Trial Outcomes & Findings for Old SCHOOL Hip-Hop: Improve Alzheimer's Disease Knowledge (NCT NCT03284112)

NCT ID: NCT03284112

Last Updated: 2025-10-23

Results Overview

OSHH Program effectiveness of educating parents at 1-week post and 3-months post intervention using a 7-item scale: ASK-AD 7 (Assess Symptoms and Knowledge of Alzheimer's Disease - 7 Questions). Minimum value is 0 and maximum value is 7. Higher scores indicate greater number of questions answered correctly, indicating a better outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2244 participants

Primary outcome timeframe

Baseline (1 week up to 15 weeks prior to Intervention Day 1), 1-week post-intervention (1 week up to 13 weeks post-Intervention Day 3, but always before 3-month intervention), and 3-months post-intervention (10 to 24 weeks post-intervention Day 1)

Results posted on

2025-10-23

Participant Flow

NYC schools were recruited \& enrolled from September 9, 2018 through February 27, 2023. Once each school agreed to participate, parents \& students were recruited. Then each school was randomized into either Control or Intervention arm.

Unit of analysis: Schools

Participant milestones

Participant milestones
Measure
Control Students & Parents
School \& parent population without the Old SCHOOL Hip-Hop program, but with the My Plate program. My Plate: The program selected for the control arm, "My Plate," will address nutrition, physical activity, and obesity education. This program was selected because nutrition, physical activity, and wellness programs are now being incorporated into New York City public school curriculums as part of a legislative directive. Trained facilitators will conduct "My Plate" as an entry point for the USDA's My Plate nutrition program. Students will learn about My Plate across the 3-day one-hour-a-day program.
Intervention Students & Parents
School \& parent population with the Old SCHOOL Hip-Hop program. Old SCHOOL Hip-Hop: A school-based intervention called "Old S.C.H.O.O.L. Hip-Hop" (OSHH) or Seniors Can Have Optimal aging and Ongoing Longevity, to educate 4th and 5th grade students (ages 9-11y) about key dementia signs and symptoms, basic pathophysiology of Alzheimer disease, and the importance of early recognition, care-seeking behavior, and preventative measures (lifelong healthy lifestyle decisions). The intervention is delivered in a classroom or school auditorium setting, using an innovative, modular, multimedia program and home-based activities, to increase parental and family dementia literacy.
Overall Study
STARTED
1175 14
1069 14
Overall Study
Parents Started
401 14
382 14
Overall Study
Children Started
774 14
687 14
Overall Study
Parents Completed
344 14
349 14
Overall Study
Children Completed
741 14
665 14
Overall Study
COMPLETED
1085 14
1014 14
Overall Study
NOT COMPLETED
90 0
55 0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Students
n=774 Participants
School population without the Old SCHOOL Hip-Hop program, but with the My Plate program. My Plate: The program selected for the control arm, "My Plate," will address nutrition, physical activity, and obesity education. This program was selected because nutrition, physical activity, and wellness programs are now being incorporated into New York City public school curriculums as part of a legislative directive. Trained facilitators will conduct "My Plate" as an entry point for the USDA's My Plate nutrition program. Students will learn about My Plate across the 3-day one-hour-a-day program.
Intervention Students
n=687 Participants
School population with the Old SCHOOL Hip-Hop program. Old SCHOOL Hip-Hop: A school-based intervention called "Old S.C.H.O.O.L. Hip-Hop" (OSHH) or Seniors Can Have Optimal aging and Ongoing Longevity, to educate 4th and 5th grade students (ages 9-11y) about key dementia signs and symptoms, basic pathophysiology of Alzheimer disease, and the importance of early recognition, care-seeking behavior, and preventative measures (lifelong healthy lifestyle decisions). The intervention is delivered in a classroom or school auditorium setting, using an innovative, modular, multimedia program and home-based activities, to increase parental and family dementia literacy.
Control Parents
n=401 Participants
Parents of school population without the Old SCHOOL Hip-Hop program, but with the My Plate program. My Plate: The program selected for the control arm, "My Plate," will address nutrition, physical activity, and obesity education. This program was selected because nutrition, physical activity, and wellness programs are now being incorporated into New York City public school curriculums as part of a legislative directive. Trained facilitators will conduct "My Plate" as an entry point for the USDA's My Plate nutrition program. Students will learn about My Plate across the 3-day one-hour-a-day program.
Intervention Parents
n=382 Participants
Parents of school population with the Old SCHOOL Hip-Hop program. Old SCHOOL Hip-Hop: A school-based intervention called "Old S.C.H.O.O.L. Hip-Hop" (OSHH) or Seniors Can Have Optimal aging and Ongoing Longevity, to educate 4th and 5th grade students (ages 9-11y) about key dementia signs and symptoms, basic pathophysiology of Alzheimer disease, and the importance of early recognition, care-seeking behavior, and preventative measures (lifelong healthy lifestyle decisions). The intervention is delivered in a classroom or school auditorium setting, using an innovative, modular, multimedia program and home-based activities, to increase parental and familv dementia literacy.
Total
n=2244 Participants
Total of all reporting groups
Age, Customized
<18 years
774 Participants
n=774 Participants
687 Participants
n=687 Participants
0 Participants
n=401 Participants
0 Participants
n=382 Participants
1461 Participants
n=2244 Participants
Age, Customized
18-64 years
0 Participants
n=774 Participants
0 Participants
n=687 Participants
387 Participants
n=401 Participants
369 Participants
n=382 Participants
756 Participants
n=2244 Participants
Age, Customized
>=65 years
0 Participants
n=774 Participants
0 Participants
n=687 Participants
4 Participants
n=401 Participants
6 Participants
n=382 Participants
10 Participants
n=2244 Participants
Age, Customized
Unknown/Not Reported
0 Participants
n=774 Participants
0 Participants
n=687 Participants
10 Participants
n=401 Participants
7 Participants
n=382 Participants
17 Participants
n=2244 Participants
Sex/Gender, Customized
Female
362 Participants
n=774 Participants
374 Participants
n=687 Participants
354 Participants
n=401 Participants
325 Participants
n=382 Participants
1415 Participants
n=2244 Participants
Sex/Gender, Customized
Male
334 Participants
n=774 Participants
274 Participants
n=687 Participants
42 Participants
n=401 Participants
47 Participants
n=382 Participants
697 Participants
n=2244 Participants
Sex/Gender, Customized
Unknown/Not Reported
78 Participants
n=774 Participants
39 Participants
n=687 Participants
5 Participants
n=401 Participants
10 Participants
n=382 Participants
132 Participants
n=2244 Participants
Race/Ethnicity, Customized
Asian
17 Participants
n=774 Participants
9 Participants
n=687 Participants
19 Participants
n=401 Participants
9 Participants
n=382 Participants
54 Participants
n=2244 Participants
Race/Ethnicity, Customized
Native Hawaiian or Other Pacific Islander
3 Participants
n=774 Participants
0 Participants
n=687 Participants
3 Participants
n=401 Participants
0 Participants
n=382 Participants
6 Participants
n=2244 Participants
Race/Ethnicity, Customized
Black or African American
158 Participants
n=774 Participants
214 Participants
n=687 Participants
209 Participants
n=401 Participants
232 Participants
n=382 Participants
813 Participants
n=2244 Participants
Race/Ethnicity, Customized
White
52 Participants
n=774 Participants
38 Participants
n=687 Participants
54 Participants
n=401 Participants
43 Participants
n=382 Participants
187 Participants
n=2244 Participants
Race/Ethnicity, Customized
Unknown/Not Reported (Other)
544 Participants
n=774 Participants
426 Participants
n=687 Participants
116 Participants
n=401 Participants
98 Participants
n=382 Participants
1184 Participants
n=2244 Participants
Race/Ethnicity, Customized
Hispanic
106 Participants
n=774 Participants
87 Participants
n=687 Participants
118 Participants
n=401 Participants
97 Participants
n=382 Participants
408 Participants
n=2244 Participants
Race/Ethnicity, Customized
Not Hispanic
218 Participants
n=774 Participants
245 Participants
n=687 Participants
268 Participants
n=401 Participants
267 Participants
n=382 Participants
998 Participants
n=2244 Participants
Race/Ethnicity, Customized
Unknown
450 Participants
n=774 Participants
355 Participants
n=687 Participants
15 Participants
n=401 Participants
18 Participants
n=382 Participants
838 Participants
n=2244 Participants
Region of Enrollment
United States
774 Participants
n=774 Participants
687 Participants
n=687 Participants
401 Participants
n=401 Participants
382 Participants
n=382 Participants
2244 Participants
n=2244 Participants
Baseline Alzheimer's Disease Knowledge Using ASK-AD 7
Students Pre-Test: Immediately Before Intervention
2.98 units on a scale
STANDARD_DEVIATION 1.93 • n=774 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.
2.75 units on a scale
STANDARD_DEVIATION 1.97 • n=687 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.
2.87 units on a scale
STANDARD_DEVIATION 1.95 • n=1461 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.
Baseline Alzheimer's Disease Knowledge Using ASK-AD 7
Parents Pre-Test: Before Intervention
5.13 units on a scale
STANDARD_DEVIATION 1.77 • n=401 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.
5.24 units on a scale
STANDARD_DEVIATION 1.70 • n=382 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.
5.18 units on a scale
STANDARD_DEVIATION 1.74 • n=783 Participants • Each row indicates parents \& students which were treated as two separate groups. The number of parents + number of students who completed a baseline measure = overall population.

PRIMARY outcome

Timeframe: Baseline (1 week up to 15 weeks prior to Intervention Day 1), 1-week post-intervention (1 week up to 13 weeks post-Intervention Day 3, but always before 3-month intervention), and 3-months post-intervention (10 to 24 weeks post-intervention Day 1)

Population: Parents whose children participated in either Control Arm (MyPlate Program) or Intervention Arm (Old School Hip Hop Program) and who consented to participate in the survey.

OSHH Program effectiveness of educating parents at 1-week post and 3-months post intervention using a 7-item scale: ASK-AD 7 (Assess Symptoms and Knowledge of Alzheimer's Disease - 7 Questions). Minimum value is 0 and maximum value is 7. Higher scores indicate greater number of questions answered correctly, indicating a better outcome.

Outcome measures

Outcome measures
Measure
Control
n=401 Participants
School population without the Old SCHOOL Hip-Hop program, but with the My Plate program. My Plate: The program selected for the control arm, "My Plate," will address nutrition, physical activity, and obesity education. This program was selected because nutrition, physical activity, and wellness programs are now being incorporated into New York City public school curriculums as part of a legislative directive. Trained facilitators will conduct "My Plate" as an entry point for the USDA's My Plate nutrition program. Students will learn about My Plate across the 3-day one-hour-a-day program.
Intervention
n=382 Participants
School population with the Old SCHOOL Hip-Hop program. Old SCHOOL Hip-Hop: A school-based intervention called "Old S.C.H.O.O.L. Hip-Hop" (OSHH) or Seniors Can Have Optimal aging and Ongoing Longevity, to educate 4th and 5th grade students (ages 9-11y) about key dementia signs and symptoms, basic pathophysiology of Alzheimer disease, and the importance of early recognition, care-seeking behavior, and preventative measures (lifelong healthy lifestyle decisions). The intervention is delivered in a classroom or school auditorium setting, using an innovative, modular, multimedia program and home-based activities, to increase parental and family dementia literacy.
OSHH Program Effectiveness of Educating Parents at 1-week and 3-months After the Intervention Using ASK-AD 7
Pre-Test (1 week prior to intervention)
5.14 score on a scale
Standard Error 0.09
5.28 score on a scale
Standard Error 0.08
OSHH Program Effectiveness of Educating Parents at 1-week and 3-months After the Intervention Using ASK-AD 7
Post-Test (1-week post intervention)
5.41 score on a scale
Standard Error 0.08
5.62 score on a scale
Standard Error 0.07
OSHH Program Effectiveness of Educating Parents at 1-week and 3-months After the Intervention Using ASK-AD 7
Delayed Post-Test (3-months post intervention)
5.68 score on a scale
Standard Error 0.09
5.95 score on a scale
Standard Error 0.09

SECONDARY outcome

Timeframe: Immediately before intervention began (On Day 1 of programming), Immediately post intervention (Day 3 of programming), 3-months post intervention (6 up to 20 weeks post Day 1 of programming)

Population: Students randomized into either Control Arm (My Plate program) or Intervention Arm (Old School Hip Hop program)

OSHH Program effectiveness of educating students immediately-post and 3-months post the intervention using a 7-item scale: ASK-AD 7 (Assess Symptoms and Knowledge of Alzheimer's Disease - 7 Questions). Minimum value is 0 and maximum value is 7. Higher scores indicate greater number of questions answered correctly, indicating a better outcome.

Outcome measures

Outcome measures
Measure
Control
n=774 Participants
School population without the Old SCHOOL Hip-Hop program, but with the My Plate program. My Plate: The program selected for the control arm, "My Plate," will address nutrition, physical activity, and obesity education. This program was selected because nutrition, physical activity, and wellness programs are now being incorporated into New York City public school curriculums as part of a legislative directive. Trained facilitators will conduct "My Plate" as an entry point for the USDA's My Plate nutrition program. Students will learn about My Plate across the 3-day one-hour-a-day program.
Intervention
n=687 Participants
School population with the Old SCHOOL Hip-Hop program. Old SCHOOL Hip-Hop: A school-based intervention called "Old S.C.H.O.O.L. Hip-Hop" (OSHH) or Seniors Can Have Optimal aging and Ongoing Longevity, to educate 4th and 5th grade students (ages 9-11y) about key dementia signs and symptoms, basic pathophysiology of Alzheimer disease, and the importance of early recognition, care-seeking behavior, and preventative measures (lifelong healthy lifestyle decisions). The intervention is delivered in a classroom or school auditorium setting, using an innovative, modular, multimedia program and home-based activities, to increase parental and family dementia literacy.
OSHH Program Effectiveness of Educating Students at Immediate-post and 3-months Post the Intervention Using ASK-AD 7
Pre-test (Immediately Before Intervention)
3.13 score on a scale
Standard Error 0.18
3.36 score on a scale
Standard Error 0.18
OSHH Program Effectiveness of Educating Students at Immediate-post and 3-months Post the Intervention Using ASK-AD 7
Post-Test (Immediately Post Intervention)
3.67 score on a scale
Standard Error 0.17
5.02 score on a scale
Standard Error 0.17
OSHH Program Effectiveness of Educating Students at Immediate-post and 3-months Post the Intervention Using ASK-AD 7
Delayed Post-Test (3-months post intervention)
4.21 score on a scale
Standard Error 0.18
6.69 score on a scale
Standard Error 0.18

Adverse Events

Control Students

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Students

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Parents

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Parents

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. James M. Noble

Columbia University

Phone: 212-342-4126

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place