Effects of Musical Intervention by a Therapist (IMT) on Falling Asleep and Behavioral Regulation in a Secure Care Unit (SCU) Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 48
- Locations
- 2
- Primary Endpoint
- Music
Study Overview
Brief Summary
This is a prospective, multicenter study designed to evaluate the benefits of an evening music-based intervention on sundowning syndrome in patients with Alzheimer's disease or related disorders in a Protect lLife Unit setting.
Detailed Description
This study will employ a randomized, cluster-organized, crossover design to compare the effects of a music-based intervention (TEST) with an audiobook listening intervention (CONTROL). Both interventions will be delivered by a therapist in the participants' living environment over ten evening sessions per intervention period. Each participant will serve as their own control and will be exposed to both intervention conditions. The sequence of intervention periods ("TEST followed by CONTROL" or "CONTROL followed by TEST") will be randomized at the cluster level within participating protected care units (UVP). Behavioral and actigraphic outcomes will be collected and analyzed at baseline, during, and after each intervention period.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 60 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Signature of consent by the patient's legal guardian obtained after providing information
- •Patients aged 60 and over who meet the diagnostic criteria for Alzheimer's disease and related disorders, including mainly: Lewy body disease, frontotemporal lobar degeneration, progressive supranuclear palsy, corticobasal degeneration, vascular encephalopathy, alcoholic dementia, primary progressive aphasia syndrome, posterior cortical atrophy syndrome (France Alzheimer, 2024).
- •Patient living in a secure care unit
- •If taking psychotropic drugs, they must have been stable for 3 months
- •If taking level 2 or 3 painkillers, they must have been stable for 1 month
Exclusion Criteria
- •Refusal to participate
- •Participation in a study on a drug/medical device/treatment technique that may affect sleep or behavior.
- •Highly sedated patients,
- •Patients with acute medical instability,
- •Patients with productive delusions,
- •Patients who have been in the unit for less than 1 month
Arms & Interventions
Test musicale intervention
musicale intervention before night
Intervention: Test musicale intervention (Other)
Controle: audio book
listenning audio book with an experimenter
Intervention: Controle: audio book (Other)
Outcomes
Primary Outcomes
Music
Time Frame: Baseline (Days 1-10); TEST intervention (Days 11-20); post-intervention follow-up (Days 21-40); CONTROL intervention (Days 41-50); post-control follow-up (Days 51-60). Outcomes assessed throughout all study periods.
Changing in sleep duration, following an evening music-based intervention in older adults with Alzheimer's disease or related disorders living in a protected care unit (UVP), assessed by actigraphy
Secondary Outcomes
- sleep parameter (1)(hroughout all study periods (Days 1-60, including baseline, TEST intervention, post-TEST follow-up, CONTROL intervention, post-CONTROL follow-up))
- Daytime disruptive behaviors(Throughout all study periods (Days 1-60).)
- Falls(Throughout all study periods (Days 1-60))
- sleep parameter (2)(Throughout all study periods (Days 1-60, including baseline, TEST intervention, post-TEST follow-up, CONTROL intervention, post-CONTROL follow-up))