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一项针对痴呆症患者个体化音乐聆听方案的前瞻性随机对照试验的结果。

Findings From a Prospective Randomized Controlled Trial of an Individualized Music Listening Program for Persons With Dementia.

机构信息

The University of Texas at Austin, USA.

University of Montana, Missoula, USA.

出版信息

J Appl Gerontol. 2020 Jun;39(6):567-575. doi: 10.1177/0733464818778991. Epub 2018 Jun 6.

DOI:10.1177/0733464818778991
PMID:29871544
Abstract

Music & Memory (M&M) is a passive music intervention that uses personalized music playlists delivered on digital music players. This program has been increasingly adopted in nursing homes across the United States to facilitate communication, engagement, and socialization among persons with dementia (PWDs); however, few studies have evaluated the program's effect on PWDs' outcomes. In the present study, a randomized controlled crossover design was used to examine the impact of the M&M program on 59 PWDs in 10 nursing homes over a 14-week period. Residents' evaluated outcomes included agitation, behavioral symptoms, and use of psychotropic medications. Although trends supported the positive effects of M&M, no statistically significant differences were found in any of the outcomes measured over time. Methodological limitations withstanding, these findings call into question the effectiveness of the M&M program and the ability of facility staff to implement this intervention with fidelity.

摘要

音乐与记忆(Music & Memory,M&M)是一种被动的音乐干预措施,使用个性化的音乐播放列表通过数字音乐播放器来传递。该方案已在美国各地的养老院中越来越多地被采用,以促进痴呆症患者(People with Dementia,PWDs)之间的沟通、参与和社交;然而,很少有研究评估该方案对 PWDs 结果的影响。在本研究中,采用随机对照交叉设计,在 10 家养老院的 59 名 PWDs 中进行了为期 14 周的研究,以检验 M&M 方案对 PWDs 的影响。居民评估的结果包括激越、行为症状和精神药物的使用。尽管趋势支持 M&M 的积极影响,但在随时间测量的任何结果中均未发现统计学上的显著差异。尽管存在方法学限制,但这些发现质疑了 M&M 方案的有效性以及设施工作人员实施该干预措施的保真度。

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