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Centre for Policy on Ageing | |
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Keep music live
— music and the alleviation of apathy in dementia subjects | | Author(s) | Clive Holmes, Andrew Knight, Christine Dean |
| Journal title | International Psychogeriatrics, vol 18, no 4, December 2006 |
| Pages | pp 623-630 |
| Keywords | Dementia ; Apathy ; Music ; Therapy ; Clinical surveys. |
| Annotation | A recent Cochrane report concluded that more and better quality research is required to investigate the effectiveness of music therapy in reducing problems in behavioural, social, emotional and cognitive domains in patients with dementia. This randomised placebo-controlled trial with blinded observer rater aimed to explore whether music, live or pre-recorded, is effective in the treatment of apathy in subjects with moderate to severe dementia. 32 subjects meeting ICD-10 diagnostic criteria for moderate to severe dementia and fulfilling diagnostic criteria for apathy were exposed to live interactive music, passive pre-recorded music or silence for 30 minutes. Each subject was randomised to 30-minute music or silent periods and was video recorded and the muted recording analysed every 3 minutes using dementia care mapping (DCM) to assess the quality of engagement to the blinded music intervention. Compared to low baseline levels of passive engagement (12.5%) in the silent placebo period, the majority of subjects (69%), regardless of dementia severity, showed significant and positive engagement to live music. Engagement to pre-recorded music was non-significant, with just 25% of all subjects showing positive engagement. No subject showed any evidence of experiencing a state of ill-being during either the live or pre-recorded music sessions. During the intervention, live interactive music has immediate and positive engagement effects in dementia subjects with apathy, regardless of the severity of their dementia. Pre-recorded music is not harmful, but is less clearly beneficial. (RH). |
| Accession Number | CPA-090825007 A |
| Classmark | EA: EPA: HH: LO: 3G |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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