Cognitive Groove (Brought to You by GERAS DANCE)

Does Cognitive Groove (Brought to You by GERAS DANCE) Improve Physical Performance in Community-Dwelling Older Adults With Frailty: A Parallel Randomized Controlled Trial

The goal of this clinical trial is to determine the effect of a community-based rehabilitation intervention (Cognitive Groove, Brought to you by GERAS DANCE), compared to usual care, on clinical outcomes in community-dwelling older adults living with frailty. The main questions it aims to answer are:

1. In community-dwelling older adults living with frailty, is Cognitive Groove more effective than usual care in improving functional movement, physical performance and strength?
2. In community-dwelling older adults living with frailty is Cognitive Groove more effective than usual care in improving frailty status, fear of falling, balance confidence, mood, cognition, grip strength, activities of daily living, life space mobility, loneliness, and quality of life?
3. As a community-based rehabilitation intervention, is Cognitive Groove a cost-effective intervention embedded within the community for older adults living with frailty after 12-months?

Participants will participate in Cognitive Groove classes twice per week for 3 months or receive no intervention (usual care).

Inclusion Criteria:

• Community-dwelling aged ≥65 years
• At high risk for mobility disability/functional limitations as assessed by the FRAIL Scale ≥2
• Able to ambulate independently (25 m) with or without an assistive device
• Able to follow two-step instructions
• Medical clearance from referring clinician, or for self-referrals, medical clearance from family physician to safely participate in exercise
• Can arrange transportation to the YMCA up to 2 times per week

Exclusion Criteria:

• Unable to speak or understand English
• Current regular participation in a structured exercise program or receiving active physical therapy services
• Severe cardiac or pulmonary disease
• Unstable angina or heart failure
• Severe osteoarthritis (e.g., awaiting joint replacement)
• Parkinson's disease or other progressive neurological disorder
• Receiving palliative care
• Travel/commitments requiring missing more than two weeks