Pretty Danielle, Norwood Michael, Ownsworth Tamara, Dungey Kelly, Jones Susan, Gomes Zara, Clanchy Kelly, Kendall Elizabeth
School of Allied Health, Sport and Social Work, Griffith University, Gold Coast, Australia.
The Hopkins Centre, Griffith University, Meadowbrook, Australia.
JMIR Res Protoc. 2025 Aug 26;14:e69452. doi: 10.2196/69452.
Dance is a novel recreational activity that may improve psychosocial outcomes in inpatient neurological rehabilitation; however, adapted dance programs in neurological rehabilitation settings are still emerging.
This paper describes the co-design process undertaken to develop an adapted dance program for use in neurological rehabilitation. It also presents a study protocol aimed at evaluating the program's feasibility, acceptability, and preliminary efficacy in a subacute hospital setting.
A 3-phase co-design approach was used to develop the Dance as an Adjunct Therapy for Neurological Rehabilitation - Creative Enrichment for Recovery (DAN-CER) program and protocol, including knowledge seeking, seeking expert input, and refining. Information sources included a literature review, stakeholder meetings, workshops, and focus groups with clinicians and patients. This study has approval from two ethics committees (HREC/2023/QGC/99631 and GU 2023/813).
We undertook 4 workshops with Queensland Ballet, and 2 focus groups were undertaken with staff and neuroscience ward patients. The resultant program was mapped to the Template for Intervention Description and Replication (TIDieR) checklist. A mixed methods design was selected to evaluate the program. Primary outcomes are the feasibility and acceptability of the adapted dance program with data on accrual and attendance collected weekly. Semistructured interviews with patients and staff were conducted postintervention. The secondary outcome is the efficacy of DAN-CER for improving well-being and affect, with impact on fatigue monitored. Adapted dance classes and data collection assessments began in late October 2024, and data collection was completed in late February 2025. At the time of manuscript submission, 14 participants had been recruited. Interviews have been transcribed, and preliminary coding is underway; findings are expected to be submitted for publication in December 2025.
The rigor of the multiphase co-design process enabled the development of an adapted dance intervention capable of accommodating the physical, cognitive, and communication challenges of neurorehabilitation ward patients. The proposed mixed methods protocol will enable multidimensional evaluation of the adapted dance program.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/69452.
舞蹈是一种新型的娱乐活动，可能会改善住院神经康复患者的心理社会状况；然而，神经康复环境中的适应性舞蹈项目仍在不断涌现。
本文描述了为开发用于神经康复的适应性舞蹈项目而进行的协同设计过程。它还提出了一项研究方案，旨在评估该项目在亚急性医院环境中的可行性、可接受性和初步疗效。
采用三阶段协同设计方法来开发神经康复辅助舞蹈疗法——康复创意强化（DAN-CER）项目及方案，包括知识探寻、寻求专家意见和完善。信息来源包括文献综述、利益相关者会议、研讨会以及与临床医生和患者的焦点小组。本研究已获得两个伦理委员会的批准（HREC/2023/QGC/99631和GU 2023/813）。
我们与昆士兰芭蕾舞团举办了4次研讨会，并与工作人员和神经科学病房患者进行了2次焦点小组讨论。最终的项目被映射到干预描述与复制模板（TIDieR）清单。选择了混合方法设计来评估该项目。主要结果是适应性舞蹈项目的可行性和可接受性，每周收集应计和出勤数据。干预后对患者和工作人员进行半结构化访谈。次要结果是DAN-CER对改善幸福感和情感的疗效，并监测对疲劳的影响。适应性舞蹈课程和数据收集评估于2024年10月下旬开始，数据收集于2025年2月下旬完成。在提交本文时，已招募了14名参与者。访谈已转录，初步编码正在进行；研究结果预计于2025年12月提交发表。
多阶段协同设计过程的严谨性使得能够开发出一种适应性舞蹈干预措施，能够应对神经康复病房患者的身体、认知和沟通挑战。拟议的混合方法方案将能够对适应性舞蹈项目进行多维度评估。
国际注册报告标识符（IRRID）：DERR1-10.2196/69452。
