Influencing Adolescent Girls´ With Creative Dance Twice Weekly

Adolescent - Emotional Problem Clinical Trial

Official title:

Influencing Adolescent Girls With Internalizing Problems With Creative Dance Twice Weekly. A Randomised, Controlled Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01523561
• Other study ID #: MMO027
• Status: Completed
• Phase: Phase 3
• First received: January 18, 2012
• Last updated: July 14, 2015
• Start date: October 2009
• Est. completion date: January 2013

Study information

• Verified date: July 2015
• Source: Örebro County Council
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Regional Ethical Review Board
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to evaluate if creative dance twice weekly can influence girls wellbeing. The focus lies on girls 13-18 years old that suffer from repeatedly psychosomatic problems and/or stress.

Specific objectives are

• To assess the effect of the dance intervention in reducing psychosomatic problems (such as pain in the head, neck, shoulder or stomach), stress and depression

• Determine which factors are important for continuing dancing and keeping up new habits

• A cost-effectiveness analyse of the health outcome.

Geographical area: Örebro County (population 276,000)

Description:

The school nurses asked girls aged 13-18 years old, who searched for psychosomatic problems, if they wished to participate in the dance project. Recruitment of girls where also carried out in information about the project at parent meetings and in school classrooms. 143 girls completed the base-line questionnaire, 138 met the inclusion criteria and were included. Randomization was carried out to intervention and control group.

The quantitative data collection is carried out with a questionnaire. Participants in the dance intervention and the control group will response to this questionnaire at 7 times during the study, at start and every six months over a total period of 3 years.

Girls who are found to be at risk of having severe depression (> 34 points) in the depression scale CES-DC met with an experienced licensed psychologist. This was to explore if there was a need for extended support and help and the girl's parents and Child and Adolescent Psychiatric Care was contacted in most cases and if there was a risk for suicide. The results from the depression scale at base - line (CES-DC) showed that 81% of the girls in the study had depressive symptoms and 29% had high levels of depressive symptoms.

The qualitative interviews were performed in order to explore the girls experience of the dance lessons and to assess if and/or how dance intervention has affected her self-esteem in any way. These interviews were conducted on a strategic sample of 20 girls who participated in the dance intervention.

The dance intervention took place in a gym in Örebro twice weekly for a period of 1 year under the guidance of two dance class teachers (one at a time). The duration of the class was 75 minutes and the dance training was always carried out to popular and suitable music. The dance choreography was adjusted to the level of the participants' skills in order to make them feel successful in their exercise. During the intervention year, the theme of dance styles varied from hip hop, jazz, aerobic dance and contemporary dance. African dance, to the music of African drums, was used in the warm up section. The dance class always ended with a 10-min-relaxation training. The dance intervention had a strong focus on emphasizing the participants' resources and creates a feeling of affinity. The dance teachers encouraged them to listen to signals from the body, reducing focus on the performance and "become part of the movement".

Recruitment information / eligibility

• Status: Completed
• Enrollment: 150
• Est. completion date: January 2013
• Est. primary completion date: May 2012
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 13 Years to 18 Years

Eligibility

Inclusion Criteria:

• The study population comprised adolescent girls with internalizing problems who had recurrent visits to the school nurse due to psychosomatic symptoms such as:

• pain in the head, stomach, neck, back and/or shoulder.

• persistent feelings of tiredness

• being worried

• in low spirit or depressed were also inclusion criteria.

Exclusion Criteria:

• severe hearing impairment

• intellectual disability

• difficulties with the Swedish language or

• if the CAP had advised against participation.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Adolescent - Emotional Problem

Intervention

Behavioral:
• dance group
The dance intervention took place twice weekly for a period of 1 year under the guidance of two dance class teachers. The duration of the class was 75 min. and the dance training was always carried out to popular music. The dance choreography was adjusted to the level of the participants' skills in order to make them feel successful in their exercise. During the intervention year, the theme of dance styles varied from hip hop, jazz and contemporary dance. African dance was used in the warm up section. The dance class always ended with a relaxation. The dance intervention had a focus on emphasizing the participants' resources and creates a feeling of affinity. Listening to signals from the body, reducing focus on the performance and "become part of the movement" was encouraged.

Locations

Country	Name	City	State
Sweden	Centre for health care Sciences	Örebro	Närke

Sponsors (1)

Lead Sponsor	Collaborator
Örebro County Council

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Self reported health	the single-item question "How do you rate your general health?" is frequently used in national and international surveys. The response alternatives is 1. Very poor, 2. Poor, 3. Neither good nor poor, 4. Good, 5. Very good. Measuring general health with a five-degree scale has been agreed upon in the EU.	change from baseline to follow up at 20 months	No
Secondary	adherence to and experience of the intervention	The adherence to the dance intervention was measured by registering attendance at every dance session during the intervention period. Cancellations were made by telephone or text message.The experience of the dance intervention was evaluated with a graphic rating scale, a modified Visual Analogue Scale with five discrete alternatives.The question was "How do you experience dancing while you perform it?"; the rating scale started at "entirely negative" and ended at "entirely positive." Cut-off was set between "neutral" and "entirely positive".	change baseline to follow up at 20 months	No

External Links

•   The centers goal is to heighten the scientific competence within the Örebro county through stimulation, initiation and support for research and developement projects.