Individual Music Therapy for Agitation in Dementia: An Exploratory Randomized Controlled Trial

Hanne Mette Ochsner Ridder, Brynjulf Stige, Liv Gunnhild Qvale, Christian Gold

Research output: Contribution to journalJournal articleResearchpeer-review

68 Citations (Scopus)

Abstract

Objectives: Agitation in nursing home residents with dementia leads to increase in psychotropic medication, decrease in quality of life, and to patient distress and caregiver burden. Music therapy has previously been found effective in treatment of agitation in dementia care but studies have been methodologically insufficient. The aim of this study was to examine the effect of individual music therapy on agitation in persons with moderate/severe dementia living in nursing homes, and to explore its effect on psychotropic medication and quality of life.

Method: In a crossover trial, 42 participants with dementia were randomized to a sequence of six weeks of individual music therapy and six weeks of standard care. Outcome measures included agitation, quality of life and medication.

Results: Agitation disruptiveness increased during standard care and decreased during music therapy. The difference at −6.77 (95% CI (confidence interval): −12.71, −0.83) was significant (p = 0.027), with a medium effect size (0.50). The prescription of psychotropic medication increased significantly more often during standard care than during music therapy (p = 0.02).

Conclusion: This study shows that six weeks of music therapy reduces agitation disruptiveness and prevents medication increases in people with dementia. The positive trends in relation to agitation frequency and quality of life call for further research with a larger sample.
Original languageEnglish
JournalAging & Mental Health
Volume17
Issue number6
Pages (from-to)667-678
Number of pages12
ISSN1360-7863
DOIs
Publication statusPublished - 2013

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