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Older Adults (65 Years and Older)NCT07821567

Understanding Dance for Falls Prevention

An observational study of Older Adults (65 Years and Older) and Geriatric, run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

Falls are common among older adults, and can lead to both physical and emotional problems. The new World Falls Guidelines suggest that falls prevention programmes should take into account a person's individual priorities and beliefs. Read more about this study

Who is it for?
Ages 65 years and older
What is being tested?
Dance and Resistance exercise
How many people
23 participants
Where
1 siteUnited Kingdom
Study dates
Sep 2026to Jan 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 65 years and older
  • All sexes
  • No healthy volunteers
  • Older adult

Study population: Patient participants will be recruited from patients referred to the outpatient physiotherapy service at the Older Persons Assessment Unit (OPAU) at Guy's \& St Thomas' NHS Trust (GSTT).

Who may be able to join

  • Consecutive patients referred to the SABG following initial assessment by a physiotherapist
  • And are found to have a strength and/or balance impairment
  • And are deemed appropriate for group exercise intervention
  • And are able and willing to be interviewed and recorded, with or without a family member or carer to support with language or cognition limitations
  • Patients ≥ 65 years of age

Who cannot join

  • • Patients (or proxy carer) that do not provide written consent to be interviewed and recorded for the purposes of the study
  • Or who are unable to follow a supervised exercise programme or take part in a group exercise class (defined by the need for hands on assistance, this will be determined at the initial physical assessment by the physiotherapist)
  • Or who are unable to follow instructions and taken part in conversational English to a sufficient level to be able to participate in a group exercise class (either independently or with a carer)

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Carrie-Ann Wood, BSc(hons) Physiotherapy contact

+442071882091

carrie-ann.wood@nhs.net

Katie Noone, BSc Physiotherapy contact

+442071882091

katie.noone@nhs.net

United Kingdom1 site
  • Guy's and St Thomas' NHS Foundation Trust

    London, London, SE1 9RT

    Carrie-Ann Wood, BSc(Hons) Physiotherapy, +442071882091, carrie-ann.wood@nhs.net

    Katie Noone, BSc Physiotherapy, +442071882091, katie.noone@nhs.net

Other trials in United Kingdom

About this study

Official title: Understanding Dance for Falls Prevention: A Mixed Methods Study of Perceptions, Experiences and Rehabilitation Treatment Components.

Falls are common among older adults, and can lead to both physical and emotional problems. The new World Falls Guidelines suggest that falls prevention programmes should take into account a person's individual priorities and beliefs.

At the Older Persons Assessment Unit (OPAU), physiotherapy focuses on helping patients improve their abilities to do everyday tasks and enhancing their quality of life. Personalised treatment is offered to make sure it's as effective and long-lasting as possible.

Read more

One of the main programmes run in the department is a class designed to improve strength and balance, but even people who complete these classes often struggle to stick to exercise when the classes end.

Dance classes are a fun, creative, and social way to exercise, and OPAU has worked with Breathe Arts Health Research to explore dance as a treatment for older adults at risk of falls. So far, the results show that people who chose dance for strength and balance saw the same physical benefits as those who did the more traditional strength and balance exercises, but this evidence on its own isn't enough to widely recommend dance as a way to lower falls risk.

To build stronger evidence for dance as a safe and effective activity for reducing fall risks, this project will explore how participants and dance instructors feel about the programme. It will also look at the different exercises in the dance sessions to understand what works best to help improve strength and balance and reduce the risk of falling.

Read the detailed description

Background to the Project:

Every year in the United Kingdom (UK), falls among older people cost the National Health Service (NHS) over £2.3 billion. When including costs of other services such as social care needed due to hip fractures from falls, the total yearly cost in the UK increases to £4.4 billion. These figures show just how expensive falls can be for healthcare systems.

However, the problem is not just about the money. Falls have a huge impact on older people's lives, often related to fear of falling, and can lead to problems such as reduced independence in everyday activities, lower quality of life, and social isolation. As the number of older adults increases, these issues are expected to get worse.

This means there is a need for proactive measures to prevent falls. This is important to help older people live better lives, as well as to make best use of healthcare resources. One of the most effective ways to reduce falls is exercise, especially exercises that improve balance and muscle strength. The main thing that makes exercise programmes successful is whether or not people can stick to the exercise programme once started.

Scientific Rationale:

All the causes of falls in older people are not fully understood because they can be triggered by many different factors. There are also many different programmes and strategies for preventing falls, and these can include things like exercise, medication review, and balance training. Some programmes use a combination of these methods.

Exercise focussing on strength and balance in particular has been shown to reduce fall rates by almost one-third. The Otago and Falls Management Exercise (FaME) programmes are two examples of exercise regimes that have been proven to be effective.

Even though the advice to be physically active exists, not everyone participates in exercises that challenges their balance. Research in Australia showed that older people were not likely to take part in exercises that help improve balance and strength, even though these exercises could reduce their risk of falls.

One type of exercise that's gaining attention is Tai Chi, a form of exercise that helps with balance and strength. It has been shown to reduce fall rates by up to 37%. Tai Chi involves structured movements that are controlled and flowing, and work in all directions, making it great for improving movement control and balance.

Dance is another form of exercise that challenges balance. Like Tai Chi, it involves continuous, controlled movement, but it also includes elements of social interaction and cognitive (thinking) challenges, which could help reduce fall risk in different ways. Some studies have shown that dance can improve physical strength and function, but more research is needed to determine how effective it is specifically for preventing falls.

While there's some uncertainty about how best to use dance for fall prevention, experts agree that dance is worth investigating further. One challenge is that dance programmes can vary a lot, in a way that Tai Chi does not, making it harder to draw conclusions about dance being able to reduce falls. New research frameworks, like the Rehabilitation Treatment Specification System (RTSS), can help researchers to describe exactly how dance interventions are thought to work and what they aim to improve.

In addition to studying the effectiveness of dance programmes, it's important to consider how dance instructors lead these sessions and how older people feel about participating. Understanding the motivations of older adults who choose dance to reduce fall risk will give us better insight into how to improve these programmes.

Dance for Strength and Balance Programme:

In the Older Person's Assessment Unit, we've been running a dance programme called Dance for Strength and Balance (DSAB) for older adults at risk of falling. This programme was jointly created with the Breathe Arts Health Research charity and funded by Guy's \& St. Thomas' Charity, offering an alternative to traditional strength and balance exercises.

Physiotherapists compared this dance programme with a traditional strength and balance group, and found no significant difference in four measures of physical ability and falls risk, although the traditional group did show more improvement in one test. Despite this, people who participated in the dance programme reported positive experiences.

However, there is still some hesitation in the healthcare community about using dance for fall prevention since more research is needed to prove its effectiveness. This is where this project comes in, aiming to continue testing and refining the programme to make it better and easier to understand.

The investigators are in a unique position because we have hands-on experience in designing, running, and evaluating a dance programme for older people at risk of falling. What's still missing from the research is more detailed feedback from the participants and dance instructors. There is a need to understand why older people choose dance, what benefits they feel they're getting, and how instructors adapt the programme for their needs. Also, as dance might not be an exercise type that everybody wants to do, the investigators also want to hear from those that choose not to take part in the dance classes about why they made their choice.

Aim of the Study The goal is to explore the effectiveness of dance programmes for fall prevention and to understand the experiences and perceptions of older adults who participate in them.

Being tested
Dance, Resistance exercise
Keywords
Dance, Rehabilitation Treatment specification System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • DanceOther

    Supervised dance targeting strength and balance improvements

  • Resistance exerciseOther

    Supervised resistance exercise targeting strength and balance improvements in older adults

Study groups in NCT07821567
Study groupRoleWhat they receive
older adultsNot described
Receives: Other: Dance; Other: Resistance exercise

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Semi-structured survey responses

    Custom questionnaire comprising 12 textual short answer questions, 2 dichotomous response questions and 3 multi-category response questions. These questionnaires are to explore participant perceptions around dance and traditional strength and balance exercise classes.

    Measured: Baseline

  2. Textual data from focus group

    Transcribed focus group session with dance class participants to explore the perceptions of mechanism of action, barriers and facilitators of dance as a falls risk reduction method.

    Measured: To study completion, average 9 months

  3. Textual data from semi-structured interview

    Transcribed semi-structured interview with dance instructor to explore the perceptions of mechanism of action, barriers and facilitators of dance as a falls risk reduction method, and adaptations for this specific population.

    Measured: To study completion, an average of 9 months

Secondary outcomes (1)
  1. Segmentation of class video recording into pertinent exercise events

    Video footage from 3 classes (one at the beginning, one in the middle and one at the end). The sessions will be broken down into treatment events, anchored to treatment ingredients and provided a timestamp within NVivo Software. Treatment events will be further split into 90 second segments (epochs). Dependent upon duration of treatment event, 2-3 epochs will be picked across the beginning, middle and end of the epoch. 1 participant will be randomly allocated to each epoch prior to analysis.

    Measured: To study completion, average 9 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted16 Sep 2026
  2. Study startSep 2026 (estimated)
  3. Primary completionNov 2026 (estimated)
  4. Study completionJan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
23 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07821567
Sponsor's protocol ID
362340
Status last verified
Sep 2026
First submitted
15 May 2026
Last updated
16 Sep 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: We will not be sharing IDP as all data will be anonymised or pseudonymised for this work

Publications

  • Sheppard A, Broughton MC. Promoting wellbeing and health through active participation in music and dance: a systematic review. Int J Qual Stud Health Well-being. 2020 Dec;15(1):1732526. doi: 10.1080/17482631.2020.1732526.

    PubMed 32267216
  • Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, Clemson L, Hopewell S, Lamb SE. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019 Jan 31;1(1):CD012424. doi: 10.1002/14651858.CD012424.pub2.

    PubMed 30703272
  • Hart T, Dijkers MP, Whyte J, Turkstra LS, Zanca JM, Packel A, Van Stan JH, Ferraro M, Chen C. A Theory-Driven System for the Specification of Rehabilitation Treatments. Arch Phys Med Rehabil. 2019 Jan;100(1):172-180. doi: 10.1016/j.apmr.2018.09.109. Epub 2018 Sep 27.

    PubMed 30267669
  • Lazo Green K, Yang Y, Abaraogu U, Eastaugh CH, Beyer FR, Norman G, Todd C. Effectiveness of dance interventions for falls prevention in older adults: systematic review and meta-analysis. Age Ageing. 2024 May 1;53(5):afae104. doi: 10.1093/ageing/afae104.

    PubMed 38776214
  • Merom D, Pye V, Macniven R, van der Ploeg H, Milat A, Sherrington C, Lord S, Bauman A. Prevalence and correlates of participation in fall prevention exercise/physical activity by older adults. Prev Med. 2012 Dec;55(6):613-7. doi: 10.1016/j.ypmed.2012.10.001. Epub 2012 Oct 10.

    PubMed 23064022
  • Gillespie LD, Robertson MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012 Sep 12;2012(9):CD007146. doi: 10.1002/14651858.CD007146.pub3.

    PubMed 22972103
  • Skelton D, Dinan S, Campbell M, Rutherford O. Tailored group exercise (Falls Management Exercise -- FaME) reduces falls in community-dwelling older frequent fallers (an RCT). Age Ageing. 2005 Nov;34(6):636-9. doi: 10.1093/ageing/afi174. No abstract available.

    PubMed 16267192
  • Robertson MC, Campbell AJ, Gardner MM, Devlin N. Preventing injuries in older people by preventing falls: a meta-analysis of individual-level data. J Am Geriatr Soc. 2002 May;50(5):905-11. doi: 10.1046/j.1532-5415.2002.50218.x.

    PubMed 12028179
  • Lamb SE, Becker C, Gillespie LD, Smith JL, Finnegan S, Potter R, Pfeiffer K; Taxonomy Investigators. Reporting of complex interventions in clinical trials: development of a taxonomy to classify and describe fall-prevention interventions. Trials. 2011 May 17;12:125. doi: 10.1186/1745-6215-12-125.

    PubMed 21586143
  • Montero-Odasso M, van der Velde N, Martin FC, Petrovic M, Tan MP, Ryg J, Aguilar-Navarro S, Alexander NB, Becker C, Blain H, Bourke R, Cameron ID, Camicioli R, Clemson L, Close J, Delbaere K, Duan L, Duque G, Dyer SM, Freiberger E, Ganz DA, Gomez F, Hausdorff JM, Hogan DB, Hunter SMW, Jauregui JR, Kamkar N, Kenny RA, Lamb SE, Latham NK, Lipsitz LA, Liu-Ambrose T, Logan P, Lord SR, Mallet L, Marsh D, Milisen K, Moctezuma-Gallegos R, Morris ME, Nieuwboer A, Perracini MR, Pieruccini-Faria F, Pighills A, Said C, Sejdic E, Sherrington C, Skelton DA, Dsouza S, Speechley M, Stark S, Todd C, Troen BR, van der Cammen T, Verghese J, Vlaeyen E, Watt JA, Masud T; Task Force on Global Guidelines for Falls in Older Adults. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022 Sep 2;51(9):afac205. doi: 10.1093/ageing/afac205.

    PubMed 36178003

Questions about this trial

What is this clinical trial studying?

An observational study of Older Adults (65 Years and Older) and Geriatric, run by Guy's and St Thomas' NHS Foundation Trust at 1 site in United Kingdom.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 16 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United Kingdom. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Carrie-Ann Wood, BSc(hons) Physiotherapy (+442071882091, carrie-ann.wood@nhs.net), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Semi-structured survey responses (time frame: Baseline). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07821567, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Sep 2026.

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