Dataset Information

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial.

ABSTRACT:

Background

Recent 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.

Objective

To 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.

Methods

Forty 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.

Results

Thirty-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.

Conclusion

Findings 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.

SUBMITTER: Innes KE

PROVIDER: S-EPMC8075554 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature

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Publications

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial.

Innes Kim E KE Montgomery Caitlin C Selfe Terry Kit TK Wen Sijin S Khalsa Dharma Singh DS Flick Madison M

Journal of Alzheimer's disease reports 20210311 1

<h4>Background</h4>Recent 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.<h4>Objective</h4>To 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.<h ...[more]

PMID: 33981956

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Project description:Adults listen to an average of 20.7 hours of music per week, according to a study conducted across 26 countries. Numerous studies indicate that listening to music can have beneficial effects on cognitive performance and emotional well-being. Music listening habits may vary depending on individual needs and listening contexts. However, a limited number of studies have specifically examined the patterns of background music usage during various more or less cognitive activities, especially among individuals with attentional difficulties related to ADHD. This study primarily aimed to compare music listening habits during daily activities that are more and less cognitive (e.g., studying, problem-solving versus cleaning, engaging in sports) between neurotypical young adults and those screened for ADHD (respondents who were identified as likely having ADHD based on the number of self-reported symptoms). To achieve this, 434 young adults aged 17 to 30 responded to an online survey. The results indicate that certain listening habits differ significantly between the neurotypical and ADHD-screened groups. The ADHD-screened group reports significantly more background music listening during less cognitive activities and while studying, compared to the neurotypical group. The results also reveal a difference in the proportion of individuals preferring stimulating music between the groups: ADHD-screened individuals report significantly more frequent listening to stimulating music, regardless of the activity type (more or less cognitive). Other aspects of music listening are common to both groups. Regardless of the group, more respondents reported preferring to listen to relaxing, instrumental, familiar and self-chosen music during more cognitive activities, whereas for less cognitive activities, more individuals mentioned preferring to listen to music that is stimulating, with lyrics, familiar and self-chosen. Overall, the results confirm that most young adults listen to music during their daily activities and perceive positive effects from this listening.

Project description:BackgroundDementia is a growing public health issue. Non-drug interventions targeting individuals before the onset of overt cognitive decline may be effective. Subjective cognitive decline (SCD) is present in > 50% of older adults and associated with progression to dementia. Here, we tested the compliance and effectiveness of a Multidomain Lifestyle Intervention Program using the mini-program, Cognitive Evergreenland, (MLIP-CE), based on the Health Action Process Approach model to support home-based intervention in older adults with SCD.MethodsCognitive Evergreenland was designed to improve cognitive reserve and maintain brain function in people at high risk of dementia and included: cognitive stimulation, cognitive training, health education, vascular risk monitoring, social support, and functional assessment, among other features. This was an exploratory trial designed to examine participant compliance with the mobile lifestyle intervention and its effectiveness, as well as changes in health-related indicators and cognitive function of older adults with SCD from baseline to 12 and 24 weeks post-intervention.ResultsThe retention rate for MLIP-CE was 90.2% (37/41). Mean participant age was 70.93 ± 6.91 years, 73.2% of participants were female, and mean Montreal Cognitive Assessment score was 24.51 ± 2.87. Throughout the 24 weeks of the prescribed intervention, app usage remained consistently high, with over 92% of participants using the mini-program at least once a week and successfully completing corresponding health management tasks. In terms of average usage, cognitive training emerged as the most frequently used functional module (95.73%), closely followed by health education (95.02%). The health behavior levels of older adults with SCD, measured in terms of ability, opportunity, and motivation, were significantly increased relative to baseline (p < 0.001). Regarding cognitive function, Mini-Mental State Examination scores were significantly improved post-intervention, with a moderate effect size (Hedges' g = 0.60).ConclusionsThese findings suggest that MLIP-CE, which was designed based on a theoretical framework, has potential for implementation, and support ongoing research into use of MLIP-CE for individuals at high risk of SCD or other dementia conditions.Trial registrationThe trial was prospectively registered at the Chinese Clinical Trials Registry with the registration number ChiCTR2200058665 on 13 April 2022.

Dataset Information

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial.

Background

Objective

Methods

Results

Conclusion

Publications

Incorporating a Usual Care Comparator into a Study of Meditation and Music Listening for Older Adults with Subjective Cognitive Decline: A Randomized Feasibility Trial.

Similar Datasets

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