Randomized controlled trial2013

The effect of music therapy compared with general recreational activities in reducing agitation in people with dementia: a randomised controlled trial

Vink AC, Zuidersma M, Boersma F, de Jonge P, Zuidema SU, Slaets JP

International journal of geriatric psychiatry · 62 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
Nonprofit
Triodos Foundation
Government
ZonMw

Based on 2 listed funder(s).

Publication

Published
2012-12-26 · Int J Geriatr Psychiatry · vol. 28 · issue 10 · pp. 1031–1038
Publisher
Wiley
Cited
138 citations · more than 94% of similar papers · 3.8× the field average
Impact
Top 10% most cited in its field
References
39 works
Access
Paywalled
Research areas
Dementia and Cognitive Impairment Research · Music Therapy and Health · Intensive Care Unit Cognitive Disorders
Keywords
Music therapy, Randomized controlled trial, Recreational therapy, Dementia, Intervention (counseling), Recreation, Physical therapy, Medicine, Activities of daily living, Nursing homes, Psychology, Psychiatry, Nursing, Internal medicine
MeSH
humans, dementia, psychomotor agitation, music therapy, severity of illness index, aggression, verbal behavior, aged, aged, 80 and over, netherlands, female, male, recreation therapy

6 authors

From NL

  • Annemieke C. Vink · correspondingUniversity Medical Center Groningen; University of Groningen; ArtEZ University of the Arts
  • Marij ZuidersmaUniversity Medical Center Groningen; University of Groningen
  • Froukje BoersmaUniversity Medical Center Groningen; University of Groningen
  • Peter de JongeUniversity Medical Center Groningen; University of Groningen
  • Sytse Ulbe ZuidemaUniversity Medical Center Groningen; University of Groningen
  • Joris P. J. SlaetsUniversity Medical Center Groningen; University of Groningen

Abstract

Objective

This study aimed to compare the effects of music therapy with general recreational day activities in reducing agitation in people with dementia, residing in nursing home facilities.

Methods

In a randomised controlled design, residents with dementia (n = 94) were allocated to either music therapy or recreational activities. Both music therapy and general activities were offered twice weekly for 4 months. Changes in agitation were measured with a modified Cohen-Mansfield Agitation Inventory (CMAI) at four intervals on each intervention day. A mixed model analysis was used to evaluate the effectiveness of music therapy, compared with general activities, on CMAI scores at 4 h after the intervention, controlled for CMAI scores at 1 h before the session and session number.

Results

Data were analysed for 77 residents (43 randomised to music therapy and 34 to general activities). In both groups, the intervention resulted in a decrease in agitated behaviours from 1 h before to 4 h after each session. This decrease was somewhat greater in the music therapy group than in the general activities group, but this difference was statistically not significant (F = 2.885, p = 0.090) and disappeared completely after adjustment for Global Deterioration Scale stage (F = 1.500; p = 0.222).

Conclusions

Both music therapy and recreational activities lead to a short-term decrease in agitation, but there was no additional beneficial effect of music therapy over general activities. More research is required to provide insight in the effects of music therapy in reducing agitation in demented older people.

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

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