The study focuses on dementia and associated changed behaviours in care home residents. Mental and Behavioural Disorders
Conditions
Interventions
Participants will be residents with dementia and changed behaviours from 58 care homes, randomised at the cluster level in a 1:1 ratio to receive either usual care or a personalised music intervention
the intervention is tailored to each resident, incorporated into care plans, and applied flexibly over 12 months.
Sponsors
Sheffield Health Partnership University NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Diagnosis of dementia as recorded in care records 2. Resident identified by care staff as presenting with a behavioural care need (e.g. distress, anxiety, apathy, agitation) 3. Permanent residency in a care home with continuous care provision (24 hours a day, 365 days a year) 4. Capacity to consent, or availability of a designated consultee to provide an opinion on participation 5. Involvement of a permanent care staff member who consents to participate and is supported by their manager to undergo training and deliver the intervention
Exclusion criteria
Exclusion criteria: 1. Absence of a known diagnosis of dementia recorded in care records 2. Residents not identified by care staff as presenting with any behavioural care need (e.g. distress, anxiety, apathy, agitation) 3. Known sensitivity to music that is especially upsetting 4. Currently in respite or short-term care 5. Already receiving personalised music as part of their care plan 6. Care staff members on temporary contracts or expected to leave within the next 12 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Neuropsychiatric symptoms measured using the Neuropsychiatric Inventory – Nursing Home version (NPI-NH), with the primary comparison at 6 months post-randomisation (assessed at baseline, 3, 6, and 12 months) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Resident wellbeing measured using the Music in Dementia Assessment Scale (MiDAS) at 3, 6, and 12 months (intervention arm only) 2. Quality of life measured using the Quality of Life in Late-stage Dementia scale (QUALID) at baseline, 3, 6, and 12 months 3. Health-related quality of life measured using the EQ Health and Wellbeing Proxy (EQ-HWB-Proxy) at baseline, 3, 6, and 12 months 4. Resource use measured using the bespoke Resource-Use Measure (RUM) at baseline, 3, 6, and 12 months 5. Carer experience measured using the Carer Experience Scale at baseline, 3, 6, and 12 months 6. Antipsychotic medication use measured using care record review at baseline, 3, 6, and 12 months | — |
Countries
England, United Kingdom
Contacts
Public ContactDaniel Hind
Outcome results
None listed