, Rodriguez-Salazar M, Peringer J, Sherman S, Ortez-Alfaro J, Villero O, Portacolone E. Multi-cultural perspectives on group singing among diverse older adults. Geriatr Nurs. 2020 Nov-Dec;41(6):1006-1012. doi: 10.1016/j.gerinurse.2020.07.011. Epub 2020 Aug 8.

Reference Type DERIVED
PMID: 32778434 (View on PubMed)

Related Links

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https://cov.ucsf.edu/

Community of Voices trial website, including program manual

Other Identifiers

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R01AG042526

Identifier Type: NIH

Identifier Source: org_study_id

View Link

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