The efficacy of music therapy for people with dementia: A meta-analysis of randomised controlled trials
Chang YS, Chu H, Yang CY, Tsai JC, Chung MH, Liao YM, Chi MJ, Liu MF, Chou KR
Journal of clinical nursing · 82 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- University or hospital
- Taipei Medical University
- Grants
- Taipei Medical University (TMU‐R‐102‐03); Taipei Medical University (TMU‐R‐100‐07)
Based on 1 listed funder(s).
Publication
- Published
- 2015-08-24 · J Clin Nurs · vol. 24 · issue 23-24 · pp. 3425–3440
- Publisher
- Wiley
- Cited
- 133 citations · more than 99% of similar papers · 13.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 32 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Dementia and Cognitive Impairment Research · Art Therapy and Mental Health
- Keywords
- Music therapy, Meta-analysis, Randomized controlled trial, Dementia, Anxiety, CINAHL, Clinical psychology, Psychology, Psychological intervention, Medicine, Psychotherapist, Psychiatry, Internal medicine
- MeSH
- humans, dementia, music therapy, affect, cognition, randomized controlled trials as topic
9 authors
From TW
- Yu‐Shiun ChangTri-Service General Hospital; Taipei Medical University; National Defense Medical Center
- Hsin ChuTri-Service General Hospital; Kaohsiung Armed Forces General Hospital; National Defense Medical Center
- Chyn‐Yng YangTaipei Medical University Hospital; Taipei Medical University; National Yang Ming Chiao Tung University
- Jui‐Chen TsaiTaipei Medical University-Shuang Ho Hospital
- Min‐Huey ChungTaipei Medical University
- Yuan‐Mei LiaoTaipei Medical University
Abstract
Aims and objectives
To (1) perform a meta-analysis of randomised controlled trials pertaining to the efficacy of music therapy on disruptive behaviours, anxiety levels, depressive moods and cognitive functioning in people with dementia; and (2) clarify which interventions, therapists and participant characteristics exerted higher and more prominent effects.
Background
Present study was the first to perform a meta-analysis that included all the randomised controlled trials found in literature relating to music therapy for people with dementia over the past 15 years.
Design
A meta-analysis study design.
Methods
Quantitative studies were retrieved from PubMed, Medline, Cochrane Library Database, CINAHL, SCOPUS and PsycINFO. A meta-analysis was used to calculate the overall effect sizes of music therapy on outcome indicators.
Results
Music therapy significantly improved disruptive behaviours [Hedges' g = -0·66; 95% confidence interval (CI) = -0·44 to -0·88] and anxiety levels (Hedges' g = -0·51; 95% CI = -0·02 to -1·00) in people with dementia. Music therapy might affect depressive moods (Hedges' g = -0·39; 95% CI = 0·01 to -0·78), and cognitive functioning (Hedges' g = 0·19; 95% CI = 0·45 to -0·08).
Conclusion
Music therapy exerted a moderately large effect on disruptive behaviours of people with dementia, a moderate effect on anxiety levels and depressive moods, and a small effect on cognitive functioning.
Relevance to clinical practice
Individual music therapy provided once a week to patients with cognitive functioning and manual guided in music intervention construction is suggested. Group music therapy is provided several times a week to reduce their disruptive behaviours, anxiety levels and depressive moods. Music therapy is a cost-effective, enjoyable, noninvasive therapy and could be useful for clinical nurses in creating an environment that is conducive to the well-being of patients with dementia.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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