A cost-effectiveness evaluation of Dance to Health: a dance-based falls prevention exercise programme in England

Goldsmith, Simon; Kokolakakis, Themis

doi:10.1016/j.puhe.2021.06.020

Cited by 5 publications

(14 citation statements)

References 14 publications

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“…There were 19 RCTs [ 41–59 ], 13 QE studies (QEs) [ 60–71 ], six observational studies [ 72–77 ] (including one cost-effectiveness analysis [ 73 ]) and three mixed methods studies [ 78–80 ]. Populations were older adults who were healthy and active ( N = 23) [ 44 , 45 , 47 , 49–55 , 58–60 , 67 , 69 , 73 , 75 , 76 , 79–81 ]; sedentary ( N = 7) [ 41–43 , 57 , 63 , 72 , 77 ]; or had conditions such as Parkinson's disease (PD) ( N = 8) [ 48 , 56 , 62 , 65 , 66 , 68 , 70 , 71 ], visual impairment ( N = 2) [ 64 , 74 ] or dementia ( N = 1) [ 61 ]. Five studies [ 49 , 54 , 57 , 58 , 69 ] included only women.…”

Section: Resultsmentioning

confidence: 99%

“…Five studies [ 49 , 54 , 57 , 58 , 69 ] included only women. Duration of dance sessions ranged from 30 minutes to 2 hours weekly, frequency from one to five times weekly and intervention periods from 3 weeks to 14 months [ 53 , 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…Seventeen studies assessed ballroom and Latin dances [ 43 , 46 , 48 , 50–53 , 56 , 62 , 64–66 , 68 , 70 , 71 , 74 , 77 ], nine dance-based exercises [ 44 , 57 , 58 , 61 , 63 , 69 , 72 , 73 , 79 ], eight cultural dances [ 41 , 45 , 47 , 49 , 54 , 55 , 60 , 75 ], two dance-based therapies [ 67 , 76 ], and five low-impact dances [ 42 , 59 , 78 , 80 , 81 ].…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis

Lazo Green,

Yang,

Abaraogu

et al. 2024

Age and Ageing

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Introduction Fall prevention is a global health priority. Strength and balance exercise programmes are effective at reducing falls. Emerging literature suggests dance is an enjoyable and sociable form of exercise. However, there is little evidence that dance reduces fall incidence. Methods Systematic review and meta-analysis examining effectiveness and cost-effectiveness of dance for falls prevention in older adults. Five databases were searched with no restrictions on publication date or intervention settings. Risk of bias was assessed using variants of Cochrane Risk of bias tools, Mixed-Methods Appraisal and Drummond checklist as appropriate. Certainty of evidence was assessed using GRADE. Results Forty-one studies were included (19 RCTs, 13 quasi-experimental, two mixed-method, seven observational studies, 2,451 participants). Five types of dance interventions were identified: ballroom and Latin dance, dance exercise, cultural dance, dance therapy, and low-impact dance. Meta-analysis was only possible for functional outcome measures: Timed-Up-and-Go (dance versus usual care, mean difference (MD) = 1.36; 95% CI −3.57 to 0.85), Sit-to-Stand (dance versus exercise MD = −0.85; 95% CI −2.64 to 0.93: dance versus education MD = −1.64; 95% CI −4.12 to 0.85), Berg Balance Scale (dance versus usual care MD = 0.61; 95% CI −4.26 to 5.47). There was unexplained variance in effects and no significant differences between intervention and control groups. Overall, certainty of evidence was very low; we are uncertain about the effect of dance interventions in reducing falls. Conclusions There is very low certainty evidence for dance as an alternative to strength and balance training if the aim is to prevent falls. No robust evidence on the cost-effectiveness of dance interventions for the prevention of falls was found. PROSPERO registration CRD42022382908.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis

Lazo Green,

Yang,

Abaraogu

et al. 2024

Age and Ageing

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“…Such health‐care system changes would fill an essential space in the successful reform of the current system, be consistent with aspects of the Royal Commission recommendations and better prioritise the optimisation of older adult reablement than is currently achieved by the reliance on domestic and personal care services. While such health‐care system changes may require some additional funding allocations, a number of physical well‐being interventions (including the MUAD) have been shown to be cost‐effective in the reduction in service needs, health service presentation and care needs 7,33 …”

Section: Discussionmentioning

confidence: 99%

Predicting the progressive resistance and balance training response of community‐dwelling older adults accessing aged care support services: A stepped‐wedge randomised controlled trial

Keogh

Henwood²,

Hetherington

et al. 2022

Australas J Ageing

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Objective: To quantify the variation in body composition, physical function and cognitive health changes resulting from the Muscling Up Against Disability (MUAD) resistance and balance training program and the potential for baseline characteristics to predict the magnitude of training-related response. Methods: The study represented a secondary analysis of a stepped-wedge randomised controlled trial involving 245 community-dwelling adults receiving Australian Government-funded aged care services who performed 26 weeks of supervised progressive resistance and balance training (PRBT). The primary outcome was the proportion of response that described the number of individuals expected to make any positive change due to the intervention and not external factors.Results: For all outcomes, the observed average change in the PRBT group was more favourable than the control. Analyses identified that most participants completing the PRBT program would be expected to respond positively to the intervention (86%-99%) with respect to their physical performance (SPPB summary, grip strength, chair stand and isometric knee strength). A smaller proportion completing the PRBT program group would be expected to respond positively in aspects of body composition (45%-60%) or cognitive function (44%-84%). The

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“…However, there were some hurdles in encouraging dance-integrated training 34 – 36 , since the dance movements are not easy to learn and performed correctly. Furthermore, middle-aged females may have poorer hip flexibility than the younger counterparts 37 , 38 , resulting in difficulty to comprehend the dancing maneuvers.…”

Section: Introductionmentioning

confidence: 99%

Modified lumbo-pelvic exercise to alleviate mild stress urinary incontinence in middle-aged females

Wang

Liu

Chen

et al. 2023

Sci Rep

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Urinary incontinence is one of the common clinical problems of females passing middle age. Traditional pelvic floor muscle training to alleviate urinary incontinence is too dull and unpleasant. Therefore, we were motivated to purpose a modified lumbo-pelvic exercise training incorporating simplified dancing components with pelvic floor muscle training. The objective of this study was to evaluate the 16-week modified lumbo-pelvic exercise program that incorporated dance and abdominal drawing-in maneuvers. Middle-aged females were randomly assigned into the experimental (n = 13) and control (n = 11) groups. Compared to the control group, the exercise group significantly reduced body fat, visceral fat index, waistline, waist-hip ratio, perceived incontinence score, frequency of urine leakage, and pad testing index (p < 0.05). In addition, there were significant improvements in pelvic floor function, vital capacity, and muscle activity of the right rectus abdominis (p < 0.05). This indicated that the modified lumbo-pelvic exercise program can promote benefits of physical training and alleviate urinary incontinence in middle-aged females.

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A cost-effectiveness evaluation of Dance to Health: a dance-based falls prevention exercise programme in England

Cited by 5 publications

References 14 publications

Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis

Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis

Predicting the progressive resistance and balance training response of community‐dwelling older adults accessing aged care support services: A stepped‐wedge randomised controlled trial

Modified lumbo-pelvic exercise to alleviate mild stress urinary incontinence in middle-aged females

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