Managing the Needs of Care Home Residents Through a Music Therapy Intervention: A Non-randomised Feasibility Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Anglia Ruskin University
- Enrollment
- 76
- Locations
- 22
- Primary Endpoint
- Camberwell Assessment of Needs in the Elderly - CANE
Study Overview
Brief Summary
The purpose of this study is to implement and evaluate a music therapy intervention in care homes. The primary aim is to assess whether implementing the intervention will have an impact on unmet in care homes for people living with dementia. Researchers will also examine the feasibility of a music therapy programme in care homes and its effects on care staff and residents with cognitive impairment. Care home staff will also receive training with music therapists via video communications to help staff use music therapy techniques to support people living with dementia.
Detailed Description
This project aims to evaluate the feasibility and effectiveness of a 12-week music therapy programme in care homes for residents with cognitive impairment/dementia and care home staff using a non-randomised control design. Music therapy is widely recognised as beneficial for people living with dementia. However, little is known about its overall impact on quality of care in care homes.
Research questions:
- Can a music therapy intervention improve quality of care in care homes by supporting residents' needs?
- What are the effects of music therapy on residents with cognitive impairment and care home staff?
- Is the implementation of a music therapy programme feasible in care homes?
- For the treatment of symptoms of dementia, is music therapy a cost-effective treatment in care homes?
Intervention:
The team will invite a total of 84 participants from 12 care homes located across the North and South of England to take part in the study. This includes 48 participants with cognitive impairment/dementia and 36 care home staff. The team will recruit a qualified music therapist in each region to work within the care home to deliver the music therapy intervention.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 105 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •The proposed inclusion criteria for care home residents are as follows:
- •Participants must be aged 50+ years
- •Participants will be a resident of one of the 12 care homes taking part
- •For each participant, there must be clinical evidence of cognitive impairment. This will be determined by a score of 24 or under on the SMMSE
- •Each participant must display at least one behavioural/psychological symptom of dementia. This will be determined by a score of 4 or higher on the NPI-NH.
- •The proposed inclusion criteria for care home staff are as follows:
- •Participants must be aged 18+ years
- •Participants must have worked in the care home for at least 3 months
- •Participants will be required to have in-depth knowledge of the resident participant(s). This will be determined through communications with home managers to ensure each staff member is paired with a resident they provide regular care for.
Exclusion Criteria
- •Exclusion criteria for care home residents:
- •- Participants who's health appears to be at risk which raises the concerns of their sustained involvement with the study. This would be evident from a health assessment from a general practitioner. Given that this is a music therapy study, this could also include people with a hearing impairment.
- •Exclusion criteria for care home staff:
- •- Staff who cannot adequately answer on behalf of the residents due to lack of knowledge of the residents.
Arms & Interventions
Music therapy intervention
Music therapy
Intervention: Music therapy (Behavioral)
Control group - standard care
Standard care for residents with cognitive impairment. Staff will not receive music therapy training.
Outcomes
Primary Outcomes
Camberwell Assessment of Needs in the Elderly - CANE
Time Frame: 15 minutes
For people with cognitive impairment - to measure the quality of care in care homes by assessing individual needs. This measure examines met and unmet needs in older people in 24 areas from self-care to communicative abilities. 1 = a met need, 2 = an unmet need. Met needs and unmet needs are totalled. A higher score indicates a higher number of needs.
Secondary Outcomes
- Standardised Mini Mental State Examination - SMMSE(15 minutes)
- Neuropsychiatric Inventory Nursing Homes - NPI-NH(12 minutes)
- Barthel Index (BI)(10 minutes)
- EuroQoL - EQ-5D-5L - self completion(5 minutes)
- Maslach Burnout Inventory - Human services (MBI-HSS)(10 minutes)
- Client Service Receipt Inventory (CSRI Dementia)(15 minutes)
- EuroQoL - EQ-5D-5L - proxy(5 minutes)
- Job Satisfaction Index (JSI)(10 minutes)
- Qualitative semi-structured Interviews(10 - 20 minutes)
- Total number of staff at the care home(2 minutes)