Feasibility and Acceptability of a Nurse-Led Active Music Program for Older Adults With Cognitive Impairment in Long-Term Care: A Pilot Quasi-Experimental Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 11
- 试验地点
- 1
- 主要终点
- Participant Retention Rate
研究概览
简要总结
This pilot study evaluated the feasibility and acceptability of a structured, nurse-led active music program for older adults with cognitive impairment living in a long-term care facility. Participants took part in eight group music sessions delivered twice weekly over four consecutive weeks. The program included singing, rhythmic activities, seated movement, music-based reminiscence, cognitive stimulation, and social interaction. Feasibility and acceptability were the primary domains of interest. Cognitive function, depressive symptoms, active participation, sustained attention, and social interaction were also assessed as exploratory outcomes.
详细描述
This pilot quasi-experimental study used a single-group pre-post design and was conducted in a long-term care facility in Roquetas de Mar, Almería, Spain. The study was conceived as a proof-of-concept evaluation of a structured non-pharmacological active music intervention delivered in a real-world long-term care setting.
Eleven residents were initially enrolled. Eligible participants were aged 70 years or older, had been permanently residing in the facility for at least one month, and had a documented clinical diagnosis or screening result consistent with mild-to-moderate cognitive impairment.
The intervention consisted of a structured, group-based active music program led by a registered nurse employed at the long-term care facility. It was delivered over four consecutive weeks, with two sessions per week, for a total of eight sessions. Each session lasted approximately 40 minutes and followed a standardized three-phase structure comprising orientation and breathing exercises, active musical and cognitive stimulation, and relaxation and emotional expression.
Activities included group singing, recognition and completion of familiar songs, call-and-response singing, body percussion, simple percussion instruments, coordinated seated movements, and autobiographical reminiscence. The musical repertoire was selected according to participants' biographical and musical preferences.
Feasibility was assessed through participant retention, intervention completion, attendance, and successful delivery of the eight-session program. Acceptability was assessed through overall satisfaction and willingness to participate again. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), and depressive symptoms using the 15-item Geriatric Depression Scale (GDS-15), at baseline and after completion of the intervention. Active participation, sustained attention, and social interaction were recorded during each intervention session.
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
- 70 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 70 years or older.
- •Permanent residence in the long-term care facility for at least one month.
- •Documented clinical diagnosis or screening result consistent with mild-to-moderate cognitive impairment.
- •Sufficient motor capacity to participate in seated group activities.
- •Adequate or corrected hearing ability to understand verbal instructions and participate in the musical activities.
- •Written informed consent from the participant or, when applicable, from a family member or legal representative.
排除标准
- •Severe uncorrected hearing impairment.
- •Unstable medical condition, decompensated disease, or terminal illness that could compromise safe participation.
- •Severe uncontrolled neuropsychiatric symptoms, including delusions, hallucinations, or marked agitation.
- •Refusal to participate.
研究组 & 干预措施
Nurse-Led Active Music Program
Participants received a structured, group-based active music program led by a registered nurse. The intervention consisted of eight sessions delivered twice weekly over four consecutive weeks, with each session lasting approximately 40 minutes. Activities included temporal orientation, breathing exercises, group singing, song recognition and completion, rhythmic and percussion activities, coordinated seated movements, autobiographical reminiscence, relaxation, and emotional expression.
干预措施: Nurse-Led Active Music Program (Behavioral)
结局指标
主要结局
Participant Retention Rate
时间窗: Through completion of the 4-week intervention
Percentage of enrolled participants who completed the four-week intervention and the post-intervention assessment.
Attendance Rate
时间窗: Throughout the 4-week intervention
Percentage of scheduled intervention sessions attended by participants who completed the program.
Intervention Delivery
时间窗: Throughout the 4-week intervention
Proportion of the eight planned intervention sessions successfully delivered as scheduled.
Participant Satisfaction
时间窗: Immediately after completion of the 4-week intervention
Overall satisfaction with the intervention assessed using a 5-point Likert scale ranging from 1 (completely dissatisfied) to 5 (completely satisfied), with higher scores indicating greater satisfaction.
Willingness to Participate Again
时间窗: Immediately after completion of the 4-week intervention
Proportion of participants indicating willingness to participate in the active music program again.
次要结局
未报告次要终点
研究者
Agustin J. Simonelli Muñoz
Professor, Department of Nursing, Physiotherapy and Medicine
Universidad de Almeria