Centre for Mental Health Research, Research School of Population Health, The Australian National University, Building 63 Eggleston Road, Acton, Canberra, ACT, 2601, Australia.
Centre for Mental Health Research, Research School of Population Health, The Australian National University, Building 63 Eggleston Road, Acton, Canberra, ACT, 2601, Australia.
Eval Program Plann. 2021 Aug;87:101930. doi: 10.1016/j.evalprogplan.2021.101930. Epub 2021 Mar 3.
Alzheimer's disease and dementia are common, highly disabling conditions frequently requiring residential care. This exploratory proof-of-concept study aimed to determine if the specialised Music Engagement Program (MEP) was sustainable, acceptable, and effective in improving quality of life, emotional wellbeing, and depression symptoms in this population. Sixteen residents, six staff members, and three family and community members took part in the evaluation of the MEP for people living with dementia in a residential aged-care nursing home in Canberra, Australia. Multiple methods were used. Quantitative evaluation assessed residents' depression symptoms (Cornell scale) at pre- and post-intervention, and emotional wellbeing pre- and post-session. Qualitative interviews with staff, and family and community members addressed the MEP's acceptability and potential sustainability. Results showed residents' mean depression scores were reduced from pre- to post-intervention (p = .039; d = 0.72). Interviews established multiple benefits for residents including improved mood, calmness, and reduced aggression. However, staff did not believe it was feasible to continue the MEP sessions beyond the trial period without an external facilitator, citing potential difficulties in adhering to internal activities due to time constraints. This pilot study provides encouraging preliminary evidence for the MEP's acceptability and potential effectiveness for improving depression and wellbeing in this group.
阿尔茨海默病和痴呆是常见的、高度致残的疾病,经常需要住院护理。这项探索性的概念验证研究旨在确定专门的音乐参与计划(MEP)是否可持续、可接受,并能有效改善这一人群的生活质量、情绪健康和抑郁症状。16 名居民、6 名工作人员以及 3 名家属和社区成员参与了在澳大利亚堪培拉的一家养老院对患有痴呆症的居民实施 MEP 的评估。采用了多种方法。定量评估在干预前后评估了居民的抑郁症状(康奈尔量表),并在会话前后评估了情绪健康。对工作人员、家属和社区成员进行了定性访谈,以了解 MEP 的可接受性和潜在可持续性。结果显示,居民的平均抑郁评分从干预前到干预后有所降低(p =.039;d = 0.72)。访谈确定了居民的多个益处,包括改善情绪、平静和减少攻击性。然而,工作人员认为,如果没有外部协调员,他们无法在试验期之外继续进行 MEP 会议,因为时间限制,他们可能难以遵守内部活动。这项试点研究为 MEP 在改善这一人群的抑郁和幸福感方面的可接受性和潜在有效性提供了令人鼓舞的初步证据。