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临床试验/NCT07701044
NCT07701044尚未招募不适用

Music Therapy to Support People Living With Dementia and Their Carers in Two Community Settings

Anglia Ruskin University0 个研究点目标入组 28 人开始时间: 2026年10月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
尚未招募
入组人数
28
主要终点
Short Warwick-Edinburgh Mental Wellbeing Scale - 7-item version

研究概览

简要总结

The goal of this single arm interventional, pre-post study is to learn about the feasibility and impact of group music therapy sessions for people living with dementia in two different community settings.

This research will answer the following questions:

  1. What is the impact of the music therapy groups upon attendees (people with dementia and informal carers) and does this differ between the two settings?
  2. What is the impact of the music therapy groups upon staff and culture in the settings (day centre and memory hub staff)?
  3. Is it feasible to conduct the study in these two settings? (recruitment, retention, attendance, delivery, data collection)
  4. What are the barriers and facilitators to implementation in each setting?

Participants will attend at weekly a music therapy group for a period of 10 weeks, either at the Merton Memory Hub run by Alzheimer's Society or at Eastways Day Centre run by Merton Council (Adult Social Care). These sessions will be led by a fully qualified, HCPC registered music therapist with experience working with people living with dementia. The music programme will be designed to promote engagement, social connection, enjoyment and personal identity with the overall aim to support quality of life, emotional regulation and the relationship quality between the person living with dementia and their carer.

Data collection will involve mixed methods, such as quantitative validated questionnaires about wellbeing, loneliness, relationship quality between the carer and patient. These will be asked to both the person living with dementia and the carer. The music therapist will also conduct an observational Music in Dementia Assessment Scale on the behaviour of the participants living with dementia during the music therapy sessions. Qualitative data will be a semi-structured interview of about 20-30 mins to discuss with the participants, staff included, about their experiences once the programme is finished.

详细描述

Dementia represents one of the most significant and growing challenges facing adult social care in England, with increasing numbers of people living longer with complex and progressive needs. Alongside cognitive decline, people living with dementia often experience anxiety, agitation, communication difficulties, and social isolation, particularly during key transition points such as diagnosis, changes in care arrangements, hospital admissions, and end-of-life care. These challenges also have a substantial impact on informal carers, many of whom experience stress, reduced wellbeing, and difficulty sustaining their caring role without additional support.

Merton are currently developing a 5 year action plan on dementia (for April 26 - March 31). This project will contribute to work activity under the plan by supporting people with dementia and their carers when they are at or approaching points in the dementia journey where they are likely to need more support. It is anticipated that the availability of timely, appropriate psychosocial support in the form of tailored group music therapy sessions will help participants to accept their diagnosis, experience peer support, navigate changes in their relationship, ultimately leading to improved outcomes.

This project responds directly to the need for preventative, community-based interventions that can support people living with dementia and their carers while aligning with adult social care priorities. By focusing on key stages of need and generating locally relevant evidence, the project will help address both service pressures and gaps in provision.

Aims

  • To assess the feasibility of delivering music therapy sessions and conducting research in two different community settings
  • To evaluate the impact of music therapy upon the people who take part directly in sessions, as well as its wider impact on the settings, staff and carers of people with dementia
  • To compare differences between the two settings, in terms of the participants, the content of sessions, the effects of music therapy, and the resources required to deliver session and collect data.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Other
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • With a diagnosis of dementia (or the informal/family carer to someone with a diagnosis of dementia who is participating in the study)
  • Able to provide informed consent to take part in the study, or with a consultee who knows the person well and is able to provide a judgement about whether they would want to take part in the study
  • Able to speak and understand English, or with a supporter who can act as translator for research methods
  • Be willing in principle to take part in a music therapy group and attend weekly

排除标准

  • Lacking capacity to provide informed consent and no consultee available
  • Having an uncorrected hearing impairment which would significantly impact upon their ability to engage with the music therapy group
  • Already receiving music therapy in a different context (they may participate if they are participating in other music activities that are not music therapy)
  • Concurrently participating in another trial of a psychosocial intervention (or ceased participation within the past 6 weeks)
  • Anticipated not to be able to attend at least 50% of sessions

研究组 & 干预措施

Group Music Therapy

Experimental

A 10-week programme will be conducted on a weekly basis at the Merton Memory Hub, and at the Eastways Day Centre

干预措施: Group Music Therapy (Behavioral)

结局指标

主要结局

Short Warwick-Edinburgh Mental Wellbeing Scale - 7-item version

时间窗: Pre and post 10-week programme

A validated 7-item questionnaire designed to measure positive mental wellbeing. Derived from the original 14-item WEMWBS, it focuses on psychological functioning and emotional resilience over the past two weeks. Will be conducted by both the PwD and their Carer.

ICECAP-O (ICEpop CAPability measure for Older people)

时间窗: Pre and post 10-week programme

A self-administered questionnaire used to evaluate the broader quality of life and wellbeing of older individuals. Will be conducted by both the PwD and their carer.

EQ-5D-5L

时间窗: Pre and post 10-week programme

A standardized, patient-completed questionnaire used to measure an individual's overall health-related quality of life. The accronym stands for EuroQol-5 Dimension 5 Levels. Will be conducted by both the PwD and their Carer.

QCPR - Quality of the Caregiver-Patient Relationship Scale

时间窗: Pre and post 10-week programme - one for the PwD and one for the Carer

A 14-item questionnaire designed to measure the emotional quality of relationships between caregivers and patients. It operates independently of kinship and features two parallel versions-one completed by the caregiver and the other by the care recipient.

3 item loneliness scale

时间窗: Pre and post 10-week programme

A brief, validated survey tool designed to measure subjective feelings of loneliness and social isolation. It evaluates three distinct dimensions: relational connectedness, social connectedness, and self-perceived isolation. Only the PwD will complete this questionnaire.

CES - Carer Experience Scale

时间窗: Pre and post 10-week programme

A preference-based, validated index used to evaluate the care-related quality of life for informal or unpaid caregivers. It measures the broader personal and social impacts of caregiving, rather than just the physical or health-related quality of life of the caregiver. Only the carers will complete this questionnaire.

MIDAS - Music in Dementia Assessment Scale

时间窗: Conducted on weeks 2, 5 and 9. Pre- and post programme potentially.

A validated observational tool used to measure the musical engagement and wellbeing of individuals with moderate to advanced dementia. This will be conducted by the Music Therapist, about their observations about the PwD's behaviour during the session.

Post-Intervention Semi-structured Interview

时间窗: After each session during the 10-weeks, and post-programme

The music therapist will be asked to complete a structured pro-forma after each session to collect data about the session content and participants' responses in the moment. The music therapist will be interviewed following the end of the sessions, using a semi-structured interview format, with questions focusing on their observations about the responses of participants individually and as a group, changes over the course of the sessions, and their opinions about the format and delivery of the sessions. The staff who have supported the sessions will also be invited to be interviewed following the completion of the sessions. Again, a semi-structured format will be used, with questions focusing on their experiences of the sessions, participants' responses, the impact on their own practice, and any changes they have observed in participants following the sessions. All interviews will be audio recorded if participants give consent, otherwise the interviewer will make notes during.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Becky Dowson

Postdoctoral Research Fellow, Cambridge Institute for Music Therapy Research, Faculty of Arts, Humanities, Education and Social Sciences

Anglia Ruskin University

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