The effects of preferred music on agitation of older people with dementia in Taiwan

Sung, Huei‐Chuan; Chang, Anne M.; Abbey, Jennifer

doi:10.1002/gps.1585

Cited by 66 publications

(57 citation statements)

References 5 publications

(6 reference statements)

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“…These efforts have resulted in an expanding body of research that supports the use of this intervention for the management of agitation [17][18][19][20][21][22][23][24] . In addition, a study is currently being conducted in Iran to further test the effects of individualized music.…”

Section: Seminal Studymentioning

confidence: 99%

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Individualized music for dementia: Evolution and application of evidence-based protocol

Gerdner¹

2012

WJP

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The theory-based intervention of individualized music has been evaluated clinically and empirically leading to advancement and refinement of an evidence-based protocol, currently in its 5th edition. An expanded version of the protocol was written for professional health care providers with a consumer version tailored for family caregivers. The underlying mid-range theory is presented along with a seminal study that was followed by further research in the United States, Canada, Great Britain, France, Sweden, Norway, Japan and Taiwan. Key studies are summarized. Given its efficacy when implemented by research staff, studies have advanced to testing the intervention under real-life conditions when implemented and evaluated by trained nursing assistants in long-term care facilities and visiting family members. In addition, one study evaluated the implementation of music by family members in the home setting. Initial research focused on agitation as the dependent variable with subsequent research indicating a more holistic response such as positive affect, expressed satisfaction, and meaningful interaction with others. The article advances by describing on-line programs designed to train health care professionals in the assessment, implementation and evaluation of individualized music. In addition, Gerdner has written a story for a picture book intended for children and their families (in press). The story models principles of individualized music to elicit positive memories, reduce anxiety and agitation, and promote communication. The article concludes with implications for future research.

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Section: Seminal Studymentioning

confidence: 99%

“…In a companion study, Sung et al [23] , focused on the resident's response to individualized music when implemented by trained nursing staff. The Cohen-Mansfield Agitation Inventory [16] was used to measure the dependent variable.…”

Section: Translating Research Into Practicementioning

confidence: 99%

Individualized music for dementia: Evolution and application of evidence-based protocol

Gerdner¹

2012

WJP

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“…The protocol for individualized music and key propositions of IMIA were later tested using a more rigorous design and larger sample size [28]. These two seminal studies served as the foundation for an expanding body of empirical evidence that tested the theoretically driven intervention in the United States, Canada, Great Britain, France, Sweden, Norway, Japan and Taiwan [29][30][31][32][33][34][35][36][37][38][39][40][41][42].…”

Section: Theory Driven Intervention For Agitationmentioning

confidence: 99%

Untitled

2015

GGM

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beyond the organization's or local responder's abilities to cope. Disasters overwhelm natural defenses, established contingency plans, incapacitate people and/or deplete institutionalized resources [1,2]. Persons with Alzheimer's disease and related disorders (ADRD) are uniquely vulnerable during times of disaster. In part, this is attributed to a lowered tolerance to stress [3]. There are 5.3 million Americans diagnosed with Alzheimer's disease [4] with an estimated 44 million people throughout the world diagnosed with ADRD. This number is expected to triple by the year 2050 [5]. A number of resources have been written to guide family and health care providers in the care of these vulnerable older adults during and following a disaster [6][7][8]. All identify a decreased tolerance to stress in persons with Alzheimer's disease that leads to an increase in behavioral and psychological symptoms of dementia (BPSD), such as agitation. Levine and Kallymer [8] even provide actual case examples that spotlight the presentation of wandering and other agitated behaviors. Diversional activities have been recommended to alleviate these behaviors, but no specific guidelines have been provided. In addition, the Alzheimer's Association et al., [6] identify the importance of person-centered care to promote quality of life. Furthermore, Toner and Almai [9] emphasize the need to implement evidence-based interventions during times of disaster to promote quality of life.The purpose of this article is to supplement existing resources on the care of persons with ADRD during and following disaster, by providing a theory driven, evidence-based guideline for the use of individualized music for the management of agitation in this population. We begin by explaining the lowered tolerance to stress as experienced by persons with ADRD throughout the normal disease process with enhanced vulnerability during and following a disaster. The theory driven evidence-based guideline for individualized music is explained for the daily management of agitation in persons with ADRD. This content is conceptually applied to persons with ADRD for the management of agitation when confronted with overwhelming external stressors during and following a disaster. Agitation in Persons with DementiaADRD is characterized by cognitive impairment, a key antecedent to agitation [10][11][12]. Studies have reported agitation as high as 67.5% to 90% in persons with dementia [11,13]. This is attributed to a progressive decline in the stress threshold resulting in an increased susceptibility to anxiety, advancing to agitation and without intervention culminating in catastrophic behaviors [3].With a lowered stress threshold, person's with ADRD become especially vulnerable to both internal and external stressors [3,14,15] that include: fatigue; change of environment, caregiver, or routine; misleading or inappropriate stimulus levels; affective response to perception of loss; internal or external demands that exceed functional capacity; and physical stressors (i.e., pain, d...

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“…As of January 2009, this article has been cited in 91 scholarly publications and was the impetus for additional studies conducted in the U.S.A., Sweden, Japan and Taiwan. These efforts have resulted in an expanding body of research to support the use of this intervention for the management of agitation (Ragneskog et al, 2001;Janelli et al, 2002;Suzuki et al 2004;Sung et al, 2006;Park, 2008). This paper begins by providing a brief summary of the underlying theory for the use of individualized music and advances to a description of the Assessment of Personal Music Preference and the evidence-based guidelines for its implementation.…”

Section: Reflectionmentioning

confidence: 99%

TOP CITED PAPERS IN INTERNATIONAL PSYCHOGERIATRICS: 4. EFFECTS OF INDIVIDUALIZED VS. CLASSICAL “RELAXATION” MUSIC ON THE FREQUENCY OF AGITATION IN ELDERLY PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DISORDERS

Gerdner¹

2009

Int. Psychogeriatr.

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While working as a staff development coordinator in a long-term care facility during the mid to late 1980s I witnessed agitation in persons with dementia (PWD) and the negative effects that these behaviors had on both the caregiver and the care recipient. Published research findings validated the widespread prevalence of this problem. Management strategies at the time focused primarily on chemical and physical restraints which, in and of themselves, were fraught with adverse effects. Shortly thereafter I enrolled in graduate school where I focused my efforts on exploring this problem with a clear understanding that there was a need for alternative interventions that were relatively inexpensive and could be readily and easily implemented by trained staff. These efforts eventually led to the development of individualized music as an intervention for the management of agitation in PWD. Individualized music is defined as music that has been integrated into the person's life and is based on personal preference (Gerdner, 1992). Extensive clinical experience along with findings from a pilot study (Gerdner, 1992) served as the foundation for the development of intervention guidelines (Gerdner, 1996) and a mid-range theory of individualized music intervention for agitation (IMIA) (Gerdner, 1997). The publication of the original pilot study (Gerdner and Swanson, 1993) generated a considerable amount of interest resulting in further efforts toward testing the effects of individualized music for the management of agitation in PWD (Casby and Holm, 1994; Cohen-Mansfield and Werner, 1997; Devereaux, 1997; Thomas et al., 1997; Clark et al., 1998). The strengths and limitations of these studies were used to design a more rigorous methodology using a larger sample for the purpose of testing the propositions of IMIA and the effects of individualized music when compared to classical “relaxation” music on the frequency of agitation in PWD. The findings of this study were published in International Psychogeriatrics (Gerdner, 2000). As of January 2009, this article has been cited in 91 scholarly publications and was the impetus for additional studies conducted in the U.S.A., Sweden, Japan and Taiwan. These efforts have resulted in an expanding body of research to support the use of this intervention for the management of agitation (Ragneskog et al., 2001; Janelli et al., 2002; Suzuki et al. 2004; Sung et al., 2006; 2008; Park, 2008).

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The effects of preferred music on agitation of older people with dementia in Taiwan

Cited by 66 publications

References 5 publications

Individualized music for dementia: Evolution and application of evidence-based protocol

Individualized music for dementia: Evolution and application of evidence-based protocol

Untitled

TOP CITED PAPERS IN INTERNATIONAL PSYCHOGERIATRICS: 4. EFFECTS OF INDIVIDUALIZED VS. CLASSICAL “RELAXATION” MUSIC ON THE FREQUENCY OF AGITATION IN ELDERLY PERSONS WITH ALZHEIMER'S DISEASE AND RELATED DISORDERS

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