Individualized Music Program is Associated with Improved Outcomes for U.S. Nursing Home Residents with Dementia.
Objectives: The objective of this study was to compare resident outcomes before and after implementation of an individualized music program, MUSIC & MEMORY (M&M), designed to address the behavioral and psychological symptoms associated with dementia (BPSD).Setting: 98 nursing homes trained in the M&...
| Publicado en: | American Journal of Geriatric Psychiatry Vol. 25; no. 9; pp. 931 - 939 |
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| Autores principales: | , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Sep2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=124630312&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 124630312 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10647481 GIF jtl: American Journal of Geriatric Psychiatry issn: 10647481 maglogo: N pubinfo: dt: Sep2017 vid: 25 iid: 9 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 124630312 124630312 NLM28483436 124630312 10.1016/j.jagp.2017.04.008 NLM28483436 124630312 ppf: 931 ppct: 8 formats: tig: atl: Individualized Music Program is Associated with Improved Outcomes for U.S. Nursing Home Residents with Dementia. aug: au: Thomas, Kali S. Baier, Rosa Kosar, Cyrus Ogarek, Jessica Trepman, Alissa Mor, Vincent affil: Center for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI sug: subj: Nursing Homes Quality Improvement Outcome Assessment Music Therapy Methods Dementia Rehabilitation Male Aged Alzheimer's Disease Rehabilitation Aged, 80 and Over Female Human Funding Source Aged: 65+ years Aged, 80 & over Male Female ab: Objectives: The objective of this study was to compare resident outcomes before and after implementation of an individualized music program, MUSIC & MEMORY (M&M), designed to address the behavioral and psychological symptoms associated with dementia (BPSD).Setting: 98 nursing homes trained in the M&M program during 2013 and 98 matched-pair comparisons.Participants: Long-stay residents with Alzheimer's disease and related dementias (ADRD) residing in M&M participating facilities (N = 12,905) and comparison facilities (N = 12,811) during 2012-2013.Intervention: M&M is a facility-level quality improvement program that provides residents with music specific to their personal histories and preferences.Measurements: Discontinuation of anxiolytic and antipsychotic medications, and reductions in behavioral problems and depressed mood in 2012 (pre-intervention) and 2013 (intervention), calculated using Minimum Data Set (MDS) assessments.Results: The proportion of residents who discontinued antipsychotic medication use over a 6-month period increased from 17.6% to 20.1% among M&M facilities, while remaining stable among comparison facilities (15.9% to 15.2%). The same trend was observed for anxiolytic medications: Discontinuation of anxiolytics increased in M&M facilities (23.5% to 24.4%), while decreasing among comparison facilities (24.8% to 20.0%). M&M facilities also demonstrated increased rates of reduction in behavioral problems (50.9% to 56.5%) versus comparison facilities (55.8% to 55.9%). No differences were observed for depressed mood.Conclusions: These results offer the first evidence that the M&M individualized music program is associated with reductions in antipsychotic medication use, anxiolytic medication use, and BPSD symptoms among long-stay nursing home residents with ADRD. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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