Short and Longer Term Effects of Musical Intervention in Severe Alzheimer's Disease

Clément, Sylvain; Tonini, Audrey; Khatir, Fatiha; Schiaratura, Loris; Samson, Séverine

doi:10.1525/mp.2012.29.5.533

Cited by 32 publications

(31 citation statements)

References 36 publications

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“…However, all participants reported that a non-pharmacological intervention should be tried in the first instance, reflecting an espoused belief or value [ 19 ] that was not always borne out in practice (level 2). Research in care homes has shown that cooking and music therapy have a beneficial effect on residents with dementia and help with decreasing the severity of behavioural disorders and caregiver distress [ 34 ]. McCurry et al.…”

Section: Discussionmentioning

confidence: 99%

Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture

Shaw

McCormack

Hughes

2016

Drugs - Real World Outcomes

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BackgroundThere is increasing interest in how culture may affect the quality of healthcare services, and previous research has shown that ‘treatment culture’—of which there are three categories (resident centred, ambiguous and traditional)—in a nursing home may influence prescribing of psychoactive medications.ObjectiveThe objective of this study was to explore and understand treatment culture in prescribing of psychoactive medications for older people with dementia in nursing homes.MethodSix nursing homes—two from each treatment culture category—participated in this study. Qualitative data were collected through semi-structured interviews with nursing home staff and general practitioners (GPs), which sought to determine participants’ views on prescribing and administration of psychoactive medication, and their understanding of treatment culture and its potential influence on prescribing of psychoactive drugs. Following verbatim transcription, the data were analysed and themes were identified, facilitated by NVivo® and discussion within the research team.ResultsInterviews took place with five managers, seven nurses, 13 care assistants and two GPs. Four themes emerged: the characteristics of the setting, the characteristics of the individual, relationships and decision making. The characteristics of the setting were exemplified by views of the setting, daily routines and staff training. The characteristics of the individual were demonstrated by views on the personhood of residents and staff attitudes. Relationships varied between staff within and outside the home. These relationships appeared to influence decision making about prescribing of medications. The data analysis found that each home exhibited traits that were indicative of its respective assigned treatment culture.ConclusionNursing home treatment culture appeared to be influenced by four main themes. Modification of these factors may lead to a shift in culture towards a more flexible, resident-centred culture and a reduction in prescribing and use of psychoactive medication.Electronic supplementary materialThe online version of this article (doi:10.1007/s40801-016-0066-5) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture

Shaw

McCormack

Hughes

2016

Drugs - Real World Outcomes

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“…Eleven studies assessed the effects of music and MT on dementia [60][61][62][63][64][65][66][67][68][69][70] . Eight studies employed a relational approach [60][61][63][64][65][68][69][70] based either on active or receptive techniques or a combination of both of them.…”

Section: Effects On Dementiamentioning

confidence: 99%

“…Eight studies employed a relational approach [60][61][63][64][65][68][69][70] based either on active or receptive techniques or a combination of both of them. Two studies concerned music listening interventions [62,67] and one study adopted a rehabilitative approach [66] .…”

Section: Effects On Dementiamentioning

confidence: 99%

“…Improvements in BPDS (P = 0.004) and caregiver distress (P = 0.003) Guètin et al [62] RCT (3) [63] RCT (3) Cooke et al [64] RCT (3) [65] CCT (0) [66] RCT ( No effects on mood. Improvements (P < 0.05) for MPI, MPD, attentional matrices, ADL, SVAM, and GMP Janata [67] RCT (3) [68] RCT (2) [69] RCT (2) Chu et al [70] RCT ( Raglio A et al . Effects of music therapy on mood brain, the whole emotional, motivational, and affective state of the person will be altered [88,89] .…”

Section: Effects On Dementiamentioning

confidence: 99%

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Effects of music and music therapy on mood in neurological patients

Raglio

Attardo

Gontero

et al. 2015

WJP

164

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Mood disorder and depressive syndromes represent a common comorbid condition in neurological disorders with a prevalence rate that ranges between 20% and 50% of patients with stroke, epilepsy, multiple sclerosis, and Parkinson's disease. Notwithstanding, these conditions are often under-diagnosed and under-treated in the clinical practice and negatively affect the functional recovery, the adherence to treatment, the quality of life, and even the mortality risk. In addition, a bidirectional association between depression and neurological disorders may be possible being that depressive syndromes may be considered as a risk factor for certain neurological diseases. Despite the large amount of evidence regarding the effects of music therapy (MT) and other musical interventions on different aspects of neurological disorders, no updated article reviewing outcomes such as mood, emotions, depression, activity of daily living and so on is actually available; for this reason, little is known about the effectiveness of music and MT on these important outcomes in neurological patients. The aim of this article is to provide a narrative review of the current literature on musical interventions and their effects on mood and depression in patients with neurological disorders. Searching on PubMed and PsycInfo databases, 25 studies corresponding to the inclusion criteria have been selected; 11 of them assess the effects of music or MT in Dementia, 9 explore the efficacy on patients with Stroke, and 5 regard other neurological diseases like Multiple Sclerosis, Amyotrophic Lateral Sclerosis/motor neuron disease, Chronic quadriplegia, Parkinson's Disease, and Acquired Brain dysfunctions. Selected studies are based on relational and rehabilitative music therapy approaches or concern music listening interventions. Most of the studies support the efficacy of MT and other musical interventions on mood, depressive syndromes, and quality of life on neurological patients.

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“…The absence of a nonmusic or another intervention group to control for changes due to patients’ stimulation (and to the social impact of group activities) also limits the conclusion about the specific impact of a music intervention. Moreover, there is virtually no experimental research about the potential long‐term effects of music‐based activities in PWD and their caregivers (except for three recent studies). Thus, there is an urgent need to go beyond intuitions and investigate the efficiency of music‐based intervention in the treatment of PWD more rigorously with adequate experimental methodology.…”

Section: Assessing the Efficacy Of Music‐based Interventions In Pwdmentioning

confidence: 99%

Efficacy of musical interventions in dementia: methodological requirements of nonpharmacological trials

Samson

Clément

Narme³

et al. 2015

Annals of the New York Academy of Sciences

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The management of patients with Alzheimer's disease is a significant public health problem given the limited effectiveness of pharmacological therapies combined with iatrogenic effects of drug treatments in dementia. Consequently, the development of nondrug care, such as musical interventions, has become a necessity. The experimental rigor of studies in this area, however, is often lacking. It is therefore difficult to determine the impact of musical interventions on patients with dementia. As part of a series of studies, we carried out randomized controlled trials to compare the effectiveness of musical activities to other pleasant activities on various functions in patients with severe Alzheimer's disease. The data obtained in these trials are discussed in light of the methodological constraints and requirements specific to these clinical studies. Although the results demonstrate the power of music on the emotional and behavioral status of patients, they also suggest that other pleasant activities (e.g., cooking) are also effective, leaving open the question about the specific benefits of music in patients with dementia. All these findings highlight the promising potential for nonpharmacological treatments to improve the well-being of patients living in residential care and to reduce caregiver burden.

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Short and Longer Term Effects of Musical Intervention in Severe Alzheimer's Disease

Cited by 32 publications

References 36 publications

Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture

Prescribing of Psychoactive Drugs for Older People in Nursing Homes: An Analysis of Treatment Culture

Effects of music and music therapy on mood in neurological patients

Efficacy of musical interventions in dementia: methodological requirements of nonpharmacological trials

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