Is music-with-movement intervention better than music listening and social activities in alleviating agitation of people with moderate dementia? A randomized controlled trial
Is music-with-movement intervention better than music listening and social activities in alleviating agitation of people with moderate dementia? A randomized controlled trial
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DOI：
10.1177/1471301218800195
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发表时间：
2020-07-01
影响因子：
2.4
通讯作者：
Leung, Mason Chin Pang
中科院分区：
文献类型：
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作者：
Cheung, Daphne Sze Ki;Lai, Claudia Kam Yuk;Leung, Mason Chin Pang
交互式音乐干预通常被认为比接受性方法在临床结果上更有效，因为它可以更好地吸引痴呆症患者。本研究的目的是比较为期6周的音乐伴运动干预对中度痴呆患者躁动、音乐听和社交活动的影响。方法采用多中心随机对照试验方法，对165例中度痴呆老人进行调查。参与者被随机分为三组：带动作的音乐组、听音乐组和社会活动组。音乐加运动组的参与者听自己喜欢的音乐，活动身体部位，每次45分钟，每周两次，持续6周。而音乐听组的参与者只听他们喜欢的音乐，社交活动组的参与者与其他小组成员聊天。躁动水平采用中国科恩-曼斯菲尔德躁动量表-养老院版本进行检查。在基线、干预后和干预后6周比较总分和分值（身体攻击性、身体非攻击性、言语攻击性和言语非攻击性）。结果三组患者在躁动方面无显著差异。重复测量单变量分析显示，从基线到干预后，所有三组在躁动方面都有显著改善，其中运动音乐的效果最大。结论互动性或接受性音乐干预或社交活动对躁动的控制可能有帮助，但两者之间差异无统计学意义。
Aim Interactive music intervention is generally perceived as more effective on clinical outcomes than a receptive approach because it can better engage the people with dementia. The aim of this study is to compare the effects of the 6-week music-with-movement intervention on agitation of people with moderate dementia, music listening and social activity. Methods A multi-centre randomized controlled trial was conducted on 165 nursing home residents with moderate dementia. The participants were randomly allocated into three groups: music-with-movement, music listening or social activities groups. Participants in the music-with-movement group listened to preferred music and moved their body parts for 45 minutes, twice a week for 6 weeks. While the participants in the music listening group only listened to their preferred music and social activity group chatted with the other group members. The agitation level was examined with the Chinese Cohen-Mansfield Agitation Inventory - Nursing Home version. Total scores and sub-scores (physically aggressive, physical non-aggressive, verbal aggressive and verbal non-aggressive) were compared at baseline, at post-intervention and 6 weeks post-intervention. Results The results showed that there are no significant differences in agitation among three groups. Repeated measures univariate analyses revealed that all three groups yielded significant improvement in agitation from baseline to post-intervention, of which music-with-movement presented the largest effect size. Conclusion This study showed that interactive or receptive type of music intervention or social activities may be helpful in managing agitation although there is no statistically significant difference among them.