Neurologic Music Therapy with a Habilitative Approach for Older Adults with Dementia: A Feasibility Study.

The incidence of dementia continues to increase in our aging population. Numerous cognitive, behavioral, and psychological symptoms accompany this diagnosis, and the need for non-pharmacological interventions that may alleviate them is of paramount importance. This feasibility study presents the res...

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Published in:Music Therapy Perspectives Vol. 40; no. 1; pp. 76 - 84
Main Author: Álvarez, Leticia Prieto
Format: research tables/charts Journal Article
Published: Oxford University Press / USA Spring2022
Online Access:View this record in EBSCOhost
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      dt: Spring2022
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      pub: Oxford University Press / USA
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        10.1093/mtp/miab021
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        atl: Neurologic Music Therapy with a Habilitative Approach for Older Adults with Dementia: A Feasibility Study.
      aug:
        au: Álvarez, Leticia Prieto
        affil: NewBridge on the Charles, Hebrew SeniorLife , Dedham, MA , USA
      sug:
        subj:
          Music Therapy
          Dementia Therapy
          Dementia Patients In Old Age
          Human
          Pilot Studies
          Aged
          Assisted Living
          Affect
          Cognition
          Crossover Design
          Randomized Controlled Trials
          Questionnaires
          Television
          Massachusetts
          Prospective Studies
          Exercise
          Aged: 65+ years
      ab: The incidence of dementia continues to increase in our aging population. Numerous cognitive, behavioral, and psychological symptoms accompany this diagnosis, and the need for non-pharmacological interventions that may alleviate them is of paramount importance. This feasibility study presents the results of a crossover randomized control trial that evaluated the effects of neurologic music therapy with a habilitative approach on the treatment acceptability, cognition, mood, and behavior of older adults with moderate to severe dementia. Twenty-nine residents living in an assisted living community rotated between 50-minute group sessions of Neurologic Music Therapy (NMT) techniques implemented with a habilitative approach, an Enrichment Program (EP) that combined physical and cognitive exercises, and a non-facilitated television program (TV). Data were collected before and after each crossover period using attendance, the Neuropsychiatric Inventory-Nursing Home (NPI-NH) version, the Dementia Mood Picture Test (DMPT), and the Montreal Cognitive Assessment (MoCA). NMT had the highest level of treatment acceptability, as measured by attendance and adherence. NPI-NH scores were the lowest after TV viewings, and DMPT results were the highest after NMT, followed by EP and TV. The positive effect of NMT on general cognitive functioning for residents with moderately severe cognitive decline was remarkable. These results suggest that NMT with a habilitative approach is a viable tool to engage older adults with dementia. The promising results on cognition and its high treatment acceptability make a powerful case to increase NMT use with this population and continue studying its effectiveness.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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