Music Matters, but so Does the Outcome Measure: A Randomized Controlled Trial for an Individualized Music Intervention for People Living with Dementia.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2024-11-24 DOI:10.1080/07317115.2024.2429590
Mareike C Hillebrand, Lisette Weise, Marlena L Itz, Elisabeth Jakob, Gabriele Wilz
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Abstract

Objectives: This study aims to evaluate differential effects of an individualized music listening intervention for people living with dementia in institutional care.

Methods: Data from 118 people living with dementia, with a mean age of 84.05 years (SD = 7.00 years, 76.3% were female), was used to investigate effects of 6 weeks of listening to individualized music. Participants were randomly assigned to an intervention group, listening to individualized playlists for 20 min every other day, and a control group, receiving standard care. Effects of the intervention were analyzed by proxy ratings using Goal Attainment Scaling. Different aspects of quality of life were also assessed and analyzed using standardized questionnaires at four assessment points.

Results: Attainment of individual goals following 6 weeks of individualized music listening was more frequently reported from the nursing staff in the intervention group, compared to the control group (d = .57). There were no effects of listening to individualized music regularly considering questionnaire data on different aspects of quality of life.

Conclusions: Using a personalized measure may help to understand the potential of individualized music listening more adequately.

Clinical implications: The results indicate that listening to music can lead to positive but individually different effects.

Registration: German Clinical Trials Register (DRKS00013793); ISRCTN registry (ISRCTN59052178).

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音乐很重要,但结果测量也很重要:针对痴呆症患者的个性化音乐干预随机对照试验》。
研究目的本研究旨在评估个性化音乐聆听干预对机构护理中痴呆症患者的不同影响:研究使用了 118 名平均年龄为 84.05 岁(SD = 7.00 岁,76.3% 为女性)的痴呆症患者的数据,以调查为期 6 周的个性化音乐聆听的效果。参与者被随机分配到干预组和对照组,前者每隔一天聆听 20 分钟个性化播放列表,后者则接受标准护理。干预效果通过使用目标实现量表进行代理评分来分析。此外,还在四个评估点使用标准化问卷对生活质量的不同方面进行了评估和分析:结果:与对照组相比,干预组的护理人员更常报告在 6 周的个性化音乐聆听后个人目标的实现情况(d = .57)。定期聆听个性化音乐对生活质量各方面的问卷调查数据没有影响:结论:使用个性化测量方法有助于更充分地了解个性化音乐聆听的潜力:临床意义:研究结果表明,聆听音乐可以产生积极但因人而异的效果:注册:德国临床试验注册表(DRKS00013793);ISRCTN注册表(ISRCTN59052178)。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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