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- Music interventions can be beneficial even for people in more advanced stages of dementia, 6 possibly due to relative preservation of brain areas relevant to music memory. 10 Group music therapy (GMT) and recreational choir singing (RCS) are among the most widely used and studied active music interventions for people with dementia. 9 Both involve a combination of biological, psychological (cognitive and emotional), and social mechanisms thought to be associated with improved mood and depressive...
www.thelancet.com/journals/lanhl/article/PIIS2666-7568(22)00027-7/fulltextClinical effectiveness of music interventions for dementia ...
Mar 27, 2024 · Music therapy is a non-pharmacological intervention that can reduce NPS and improve well-being, and its associated symptoms in dementia. The research will be conducted at eight nursing home facilities of a health care organization in the Netherlands.
Music intervention has been shown to have beneficial effects on the cognitive, physiological (such as heart rate, blood pressure, respiratory rate, cortisol levels, immune function markers, and other relevant biomarkers), and psychological problems of older adults.
Feb 6, 2024 · The IMTI was an active music therapy intervention (min. 30–max. 45 min three times a week for three weeks, for a total of nine sessions) using musical improvisation with music instruments or voice/singing and movement guided by a music therapist.
- 10.3389/fmed.2024.1304349
- 2024
- Front Med (Lausanne). 2024; 11: 1304349.
Apr 20, 2021 · Evidence suggests music enables persons with dementia to reconnect with past memories, thereby reducing agitation-associated negative behaviors. For older nursing home residents with dementia, music may provide a valid alternative to pharmacologic treatment.
- John P. Coxey, Brayden Kameg, Lorraine M. Novosel, Heeyoung Lee
- 2021
- Trial Design
- Participants
- Setting
- Intervention
- Outcome Measures
- Data Collection Procedure
- Sample Size
- Randomisation
- Blinding
- Statistical Methods
This project was a feasibility study, designed as a cluster randomized controlled trial. Residents were recruited from two care homes and were randomized according to the unit they lived in within the home. In each home, one unit was randomly allocated to the intervention group, and the other to the control group. This enabled both units in each ho...
Resident participants
Residents were recruited according to the following inclusion criteria: They should: 1. Reside within one of the units identified for the project 2. Have a diagnosis of dementia 3. Display at least two neuropsychiatric symptoms of dementia 4. Be at least 40 years of age 5. Display no significant health problems Residents were recruited from the home’s pool of music therapy referrals. This pool consisted of residents referred by staff or relatives, generally due to the presence of neuropsychia...
Care staff participants
Staff participants were recruited according to the following criteria: They should: 1. Work as a care assistant within one of the units identified for the project 2. Have at least 3 months’ experience of working with the resident participants 3. Be able to regularly work on the weekday that music therapy is provided The research team initially sampled care staff by giving presentations on the units about the project. Staff who exhibited an interest in taking part were reviewed with regards to...
The study took place between February and September 2013 at two care homes in the UK: Home 1 and Home 2. Both cater for people with varying levels of need including residential, dementia or nursing care. The homes were chosen according to their practical suitability for the project. Two units in each home were required to operate relatively indepen...
Music therapy
Participants in the intervention group received 1:1 active music therapy once a week, in addition to standard care, for a period of 5 months. Each 30-minute session was conducted by one music therapist in a quiet room on the unit, and was video-recorded. Two qualified music therapists worked on the project; both had at least 2 years’ experience working in this setting and were registered with the Health and Care Professions Council (HCPC). To provide consistency and to maintain the therapeuti...
Video presentations
After each session, two video clips were presented to the care staff participants in the intervention group unit, in order to communicate elements of music therapy to carers. The protocol of the presentations was based on the NICE Dementia Pathway . This aimed to address: 1. (1) How neuropsychiatric symptoms were minimised. 2. (2) The possible causes of such symptoms. 3. (3) How the therapist made use of the participants’ remaining abilities to enhance residents’ expressions, mood and cog...
Control group
The control group received standard care only for 5 months. This consisted of medical and personal care, provision of basic needs, and activities carried out as usual within the home such as chaplaincy services, entertainment and leisure activities.
The Neuropsychiatric Inventory and Dementia Care Mapping were conducted at four time points: at Baseline, Month 3, Month 5, and as a follow-up at Month 7.
In each care home, a quiet room on the intervention unit was utilised for the music therapy sessions. A separate room was employed for the reviewing of data. At the start of the day the music therapist and research assistant set up the music therapy room with an electronic keyboard, two chairs and various percussion instruments including xylophones...
Being a feasibility study, a formal sample size calculation was not performed. The sample size was selected based on what would be feasible for the music therapists, researchers and care staff. Key considerations were the amount of time necessary to conduct interviews, sessions, and review video recordings. It was estimated that a typical day would...
Randomisation was carried out between units (cluster randomisation) to reduce contamination across the control and intervention groups. After participants had been recruited by the researchers, randomisation was conducted by the study statistician independently of the researchers. Random decimals were generated using the RAND() function in Microsof...
Blinding was not carried out. It would not have been possible to conceal which group participants were in, due to the nature of the intervention. The music therapy sessions took place within the care homes and participants could be observed and heard attending the sessions.
To analyse the effects of music therapy compared to standard care, two approaches were used. First, descriptive analyses were conducted, in which means and standard deviations were analysed at each time point. The developments over the 7 months between groups were then displayed graphically. Secondly, inferential statistical analyses were conducted...
- Ming Hung Hsu, Rosamund Flowerdew, Michael Parker, Jörg C. Fachner, Helen Odell-Miller
- 2015
Sisti et al. assess the effects of a personalized music intervention to affect agitated behaviors and mood for nursing home residents with dementia. 1 We know that one of the largest demographic generations is aging and at risk for Alzheimer's disease and Alzheimer's disease-related dementia (AD+ADRD). 2 Decreasing negative behavioral sequalae, ...
May 15, 2023 · Results of the meta-analyses revealed those receiving an active music intervention scored significantly higher than controls on the Mini-Mental State Exam and reported fewer neuropsychiatric symptoms as denoted by the Neuropsychiatric Inventory, post-intervention.
