scholarly journals Implementing a Personalized Music Intervention for Persons Living With Dementia in Nursing Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 235-235
Author(s):  
Meng-Hao Li ◽  
Emily Ihara ◽  
Catherine Tompkins ◽  
Christi Clark ◽  
Shannon Layman ◽  
...  
Keyword(s):  
Psychological Symptoms ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Nursing Facilities ◽  
Music Intervention ◽  
Positive Effects ◽  
Intervention Impact ◽  
Musical Genres ◽  
And Behavior ◽  
Virtual Support

Abstract The Mason Music & Memory Initiative (M3I) team has implemented a personalized music intervention in nursing facilities across Virginia aiming to improve behavioral and psychological symptoms of persons living with dementia. This person-centered intervention uses a unique music playlist comprising songs, artists, and preferred musical genres. The preliminary findings from a randomized controlled trial will be reported, the purpose of which was to examine the intervention impact on nursing home residents’ mood and behavior. Based on the findings from 16 facilities with 158 residents who have completed the study, both quantitative and qualitative data indicate the positive effects on residents, including improved sleep and mood, as well as reduced agitation. The challenges in implementing intervention research in nursing facilities during the COVID-19 pandemic and the principles of telehealth and virtual support for facilities that were used to address those challenges will also be discussed.

scholarly journals The Implementation of the Music and Memory Intervention in Nursing Facilities in Virginia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 692-692
Author(s):  
Megumi Inoue ◽  
Emily Ihara ◽  
Catherine Tompkins ◽  
Kristen Suthers Rumrill ◽  
Kendall Barrett ◽  
...  
Keyword(s):  
Psychological Symptoms ◽  
Controlled Trial ◽  
Small Sample ◽  
Nursing Facilities ◽  
Music Intervention ◽  
Research Strategies ◽  
Positive Effects ◽  
Memory Intervention ◽  
Small Sample Sizes ◽  
The Individual

Abstract The Music & Memory intervention is a person-centered, non-pharmacologic intervention for people living with dementia. It is considered a personalized music intervention because the playlist comprises music genres that the individual prefers. Music has shown positive effects on behavioral and psychological symptoms of dementia. However, the findings from previous studies are often based on small sample sizes, insufficient descriptions of treatment fidelity, and lack of randomization. To address these issues, we began a randomized controlled trial implementing the Music & Memory intervention in nursing facilities in Virginia with support from the Centers for Medicare and Medicaid (CMS) Civil Money Penalty. We will present our research strategies as well as preliminary results suggesting that nursing facilities with higher occupancy rates are more likely to participate in this type of a program. In addition, study participants with dementia show positive emotional and behavioral reactions when listening to their favorite music.

scholarly journals Study protocol for a multicentre randomised controlled trial studying the effect of a music intervention on anxiety in adult critically ill patients (The RELACS trial)

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e051473
Author(s):  
Ellaha Kakar ◽  
Margo Van Mol ◽  
Johannes Jeekel ◽  
Diederik Gommers ◽  
Mathieu van der Jagt
Keyword(s):  
Mechanical Ventilation ◽  
Randomised Controlled Trial ◽  
The Netherlands ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Controlled Trial ◽  
Adult Patients ◽  
Music Intervention ◽  
Positive Effects ◽  
Randomised Controlled

IntroductionAnxiety is common in critically ill patients and has likely become more prevalent in the recent decade due to the imperative of the recent Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients (PADIS) to use low levels of sedation and strive for wakefulness. However, management of anxiety has not been included in the PADIS guidelines, and there is lack of evidence to treat it in spite of its growing importance. Administration of sedative and analgesic medication is often chosen to reduce anxiety, especially when associated with agitation. Sedatives are associated with prolonged mechanical ventilation, delirium and muscle wasting and are therefore preferably minimised. Previous studies have suggested positive effects of music interventions on anxiety in the critically ill. Therefore, we aim to study the effect of music intervention on anxiety in adult critically ill patients.Methods and designA multicentre randomised controlled trial was designed to study the effect of a music intervention on the level of anxiety experienced by adult patients admitted to the intensive care unit (ICU). One hundred and four patients will be included in three centres in the Netherlands. Patient recruitment started on 24-08-2020 and is ongoing in three hospitals. The primary outcome is self-reported anxiety measured on the visual analogue scale. Secondary outcomes include anxiety measured using the six-item State-Trait Anxiety Inventory, sleep quality, agitation and sedation level, medication requirement, pain, delirium, complications, time spend on mechanical ventilation, physical parameters and ICU memory and experience.Ethics and disseminationThe Medical Ethics Review Board of Erasmus MC University Medical Centre Rotterdam, The Netherlands, has approved this protocol. The study is being conducted in accordance with the Declaration of Helsinki. Results of this trial will be published in peer-reviewed scientific journals and conference presentations.Trial registration numberNCT04796389.

Findings From a Prospective Randomized Controlled Trial of an Individualized Music Listening Program for Persons With Dementia

2018 ◽  
Vol 39 (6) ◽  
pp. 567-575 ◽  
Author(s):  
Jung Kwak ◽  
Keith Anderson ◽  
Katharine O’Connell Valuch
Keyword(s):  
Nursing Homes ◽  
Controlled Trial ◽  
The United States ◽  
Music Listening ◽  
Music Intervention ◽  
Positive Effects ◽  
Randomized Controlled ◽  
Prospective Randomized Controlled Trial ◽  
Individualized Music ◽  
The Impact

Music & Memory (M&M) is a passive music intervention that uses personalized music playlists delivered on digital music players. This program has been increasingly adopted in nursing homes across the United States to facilitate communication, engagement, and socialization among persons with dementia (PWDs); however, few studies have evaluated the program’s effect on PWDs’ outcomes. In the present study, a randomized controlled crossover design was used to examine the impact of the M&M program on 59 PWDs in 10 nursing homes over a 14-week period. Residents’ evaluated outcomes included agitation, behavioral symptoms, and use of psychotropic medications. Although trends supported the positive effects of M&M, no statistically significant differences were found in any of the outcomes measured over time. Methodological limitations withstanding, these findings call into question the effectiveness of the M&M program and the ability of facility staff to implement this intervention with fidelity.

scholarly journals Optimizing Physical Activity and Decreasing Care-Resistant Behaviors Among Nursing Home Residents With Dementia

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 630-630
Author(s):  
Elizabeth Galik ◽  
Barbara Resnick ◽  
Erin Vigne ◽  
Sarah Holmes
Keyword(s):  
Physical Activity ◽  
Nursing Home ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Nursing Home Residents ◽  
Cognitively Impaired ◽  
Repeated Measures Design ◽  
Randomized Controlled ◽  
Resistiveness To Care ◽  
And Behavior

Abstract The purpose of this study was to test the effectiveness of the Function and Behavior Focused Care (FBFC) intervention on function, physical activity and behavioral symptoms among nursing home residents with dementia. This study was a clustered, randomized controlled trial with a repeated measures design in 12 nursing homes. The participants (N=336) were 82.6 (SD=10.1) years of age, mostly female and were moderate to severely cognitively impaired (MMSE of 7.8, SD=5.1). There were a statistically significant improvements in time spent in light, moderate and overall physical activity based on actigraphy and a decrease in resistiveness to care at 4 months among participants in the treatment group. There was no change in mood, agitation, and the use of psychotropic medications. This study provides some support for the use of the FBFC intervention to increase time spent in physical activity and decrease resistive behaviors during care among nursing home residents with dementia. Part of a symposium sponsored by Nursing Care of Older Adults Interest Group.

scholarly journals Stay Present with Your Phone: A Systematic Review and Standardized Rating of Mindfulness Apps in European App Stores

2020 ◽  
Author(s):  
Dana Schultchen ◽  
Yannik Terhorst ◽  
Tanja Holderied ◽  
Michael Stach ◽  
Eva-Maria Messner ◽  
...  
Keyword(s):  
Information Quality ◽  
Rating Scale ◽  
Controlled Trial ◽  
Privacy Policy ◽  
Physical And Mental Health ◽  
Content Quality ◽  
Positive Effects ◽  
Potential Risks ◽  
And Behavior

Abstract Background Mindfulness-based interventions show positive effects on physical and mental health. For a better integration of mindfulness techniques in daily life, the use of apps may be promising. However, only a few studies have examined the quality of mindfulness apps using a validated standardized instrument. This review aims to evaluate the content, quality, and privacy features of mindfulness-focused apps from European commercial app stores. Methods An automated search engine (webcrawler) was used to identify mindfulness-focused apps in the European Apple App- and Google Play store. Content, quality, and privacy features were evaluated by two independent reviewers using the Mobile Application Rating Scale (MARS). The MARS assesses the subscales engagement, functionality, aesthetics, and information quality. Results Out of 605 identified apps, 192 met the inclusion criteria. The overall quality was moderate (M = 3.66, SD = 0.48). Seven apps were tested in a randomized controlled trial (RCT). Most of the apps showed a lack of data security and no privacy policy. The five apps with the highest ratings are from a credible source, include a privacy policy, and are also based on standardized mindfulness and behavior change techniques. Conclusions The plethora of often low-quality apps in commercial app stores makes it difficult for users to identify a suitable app. Above that, the lack of scientific verification of effectiveness and shortcomings in privacy protection and security poses potential risks. So far, the potential of mindfulness-focused apps is not exploited in commercial app stores.

The effectiveness of music as an intervention for dementia patients in acute settings

2021 ◽  
Vol 13 (4) ◽  
Author(s):  
Kate Hack ◽  
Kate Martin ◽  
Chris Atkinson
Keyword(s):  
Psychological Symptoms ◽  
Evidence Base ◽  
Future Research ◽  
Music Intervention ◽  
Term Care ◽  
Effective Interventions ◽  
Dementia Patients ◽  
And Behavior

In 2019 there were an estimated 50 million people living with dementia globally [1]. There is a strong need for therapies and interventions that ameliorate symptoms and improve quality of life for individuals living with dementia. Whilst there is evidence for the effectiveness of music interventions in long-term care settings, such as nursing homes, less research has been conducted into their effectiveness in acute settings. It is important to build up an evidence base of effective interventions in acute settings specifically, which often see the most challenging cases of symptoms associated with dementia. This systematic review represents a novel examination of the literature on music as an intervention for dementia patients in acute settings. A database search identified 204 papers, of which 10 studies satisfied criteria and were reviewed. A quality assessment framework was applied, with the majority of studies scoring highly (above 80%). The review identified 4 areas where music interventions have been utilized to improve outcomes for dementia patients in acute settings: mood and wellbeing, behavioral and psychological symptoms of dementia, and use of inpatient resources. The most reliable evidence is currently within mood and behavior domains reflecting positive change following music intervention for inpatients. Limitations, clinical implications and recommendations for future research are discussed.

Kindergarten and Families Together During COVID-19

2020 ◽  
Vol 8 (3) ◽  
pp. 81-86
Author(s):  
Vencislava Dimitrova
Keyword(s):  
Positive Effects ◽  
Remote Interaction ◽  
And Behavior

The article shares a real experience of remote interaction and cooperation with the families of children in the conditions of a pandemic. There is an emphasis on the positive effects that can be highlighted so that the tension and anxiety in the feelings, thinking and behavior of children, parents, teachers are prevented.

Sign in / Sign up

Export Citation Format

Share Document