Alzheimer's Disease (AD), Older Adults (65 Years and Older)
Conditions
Keywords
music, improvisation, person living with dementia, caregiver, Alzheimer's Disease and related diseases, mechanism of behavior change, stress reduction, behavior change
Brief summary
Older adults and their care partners will participate in music therapy sessions for approximately 8 weeks. Before and after the 8 week study period, participants will fill out questionnaires about their mood, stress levels, and emotions. During the music therapy sessions, they may be observed or asked questions about the music therapy sessions.
Interventions
BEHAVIORALClinical Improvisation
Clinical improvisation music therapy offered as group sessions delivered by board-certified music therapist.
Sponsors
University of California, San Francisco
National Institute on Aging (NIA)
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This is a waitlisted control pilot study
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Inclusion criteria for the Person Living with Dementia (PLWD) are: * Age 60 and over, living independently in the community * Medical diagnosis of Alzheimer's Disease * Mild dementia defined as MoCA score between 16-20, or MMSE score between 19-24 * Sufficient visual and hearing acuity (age-related to normal hearing loss with assistive devices) * English fluency rated fairly well to well (self-rated English fluency) Inclusion Criteria for Caregiver are: * Age 18 or Older * Moderate to good English fluency (self-rated English fluency) * Willing to participate in intervention with PLWD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Science of Behavior Change (SOBC) Brief-COPE | Baseline and Post-Intervention, 8 weeks | The Brief COPE is a 28 item measure of strategies used for coping or regulating cognitions in response to stressors. The questions assess the frequency with which a person uses different coping strategies (e.g. "I've been turning to work or other activities to take my mind off strings") and the respondent gives a rating on a 5 item scale (1= I haven't been doing this at all to 4 I've been doing this a lot). |
| SOBC Perceived Stress Scale | Baseline and Post Intervention, 8 weeks | The Perceived Stress Scale ask participants about their feelings and thoughts during the last month. There are 10 items and participants are asked how often they felt orr thought a certian way (0 = never to 4 very often) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Dementia Mood Picture Test | Baseline and Post Intervention, 8 weeks | Participants are given large line face drawings with large font descriptors. Participants are asked whether or not they are experiencing each mood ("Are you in a good mood?") and the intensity of the mood. The test assesses the PLWD directly but focuses on six primary moods. |
| SOBC Positive and Negative Affect (PANAS) | Baseline and Post Intervention, 8 weeks | The PANAS is a 20 item self-questionnaire. Respondent is asked to read several words which describe different feelings and emotions. Applicability of the emotion is scored by respondent on a 5 point Likert Scale (1 = very slightly or not at all to 5 = extremely). Higher scores on Positive Affect items incidate greater intensity of positive emotions and higher scores on Negative Affect indicate greater intensity of negative emotions. |
| Neuropsychiatric Inventory (NPI-Q) | Baseline and Post Intervention, 8 weeks | The NPI-Q is a 12-item questionnaire completed by the caregiver. Each question asks about a neuropsychiatric symptom over the previous month. The Caregiver can say "no" and go on to the next question. If the Caregiver says "yes", the caregive then rates the a) Severity of the symptoms present on a 3 point scale (1=mild to 3 = severe), and b) Distress experienced by the caregiver due to that symptom on a 5 point scale (0 = not distressing at all to 5 very distressing). |
| Kingston Caregivers STress Scale | Baseline and Post-Intervention, 8 weeks | The KCSS is at 10 item questionnaire completed by a family caregiver. The questions ask caregivers to report feeling of stress surrounding specific aspects of caregiving. Caregivers respond using a 5 point scale (1 = no stress to 5 = extreme stress) |
Countries
United States
Contacts
CONTACTKaren C Barrett, PhD
CONTACTHowie Rosen, MD
PRINCIPAL_INVESTIGATORKaren Barrett, PhD
University of California, San Francisco
Outcome results
None listed