Philadelphia Care Foundation, PO box 1255, 3800 BG Amersfoort, the Netherlands.
Philadelphia Care Foundation, PO box 1255, 3800 BG Amersfoort, the Netherlands.
Res Dev Disabil. 2023 Nov;142:104606. doi: 10.1016/j.ridd.2023.104606. Epub 2023 Oct 10.
A pilot cluster randomized controlled trial was performed to evaluate the effects of a music group intervention and a leisure activities group intervention on well-being, self-esteem, social acceptance, challenging behaviour and three components of executive functions (inhibitory control, cognitive flexibility and visual working memory) of adults with intellectual disabilities (ID).
Twenty-nine participants living in four residential facilities for people with ID were randomized into a music or a leisure activities group intervention. Sixteen weekly sessions of one hour were performed with six to eight participants per group. Measurements were carried out at baseline, post-intervention and 11 weeks follow- up. Results were analysed with linear mixed models.
The leisure activities group intervention improved more than the music group intervention on internalizing behaviour overall and on inhibitory control at post-intervention. However, further analyses showed that this improvement was only significant in one of the two leisure activities facilities.
A leisure activities group intervention seems a promising intervention to improve internalizing behaviour and inhibitory control of younger adults with mild ID. Implications for the delivery of leisure activities group interventions and especially music group interventions are discussed.
Involvement in leisure activities of people with ID is associated with better well-being, an improvement in social skills and a reduction in emotional and behavioural problems. Active music making, as a specific form of leisure activities, seems to improve well-being, social acceptance and challenging behaviour (CB) as well. Moreover, in different (non-clinical) groups a significant effect of active music making has been found on self-esteem and executive functioning (EF). So far, little attention has been paid to the possible positive effects of active music making on adults with ID. In the current paper, a randomized controlled trial (RCT) was conducted to compare the post-intervention and follow-up measurements with baseline measurements between a music group intervention and a leisure activities group intervention on well-being, self-esteem, social acceptance, CB and EF in adults with ID. Multilevel models were used to detect possible intervention effects of 16 weekly sessions. Overall, inhibitory control and internalizing behaviour improved more amongst the participants of the leisure activities group than amongst the participants of the music group. This was mainly the case for younger participants who had mild ID. These effects are discussed and recommendations regarding the improvement of a music intervention for people with ID are presented.
采用试点群组随机对照试验，评估音乐团体干预和休闲活动团体干预对成年智障人士（ID）的幸福感、自尊、社会接纳、挑战性行为以及执行功能的三个组成部分（抑制控制、认知灵活性和视觉工作记忆）的影响。
将 29 名居住在四个智障人士住宿设施中的参与者随机分配到音乐或休闲活动团体干预组。每组 6 至 8 人，每周进行 1 小时 16 次。在基线、干预后和 11 周随访时进行测量。结果采用线性混合模型进行分析。
与音乐组干预相比，休闲活动组干预在整体内化行为和干预后抑制控制方面的改善更为明显。然而，进一步的分析表明，这种改善仅在两个休闲活动设施中的一个设施中具有显著性。
休闲活动团体干预似乎是一种有前途的干预措施，可以改善轻度 ID 年轻成年人的内化行为和抑制控制。讨论了提供休闲活动团体干预的意义，特别是音乐团体干预。
智障人士参与休闲活动与更好的幸福感、社交技能的提高以及情绪和行为问题的减少有关。积极的音乐创作作为一种特殊形式的休闲活动，似乎也能改善幸福感、社会接纳和挑战性行为（CB）。此外，在不同的（非临床）群体中，积极的音乐创作对自尊和执行功能（EF）有显著的影响。到目前为止，人们对积极的音乐创作对智障成年人可能产生的积极影响关注甚少。在本文中，进行了一项随机对照试验（RCT），比较了音乐团体干预和休闲活动团体干预在成年智障人士的幸福感、自尊、社会接纳、CB 和 EF 方面的干预后和随访测量与基线测量之间的差异。使用多水平模型检测 16 周每周一次的干预的可能效果。总体而言，与音乐组相比，休闲活动组的参与者在抑制控制和内化行为方面的改善更为明显。这种情况主要发生在患有轻度 ID 的年轻参与者中。讨论了这些效果，并提出了改善智障人士音乐干预的建议。
