Dance programme for older adults with pre-frailty: A mixed-methods feasibility study

Abstract

The prevalence of older adults with frailty and pre-frailty is increasing with the rapidly ageing population in Singapore. This study aimed to evaluate the feasibility of a 12-week Dance-Up program and test its effects on the physical and psychosocial well-being of older adults with pre-frailty in the community setting in Singapore. A mixed-method approach was used. Pre-post assessments in physical and mobility functions, fear of falling, pain and goal achievements were statistically analysed to detect any changes. Participants’ attendance, drop-out rate, and perception of the program via semi-structured interviews were gathered post-intervention to determine its feasibility. Thirteen eligible participants (mean age: 78.7 years) with mild frailty (Clinical Frailty Scale scored 3 and 4) enrolled in the program and nine completed the 12-week intervention. The majority (n = 8) were female. The average attendance rate was 83 %. Only some assessment tools (e.g. Dynamic Gait Index, Goal Attainment Scale) were sensitive to detect changes pre-/post-intervention. Thematic analysis of the interviews revealed: 1) the acceptance of the program among participants; 2) both positive factors (e.g. self-belief of the importance of regular dance practice) and negative factors (e.g. functional limitations and other commitments) may have influenced the program's outcomes. Participants provided recommendations for future implementation. The Dance-up programme was well received by participants but requires fine-tuning and other assessment tools should be explored in future studies.