The proper chord with music: Treatment of behavioral problems in dementia with individual music therapy.

Completed

Conditions: behavioral symptoms
Dementia
10042258

Registration Number: NL-OMON45298

Lead Sponsor: Zuyd Hogeschool, faculteit Gezondheidszorg, lectoraat kennisontwikkeling vak therapieën

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: Not specified

Target Recruitment: 172

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

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 < 2 months
g. No guarantee that care or intervention can be continued
h. Senosory disturbances that seriously interfere with any of the interventions

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
<p>Primary outcome will be the difference in symptom reduction and the score on a<br /><br>quality-of-life standard inventory for the three intervention groups.<br /><br>Besides the result of a time-series analysis of communication and engagement<br /><br>parameters, as can be graphically shown for individual cases, following a<br /><br>person-centred care model.</p><br>

Secondary Outcome Measures

Name	Time	Method
<p>1. To show if music therapy intervention is particularly effective in any of<br /><br>the clusters of BPSD symptoms: Hyperactivity, psychosis, affective disturbances<br /><br>or apathy.<br /><br>2. The effect of the interventions on care giver burden and family members,<br /><br>based on the NPI-Q sub scale<br /><br>3. To show if the therapist for the music therapy intervention can make a<br /><br>correct calculation of the expected effect of the intervention, based on a<br /><br>simple visual analogue scale measurement (Cantril's ladder) at the onset of the<br /><br>therapy (anticipating on further cost effectiveness studies).<br /><br>4. To show a correlation between the (patient-centred) evolution of well-being<br /><br>and engagement in the time-series analysis, with the scores on NPI and Qualidem<br /><br>in the RCT part of the study.</p><br>