The Use of Music Playlists for People with Dementia: A Critical Synthesis

Abstract

The use of pre-recorded music to ease behavioral and psychological symptoms associated with dementia is popular in health-care contexts in both formal music therapy settings and in non-therapist led interventions. However, further understanding of how non-therapist led interventions compare to therapist led interventions is needed. This paper reviews 28 studies that used pre-recorded music with people with dementia using a critical interpretive synthesis model. Results revealed that pre-recorded music can be effective in reducing a variety of affective and behavioral symptoms, in particular agitation, even where a trained music therapist is not present. However, the results are not universally positive, suggesting the need for further clarification of protocols for music use and closer investigation of variables that influence individual responseto music.

Impact of individualised music listening intervention on persons with dementia: A systematic review of randomised controlled trials

“…[24][25][26][27][28][29] Such interventions have also captured the media's interest, evidenced by the creation of a documentary titled Alive Inside which depicts the positive experiences of people with dementia who have been rejuvenated by listening to personalised music. 30 Previous literature reviews on the use of prerecorded music playlists 31 and music as a therapy 32 for PWDs found that positive effects were evident in therapist or non-therapist-led interventions as well as caregiver-implemented interventions. Similarly, results from a meta-analysis suggested the higher likelihood of positive outcomes with music listening compared to music therapy.…”

<p>Systematic Use of Song and Music in Dementia Care: Health Care Providers’ Experiences</p>

“…Studies have shown that non-personalized music might increase anxiety and depression in patients with dementia. 6,25 It was vital to organize active song sessions in groups with staff present all the time. Several strategies related to music therapy are described, and distinction is often made between a receptive approach (listening to music) and an active approach (i.e., participating).…”

“…Similar findings have been found in other studies. 6,25 People with dementia are as varied as people without it, and they have their own backgrounds, histories, and preferences. Music is found to be closely associated with each person's identity, history, and earlier life events, which are often linked to a particular type of music.…”

“…Music therapy in group settings is found to be beneficial for persons with dementia. 25 However, studies have also shown that when the song/music is pre-recorded it may be less beneficial because it is difficult to account for each group member's personal music taste. 25 In addition, because the music taste and preferences may vary a lot between individuals, the composition of group members appears to be important.…”

“…25 However, studies have also shown that when the song/music is pre-recorded it may be less beneficial because it is difficult to account for each group member's personal music taste. 25 In addition, because the music taste and preferences may vary a lot between individuals, the composition of group members appears to be important. It is important for the staff to balance their attention towards the group as a whole and at the same time see the patients as individuals.…”