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Pilot Testing of Tone Dance: A Culturally Adapted Group-Based Physical Activity Program for Older Adults With
Natsuda Khatichop1, Natsala Longphasuk1, Churai Arpaichiraratana1
1Faculty of Nursing, Suan Dusit University, Bangkok, Thailand.
Journal of Aging and Physical Activity
|July 17, 2026
Summary
This study found that a culturally adapted Tone Dance program significantly increased physical activity and reduced cognitive lapses in older adults with subjective cognitive decline.
Area of Science:
- Gerontology
- Public Health
- Cognitive Science
Background:
- Older adults with subjective cognitive decline (SCD) often exhibit reduced physical activity (PA), elevating the risk of cognitive impairment.
- This study addresses the need for effective interventions to support cognitive health in this demographic.
Purpose of the Study:
- To pilot test and evaluate a culturally adapted, group-based, moderate-intensity PA program (Tone Dance).
- To examine the program's effects on daily PA, cognitive lapses, and cognitive functioning in older adults with SCD.
Main Methods:
- A quasi-experimental design involved 64 older adults with SCD, split into an intervention (Tone Dance) and a control group.
- The intervention comprised a 7-week, 14-session Tone Dance program; feasibility and preliminary outcomes (PA, cognitive lapses, cognitive functioning) were assessed.
Main Results:
- The Tone Dance program was feasible, with high participant satisfaction and no adverse events.
- Participants in the intervention group showed significant increases in daily PA and reductions in cognitive lapses compared to the control group.
- No significant differences in overall cognitive functioning were observed between the groups post-intervention.
Conclusions:
- Culturally adapted, group-based PA interventions effectively enhance daily PA and decrease cognitive lapses in older adults.
- Such programs offer a practical strategy for nurses and health practitioners to promote PA and cognitive well-being in older populations.