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| Id | 772 | |
| Author | Ray K.D., Götell E. | |
| Title | The use of music and music therapy in ameliorating depression symptoms and improving well-being in nursing home residents with dementia | |
| Reference | Ray K.D., Götell E.; The use of music and music therapy in ameliorating depression symptoms and improving well-being in nursing home residents with dementia ;Frontiers in Medicine vol:5.0 issue: OCT page: |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85062705942&doi=10.3389%2ffmed.2018.00287&partnerID=40&md5=268f8b7cfbda46df26be26c3454ef33c |
| Abstract | Background: Studies have shown music therapy can improve depression symptoms in dementia and the use of music activities show promise to have positive impacts on wellbeing. However, few studies show the influence of a music intervention led by certified nursing assistants (CNAs) trained by music therapists to address depression symptoms and wellbeing in individuals with dementia. Methods: Credentialed music therapists (1) administered 2-weeks of music therapy, (2) a 3-days training to CNAs, (3) followed by 2-weeks of music activities, singing and music-with-movement, led by CNAs for 62 nursing home residents with moderate dementia, (4) then measured depression symptoms using the Cornell Scale for Depression. We obtained video consent for 26 of the 62 residents who were video recorded receiving CNA-led music-based caregiving activities. Using the Music in Dementia Scale, over 200 h of video data was observed and raters measured changes in well-being, e.g., levels of enjoyment, mood and engagement in the residents, during the CNA facilitated music activities. Results: A repeated measures ANOVA revealed that mean depression scores differed statistically significantly between time points, p ≤ 0.001. Residents baseline depression symptoms significantly declined following 2 weeks of music therapy, p ≤ 0.001, increased during a 2-weeks wash-out period, p = 0.389, but appeared to stabilize following the 2-weeks music activity, p = 1.00. A video analysis and paired sampled t-test demonstrated a significant improvement in wellbeing in residents who engaged in music with movement, p = 0.003. Wellbeing improved slightly, but not significantly for residents who participated in the singing intervention, p = 0.165. Conclusion: Findings suggest that music therapy can significantly decrease depression symptoms in nursing home residents with dementia. Music activities designed by music therapists and facilitated by CNAs may help sustain the reduction of depression symptoms and improve wellbeing in nursing home residents with moderate to severe dementia. © 2018 Ray and Götell. |
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| In music therapy, singing can lead to a sense of wellbeing as indicated by positive self-esteem, a sense of accomplishment and feelings of belonging (9). . | For caregivers, the use of Music Therapeutic Caregiving, which involves singing while providing care, has been shown to evoke positive emotions, reduce aggression, and create a sense of mutuality (10). . | In the current study, while it appears that both the singing and movement activity were helpful in sustaining reductions in depression symptoms, the video analysis demonstrated that the music-with-movement protocol significantly improved well-being in the participants. . | Background: Studies have shown music therapy can improve depression symptoms in dementia and the use of music activities show promise to have positive impacts on wellbeing. . | Incorporating individualized music-based activities may assist in reducing depression symptoms often associated with a dementia diagnosis, improving mood, and quality of life for people with dementia (PWD) (8). . | Music activities designed by music therapists and facilitated by CNAs may help sustain the reduction of depression symptoms and improve wellbeing in nursing home residents with moderate to severe dementia. . |
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