Dataset Information

Tailored Music Listening in Persons With Dementia: A Feasibility Randomized Clinical Trial.

ABSTRACT: Introduction: This study examined the feasibility, acceptability, and preliminary efficacy of tailored music listening intervention on sleep disturbances in older adults with dementia and their caregivers. Methods: We randomly assigned 33 older adults with dementia (mean age 71.7 [SD: 7.1], 72.7% female, 81.8% African American/Black) and their caregivers (mean age 58.4 [SD: 16.7], 72.7% female, 84.8% African American/Black) to a wait-list control or intervention group (NCT04157244). Results: The music intervention was feasible as evidenced by high study measure completion and retention rates (>90%). Recruitment was stopped prematurely due to the COVID-19 pandemic. We found mixed acceptability results from the survey and qualitative interviews with the participants. Both groups improved on objective sleep outcomes of sleep latency and wake sleep after onset. We found a small effect size for sleep duration post-intervention. Discussion: The findings provide preliminary evidence for the feasibility of a tailored music intervention and identified ways to improve its acceptability.

SUBMITTER: Petrovsky DV

PROVIDER: S-EPMC10489003 | biostudies-literature | 2023 Jan-Dec

REPOSITORIES: biostudies-literature

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Tailored Music Listening in Persons With Dementia: A Feasibility Randomized Clinical Trial.

Petrovsky Darina V DV Bradt Joke J McPhillips Miranda V MV Sefcik Justine S JS Gitlin Laura N LN Hodgson Nancy A NA

American journal of Alzheimer's disease and other dementias 20230101

<b>Introduction</b>: This study examined the feasibility, acceptability, and preliminary efficacy of tailored music listening intervention on sleep disturbances in older adults with dementia and their caregivers. <b>Methods</b>: We randomly assigned 33 older adults with dementia (mean age 71.7 [SD: 7.1], 72.7% female, 81.8% African American/Black) and their caregivers (mean age 58.4 [SD: 16.7], 72.7% female, 84.8% African American/Black) to a wait-list control or intervention group (NCT04157244) ...[more]

PMID: 37470678

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Project description:BackgroundChronic pain and access to care are identified as critical needs of the Veterans Health Administration. Music imagery and music listening interventions have shown promise as effective nonpharmacological options for pain management. However, most studies have focused on acute pain, passive music experiences, and in-person delivery.ObjectiveIn this study, we aimed to examine the feasibility and acceptability of 2 music interventions delivered through telehealth for chronic musculoskeletal pain, trial design, and theoretical model before conducting a fully powered efficacy or comparative effectiveness trial.MethodsFAMILIA (Feasibility and Acceptability of Music Imagery and Listening Interventions for Analgesia) is a 3-arm, parallel group, pilot trial. A total of 60 veterans will be randomized to one of the three conditions: music imagery, music listening, or usual care. Aim 1 is to test the feasibility and acceptability of a multicomponent, interactive music imagery intervention (8-weekly, individual sessions) and a single-component, minimally interactive music learning intervention (independent music listening). Feasibility metrics related to recruitment, retention, engagement, and completion of the treatment protocol and questionnaires will be assessed. Up to 20 qualitative interviews will be conducted to assess veteran experiences with both interventions, including perceived benefits, acceptability, barriers, and facilitators. Interview transcripts will be coded and analyzed for emergent themes. Aim 2 is to explore the effects of music imagery and music listening versus usual care on pain and associated patient-centered outcomes. These outcomes and potential mediators will be explored through changes from baseline to follow-up assessments at 1, 3, and 4 months. Descriptive statistics will be used to describe outcomes; this pilot study is not powered to detect differences in outcomes.ResultsRecruitment for FAMILIA began in March 2022, and as of July 2022, 16 participants have been enrolled. We anticipate that enrollment will be completed by May 2023. We expect that music imagery and music listening will prove acceptable to veterans and that feasibility benchmarks will be reached. We hypothesize that music imagery and music listening will be more effective than usual care on pain and related outcomes.ConclusionsFAMILIA addresses four limitations in music intervention research for chronic pain: limited studies in veterans, evaluation of a multicomponent music intervention, methodological rigor, and internet-based delivery. Findings from FAMILIA will inform a fully powered trial to identify putative mechanisms and test efficacy.Trial registrationClinicalTrials.gov NCT05426941; https://tinyurl.com/3jdhx28u.International registered report identifier (irrid)DERR1-10.2196/38788.

Project description:PurposeVision impairment (VI) has a profound impact on mental health and well-being. Music-based interventions, such as active music listening, have potential to induce relaxation, improve mood, and reduce stress. This study investigated the feasibility and acceptability of a supportive self-care music intervention in adults with acquired VI, who ran their listening program independently.MethodsA two-arm, parallel-group, single-blind feasibility randomised controlled trial compared: (1) daily music listening with brief mindfulness instructions and (2) daily music listening alone. The study adhered to the CONSORT extension for pilot and feasibility trials and the music reporting checklist. Feasibility was determined by collecting data on attrition, through recruitment and retention at pre-post and 3-month follow-up, including adherence and fidelity which were determined by participants' questionnaire and daily log completion, respectively. Acceptability was determined through data capture in the questionnaires. To assess whether the music intervention had an impact on anxiety and depression and stress, the Hospital Anxiety Depression Scale (HADS) and the Perceived Stress Scale (PSS-14) were used.ResultsEighty-one VI participants were randomised to mindful music listening (n = 41) or music listening alone (n = 40), with 85% (n = 69) completing the intervention (post intervention end-point). A rating of 'highly satisfied' was given for the intervention by 77% (n = 53) of participants. Feasibility was determined through retention which was 71% at the three-month follow-up, and adherence to the daily log completion, which was low (16%), resulting in insufficient data to assess fidelity to the music listening. HADS and PSS-14 data indicated a reduction in anxiety, depression and stress at post-intervention phase.ConclusionsThe recruitment and retention rates suggest that an efficacy study is feasible. However, adherence to daily log completion was low, resulting in uncertainty regarding the fidelity of the listening conditions. While completing the daily logs was not required in this study, it should be mandatory in future trials.Clinical trial registrationhttps://clinicaltrials.gov/study/, identifier NCT05243732.

Project description:BackgroundRecent studies suggest meditation and music listening (ML) may improve cognitive and psychosocial outcomes in adults with subjective cognitive decline (SCD). However, lack of a usual care group has limited conclusions.ObjectiveTo assess the: 1) feasibility of incorporating an enhanced usual care (EUC) comparator in a trial of Kirtan Kriya meditation (KK) and ML for adults experiencing SCD; and 2) preliminary effects of active treatment (KK/ML) versus an EUC program.MethodsForty participants with SCD were randomized 1:1:2 to a 12-week KK, ML, or EUC program. KK and ML participants were asked to practice 12 minutes/day; EUC participants were given a comprehensive educational packet regarding healthy aging and strategies for improving/maintaining brain health and asked to record any activities or strategies used. Feasibility was assessed using measures of retention, adherence, treatment expectancies, and participant satisfaction, as well as information from exit questionnaires and daily practice/activity logs. Cognitive functioning, stress, mood, sleep-quality, and health-related quality of life (QOL) were measured pre- and post-intervention using well-validated instruments.ResultsThirty-two participants (80%) completed the 3-month study, with retention highest in the EUC group (p < 0.05). Active treatment participants averaged 6.0±0.4 practice sessions/week, and EUC participants, 7.5±0.6 brain health activities/week. Treatment expectancies were similar across groups. EUC participants indicated high satisfaction with the program and study. Despite limited study power, the active treatment group showed significantly greater gains in subjective memory functioning (ps≤0.025) and nonsignificant improvements in cognitive performance (TMT-B), perceived stress, QOL, and mood (ps≤0.08) compared to the EUC group.ConclusionFindings of this pilot feasibility trial suggest incorporation of an EUC program is feasible, and that participation in a simple 12-week relaxation program may be helpful for adults with SCD versus engagement in an EUC program.

Dataset Information

Tailored Music Listening in Persons With Dementia: A Feasibility Randomized Clinical Trial.

Publications

Tailored Music Listening in Persons With Dementia: A Feasibility Randomized Clinical Trial.

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