Effect of music therapy on improving sleep quality in older adults: A systematic review and meta-analysis
Chen CT, Tung HH, Fang CJ, Wang JL, Ko NY, Chang YJ, Chen YC
Journal of the American Geriatrics Society · 48 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
- National Cheng Kung University Hospital
- Grants
- National Cheng Kung University Hospital (NCKUH-10909037); National Cheng Kung University Hospital (NCKUH‐T10905020)
Based on 1 listed funder(s).
Publication
- Published
- 2021-04-20 · J Am Geriatr Soc · vol. 69 · issue 7 · pp. 1925–1932
- Publisher
- Wiley
- Cited
- 92 citations · more than 86% of similar papers · 2.1× the field average
- References
- 32 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Sleep and related disorders · Intensive Care Unit Cognitive Disorders
- Keywords
- Medicine, Cochrane Library, Randomized controlled trial, Music therapy, Meta-analysis, Pittsburgh Sleep Quality Index, MEDLINE, Subgroup analysis, Physical therapy, Systematic review, Gerontology, Cognition, Psychiatry, Internal medicine, Sleep quality
- MeSH
- humans, sleep initiation and maintenance disorders, treatment outcome, music therapy, sleep, quality of life, music, aged, aged, 80 and over, female, male, randomized controlled trials as topic
7 authors
From TW
- Chia‐Te ChenNational Yang Ming Chiao Tung University; National Cheng Kung University Hospital
- Heng‐Hsin TungNational Yang Ming Chiao Tung University
- Ching‐Ju FangNational Cheng Kung University Hospital; National Cheng Kung University
- Jiun‐Ling WangNational Cheng Kung University Hospital
- Nai‐Ying KoNational Cheng Kung University Hospital; National Cheng Kung University
- Ying‐Ju ChangNational Cheng Kung University Hospital; National Cheng Kung University
Abstract
Objectives
Poor sleep quality is a common issue among older adults; it can lead to a poor quality of life and impairments in cognitive function and physical health. This study aimed to conduct a systematic review and meta-analysis of the effect of listening to music on sleep quality in older adults.
Design
Systematic review and meta-analyses.
Setting
Five databases, including Embase, Ovid Medline, Cochrane Library, Scopus, and the Index to Taiwan Periodical Literature System, were searched to identify studies assessing the efficacy of music therapy in older adults aged 60 years and older published through February 20, 2021.
Participants
Adults aged 60 years and older.
Measurements
We searched English- and Chinese-language studies of randomized control trials. All studies were reviewed by two independent investigators. The primary sleep outcome was the Pittsburgh sleep quality index. The Cochrane Collaboration tool was used to assess the risk of bias, and Review Manager 5.3 software was used to conduct the meta-analysis.
Results
Five randomized control trials were included in the meta-analysis. Older adults who listened to music experienced significantly better sleep quality than those who did not listen to music [mean difference (MD): -1.96, 95% CI -2.23 to -1.73, P = 0.003]. The subgroup analysis revealed that older adults who listened to sedative music obtained a more effective improvement in sleep quality than those who listened to rhythm-centered music (MD: -2.35, 95% CI -3.59 to -1.10, P = 0.0002). Furthermore, listening to music for longer than 4 weeks (MD: -2.61, 95% CI -4.72 to -0.50, P = 0.02) was to be effective at improving sleep quality.
Conclusions
Music therapy is safe and easy to administer and can effectively improve sleep quality among older adults, particularly those listening to more sedative music for at least a four-week duration.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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