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Music therapy in dementia
 — a narrative synthesis systematic review
Author(s)Orii McDermott, Nadia Crellin, Hanne Mette Ridder, Martin Orrell
Journal titleInternational Journal of Geriatric Psychiatry, vol 28, no 8, August 2013
PublisherWiley Blackwell, August 2013
Pagespp 781-794
Sourcewww.orangejournal.org
KeywordsDementia ; Music ; Therapy ; Evaluation ; Research Reviews.
AnnotationRecent reviews on music therapy for people with dementia have been limited to attempting to evaluate whether it is effective, but there is a need for a critical assessment of the literature to provide insight into the possible mechanisms of actions of music therapy. This systematic review used a narrative synthesis format to determine evidence for effectiveness and provide insight into a model of action. The narrative synthesis framework consisted of four elements: (i) theory development; (ii) preliminary synthesis of findings; (iii) exploration of relationships between studies; and (iv) assessment of the robustness of the synthesis. Following a trawl through the literature 263 potentially relevant studies were found, 18 of which met the full inclusion criteria. Three distinctive strands of investigations emerged: eight studies explored behavioural and psychological aspects, five studies investigated hormonal and physiological changes and five studies focused on social and relational aspects of music therapy. The musical interventions in the studies were diverse, but singing featured as an important medium for change. Overall these findings showed that evidence for short-term improvement in mood and reduction in behavioural disturbance was consistent but there were no high-quality longitudinal studies that demonstrated long-term benefits of music therapy. Future music therapy studies need to define a theoretical model, include better-focused outcome measures and discuss how the findings may improve the well-being of people with dementia. (JL).
Accession NumberCPA-130719200 A
ClassmarkEA: HH: LO: 4C: 3A:6KC

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