Using Structured Observations to Evaluate the Effects of a Personalized Music Intervention on Agitated Behaviors and Mood in Nursing Home Residents With Dementia: Results From an Embedded, Pragmatic Randomized Controlled Trial
Sisti A, Gutman R, Mor V, Dionne L, Rudolph JL, Baier RR, McCreedy EM
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 14 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
- Gobierno
- National Institutes of Health
- Gobierno
- National Institute on Aging
- Gobierno
- NIA NIH HHS
- Gobierno
- NIH
- Subvenciones
- National Institute on Aging (R33AG057451)
Según 4 financiadores declarados.
Publicación
- Publicado
- 2023-11-02 · Am J Geriatr Psychiatry · vol. 32 · número 3 · págs. 300–311
- Editorial
- Elsevier BV
- Citado
- 18 citas · más que el 96% de estudios similares · 5.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 49 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Music Therapy and Health · Geriatric Care and Nursing Homes · Dementia and Cognitive Impairment Research
- Palabras clave
- dementia, nursing home residents, agitation, verbal agitation, mood states, structured observation, Alzheimer's disease
- MeSH
- humans, alzheimer disease, psychomotor agitation, music therapy, music, aged, 80 and over, nursing homes
7 autores
- Anthony Sisti🇺🇸 · autor de correspondenciaBrown University
- Roee Gutman🇺🇸Brown University
- Vincent Mor🇺🇸United States Department of Veterans Affairs; Brown University; Providence VA Medical Center
- Laura A. Dionne🇺🇸Brown University
- James L. Rudolph🇺🇸United States Department of Veterans Affairs; Brown University; Providence VA Medical Center
- Rosa R. Baier🇺🇸Brown University
- Ellen M. McCreedy🇺🇸Brown University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
The objective of this research was to determine if a personalized music intervention reduced the frequency of agitated behaviors as measured by structured observations of nursing home (NH) residents with dementia.
Design
The design was a parallel, cluster-randomized, controlled trial.
Setting
The setting was 54 NH (27 intervention, 27 control) from four geographically-diverse, multifacility NH corporations.
Participants
The participants were 976 NH residents (483 intervention, 493 control) with Alzheimer's disease or related dementias (66% with moderate to severe symptoms); average age 80.3 years (SD: 12.3) and 25.1% were Black.
Intervention
The intervention was individuals' preferred music delivered via a personalized music device.
Measurement
The measurement tool was the Agitated Behavior Mapping Instrument, which captures the frequency of 13 agitated behaviors and five mood states during 3-minute observations.
Results
The results show that no verbally agitated behaviors were reported in a higher proportion of observations among residents in NHs randomized to receive the intervention compared to similar residents in NHs randomized to usual care (marginal interaction effect (MIE): 0.061, 95% CI: 0.028-0.061). Residents in NHs randomized to receive the intervention were also more likely to be observed experiencing pleasure compared to residents in usual care NHs (MIE: 0.038; 95% CI: 0.008-0.073)). There was no significant effect of the intervention on physically agitated behaviors, anger, fear, alertness, or sadness.
Conclusions
The conclusions are that personalized music may be effective at reducing verbally-agitated behaviors. Using structured observations to measure behaviors may avoid biases of staff-reported measures.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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