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  • A randomized controlled trial exploring the effect of music on agitated behaviours and anxiety in older people with dementia

    Author(s)
    Cooke, Marie
    Moyle, Wendy
    Shum, David
    Harrison, Scott
    Murfield, Jenny
    Griffith University Author(s)
    Shum, David
    Cooke, Marie L.
    Moyle, Wendy
    Harrison, Scott D.
    Murfield, Jenny E.
    Year published
    2010
    Metadata
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    Abstract
    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 ...
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    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.
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    Journal Title
    Aging & Mental Health
    Volume
    14
    Issue
    8
    DOI
    https://doi.org/10.1080/13607861003713190
    Subject
    Aged Care Nursing
    Medical and Health Sciences
    Studies in Human Society
    Psychology and Cognitive Sciences
    Publication URI
    http://hdl.handle.net/10072/35345
    Collection
    • Journal articles

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