Trial Outcomes & Findings for danceSing Care Evaluation: Testing the Feasibility (NCT NCT05559203)

NCT ID: NCT05559203

Last Updated: 2025-08-03

Results Overview

The activity coordinators will fill in participants' adherence after each session. The completed files will be sent through to the investigators. Individual participants' adherence is calculated as the number of sessions they individually attended out of the possible number of sessions available to them in their care home. This is reported as the percentage of attended sessions per person per care home out of those delivered averaged per care home then aggregated across all care homes.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 47 participants
• Primary outcome timeframe: Will be evaluated after completion of the 12-week intervention period
• Results posted on: 2025-08-03

Participant Flow

2 did not meet eligibility criteria resulting in 47 participants enrolled across 10 care homes

did not meet age inclusion criterion

Unit of analysis: care homes

Participant milestones

Measure	Single Arm Trial - Intervention Group n = 47 Participants Were Allocated the Intervention Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.
Overall Study STARTED	47 10
Overall Study Completed Intervention	47 10
Overall Study COMPLETED	33 7
Overall Study NOT COMPLETED	14 3

Reasons for withdrawal

Measure

Single Arm Trial - Intervention Group n = 47 Participants Were Allocated the Intervention Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Overall Study Intervention not implemented at their care home due to insufficient staff

14

Baseline Characteristics

danceSing Care Evaluation: Testing the Feasibility

Baseline characteristics by cohort

Measure	Intervention Group n = 47 Allocated n=33 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.
Age, Categorical <=18 years	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	0 Participants n=5 Participants
Age, Categorical >=65 years	33 Participants n=5 Participants
Sex: Female, Male Female	28 Participants n=5 Participants
Sex: Female, Male Male	5 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	0 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	32 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	1 Participants n=5 Participants
Region of Enrollment United Kingdom	33 participants n=5 Participants

PRIMARY outcome

Timeframe: Will be evaluated after completion of the 12-week intervention period

Population: calculates the number of sessions attended on average out of the possible maximum number of sessions delivered

The activity coordinators will fill in participants' adherence after each session. The completed files will be sent through to the investigators. Individual participants' adherence is calculated as the number of sessions they individually attended out of the possible number of sessions available to them in their care home. This is reported as the percentage of attended sessions per person per care home out of those delivered averaged per care home then aggregated across all care homes.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=193 Delivered Sessions Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Participants' Programme Adherence as % Sessions Attended Out of the Possible Maximum Number of Sessions Delivered Per Care Home Aggregated as % Across All Care Homes.

116 Delivered Sessions

PRIMARY outcome

Timeframe: Will be evaluated after completion after the completion of the 12-week intervention period

Population: Adherence across all carehomes allocated to the intervention, 7 delivered the intervention. Number of sessions delivered out of the recommended 48, then averaged across all 7 care homes.

The activity coordinators will fill in participants' adherence after each session. The completed files will be sent through to the investigators.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=336 Delivered Sessions Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Number of Sessions Delivered, Assessed by Attendance Files

193 Delivered Sessions

PRIMARY outcome

Timeframe: 1 month after completion after the completion of the 12-week intervention period

Population: Five core themes emerged from 2 focus groups with 5 activity coordinators (care staff) across 2 focus groups. Exemplar quotes are given in the publication from this study.

Investigators will conduct focus groups with the activity coordinators to assess acceptability of the intervention. Guide questions included:

Did you enjoy using the danceSing Care online activities? Did you manage to take part in the 3+1 sessions a week? If not, why? Would you say duration of sessions was appropriate? Did you complete most of sessions or have to stop at any point? What did you like about the DSC activities? Was there anything you did not like? If you could change something about this programme to make it work effectively here, what would you change and why? Why did you take part? What made you continue to take part? What do you consider the outcomes of this program to have been for you? Would you like to carry on engaging in the DSC activities? Why/why not? Do you feel part of the DSC family/champions? Has engaging in the DSC activities brought you closer to other residents and staff?

Outcome measures

Measure	Intervention Group n = 47 Allocated n=5 qualitative themes Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Adherence - participation and class size	1 qualitative themes
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Delivery challenges with intervention	1 qualitative themes
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Intervention Effects	1 qualitative themes
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Modifications	1 qualitative themes
Acceptability of the Intervention Assessed by Focus Groups - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Future Refinements	1 qualitative themes

PRIMARY outcome

Timeframe: 1 month after completion after the completion of the 12-week intervention period

Population: 4 residents in 4 semi-structured interviews. Exemplar quotes are in the publication of the study.

Investigators will conduct focus groups/interviews with residents to assess acceptability of the intervention. Guide questions included:

Did you enjoy using the danceSing Care online activities? Did you manage to take part in the 3+1 sessions a week? If not, why? Would you say duration of sessions was appropriate? Did you complete most of sessions or have to stop at any point? What did you like about the DSC activities? Was there anything you did not like? If you could change something about this programme to make it work effectively here, what would you change and why? Why did you take part? What made you continue to take part? What do you consider the outcomes of this program to have been for you? Would you like to carry on engaging in the DSC activities? Why/why not? Do you feel part of the DSC family/champions? Has engaging in the DSC activities brought you closer to other residents and staff?

Outcome measures

Measure	Intervention Group n = 47 Allocated n=5 qualitative themes Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Adherence	1 qualitative themes
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Delivery challenges - Motivation and engagement	1 qualitative themes
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Modifications	1 qualitative themes
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Intervention Effects	1 qualitative themes
Acceptability of the Intervention Assessed by Interviews - Semi-structured Questions Covering Subjective Views on Enjoyment, Motivation, Duration, Content Etc. Future Implementation	1 qualitative themes

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: Only 18 participants retained capacity to continue to consent and capacity to complete follow-up measures. Outcomes are mean difference from baseline to post-intervention.

It is a 16 item questionnaire, useful to the researchers and clinicians interested in fear of falling, with a score ranging from minimum 16 (no concern about falling) to maximum 64 (severe concern about falling).

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Fear of Falling Between Baseline and Within One Month of Completing the Intervention Using the Falls Efficacy Scale - International (Short Form)(FES-I)

-.556 units on a scale Interval -4.199 to 3.088

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure.

Change in participant's Activities of daily living and health-related quality of life from baseline to within one month of the completion of the intervention using The Dartmouth COOP which has 5-point Likert-type scaling, with descriptors and cartoon illustrations of levels 1 through 5. Rating of "1" = no impairment, "5" = most impaired.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Activities of Daily Living and Health-related Quality of Life From Baseline to Within One Month of the Completion of the Intervention Using The Dartmouth COOP Charts

1.167 units on a scale Interval -0.664 to 2.998

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure between their TOTAL score at baseline and post-intervention.

The EQ-5D-3L descriptive system comprises the following five questions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each question has a 3-point scale for rating it: no problems, some problems, and extreme problems (1-3). The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results into a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions are then combined to describe the patient's health state, with a higher TOTAL score describing a worse outcome. The range for total score is 5-15.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Activities of Daily Living and Health-related Quality of Life From Baseline to Within One Month of Completing the Intervention Using EQ-5D-3L

.278 units on a scale Interval -0.714 to 1.27

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure. For anxiety and depression separately.

The HADS questionnaire has seven items each for depression and anxiety subscales. Scoring for each item ranges from zero to three, with three denoting highest anxiety or depression level. A total subscale score of >8 points out of a possible 21 denotes considerable symptoms of anxiety or depression. No total score is reported. Anxiety and Depression sub-scale totals are calculated separately by summing responses to the applicable 7 items each. The range for each sub-scale is 0-21. A higher score indicates a worse outcome.

Outcome measures

Measure	Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.
Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Hospital Anxiety and Depression Scale (HADS) Anxiety	2.111 units on a scale Interval 0.373 to 3.85
Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Hospital Anxiety and Depression Scale (HADS) Depression	3.0 units on a scale Interval 1.303 to 4.697

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure.

Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Perceived Stress Scale (PSS)

4.167 units on a scale Interval 0.318 to 8.016

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure.

Using a 4-point rating scale (1= never; 4 = always), participants answer 6 questions, such as "How often do you feel left out?" and "How often do you feel part of a group of friends?". The Brief UCLA Loneliness scale is summed across items to give one total score. The range for total score is 6-24. A higher score indicates worse loneliness, i.e. a worse outcome.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Psychosocial Wellbeing From Baseline to Within One Month of Completing the Intervention Using the Brief UCLA Loneliness Scale (ULS-6)

1.667 units on a scale Interval 0.067 to 3.267

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure.

9-item questionnaire (scoring 1 not satisfied to 4 very satisfied) to assesses the general population's sleep satisfaction. The SST scale is summed across items to give one total score. The range for total score is 9-36.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Sleep Satisfaction From Baseline to Within One Month of Completing the Intervention Using the National Sleep Foundation's Sleep Satisfaction Tool (SST)

-6.667 units on a scale Interval -9.174 to -4.159

SECONDARY outcome

Timeframe: Baseline and within 1 month of completion of the 12-week intervention period

Population: 18 with pre- and post-intervention data. Mean difference measure.

This is used for limited frailty testing, a self-assessment nutritional screening tool that predicts weight loss, scoring 1 (very poor) to 4 (very good) on appetite-related topics.

Outcome measures

Measure

Intervention Group n = 47 Allocated n=18 Participants Digital music and movement resources. danceSing Care: The programme was a digital movement and music programme with resources from danceSing Care (https://dancesingcare.uk/) and consisted of three movement sessions and one music session each week, the recommended dose agreed between danceSing Care and the Advisory group, each lasting about 20 minutes. Also, the danceSing care resources were designed to suit older adults with physical and cognitive impairments (residents with mobility aids and/or dementia). Movement sessions included chair and standing fitness, which started with a warm-up and finished with stretching exercises. Sessions were managed and supervised by care home activity coordinators.

Change in Participant's Appetite From Baseline to Within One Month of Completing the Intervention Using the Simplified Nutritional Appetite Questionnaire (SNAQ)

.167 units on a scale Interval -1.078 to 1.411

Adverse Events

Intervention Group n = 47 Allocated

Serious events: 0 serious events

Other events: 0 other events

Deaths: 3 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Prof Anna C. Whittaker

University of Stirling

Phone: 0178646

Email: a.c.whittaker@stir.ac.uk

Results disclosure agreements

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