School of Nursing, University of Texas, Austin, TX, USA.
Department of Social Welfare, Seoul National University, Korea.
Dementia (London). 2021 Jul;20(5):1617-1630. doi: 10.1177/1471301220962234. Epub 2020 Sep 24.
The movement of evidence-based interventions into institutional settings such as nursing homes is challenging. Among ecopsychosocial interventions to address behavioral problems of nursing home residents with dementia, Music and Memory, a popular intervention that provides individualized music listening, has shown potential to improve residents' quality of life. In Wisconsin in the USA, the Music and Memory program has been implemented in nursing home facilities statewide. In the present study, to examine facilitators and barriers related to implementation and sustainability of the Music and Memory program, all nursing homes in Wisconsin were invited to participate in a survey (online or mail). A total of 161 facilities participated, representing a response rate of 41%. Descriptive statistics and content analysis were conducted. Over 80% of responding facilities were providing the Music and Memory program, and 86% of those facilities planned to continue its use. The majority of respondents found Music and Memory to be beneficial to residents, but they also reported that the program was not equally effective for everyone and that it was time and labor intensive. Barriers to sustainability included lack of buy-in by direct care staff, use of technology, costs of equipment, inconsistency of volunteers, and families not supportive or helpful. Facilitators included support of facility personnel, family, and volunteers; observing positive effects of program; Music and Memory training provision and support; and accessibility of equipment. For the program to be successful, facilities must identify the residents most likely to benefit from it, realistically estimate its costs and required labor, and ensure staff buy-in.
将循证干预措施引入养老院等机构环境具有挑战性。在针对痴呆症养老院居民行为问题的生态心理社会干预措施中，Music and Memory 是一种颇受欢迎的干预措施，它提供个性化的音乐聆听，已显示出改善居民生活质量的潜力。在美国威斯康星州，Music and Memory 项目已在全州的养老院设施中实施。在本研究中，为了研究与 Music and Memory 项目实施和可持续性相关的促进因素和障碍，威斯康星州的所有养老院都被邀请参与一项调查（在线或邮件）。共有 161 家机构参与，回应率为 41%。进行了描述性统计和内容分析。超过 80%的参与机构提供 Music and Memory 项目，其中 86%的机构计划继续使用该项目。大多数受访者认为 Music and Memory 对居民有益，但他们也报告称，该项目并非对每个人都同样有效，而且需要耗费大量时间和劳动力。可持续性的障碍包括直接护理人员的认同度低、技术的使用、设备成本、志愿者的不一致性以及家庭的不支持或不协助。促进因素包括设施人员、家庭和志愿者的支持；观察到项目的积极影响；提供和支持 Music and Memory 培训；以及设备的可及性。为了使该项目取得成功，设施必须确定最有可能从中受益的居民，对其成本和所需劳动力进行现实估计，并确保员工认同。
