Screening and Eligibility Process for a Dance-Based Therapy Randomized Controlled Pilot Trial for Osteoarthritis

Saturday, 16 November 2013

Deborah L Sanazaro, RN, MSN, GNP-BC
Jean A Krampe, PhD, RN, CPHQ
School of Nursing, St. Louis University, St. Louis, MO

Learning Objective 1: The learner will be able to gain knowledge of screening osteoarthritis study participants.

Learning Objective 2: The learner will gain knowledge of screening procedures for older adults.

Approximately 50 million adults in the United States suffer from osteoarthritis, making it one of the most prevalent health conditions and the single most common cause of disability in older adults.

Purpose: The aim of this pilot study was to determine the effect of a dance-based therapy intervention on lower extremity function, lower extremity pain, and mood state of older adults with self-reported osteoarthritis of the hip and or knee.  The lessons learned during the screening and eligibility phase of the study will be reported.

 Subjects: 157 independent living older adults, 62 years of age or older, residing in a senior continuum of care facility in the Midwest were reviewed for eligibility criteria.  This senior facility partnered with the research team to assist in recruitment. However, only 37 (24%) subjects met the inclusion criteria and agreed to participate.  

Method: A randomized control trial with a wait list control group was used.  The intervention was Lebed MethodTM dance therapy,  which included two 45-minute sessions for 12 weeks.  Pre- and post-intervention data included the SF-36, Physical Performance Battery, 8-ft Timed Up and Go test, the Functional Pain Scale, the Geriatric Depression Scale, Fear of Falling, and one sleep question.  A GAITRite assessment was conducted on a random subset of the subjects. 

 Anticipated Method of Analysis: This pilot study was exploratory in nature with results used to design a larger randomized control trial. Pre- and post-intervention scores are being compared using a paired t-test and the Wilcoxon signed-rank test.

Results of Eligibility Screening: The recruitment process resulted in the maximum possible subjects from the facility. Coordinating group demonstration sessions of the dance therapy proved to be a successful strategy.  Obtaining a physician release for each subject was valuable.. Minimal attrition occurred and was attributed to unrelated medical issues.