OBJECTIVES: This study, as part of a larger programme of research, sought to investigate the effect that participation in a 40-min live group music programme, involving facilitated engagement with song-singing and listening, three times a week for eight weeks, had on agitation and anxiety in older people with dementia. METHODS: A randomized cross-over design, with music and reading control groups, was employed. Forty-seven participants with mild-moderate dementia, from two aged care facilities in Queensland, Australia, were recruited. Participants were assessed three times on the Cohen-Mansfield Agitation Inventory-Short Form (CMAI-SF) and the Rating Anxiety in Dementia Scale (RAID). RESULTS: A sub-analysis of 24 participants attending ≥50% ofmusic sessions found a significant increase in the frequency of verbal aggression over time, regardless of group (F(2,46) = 3.534, p < 0.05). A series of multiple regressions found cognitive impairment, length of time living in the facility and gender to be predictors of agitation overall and by subtype. CONCLUSION: Participation in the music programme did not significantly affect agitation and anxiety in older people with dementia. Both the music and reading group activities, however, gave some participants a 'voice' and increased their verbalization behaviour. Agitation was found to be predicted by a number of background factors (namely level of cognitive impairment, length of time in the facility and gender). Future studies would benefit more from in-depth participant assessment prior to study commencement, helping to moderate the influence of low scores, and by undertaking interventions at times when assessed symptoms are most prevalent.
RCT Entities:
OBJECTIVES: This study, as part of a larger programme of research, sought to investigate the effect that participation in a 40-min live group music programme, involving facilitated engagement with song-singing and listening, three times a week for eight weeks, had on agitation and anxiety in older people with dementia. METHODS: A randomized cross-over design, with music and reading control groups, was employed. Forty-seven participants with mild-moderate dementia, from two aged care facilities in Queensland, Australia, were recruited. Participants were assessed three times on the Cohen-Mansfield Agitation Inventory-Short Form (CMAI-SF) and the Rating Anxiety in Dementia Scale (RAID). RESULTS: A sub-analysis of 24 participants attending ≥50% of music sessions found a significant increase in the frequency of verbal aggression over time, regardless of group (F(2,46) = 3.534, p < 0.05). A series of multiple regressions found cognitive impairment, length of time living in the facility and gender to be predictors of agitation overall and by subtype. CONCLUSION: Participation in the music programme did not significantly affect agitation and anxiety in older people with dementia. Both the music and reading group activities, however, gave some participants a 'voice' and increased their verbalization behaviour. Agitation was found to be predicted by a number of background factors (namely level of cognitive impairment, length of time in the facility and gender). Future studies would benefit more from in-depth participant assessment prior to study commencement, helping to moderate the influence of low scores, and by undertaking interventions at times when assessed symptoms are most prevalent.
Authors: A Lynn Snow; Cashuna Huddleston; Christina Robinson; Mark E Kunik; Amber L Bush; Nancy Wilson; Jessica Calleo; Amber Paukert; Cynthia Kraus-Schuman; Nancy J Petersen; Melinda A Stanley Journal: Aging Ment Health Date: 2012-02-28 Impact factor: 3.658
Authors: Kelly Murphy; Winston W Liu; Daniel Goltz; Emma Fixsen; Stephen Kirchner; Janice Hu; Heidi White Journal: Geriatr Nurs Date: 2018-05-03 Impact factor: 2.361
Authors: Jenny T van der Steen; Mirjam C van Soest-Poortvliet; Johannes C van der Wouden; Manon S Bruinsma; Rob Jpm Scholten; Annemiek C Vink Journal: Cochrane Database Syst Rev Date: 2017-05-02
Authors: Melinda A Stanley; Jessica Calleo; Amber L Bush; Nancy Wilson; A Lynn Snow; Cynthia Kraus-Schuman; Amber L Paukert; Nancy J Petersen; Gretchen A Brenes; Paul E Schulz; Susan P Williams; Mark E Kunik Journal: Am J Geriatr Psychiatry Date: 2013-02-06 Impact factor: 4.105
Authors: L L Daniel Lai; Sebastian J Crutch; Julian West; Emma Harding; Emilie V Brotherhood; Rohan Takhar; Nicholas Firth; Paul M Camic Journal: Wellcome Open Res Date: 2021-06-18
Authors: Jenny T van der Steen; Hanneke Ja Smaling; Johannes C van der Wouden; Manon S Bruinsma; Rob Jpm Scholten; Annemiek C Vink Journal: Cochrane Database Syst Rev Date: 2018-07-23