During the intervention, live interactive music has immediate and positive engagement effects in dementia subjects with apathy, regardless of the severity of their dementia. Pre-recorded music is non-harmful but less clearly beneficial.

No abstract

The objective of this study was to evaluate the efficacy of a prototype interactive music awareness program (IMAP) for adult cochlear implant (CI) users. An unblinded, randomized crossover design was used. Twenty-one CI users were recruited and allocated to two groups. Group 1 received the IMAP first, followed by a retention of learning phase. Group 2 were given the IMAP after 12 weeks. Participants were instructed to undertake two half-hour sessions per week at home over 12 weeks. Both groups attended appointments at the start, halfway through, and at the end of the trial. At each appointment participants completed tests of speech perception, melodic contour identification, and instrument recognition, rated the sound quality of music, and indicated their music listening habits. Sixteen participants completed the study. Following training both groups showed improved instrument recognition abilities and feedback suggests further positive impact on participants’ lives. The findings suggest that the IMAP is beneficial for music perception and in particular, improved instrument recognition.

The workshops proved to be an effective means of simultaneously encouraging music exploration in a social and safe environment and obtaining feedback on prototype rehabilitation materials. Survey data suggested that through group listening and practical activities, certain aspects of music can be accessible and rewarding through a CI, leading to positive changes in attitude and behavior toward music.

The participatory design approach used in developing the IMAP was fundamental in ensuring its relevance, and regular feedback from end users in each phase of development proved valuable for early identification of issues. Observations and feedback from end users supported a holistic approach to music aural rehabilitation.