DanceFit Prime: A Dance Based Physical Activity and Nutritional Intervention for Primary Care - A Feasibility Study "DanceFit"

Completed

Phase N/A Results N/A

Trial Description

Regular physical activity improves physical and mental health and reduces the risk of heart disease, stroke, cancer, diabetes, obesity and premature death from any cause. Unfortunately the majority of adults are not active enough to reap these benefits. People who are inactive and at high risk of stroke, heart disease, diabetes and dementia, and who may benefit from increased activity can be identified in primary care by combining standard risk tools. These high risk patients can be offered physical activity programmes that are designed to increase longterm adherence. Aerobic dance is an activity that combines physical, social and cognitive stimulation and allows easily adjusted intensity levels to meet individual needs. Engagement in an activity program also provides opportunities to offer advice on healthy nutrition and associated meal preparation skills. Information technology can be used to increase activity participation. Video materials can be produced to guide activity participation at home, thereby increasing overall activity participation. The investigators propose a feasibility study of a multimodal dance-based physical activity and nutrition intervention aimed at patients at high risk of stroke, heart disease, diabetes and dementia, in primary care settings.

Detailed Description

Regular physical activity improves physical and mental health and reduces the risk of heart disease, stroke, cancer, diabetes, dementia, obesity and premature death from any cause (Department of Health & Prevention., 2004). Unfortunately the majority of adults are not active enough to reap these benefits (Chaudhury & Roth, 2006). Specific psychological techniques can be used to overcome the known barriers to increased activity. People who are inactive can be identified in primary care through the use of standard risk tools. Similarly, standard risk tools can identify people at high risk of stroke, heart disease and diabetes, and people at risk from dementia are identified by a diagnosis of mild cognitive impairment. Combining these clinical indicators can identify people who are inactive and at highest risk who may therefore benefit most from activity interventions. These high risk patients can be offered physical activity programmes that are designed to increase longterm adherence. Aerobic dance is an activity that combines physical, social and cognitive stimulation and allows easily adjusted intensity levels to meet individual needs. Engagement in an activity program also provides opportunities to offer advice on healthy nutrition and associated meal preparation skills. Information technology can be used to increase activity participation. Video materials can be produced to guide activity participation at home, thereby increasing overall activity participation.
TRIAL DESIGN The investigators plan a longitudinal study where participants will be followed up for a total of 24 weeks. Outcome measures will be collected at three time points that separates two phases. Phase 1 consists of the group based weekly intervention plus access to online material and Phase 2 consists of only access to the online material. The time points are: baseline (Time 0), 12 weeks post intervention (Time 1) and 24 weeks post intervention (Time 2). Outcomes measured at time 1 will be used to determine the effects of Phase 1 immediately following participation, and measure at 24 weeks (Time 2) to determine the outcomes 12 weeks after the end of the group based intervention intervention and therefore the longer term effects with support from online material only. Participants will therefore serve as their own controls during Phase 2 for comparison with Phase 1. In other words the investigators will compare the results for each participant following Phase 1 with their results following Phase 2 to determine the effects of removing the group facilitation.

Conditions

Interventions

  • Facilitated group-based aerobic dance-based physical activity Behavioral
    Intervention Desc: Physical activity facilitated by instructor
    ARM 1: Kind: Experimental
    Label: Phase 1
    Description: Facilitated group-based physical activity (aerobic dance), online physical activity (video based aerobic dance) and nutritional intervention (nutritional education, cooking skill training, access and use of NHS Change4Life Eat Well web resource).
  • Online, video prompted, individual aerobic dance based activity Behavioral
    Intervention Desc: Supported online activity intervention
    ARM 1: Kind: Experimental
    Label: Phase 1
    Description: Facilitated group-based physical activity (aerobic dance), online physical activity (video based aerobic dance) and nutritional intervention (nutritional education, cooking skill training, access and use of NHS Change4Life Eat Well web resource).
  • Facilitated group-based nutritional intervention Behavioral
    Intervention Desc: Education, skill training, access and use of NHS Change4Life Eat Well web resource
    ARM 1: Kind: Experimental
    Label: Phase 1
    Description: Facilitated group-based physical activity (aerobic dance), online physical activity (video based aerobic dance) and nutritional intervention (nutritional education, cooking skill training, access and use of NHS Change4Life Eat Well web resource).
  • Self-paced online aerobic dance activity Behavioral
    Intervention Desc: Self paced physical activity
    ARM 1: Kind: Experimental
    Label: Phase 2
    Description: Self-paced online physical activity (video based aerobic dance) intervention and use of NHS Change4Life Eat Well web resource.
  • Individual self-paced nutritional intervention Behavioral
    Intervention Desc: Individual use of online nutritional advice resources.
    ARM 1: Kind: Experimental
    Label: Phase 2
    Description: Self-paced online physical activity (video based aerobic dance) intervention and use of NHS Change4Life Eat Well web resource.
  • Facilitated group-based aerobic dance Behavioral
    Intervention Desc: Physical activity facilitated by instructor
    ARM 1: Kind: Experimental
    Label: Phase 1
    Description: Facilitated group-based physical activity (aerobic dance), online physical activity (video based aerobic dance) and nutritional intervention (nutritional education, cooking skill training, access and use of NHS Change4Life Eat Well web resource).
  • Online, video prompted, individual aerobic dance Behavioral
    Intervention Desc: Supported online activity intervention
    ARM 1: Kind: Experimental
    Label: Phase 1
    Description: Facilitated group-based physical activity (aerobic dance), online physical activity (video based aerobic dance) and nutritional intervention (nutritional education, cooking skill training, access and use of NHS Change4Life Eat Well web resource).

Trial Design

  • Allocation: Non-Randomized
  • Masking: Open Label
  • Purpose: Prevention
  • Intervention: Single Group Assignment

Outcomes

Type Measure Time Frame Safety Issue
Primary Recruitment and retention rates 24 weeks No
Primary Activity adherence rates 24 weeks No
Secondary Level of physical activity participation 24 weeks No
Secondary 10 year risk of cardiac or cerebral ischaemic event 24 weeks No
Secondary 10 year risk of developing diabetes mellitus 24 weeks No

Sponsors