Creative Music Therapy in an Acute Care Setting for Older Patients with Delirium and Dementia
Cheong CY, Tan JA, Foong YL, Koh HM, Chen DZ, Tan JJ, Ng CJ, Yap P
Dementia and geriatric cognitive disorders extra · 26 citations
How it was studied
- Design
- Controlled clinical trial (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
Based on full-text disclosure statement.
Publication
- Published
- 2016-06-24 · Dement Geriatr Cogn Dis Extra · vol. 6 · issue 2 · pp. 268–275
- Publisher
- Karger Publishers
- Cited
- 79 citations · more than 93% of similar papers · 4.0× the field average
- Impact
- Top 10% most cited in its field
- References
- 33 works
- Access
- Open access (journal) · CC-BY-NC-ND
- Research areas
- Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Art Therapy and Mental Health
- Keywords
- Music therapy, Mood, Psychology, Delirium, Dementia, Alertness, Pleasure, Clinical psychology, Psychological intervention, Medicine, Psychotherapist, Psychiatry, Internal medicine
8 authors
From SG
- Chin Yee CheongKhoo Teck Puat Hospital
- Jane An Qi TanKhoo Teck Puat Hospital
- Yi-Lin FoongKhoo Teck Puat Hospital
- Hui Mien KohKhoo Teck Puat Hospital
- Denise Zhen Yue ChenKhoo Teck Puat Hospital
- Jessie Joon Chen TanKhoo Teck Puat Hospital
Abstract
Background/aims
The acute hospital ward can be unfamiliar and stressful for older patients with impaired cognition, rendering them prone to agitation and resistive to care. Extant literature shows that music therapy can enhance engagement and mood, thereby ameliorating agitated behaviours. This pilot study evaluates the impact of a creative music therapy (CMT) programme on mood and engagement in older patients with delirium and/or dementia (PtDD) in an acute care setting. We hypothesize that CMT improves engagement and pleasure in these patients.
Methods
Twenty-five PtDD (age 86.5 ± 5.7 years, MMSE 6/30 ± 5.4) were observed for 90 min (30 min before, 30 min during, and 30 min after music therapy) on 3 consecutive days: day 1 (control condition without music) and days 2 and 3 (with CMT). Music interventions included music improvisation such as spontaneous music making and playing familiar songs of patient's choice. The main outcome measures were mood and engagement assessed with the Menorah Park Engagement Scale (MPES) and Observed Emotion Rating Scale (OERS).
Results
Wilcoxon signed-rank test showed a statistically significant positive change in constructive and passive engagement (Z = 3.383, p = 0.01) in MPES and pleasure and general alertness (Z = 3.188,p = 0.01) in OERS during CMT. The average pleasure ratings of days 2 and 3 were higher than those of day 1 (Z = 2.466, p = 0.014). Negative engagement (Z = 2.582, p = 0.01) and affect (Z = 2.004, p = 0.045) were both lower during CMT compared to no music.
Conclusion
These results suggest that CMT holds much promise to improve mood and engagement of PtDD in an acute hospital setting. CMT can also be scheduled into the patients' daily routines or incorporated into other areas of care to increase patient compliance and cooperation.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC-ND).
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