The effect of music therapy compared with general recreational activities in reducing agitation in people with dementia: a randomised controlled trial

Objective This study aimed to compare the effects of music therapy with general recreational day activities in reducing agitation in people with dementia, residing in nursing home facilities. Methods In a randomised controlled design, residents with dementia (n = 94) were allocated to either music t...

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Published in:International journal of geriatric psychiatry Vol. 28; no. 10; pp. 1031 - 1038
Main Authors: Vink, A. C., Zuidersma, M., Boersma, F., de Jonge, P., Zuidema, S. U., Slaets, J. P. J.
Format: Journal Article
Language:English
Published: Hove Blackwell Publishing Ltd 01.10.2013
Psychology Press
Wiley Subscription Services, Inc
Subjects:
Aged
Aged, 80 and over
Aggression
agitation
Biological and medical sciences
Cohen-Mansfield Agitation Inventory
Comparative analysis
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Dementia
Dementia - therapy
Female
General aspects
Geriatric psychiatry
Geriatrics
Humans
Intervention
Male
Medical sciences
Music Therapy
Netherlands
Neurology
Nursing homes
Older people
Psychology. Psychoanalysis. Psychiatry
Psychomotor Agitation - prevention & control
Psychopathology. Psychiatry
randomised controlled trial
Recreation Therapy
recreational activities
Severity of Illness Index
Verbal Behavior
Netherlands
Human
Musicotherapy
Agitation
Questionnaire
recreational activities
Controlled therapeutic trial
Psychometrics
randomised controlled trial
music therapy
Randomized controlled trial
Recreational activity
Gerontology
Cohen-Mansfield Agitation Inventory
Clinical trial
Degenerative disease
Elderly
Psychiatry
Comparative study
Inventory
Dementia
Geriatrics
agitation
dementia
ISSN:0885-6230, 1099-1166, 1099-1166
Online Access:Get full text
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Summary:Objective This study aimed to compare the effects of music therapy with general recreational day activities in reducing agitation in people with dementia, residing in nursing home facilities. Methods In a randomised controlled design, residents with dementia (n = 94) were allocated to either music therapy or recreational activities. Both music therapy and general activities were offered twice weekly for 4 months. Changes in agitation were measured with a modified Cohen‐Mansfield Agitation Inventory (CMAI) at four intervals on each intervention day. A mixed model analysis was used to evaluate the effectiveness of music therapy, compared with general activities, on CMAI scores at 4 h after the intervention, controlled for CMAI scores at 1 h before the session and session number. Results Data were analysed for 77 residents (43 randomised to music therapy and 34 to general activities). In both groups, the intervention resulted in a decrease in agitated behaviours from 1 h before to 4 h after each session. This decrease was somewhat greater in the music therapy group than in the general activities group, but this difference was statistically not significant (F = 2.885, p = 0.090) and disappeared completely after adjustment for Global Deterioration Scale stage (F = 1.500; p = 0.222). Conclusions Both music therapy and recreational activities lead to a short‐term decrease in agitation, but there was no additional beneficial effect of music therapy over general activities. More research is required to provide insight in the effects of music therapy in reducing agitation in demented older people. Copyright © 2012 John Wiley & Sons, Ltd.
Bibliography:istex:B057759C75445F086517657ADD9816A31045F350
ArticleID:GPS3924
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ObjectType-Evidence Based Healthcare-3
ISSN:0885-6230
1099-1166
1099-1166
DOI:10.1002/gps.3924