Music Compared with Auditory Books: A Randomized Controlled Study Among Long-Term Care Residents with Alzheimer's Disease or Related Dementia

Autor: Michael Gayle, Sherilyn Mead, Alisha H. Johnson, Tracie C Harrison, Roxanne Moreno, Bianca R Schmidt, Shelley A. Blozis
Rok vydání: 2021
Předmět:
Gerontology
Aging
Alzheimer's Disease or Related Dementia
Psychological intervention
Disease
Neurodegenerative
Alzheimer's Disease
law.invention
Care setting
0302 clinical medicine
7.1 Individual care needs
Randomized controlled trial
law
Cognitive status
030212 general & internal medicine
Psychomotor Agitation
General Nursing
Health Policy
General Medicine
Health Services
Mental Health
agitation
Neurological
nursing facility
Public Health and Health Services
Clinical Trials and Supportive Activities
Clinical Sciences
Alzheimer's disease and related dementias
Nursing
03 medical and health sciences
Alzheimer Disease
Clinical Research
Intervention (counseling)
Behavioral and Social Science
Acquired Cognitive Impairment
medicine
Humans
Dementia
Aged
business.industry
Books
Prevention
Neurosciences
Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD)
medicine.disease
Long-Term Care
Brain Disorders
Long-term care
Good Health and Well Being
Geriatrics
Management of diseases and conditions
Geriatrics and Gerontology
business
Mind and Body
Music
030217 neurology & neurosurgery
Zdroj: Journal of the American Medical Directors Association, vol 22, iss 7
ISSN: 1525-8610
DOI: 10.1016/j.jamda.2021.01.086
Popis: Background Over 5 million Americans age 65 years and older were diagnosed with Alzheimer's disease and/or related dementia (ADRD), a majority of whom exhibit behavioral and psychological symptoms leading to placement in long-term care settings. These facilities need nonmedical interventions, and music-based programs have received supportive evidence. Setting Thirteen long-term care facilities were among a wave of facilities that volunteered to be trained and to administer a music-based intervention. The residents within were randomized into intervention or control groups (intervention/music, n = 103; control/audiobook, n = 55). Design This team used a pragmatic trial to randomly embed music and control (audiobooks) into 13 long-term care facilities to compare the effects on agitation in people with ADRD. Methods Measures included a demographic survey; the Mini-Mental Status Examination, used to assess cognitive status; and the Cohen-Mansfield Agitation Inventory with 4 subscales, used to measure agitation. These measures were implemented at baseline and every 2 weeks for 8 weeks. Mixed-effects models were used to evaluate change in agitation measures while addressing dependencies of scores within participants and facility. Results Decreases in agitation were attributable to both music and audiobooks in 3 of 4 agitation subscales. In the fourth, physical agitation, which was not directed toward staff, initially, it decreased given music, and increased thereafter; and generally, it increased with the audiobooks. Conclusion and Implications Both music and control audiobooks delivered by headphones after personalized selection reduced some aspects of agitation in residents diagnosed with ADRD. The effects of music were greater initially then diminished.
Databáze: OpenAIRE
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