behavioral symptoms Dementia
Conditions
Interventions
The interventions (music therapy, passive listening to music and psychosocial
activities) are already in use in dementia care settings.
Sponsors
Zuyd Hogeschool, faculteit Gezondheidszorg, lectoraat kennisontwikkeling vak therapieën
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: a. Dementia according to international guidelines (any etiology) b. Behavioral or psychological symptoms (BPSD) for which additional care or intervention is needed (according to treating specialist) c. Agreement and informed consent from patient or formal family/care givers for participation d. Practical feasibility of professional music therapy, during 3 joined weeks, 3 days a week e. Availability of activity coaches or care professionals who can adjust the passive music (GDI) or activities (PSI) based on instructions during introductory course. f. Availability of some room and the time needed for a test assistent (TA) for the administration of psychometric scales. g. The participant has no limitations of hearing or sensory disturbance which seriously interfere with any of the interventions.
Exclusion criteria
Exclusion criteria: a. Exclusion of causes (somatic or contextual) for which pharmacological or other treatment is needed first b. Refusal of patient or formal caregivers (particularly also in the case of incompetence of will) c. Delirium d. New psychopharmacological treatment in past 2 weeks e Hearing loss or disturbance of consciousness f. Palliative care setting or life expectancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome will be the difference in symptom reduction and the score on a quality-of-life standard inventory for the three intervention groups. Besides the result of a time-series analysis of communication and engagement parameters, as can be graphically shown for individual cases, following a person-centred care model. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To show if music therapy intervention is particularly effective in any of the clusters of BPSD symptoms: Hyperactivity, psychosis, affective disturbances or apathy. 2. The effect of the interventions on care giver burden and family members, based on the NPI-Q sub scale 3. To show if the therapist for the music therapy intervention can make a correct calculation of the expected effect of the intervention, based on a simple visual analogue scale measurement (Cantril's ladder) at the onset of the therapy (anticipating on further cost effectiveness studies). 4. To show a correlation between the (patient-centred) evolution of well-being and engagement in the time-series analysis, with the scores on NPI and Qualidem in the RCT part of the study. | — |
Countries
Netherlands
Outcome results
None listed