Preferred Music Listening Intervention in Nursing Home Residents with Cognitive Impairment: A Randomized Intervention Study

Pérez‐Ros, Pilar; Cubero-Plazas, Laura; Mejías-Serrano, Trinidad; Cunha, Cristina; Martínez-Arnau, Francisco Miguel

doi:10.3233/jad-190361

Cited by 27 publications

(40 citation statements)

References 40 publications

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“…Nonetheless, our findings are broadly consistent with those of: a recent RCT of meditation in Chinese elders with sleep impairment [72]; pilot controlled trials of KK meditation versus ML in depressed dementia caregivers [73], adults with memory loss [74], and breast cancer survivors [75]; RCTs of KK meditation and yoga in MCI patients [76] and of mindfulnessbased stress reduction in adults with stress disorders and cognitive concerns [77]; an RCT of mindfulness for patients with AD [78], and an early pilot RCT of Transcendental meditation in both cognitively impaired and unimpaired elderly [79]. Likewise, our findings are in overall agreement with those of RCTs investigating the cognitive effects of mindful or passive music listening in stroke patients [80][81][82] and three RCTs of interventions incorporating musiclistening in Finnish and Taiwanese dementia patients [83,84] and Spanish nursing home residents with cognitive impairment [85].…”

Section: Discussionsupporting

confidence: 82%

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

Innes

Montgomery

Selfe

et al. 2021

ADR

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Background: Recent studies suggest meditation and music listening (ML) may improve cognitive and psychosocial outcomes in adults with subjective cognitive decline (SCD). However, lack of a usual care group has limited conclusions. Objective: To assess the: 1) feasibility of incorporating an enhanced usual care (EUC) comparator in a trial of Kirtan Kriya meditation (KK) and ML for adults experiencing SCD; and 2) preliminary effects of active treatment (KK/ML) versus an EUC program. Methods: Forty participants with SCD were randomized 1:1:2 to a 12-week KK, ML, or EUC program. KK and ML participants were asked to practice 12 minutes/day; EUC participants were given a comprehensive educational packet regarding healthy aging and strategies for improving/maintaining brain health and asked to record any activities or strategies used. Feasibility was assessed using measures of retention, adherence, treatment expectancies, and participant satisfaction, as well as information from exit questionnaires and daily practice/activity logs. Cognitive functioning, stress, mood, sleep-quality, and health-related quality of life (QOL) were measured pre- and post-intervention using well-validated instruments. Results: Thirty-two participants (80%) completed the 3-month study, with retention highest in the EUC group (p < 0.05). Active treatment participants averaged 6.0±0.4 practice sessions/week, and EUC participants, 7.5±0.6 brain health activities/week. Treatment expectancies were similar across groups. EUC participants indicated high satisfaction with the program and study. Despite limited study power, the active treatment group showed significantly greater gains in subjective memory functioning (ps≤0.025) and nonsignificant improvements in cognitive performance (TMT-B), perceived stress, QOL, and mood (ps≤0.08) compared to the EUC group. Conclusion: Findings of this pilot feasibility trial suggest incorporation of an EUC program is feasible, and that participation in a simple 12-week relaxation program may be helpful for adults with SCD versus engagement in an EUC program.

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Section: Discussionsupporting

confidence: 82%

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

Innes

Montgomery

Selfe

et al. 2021

ADR

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“…Also, older adults with dementia living in residential aged care gained cognitive benefits including improvements to memory (Elliott and Gardner, 2018), and improved interactions (Elliott and Gardner, 2018). Additionally, Pérez-Ros et al (2019) demonstrated that participating in a preferred music-based intervention leads to improvements in the activities of daily living. Given a lack of such studies concerning older individuals without a diagnosis of dementia, it is important to investigate whether these effects can apply to these solo or group activities.…”

Section: Music Listeningmentioning

confidence: 98%

A Qualitative Exploration of Aged-Care Residents’ Everyday Music Listening Practices and How These May Support Psychosocial Well-Being

Krause

Davidson

2021

Front. Psychol.

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Strategies to support the psychosocial well-being of older adults living in aged-care are needed; and evidence points toward music listening as an effective, non-pharmacological tool with many benefits to quality of life and well-being. Yet, the everyday listening practices (and their associated specific psychosocial benefits) of older adults living in residential aged-care remain under-researched. The current study explored older adults’ experiences of music listening in their daily lives while living in residential aged-care and considered how music listening might support their well-being. Specifically, what might go into autonomous listening activities? 32 Australian residents (aged 73–98) living in two Australian care facilities participated in semi-structured interviews. The results of a qualitative thematic analysis revealed three themes pertaining to “previous music experiences and interest,” “current music listening,” and “barriers to listening.” While an interest in and access to music did not necessarily result in everyday listening practices, of those participants who did listen to music, perceived benefits included outcomes such as entertainment, enjoyment, relaxation, and mood regulation. Drawing on Ruud’s notion of music as a “cultural immunogen” supporting well-being and Self-Determination Theory, theoretical implications of the findings are addressed, relating to how to create and support music activities in aged-care facilities so that they are engaging, meaningful, and promote emotional regulation, community, and well-being.

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“…The control group received standard occupational therapy while the intervention group listened to preferred music of their choice for 60 minutes five times a week for two weeks in addition to the standard occupational therapy. The control group demonstrated an increase in depression scores, assessed using the Yesavage Scale, while the experimental group had stable scores over time [14]. Further, using the Mini Mental State Examination (MMSE, a cognitive tool for assessing dementia), a decline in cognitive status was seen over time in the control group, but no change in the dementia group, indicating a maintenance of cognitive status associated with music listening [14].…”

Section: Dementia-associated Behaviours and Emotionsmentioning

confidence: 99%

“…Similarly, Murphy et al also administered personalized playlists through the use of iPods, and this intervention resulted in reduced negative behaviours such as agitation and refusal [10]. A study by Pérez-Ros et al examined preferred music listening in 119 participants with unspecified dementia and 72 controls [14]. The control group received standard occupational therapy while the intervention group listened to preferred music of their choice for 60 minutes five times a week for two weeks in addition to the standard occupational therapy.…”

Section: Dementia-associated Behaviours and Emotionsmentioning

confidence: 99%

The Effects of Personalized Music Listening on Older Adults with Dementia: A Literature Review

Ellewela

Yuen

2021

URNCST Journal

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Introduction: Dementia affects millions of people globally and can impact the emotional and cognitive well-being of these individuals. Interventions such as music therapy, including the use of personalized music, are increasingly being used to help reduce the severity of symptoms and enhance patient care. Research has shown that music is strongly associated with long-term memory, and the use of familiar songs may trigger emotional arousal and past memories in individuals with dementia. However, the effectiveness of listening to personalized music on alleviating dementia symptoms is unclear. The aim of this review was to examine the effects of listening to personalized music on emotional arousal and mood in individuals with dementia. Methods: Two databases, Embase and PubMed, were searched for articles exploring personalized or preferred music listening in older adults with dementia and were screened by two co-authors. Results: A total of 9 studies were included in the review. Five of the included studies found positive impacts on mood, such as increased happiness. Two studies demonstrated decreases in agitation, and two studies demonstrated decreases in anxiety. Discussion: This review found an overall positive impact of listening to personalized music on emotion and behavioural and psychological symptoms in dementia (BPSD). The improved emotional arousal and mood shown in this review may lead to enhanced motivation during cognitive tasks, ultimately improving overall performance. Conclusion: Although listening to personalized music was found to strengthen emotional affect and mood, there are inconsistencies in the parameters used during musical interventions. Thus, it is evident that further research is required to determine the optimal guidelines for implementing personalized music listening interventions.

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Preferred Music Listening Intervention in Nursing Home Residents with Cognitive Impairment: A Randomized Intervention Study

Cited by 27 publications

References 40 publications

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial

A Qualitative Exploration of Aged-Care Residents’ Everyday Music Listening Practices and How These May Support Psychosocial Well-Being

The Effects of Personalized Music Listening on Older Adults with Dementia: A Literature Review

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