A Music-with-movement Exercise Program for Community-dwelling Older Adults Suffering From Chronic Pain: a Pilot Randomized Controlled Trial

Background: The high prevalence of chronic pain in community-dwelling older adults requires attention from nurses. The aim of the present study is to use a music-with-movement exercise program to improve the pain situations of older adults with chronic pain.

Aims and objectives:

The aim of this study is to implement a music-with-movement exercise program (MMEP) for older adults suffering from chronic pain.

The objectives of this study are:

• To evaluate the effects of a music-with-movement exercise program on improving the pain intensity, pain self-efficacy, mood, and quality of life of the older adults with chronic pain
• To observe the participants' level of adherence to the music-with-movement exercise by using an exercise logbook and measurements of heart rate

Anticipated outcomes: This study will be a pilot randomized controlled trial. An 8-week music-with-movement exercise program will be used as the intervention for older adults with chronic pain in District Elderly Centers in Hong Kong. It will consist of four sessions of center-based, face-to-face activities and four weeks home-based and digital-based activities delivered through a WhatsApp group. A music therapist, in consultation with the physiotherapist, will lead the center-based activities. Each center-based session will consist of 30 minutes of music-with-movement exercise and 10 minutes of instruction on pain knowledge and pain management. Each participant will receive an exercise logbook to practice and record the frequency of their engagement in the music-with-movement exercise at home. They will receive WhatsApp reminders to remind them to continue the home-based sessions. Outcome measures include pain intensity, pain self-efficacy, mood, heart rate and physical activity intensity, and quality of life. Data will be collected before and after the intervention. Participants need to complete the exercise logbook to record their adherence to the intervention. The findings of this study will provide clinical implications for nurses to integrate music with movement exercise to manage pain.

Study Overview

• Status: Not yet recruiting
• Conditions: Chronic Pain; Pain Management; Elderly; Music-with-movement Exercise
• Intervention / Treatment: Other: Music-with-movement exercise

• Study Type: Interventional
• Enrollment (Anticipated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Mimi MY Tse, PhD; Phone Number: 852 2766 6541; Email: mimi.tse@polyu.edu.hk

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 60 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Aged 60 or above
• Can understand Cantonese
• Have a history of non-cancer pain in the past 3 months
• Have a pain score of at least 2 as measured by the Numeric Rating Scale (on an 11-point numeric scale)
• Able to take part in an exercise and stretching program
• Owns a smartphone and can access the Internet

Exclusion Criteria:

• Have severe visual and/or auditory deficits
• Have a serious organic disease or malignant tumor
• Have a mental disorder diagnosed by neurologists or psychiatrists
• Had surgical treatments in the past two months
• Experienced drug addiction

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Experimental group; The music-with-movement exercise program (MMEP) is an 8-week program. In the first 4 weeks a center-based program will be offered in the District Elderly Centers, and from week 1 to week 8 home-based and digital-based activities will be delivered via a WhatsApp group.	Other: Music-with-movement exercise; A music-with-movement exercise programme to reduce chronic pain in older adults.
No Intervention: Control group; The participants in the control group will continue to receive their usual care and receive a one-page pain management pamphlet.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain intensity	Changes from baseline to Week 8 in pain intensity using the Chinese version of Brief Pain Inventory (BPI-C)	Baseline, Week 8

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain self-efficacy	Changes from baseline to Week 8 in pain self-efficacy using the Chinese version of Pain Self-efficacy Questionnaire	Baseline, Week 8
Loneliness	Changes from baseline to Week 8 in loneliness using the Chinese version of De Jong Gierveld Loneliness Scale	Baseline, Week 8
Depression	Changes from baseline to Week 8 in depression using the Chinese version of Geriatric Depression Scale	Baseline, Week 8
Satisfaction and acceptability	Questions designed by the research team to collect the participants' satisfaction and acceptability	Week 8

Collaborators and Investigators

• Sponsor: The Hong Kong Polytechnic University
• Investigators: Principal Investigator: Mimi MY Tse, PhD, School of Nursing, The Hong Kong Polytechnic University

Study record dates

Study Major Dates

• Study Start (Anticipated): April 1, 2021
• Primary Completion (Anticipated): October 1, 2023
• Study Completion (Anticipated): October 1, 2023

Study Registration Dates

• First Submitted: January 4, 2021
• First Submitted That Met QC Criteria: January 4, 2021
• First Posted (Actual): January 6, 2021

Study Record Updates

• Last Update Posted (Actual): January 6, 2021
• Last Update Submitted That Met QC Criteria: January 4, 2021
• Last Verified: January 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Chronic Pain
• Other Study ID Numbers: MMEP

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No