Dance-Mindfulness Intervention for Well-Being in Recreational Adults

Официальное название

Mindful Embodied Movement: A 12-Week Modern Dance-Mindfulness Intervention and Mixed-Methods Randomized Controlled Trial in Recreational Adult Dancers

Обзор

This 12-week study protocol outlines a randomized controlled trial designed to evaluate the effectiveness of a Dance-Mindfulness intervention integrating Modern Theatre Dance with mindfulness-based embodied practices to enhance psychological wellbeing, nervous system regulation, and embodied awareness in adults. The intervention combines: (1) polyvagal-informed breath-movement synchronization (nasal breathing, grounding); (2) ISTD (Imperial Society of Teachers of Dancing) Modern Theatre Dance technique progression and dance movements (Grades 2-4); (3) nervous system regulation through somatic practices; and (4) phenomenological reflection via weekly journaling and post-session integration. Study Design: Parallel-assignment randomized controlled trial (approx. N=320; n=160 intervention, n=160 waitlist control). Randomization uses computer-generated block randomization (block sizes 4-6). Outcomes: Perceived stress, mindfulness psychological wellbeing (happiness, life satisfaction), emotional regulation, social connection, movement confidence. Qualitative Component: Phenomenological interviews and weekly reflective journals from subsample (approx. n=20) analyzed via Interpretative Phenomenological Analysis and Reflexive Thematic Analysis. Intervention Delivery: 90-100 minute weekly sessions delivered over 12 weeks by qualified facilitator(s) trained in Modern Theatre Dance, mindfulness (≥3 years personal practice, MBSR, yoga or equivalent), trauma-informed care, and group facilitation. Sessions include 8 structured components: breath-grounding (9-10 min), technical dance work (14-15 min), conditioning (9-10 min), break-settling (4-5 min), rhythm improvisation (8-9 min), choreographed sequences (15-17 min), cool-down-integration (8-9 min), and phenomenological journaling (10-20 min). Safety \& Fidelity: Structured facilitator guidelines, session checklists, weekly supervision, adverse event protocols, and external fidelity monitoring ensure protocol integrity. Classroom size: 15-18 participants per session. Data Collection: Baseline (Week 0), mid-intervention (Week 6 only for qualitative), post-intervention (Week 12), and optional 1-3 month follow-up. Intent to treat analysis and mixed-effects modeling for between-group comparisons. Population: Adults (age 18+) seeking wellbeing enhancement through recreation or stress reduction. Eligible participants without acute mental health crisis. Primary Purpose: Health promotion and mental health improvement through nervous system regulation, embodied awareness, and psychosocial wellbeing enhancement.

Подробное описание

This study evaluates a study protocol for a 12-week Dance-Mindfulness intervention designed for recreational adult dancers in community dance schools. The intervention integrates modern dance training with mindfulness, somatic awareness, and polyvagal-informed regulation strategies, applied within an ISTD-based modern theatre dance curriculum. Existing evidence in somatic psychology and embodied movement practices suggests that combining dance with structured mindfulness may enhance emotional regulation, interoceptive awareness, stress reduction, and overall psychological well-being. However, most dance-based interventions occur outside regular dance classes and often target clinical or professional populations. This trial addresses an important gap by implementing a standardized mindfulness-enhanced protocol within routine recreational dance instruction.

Mindfulness practices, including breath regulation and non-judgmental attention to bodily sensations, are associated with improvements in anxiety, mood, and life satisfaction. Dance offers a unique context for embodied learning, combining rhythm, movement sequencing, creative expression, and social interaction. The Dance-Mindfulness protocol integrates these elements to support autonomic regulation, grounding, and embodied awareness during dance practice. Polyvagal principles related to safety, vagal tone, and co-regulation inform specific breathing patterns and pacing. The intervention is structured to enhance psychological engagement with dance, promote meaning-making through movement, and support sustained focus, thus linking contemplative practices with artistic training.

Participants allocated to the intervention attend one weekly session (90-100 minutes) over 12 weeks. Sessions follow a structured curriculum with three progressive phases:

Foundations (Weeks 1-4): grounding practices, breath awareness, interoceptive techniques, and gentle preparatory movement.

Embodied Exploration (Weeks 5-8): integration of ISTD syllabus exercises with mindful pacing, sensory modulation, and guided improvisation.

Expressive Integration (Weeks 9-12): creative tasks, choreography, reflective processes, and strategies for self-regulation during movement.

Each session includes a combination of somatic exercises, mindful movement sequences, modern dance technique, creative exploration, and brief reflective journaling. Instruction is invitational, supporting autonomy, choice, and safety. Environmental conditions (e.g., floor safety, sound levels, lighting) follow standardized preparation procedures across all participating studios to ensure consistent implementation.

Participants assigned to the control group continue their usual dance activities for 12 weeks. Activities that incorporate explicit mindfulness or mind-body components (e.g., yoga, Pilates, tai chi) are excluded during the study period. Control participants do not receive any mindfulness training. After completion of post-intervention assessments, they are offered access to the Dance-Mindfulness program.

All eligible participants complete baseline assessments before randomization (T0) and post-intervention assessments at Week 12 (T2). Measures include psychological well-being, mindfulness, happiness, stress, anxiety, depression, and psychological involvement in dance. These standardized instruments are administered on paper by the site coordinator. A subset of participants provides qualitative data through semi-structured interviews and weekly reflective journaling to explore perceived changes in embodiment, emotional awareness, and personal meaning related to dance. Interviews occur after Week 12 using a structured guide.

To ensure consistency across dance schools, facilitators use a standardized Intervention Manual. Fidelity is supported through session checklists, facilitator notes, and occasional independent observations. All facilitators hold appropriate qualifications in dance teaching, mindfulness-based methods, and safe movement instruction.

The intervention is low-risk and consistent with activities typical in recreational dance settings. Potential physical risks include mild fatigue or muscle soreness. Psychological risks are minimal but may include temporary emotional discomfort associated with contemplative practices. Participants may pause or withdraw at any time. Any adverse events are documented and reported according to institutional guidelines.

This trial aims to determine whether integrating mindfulness into recreational dance practice improves psychological well-being, enhances mindfulness and happiness, reduces stress and negative mood states, and increases psychological engagement with dance. The qualitative component seeks to deepen understanding of how participants experience embodied awareness, emotional regulation, and meaning-making throughout the 12-week process. The study will contribute new evidence regarding mindfulness-based movement interventions in non-clinical adult populations and within naturalistic community dance settings.

Вмешательства

• Поведенческое Dance-Mindfulness Intervention
  A 12-week integrated dance-mindfulness program combining ISTD Modern Theatre Dance technique with polyvagal-informed breathing, somatic practices, and phenomenological reflection. Sessions are 90-100 minutes weekly, delivered in groups of 15-18 participants by trained facilitator(s). The intervention integrates breath-movement synchronization (9-10 min), technical dance work (14-15 min), conditioning (9-10 min), rhythm \& improvisation (8-9 min), choreographed sequences (15-17 min), cool-down in

Первичные конечные точки

• Life Satisfaction (Satisfaction With Life Scale - SWLS) [Срок оценки: Baseline (Week 0) and Post-intervention (Week 12)]
• Psychological Distress (DASS-21: Depression, Anxiety, Stress Scale) [Срок оценки: Baseline (Week 0) and Post-intervention (Week 12)]
• Mindfulness (Mindful Attention Awareness Scale - MAAS) [Срок оценки: Baseline (Week 0) and Post-intervention (Week 12)]
• Subjective Happiness (Subjective Happiness Scale - SHS) [Срок оценки: Baseline (Week 0) and Post-intervention (Week 12)]
• Leisure Involvement (Leisure Involvement Scale) [Срок оценки: Baseline (Week 0) and Post-intervention (Week 12)]

Вторичные конечные точки (1)

• Movement Identity and Personal Meaning-Making (Qualitative Narrative Analysis) [Срок оценки: Weekly journals (Weeks 1-12); Post-intervention interviews (Week 12)]

Критерии участия

Критерии включения

• Adults aged 18 years and older
• Enrolled in dance classes (preferring modern/contemporary) at participating schools for at least 6 months prior to study enrollment
• Able and willing to attend weekly sessions for 12 consecutive weeks (minimum 70% attendance required)
• Able to understand and complete study questionnaires in Greek language
• Able to engage in moderate-intensity movement and dance activities without acute medical contraindications
• Written informed consent provided
• Willing to be randomly assigned to intervention or waitlist control group

Критерии исключения

• Musculoskeletal or neurological conditions limiting safe participation in moderate-intensity movement (e.g., acute injury, severe arthritis, neurological disease affecting coordination/balance)
• Current severe psychological distress or mental health crisis requiring immediate clinical intervention (screened via DASS-21; cutoff: Severe or Extremely Severe on any subscale)
• Pregnancy or planning pregnancy during the 12-week study period
• Current concurrent participation in other psychological interventions, therapy, or mind-body programs (Pilates, yoga, tai-chi, other mindfulness-based interventions)
• Unable to attend ≥70% of weekly sessions due to scheduling constraints or anticipated absences
• Inability to provide informed consent or complete questionnaires in Greek
• Acute medical illness or hospitalization within 2 weeks of study start
• History of substance abuse disorder currently active or untreated

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Профилактика

Центры проведения

Греция · 1 центр

• Department of PE and Sport Science (DPESS), University of Thessaly — Trikala

Идентификаторы

NCT: NCT07262177 · IEC, DPESS, UTH 4-2/2.4.2025 · IEC 4-2/2.4.2025

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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