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| ID | Type | Description | Link |
|---|---|---|---|
| R61AG084479 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
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The goal of this clinical trial is to test the benefits of beat-accented music stimulation (BMS) for behavioral changes of physical activity (PA) in older adults. Specific Aims are to determine (1) whether BMS beneficially influences PA behaviors and psychological responses to PA in older adults for 6 months, and (2) whether exercising with BMS differently influences physical and cognitive functioning as well as quality of life in older adults.
To test the effects of BMS on PA, participants will be randomly assigned to an exercise intervention that either includes BMS or does not include BMS. Participants will attend a supervised group strength training (ST) (30 min/day) and aerobic exercise (AE) (30-50 min/day) session for 3 days/week for the first 2 months, 1 day/week for the next 2 months (while encouraging participants to independently perform both AE and ST on other days), and independently for the final 2 months (always with a goal of performing >150min/week AE and 3 days/week of ST for 30 min/day.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise and music stimulation | Experimental | Participants are given an aerobic and strength training program with faded supervision across 6 months. For aerobic exercise (AE), participants will be instructed to walk at moderate intensity with duration increasing up to an ultimate goal of 150 min/week. Participants will be trained to walk in synchrony with the beats of their personalized playlists. The strength training (ST) incorporates single-leg exercises for balance training and training with resistance bands and body weight. During the ST, participants will be asked to synchronize their concentric and eccentric muscle contractions in time with the tempo of BMS playlists at a specific beats-per-minute rhythm. |
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| Exercise only | Active Comparator | Participants are given an aerobic and strength training program with faded supervision across 6 months. The ST incorporates single-leg exercises for balance training and training with resistance bands and body weight. For aerobic exercise (AE), participants will be instructed to walk at moderate intensity with duration increasing up to an ultimate goal of 150 min/week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Music | Behavioral | Individualized play lists of music with the beats accentuated will be developed at a range of cadences. The music intervention is such that during strength training participants will be asked to sync their concentric and eccentric muscle contractions in time with the tempo of playlists. For aerobic exercise (AE), the tempo of playlists will be adjusted to match individual walking cadence for participants to be trained to walk in sync with the beats of the playlists. |
| Measure | Description | Time Frame |
|---|---|---|
| Physical activity (objective) | Physical activity behavior assessed using accelerometry | Accelerometers will be worn for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Affective response to PA | Captures the shift in core affective valence (feeling good vs bad) from pre-PA to during-PA. | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Perceived autonomy | Assesses participant's perceived autonomy over exercise behavior. | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Perceived exertion | Assesses participant's perceived exertion during PA. | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Behavioral intention | Assesses degree to which participant intends to engage in PA. | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Physical Activity setting | Assessed the physical and social setting in which a participant engages in physical activity. | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Anticipated, remembered, and incidental affect |
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive performance - General | Assessed using the Montreal Cognitive Assessment. Scores range from 0-30 with a higher score indicative of a better outcome. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - Tower of London |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jennifer L Etnier, PhD | University of North Carolina, Greensboro | Principal Investigator |
| Kyoungshin Park, PhD | Emory University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Emory University | Atlanta | Georgia | 30324 | United States | ||
| University of North Carolina at Greensboro |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36760458 | Background | Park KS, Williams DM, Etnier JL. Exploring the use of music to promote physical activity: From the viewpoint of psychological hedonism. Front Psychol. 2023 Jan 25;14:1021825. doi: 10.3389/fpsyg.2023.1021825. eCollection 2023. |
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| ID | Term |
|---|---|
| D009147 | Music Therapy |
| D015444 | Exercise |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Exercise | Behavioral | The ST incorporates single-leg exercises for balance training and training with resistance bands and body weight. For aerobic exercise (AE), participants will be instructed to walk at moderate intensity with duration increasing up to an ultimate goal of 150 min/week. |
|
Will assess how participant expects to feel after engaging in PA, how participant remembers feeling after engaging in PA, and how participant currently feels. |
| Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Ecological Momentary Assessment (EMA): Social Support for Exercise | Measures with whom a person is exercising | Will be collected using EMA for 4 days at baseline and months 1, 2, 3, 4, 5, and 6. |
| Physical activity (self-report) | Aerobic exercise and strength training self-reported | Will be reported daily from the first day of the intervention to the last day of the intervention (6 months) |
Assessed using the Tower of London test. Both accuracy and reaction time are recorded with higher scores for accuracy and lower scores for reaction time indicative of a better outcome. |
| At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - NIH Toolbox Oral Reading Recognition Test | Assessed using the NIH Toolbox Oral Reading Recognition Test | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - NIH Toolbox List Sort Working Memory Test | Assessed using the NIH Toolbox List Sort Working Memory Test | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - NIH Toolbox Picture Sequence Test | Assessed using the NIH Toolbox Picture Sequence Test | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - NIH Toolbox Dimensional Change Card Sort Test | Assessed using the NIH Toolbox Dimensional Change Card Sort Test | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - NIH Toolbox Flanker Inhibitory Control and Attention Test | Assessed using the NIH Toolbox Flanker Inhibitory Control and Attention Test | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - Mnemonic Similarity Task | Assessed using the Mnemonic Similarities Task | At pre-test and following study completion (approximately 6 months after pre-test) |
| Cognitive performance - Perceptual Discrimination Task | Assessed using the Perceptual Discrimination Task | At pre-test and following study completion (approximately 6 months after pre-test) |
| Health Related Quality of Life | Assessed using the RAND 36-Item Short-Form Health Survey with scores ranging from 0-100 and a higher score being indicative of a better outcome. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Physical activity (subjective) | Physical activity behavior is assessed using the Physical Activity and Sedentary Behavior Questionnaire (PASB-Q) which includes open-ended questions to assess frequency of physical activity and multiple choice questions to assess perceived fitness and sedentary behaviors. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Music Reward Experience | Music Reward Experience will be assessed using the Barcelona Music Reward Questionnaire (BMRQ) which uses a 5-point Likert scale. Responses are converted to z-scores which are then combined into factor scores and converted into T-scores ranging from 0-100 with a higher score meaning a more positive experience. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Treatment Satisfaction | Treatment Satisfaction will be assessed using the Client Satisfaction Questionnaire (CSQ-8) with scores ranging from 8-32 and a higher score being indicative of a better outcome. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Body Mass Index | Body mass index will be assessed as a ratio of weight to height with measurements taken in the lab setting. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Waist/Hip/Leg Circumference | Waist/Hip/Leg Circumference will be assessed using a measuring tape. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Sagittal Diameter | Sagittal Diameter will be assessed using a measuring tape. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Blood Pressure | Systolic and diastolic blood pressure will be assessed using an automated blood pressure cuff. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Handgrip Strength | Handgrip Strength will be assessed using a goniometer. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Timed Up and Go (TUG) | Timed Up and Go (TUG) will be assessed using standard instructions asking participants to stand up from a seated position, to walk 3-meters, turn around, return 3-meters, turn around, and sit back down. Performance is the time needed to complete the task. | At pre-test and following study completion (approximately 6 months after pre-test) |
| 10-Meter Walk | 10-Meter Walk will be assessed with a stop watch over a clearly marked 10-meter distance. | At pre-test and following study completion (approximately 6 months after pre-test) |
| 4-Stage Balance Test | 4-Stage Balance Test will be assessed using standard directions. Duration of the ability to stand in 4 different poses with eyes open and without changing posture. | At pre-test and following study completion (approximately 6 months after pre-test) |
| 6-Minute Walk Test (6MWT) | 6-Minute Walk Test (6MWT) will be assessed as the distance travelled in 6-minutes around a clearly marked space in a gymnasium. | At pre-test and following study completion (approximately 6 months after pre-test) |
| 30-second Chair Stand | The number of sit-to-stand maneuvers that can be completed within 30 seconds. | At pre-test and following study completion (approximately 6 months after pre-test) |
| Greensboro |
| North Carolina |
| 27402-6170 |
| United States |
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |