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Dementia and depression are highly prevalent and co-morbid conditions among older adults, associated with personal distress and rising societal costs
.
We need effective, scalable and actionable interventions
Dementia and depression are highly prevalent and co- morbid conditions in the elderly, Dementia and depression are highly prevalent and co-morbid conditions in the elderly,
To determine the effectiveness of two different music interventions on depressive symptoms in people with dementia living in aged care homes, experts from the University of Melbourne, Australia conducted a 2 × 2 factorial group randomized controlled trial to determine group music Whether therapy (GMT) was more effective than standard care without GMT, or whether recreational choir singing (RCS) was more effective than standard care without RCS, results were published in the journal Lancet Healthy Longevity
.
Relevant nursing home units were randomly assigned to GMT, RCS, GMT plus RCS, or standard of care
.
Protocol interventions were delivered by music therapists (GMT) and community musicians (RCS)
Between June 15, 2018, and February 18, 2020, a total of 12 RAC facilities were included, with 26 eligible nursing home units, excluding 6 units that could not be enrolled due to the COVID-19 lockdown, screened 818 inhabitants
.
Between July 18, 2018, and November 26, 2019, 20 nursing home units were randomly assigned (318 residents)
COVID-19
The primary endpoint obtained from 20 nursing home units (214 residents) demonstrated a beneficial effect of RCS (mean difference -4.
25, 95% CI -7.
89 to -0.
62; P=0.
0221), but no beneficial effect of GMT (mean difference -0.
44, 4.
32 to 3.
43; P=0-8224)
.
No related serious adverse events occurred
The primary endpoint obtained from 20 nursing home units (214 residents) demonstrated a beneficial effect of RCS (mean difference -4.
In addition, GMT was superior to no GMT at 3 months and RCS was superior to no RCS at 3 and 12 months in terms of distress in caregivers' neuropsychiatric symptoms
.
No effect on general or disease-specific quality of life was found except that EQ-5D-VAS was superior to RCS at 3 months (mean difference 12.
GMT was superior to no GMT at 3 months and RCS was superior to no RCS at 3 and 12 months in terms of distress in caregivers' neuropsychiatric symptoms
This study supports the implementation of recreational choir singing as a clinically relevant therapeutic intervention to reduce depressive symptoms in people with dementia
references:
Clinical effectiveness of music interventions for dementia and depression in elderly care (MIDDEL): Australian cohort of an international pragmatic cluster-randomised controlled trial .
Clinical effectiveness of music interventions for dementia and depression in elderly care (MIDDEL): Australian cohort of an international pragmatic cluster-randomised controlled trialLeave a comment here
