Effect of Active Music Therapy and Individualized Listening to Music on Dementia: A Multicenter Randomized Controlled Trial
Raglio A, Bellandi D, Baiardi P, Gianotti M, Ubezio MC, Zanacchi E, Granieri E, Imbriani M, Stramba-Badiale M
Journal of the American Geriatrics Society · 107 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
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
- Funding not disclosed
Publication
- Published
- 2015-08-01 · J Am Geriatr Soc · vol. 63 · issue 8 · pp. 1534–1539
- Publisher
- Wiley
- Cited
- 176 citations · more than 99% of similar papers · 17.6× the field average
- Impact
- Top 10% most cited in its field
- References
- 45 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Dementia and Cognitive Impairment Research · Neuroscience and Music Perception
- Keywords
- Randomized controlled trial, Medicine, Dementia, Music therapy, Anxiety, Quality of life (healthcare), Clinical psychology, Psychiatry, Physical therapy, Internal medicine, Disease, Nursing
- MeSH
- humans, dementia, treatment outcome, music therapy, psychiatric status rating scales, quality of life, music, aged, aged, 80 and over, female, male
9 authors
From IT
- Alfredo Raglio · correspondingUniversity of Ferrara; University of Pavia
- Daniele Bellandi
- Paola BaiardiFondazione Salvatore Maugeri
- Marta Gianotti
- Maria Chiara Ubezio
- Elisa Zanacchi
Abstract
Objectives
To assess the effects of active music therapy (MT) and individualized listening to music (LtM) on behavioral and psychological symptoms of dementia (BPSDs) in persons with dementia (PWDs).
Design
Randomized controlled trial.
Setting
Nine Italian institutions.
Participants
Persons with moderate to severe dementia and BPSDs (N = 120) were randomized to one of three treatments.
Interventions
All groups received standard care (SC), and two groups attended 20 individualized MT or LtM sessions, twice a week, in addition to SC.
Measurements
The Neuropsychiatric Inventory (NPI), Cornell Scale for Depression in Dementia (CSDD), and Cornell-Brown Scale for Quality of Life in Dementia (CBS-QoL) were administered before treatment, after treatment, and at follow-up to evaluate behavioral and psychological outcomes. A specific coding scheme (Music Therapy Check List-Dementia) was used to evaluate the MT process.
Results
Behavioral assessment did not show significant differences between groups. All groups showed a reduction over time in NPI global score (P ≤ .001), CSDD (P = .001), and CBS-QoL (P = .01). The NPI global score fell 28% in the MT group, 12% in the LtM group, and 21% in the SC group at the end of treatment. An exploratory post hoc analysis showed similar within-group improvements for the NPI Delusion, Anxiety, and Disinhibition subscales. In the MT group, communication and relationships between the music therapists and PWDs showed a positive albeit nonsignificant trend during treatment.
Conclusion
The addition of MT or LtM to standard care did not have a significant effect on BPSDs in PWDs. Further studies on the effects of the integration of standard care with different types of music interventions on BPSD in PWD are warranted.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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