Randomized controlled trial2012

A group music intervention using percussion instruments with familiar music to reduce anxiety and agitation of institutionalized older adults with dementia

Sung HC, Lee WL, Li TL, Watson R

International journal of geriatric psychiatry · 86 citations

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
Government
National Science Council

Based on 1 listed funder(s).

Publication

Published
2011-08-08 · Int J Geriatr Psychiatry · vol. 27 · issue 6 · pp. 621–627
Publisher
Wiley
Cited
178 citations · more than 96% of similar papers · 6.3× the field average
Impact
Top 10% most cited in its field
References
34 works
Access
Free to read
Research areas
Music Therapy and Health · Dementia and Cognitive Impairment Research · Intensive Care Unit Cognitive Disorders
Keywords
Dementia, Anxiety, Intervention (counseling), Psychology, Music therapy, Hamilton Anxiety Rating Scale, Rating scale, Clinical psychology, Physical therapy, Psychiatry, Medicine, Developmental psychology, Disease
MeSH
humans, dementia, psychomotor agitation, music therapy, analysis of variance, anxiety, psychiatric status rating scales, psychotherapy, group, aged, aged, 80 and over, residential facilities, taiwan, female, male, outcome assessment, health care

4 authors

From TW, GB

  • Huei‐Chuan Sung · correspondingTzu Chi College of Technology; Tzu Chi University
  • Wen‐li LeeTzu Chi College of Technology
  • Tzai‐Li LiNational Taiwan Sport University
  • Roger A. WatsonUniversity of Sheffield

Abstract

Objective

This experimental study aimed to evaluate the effects of a group music intervention on anxiety and agitation of institutionalized older adults with dementia.

Methods

A total of 60 participants were randomly assigned to an experimental or a control group. The experimental group received a 30-min music intervention using percussion instruments with familiar music in a group setting in mid afternoon twice weekly for 6 weeks, whereas the control group received usual care with no music intervention. The Rating of Anxiety in Dementia scale was used to assess anxiety, and Cohen-Mansfield Agitation Inventory was used to assess agitation at baseline, week 4 and week 6.

Results

Repeated measures analysis of covariance indicated that older adults who received a group music intervention had a significantly lower anxiety score than those in the control group while controlling for pre-test score and cognitive level (F = 8.98, p = 0.004). However, the reduction of agitation between two groups was not significantly different.

Conclusions

Anxiety and agitation are common in older adults with dementia and have been reported by caregivers as challenging care problems. An innovative group music intervention using percussion instruments with familiar music as a cost-effective approach has the potential to reduce anxiety and improve psychological well-being of those with dementia.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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