National Taipei University of Nursing and Health Sciences
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 75
- 试验地点
- 2
- 主要终点
- Depression index
研究概览
简要总结
Research Design This study adopted randomized clinical trials design, with two groups of pre-tests and post-tests, a single-blind test, a single-blind test, and intentional sampling. Four well-organized community care centers with the proper number of elderly people and the willingness to participate in Taipei City were selected to carry out the pre-test to screen out the qualified research subjects, and then, they were randomly assigned to the experimental group or control group. The experimental group received music therapy and routine activities, while the control group only received routine activities, and the researchers were the leaders of the music therapy activities. Data collection and fitness testing were performed by trained, certified, and qualified personnel. Before program implementation, a consensus meeting on testing consistency was conducted for the testers to obtain consistency in testing technology and scale questionnaires. The researchers were not involved in the testing, in order to ensure the independent position and blindness of the fitness testers. The study intervention was conducted for 12 weeks, once a week, 90 minutes each time. In the 13th week, the two groups performed the first post-test, while the second post-test was in the 16th week.
Research Structure The independent variables include demographic data, and one or more of the five indicators of disease state and physical status decline. The intervention measures include various music therapy activities, and the dependent variables are the performance indicators including: frailty indicators (BMI, grip strength, 2.44 meters of timed get-up-and-go, 30 seconds of sit-to-stand, 2 minutes of knee bending and leg raising), physical activity, conscious health status, and depression. This study explores the effectiveness of music therapy in improving the physical fitness, degree of activity, and depression of elderly in the community.
详细描述
Music therapy activity course design (Protocol):
The researchers in this study are the leaders of the activities and the nurses who had completed training in music therapy courses and obtained a senior music activity leadership certificate and qualification, such as books and internship certificates. The course design uses the percussion music theory and Dalcroze and Orpff music pedagogy to plan activities, as follows:
Each class in the music therapy activity course design has a fixed process. The 90-minute course includes 10-15 minutes of warm-up activities, 50-60 minutes of main activities, 10-15 minutes of recovery activities, and 10 minutes of rest for the elders in the middle. The content of the weekly main activities uses different music, musical instruments, props, or rhythms to lead the rhythm music activities.
Research Subjects:
- The case acceptance conditions of this study are as follows:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
The researchers in this study are the leaders of the activities and the nurses who had completed training in music therapy courses, and had obtained leadership certificates and qualifications in senior music activities.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Should be at least 65 years old.
- •Should meet one or more of the 5 screening conditions of the Fried Frailty Scale or have a depression index ≥ 15 points.
- •Should be capable of language expression and freedom of movement.
排除标准
- •. Those who do not meet the frailty condition or depression tendency
- •. Those who cannot participate in the study in the scheduled time.
- •. Those with difficulty in language expression and mobility.
结局指标
主要结局
Depression index
时间窗: 4 weeks after the 12-week intervention is completed (post-test 2)
This study uses the Taiwan Geriatric Depression Scale (TGDS-30), which has a total of 30 questions. The answers are dichotomous (yes/no), and are scored between 0-30 points, where a total score of more than 15 points means one is suspected of suffering from depression, and a higher score indicates a higher degree of depression.
The International Physical Activity Questionnaire Short Form (IPAQ-SF)
时间窗: 4 weeks after the 12-week intervention is completed (post-test 2)
This study adopted the Taiwanese Chinese version of the activity test scale of the International Physical Activity Questionnaire-Self-filled short version (IPAQ-SF), as translated and developed by Professor Liu Ying Mei in cooperation with the Ministry of Health and Welfare. The contents of the self-filled Chinese version conform to create valid content with meanings similar to the English version, .994, and .992, respectively. The intrinsic level of the correlation coefficient of the Chinese and English versions is .704, which has good reliability and validity, as well as cultural sensitivity. The IPAQ short version includes walking (W), medium-intensity activity (M), high-intensity activity (V), and overall physical activity scores. All consecutive scores are expressed in METs-minutes/week. Walking=3.3METS, medium-intensity activity=4.0METS, high-intensity activity=8.0METSThe higher the score, the higher the level of participation in the activity.
次要结局
- physical fitness: 2-minute knee bending and leg raising(4 weeks after the 12-week intervention is completed (post-test 2))
- physical fitness: grip strength(4 weeks after the 12-week intervention is completed (post-test 2))
- physical fitness: 2.44 meters of timed get-up-and-go(4 weeks after the 12-week intervention is completed (post-test 2))
- Conscious health status 1-10(4 weeks after the 12-week intervention is completed (post-test 2))
- physical fitness: 30-second sit-to-stand(4 weeks after the 12-week intervention is completed (post-test 2))
研究者
MEI - LING LU
Postgraduate of Master Degree, RN.
National Taipei University of Nursing and Health Sciences