针对不同认知功能的成年人的团体音乐创作干预的可行性和可接受性。
Feasibility and acceptability of a group music creativity intervention for adults with varying cognitive function.
作者信息
Wu-Chung E Lydia, Brandt Anthony K, Bonomo Melia E, Denny Bryan T, Karmonik Christof, Frazier J Todd, Blench Karl, Fagundes Christopher P
机构信息
Department of Psychological Sciences, Rice University, Houston, TX, USA.
Shepherd School of Music, Rice University, Houston, TX, USA.
出版信息
Creat Res J. 2024;36(3):451-468. doi: 10.1080/10400419.2023.2272105. Epub 2023 Nov 7.
Maintaining healthy cognitive functioning and delaying cognitive decline in cognitively intact and cognitive impaired adults are major research initiatives for addressing dementia disease burden. Music interventions are promising, non-pharmaceutical treatment options for preserving cognitive function and psychological health in older adults with varying levels of cognitive function. While passive, music interventions have attracted considerable attention in the abnormal cognitive aging literature, active, music interventions such as music creativity are less well-studied. Among 58 older adults with different levels of cognitive function (cognitively healthy to mild cognitive impairment), we examined the feasibility and acceptability of , a Stage 1 clinical trial developed to assess the effects of a novel, music creativity curriculum on various health outcomes. Music intervention participation (93%), overall study retention (78%), and intervention satisfaction (100%) rates were comparable to other similarly designed clinical trials. Exploratory analyses using mixed-level modeling tested the efficacy of the intervention on cognitive and psychological outcomes. Compared to those in the control condition, participants in the music condition showed some improvements in cognitive functioning and socioemotional well-being. Findings suggest that a 6-week music creativity clinical trial with several multi-modal health assessments can be feasibly implemented within a sample of varying cognitive ability.
在认知功能正常和认知受损的成年人中维持健康的认知功能并延缓认知衰退,是应对痴呆症疾病负担的主要研究举措。音乐干预是很有前景的非药物治疗选择,可用于在认知功能水平各异的老年人中保持认知功能和心理健康。虽然被动音乐干预在异常认知老化文献中已引起相当多关注,但主动音乐干预,如音乐创作,研究较少。在58名认知功能水平不同(从认知健康到轻度认知障碍)的老年人中,我们考察了一项1期临床试验的可行性和可接受性,该试验旨在评估一门新颖的音乐创作课程对各种健康结局的影响。音乐干预参与率(93%)、总体研究保留率(78%)和干预满意度(100%)与其他设计类似的临床试验相当。使用混合水平模型的探索性分析检验了该干预对认知和心理结局的疗效。与对照组相比,音乐组参与者在认知功能和社会情感幸福感方面有一些改善。研究结果表明,一项为期6周、包含多项多模式健康评估的音乐创作临床试验能够在认知能力各异的样本中切实开展。