Individual music therapy for managing neuropsychiatric symptoms for people with dementia and their carers: a cluster randomised controlled feasibility study
Hsu MH, Flowerdew R, Parker M, Fachner J, Odell-Miller H
BMC geriatrics · 81 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Anglia Ruskin University
Según 1 financiador declarado y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2015-07-16 · BMC Geriatr · vol. 15 · número 1 · pág. 84
- Editorial
- BioMed Central
- Citado
- 155 citas · más que el 99% de estudios similares · 12.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 79 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Dementia and Cognitive Impairment Research · Intensive Care Unit Cognitive Disorders
- Palabras clave
- Medicine, Dementia, Music therapy, Rehabilitation, Physical therapy, Cluster (spacecraft), Randomized controlled trial, Physical medicine and rehabilitation, Psychiatry, Gerontology, Disease
- MeSH
- humans, dementia, treatment outcome, music therapy, geriatric assessment, cluster analysis, feasibility studies, program evaluation, behavioral symptoms, neuropsychology, adult, aged, aged, 80 and over, middle aged, caregivers, assisted living facilities, female, male
5 autores
- Ming‐Hung Hsu🇬🇧 · autor de correspondenciaAnglia Ruskin University
- Rosamund Flowerdew
- Michael J. Parker🇬🇧Anglia Ruskin University
- Jörg Fachner🇬🇧Anglia Ruskin University
- Helen Odell‐Miller🇬🇧Anglia Ruskin University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Previous research highlights the importance of staff involvement in psychosocial interventions targeting neuropsychiatric symptoms of dementia. Music therapy has shown potential effects, but it is not clear how this intervention can be programmed to involve care staff within the delivery of patients' care. This study reports initial feasibility and outcomes from a five month music therapy programme including weekly individual active music therapy for people with dementia and weekly post-therapy video presentations for their carers in care homes.
Methods
17 care home residents and 10 care staff were randomised to the music therapy intervention group or standard care control group. The cluster randomised, controlled trial included baseline, 3-month, 5-month and post-intervention 7-month measures of residents' symptoms and well-being. Carer-resident interactions were also assessed. Feasibility was based on carers' feedback through semi-structured interviews, programme evaluations and track records of the study.
Results
The music therapy programme appeared to be a practicable and acceptable intervention for care home residents and staff in managing dementia symptoms. Recruitment and retention data indicated feasibility but also challenges. Preliminary outcomes indicated differences in symptoms (13.42, 95 % CI: [4.78 to 22.07; p = 0.006]) and in levels of wellbeing (-0.74, 95 % CI: [-1.15 to -0.33; p = 0.003]) between the two groups, indicating that residents receiving music therapy improved. Staff in the intervention group reported enhanced caregiving techniques as a result of the programme.
Conclusion
The data supports the value of developing a music therapy programme involving weekly active individual music therapy sessions and music therapist-carer communication. The intervention is feasible with modifications in a more rigorous evaluation of a larger sample size.
Trial registration
Clinicaltrials.gov, number NCT01744600.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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