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Ensayo controlado aleatorizado2015Financiación no declarada

Effect of Active Music Therapy and Individualized Listening to Music on Dementia: A Multicenter Randomized Controlled Trial

Raglio A, Bellandi D, Baiardi P, Gianotti M, Ubezio MC, Zanacchi E, Granieri E, Imbriani M, Stramba-Badiale M

Journal of the American Geriatrics Society · 107 citas

Etiquetas de revisión

Financiación no declarada

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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 no declarada

Publicación

Publicado
2015-08-01 · J Am Geriatr Soc · vol. 63 · número 8 · págs. 1534–1539
Editorial
Wiley
Citado
176 citas · más que el 99% de estudios similares · 17.6× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
45 trabajos
Acceso
De pago
Áreas de investigación
Music Therapy and Health · Dementia and Cognitive Impairment Research · Neuroscience and Music Perception
Palabras clave
Randomized controlled trial, Medicine, Dementia, Music therapy, Anxiety, Quality of life (healthcare), Clinical psychology, Psychiatry, Physical therapy, Internal medicine, Disease, Nursing
MeSH
humans, dementia, treatment outcome, music therapy, psychiatric status rating scales, quality of life, music, aged, aged, 80 and over, female, male

9 autores

  • Alfredo Raglio🇮🇹 · autor de correspondenciaUniversity of Ferrara; University of Pavia
  • Daniele Bellandi
  • Paola Baiardi🇮🇹Fondazione Salvatore Maugeri
  • Marta Gianotti
  • Maria Chiara Ubezio
  • Elisa Zanacchi
  • Enrico Granieri🇮🇹University of Ferrara
  • Marcello Imbriani🇮🇹University of Pavia; Fondazione Salvatore Maugeri
  • Marco Stramba‐Badiale🇮🇹IRCCS Istituto Auxologico Italiano

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

To assess the effects of active music therapy (MT) and individualized listening to music (LtM) on behavioral and psychological symptoms of dementia (BPSDs) in persons with dementia (PWDs).

Design

Randomized controlled trial.

Setting

Nine Italian institutions.

Participants

Persons with moderate to severe dementia and BPSDs (N = 120) were randomized to one of three treatments.

Interventions

All groups received standard care (SC), and two groups attended 20 individualized MT or LtM sessions, twice a week, in addition to SC.

Measurements

The Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), and Cornell-Brown Scale for Quality of Life in Dementia (CBS-QoL) were administered before treatment, after treatment, and at follow-up to evaluate behavioral and psychological outcomes. A specific coding scheme (Music Therapy Check List-Dementia) was used to evaluate the MT process.

Results

Behavioral assessment did not show significant differences between groups. All groups showed a reduction over time in NPI global score (P ≤ .001), CSDD (P = .001), and CBS-QoL (P = .01). The NPI global score fell 28% in the MT group, 12% in the LtM group, and 21% in the SC group at the end of treatment. An exploratory post hoc analysis showed similar within-group improvements for the NPI Delusion, Anxiety, and Disinhibition subscales. In the MT group, communication and relationships between the music therapists and PWDs showed a positive albeit nonsignificant trend during treatment.

Conclusion

The addition of MT or LtM to standard care did not have a significant effect on BPSDs in PWDs. Further studies on the effects of the integration of standard care with different types of music interventions on BPSD in PWD are warranted.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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