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Effect of music care on depression and behavioral problems in elderly people with dementia in Taiwan: a quasi-experimental, longitudinal study
- Authors:
- WANG Su-Chin, YU Ching-Len, CHANG Su-Hsien
- Journal article citation:
- Aging and Mental Health, 21(2), 2017, pp.156-162.
- Publisher:
- Taylor and Francis
Objectives: The purpose was to examine the effectiveness of music care on cognitive function, depression, and behavioural problems among elderly people with dementia in long-term care facilities in Taiwan. Methods: The study had a quasi-experimental, longitudinal research design and used two groups of subjects. Subjects were not randomly assigned to experimental group (n = 90) or comparison group (n = 56). Based on Bandura's social cognition theory, subjects in the experimental group received Kagayashiki music care (KMC) twice per week for 24 weeks. Subjects in the comparison group were provided with activities as usual. Results: Results found, using the control score of the Clifton Assessment Procedures for the Elderly Behavior Rating Scale (baseline) and time of attending KMC activities as a covariate, the two groups of subjects had statistically significant differences in the mini-mental state examination (MMSE). Results also showed that, using the control score of the Cornell Scale for Depression in Dementia (baseline) and MMSE (baseline) as a covariate, the two groups of subjects had statistically significant differences in the Clifton Assessment Procedures for the Elderly Behavior Rating Scale. Conclusion: These findings provide information for staff caregivers in long-term care facilities to develop a non-invasive care model for elderly people with dementia to deal with depression, anxiety, and behavioural problems. (Edited publisher abstract)
Effectiveness of group music intervention against agitated behavior in elderly persons with dementia
- Authors:
- LIN Yu, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 26(7), July 2011, pp.670-678.
- Publisher:
- Wiley
The majority of investigations of group music interventions have been conducted in Western countries and little is known about they might influence patients’ agitated behaviour in Eastern cultures. In the light of this scarcity of data, this study explored the use of group music in elderly persons with dementia recruited from nursing homes in Taiwan. Of the 100 subjects who completed the study, 49 had been randomised to the experimental group and 51 to the control group. The experimental group took part in twelve 30-min group music sessions, conducted twice a week for six consecutive weeks. The control group carried on their normal daily activities. Assessments were carried out before the intervention, at the 6th and 12th sessions, and at 1 month after intervention. The experimental group showed better performance at the 6th and 12th sessions, and at 1 month after cessation, based on reductions in agitated behaviour in general, physically non-aggressive behaviour, verbally non-aggressive behaviour, and physically aggressive behaviour. A reduction in verbally aggressive behaviour was shown only at the 6th session. The authors recommend that nursing facilities for demented elderly persons incorporate group music intervention in routine activities in order to enhance emotional relaxation, create inter-personal interactions, and reduce agitated behaviour.
A pilot study on a home-based caregiver training programme for improving caregiver self-efficacy and decreasing the behavioural problems of elders with dementia in Taiwan
- Authors:
- HUANG Huei-Lang, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(4), April 2003, pp.337-345.
- Publisher:
- Wiley
The purpose of this article was to investigate the effectiveness of a home-based caregiver training programme for caregivers of elders with dementia and behavioural problems. A prospective study was conducted in the communities of Northern Taiwan. Forty-eight patients with dementia and their family caregivers were included. The experimental group (n = 24) received a two-session in-home caregiver training programme, and the control group (n = 24) received only written educational materials. The Chinese version of Cohen-Mansfield Agitation Inventory (CMAI), community form, was used to measure the behavioural problems of patients with dementia. The caregiver's self-efficacy, for managing the demented person's agitation, was measured by the Agitation Management Self-efficacy Scale (AMSS). The CMAI and AMSS were administered before (baseline), three weeks (1st post-test), and three months (2nd post-test) after the two-session training programme. Except for the physically aggressive behaviour subscale, the scores of physically non-aggressive behaviour, verbally aggressive and non-aggressive behaviour subscales as well as the overall CMAI decreased significantly and continuously in the experimental group and differed significantly from the changed scores from those in the control group (p < 0.05). Physically aggressive behaviours showed a decreasing trend for both groups. Scores of the Agitation Management Self-Efficacy Scale and its subscales increased significantly and continuously in the experimental group in comparison to those in the control group (p < 0.05). This home-based caregiver training programme is helpful for decreasing problematic behaviours of elder people with dementia and it improves the caregiver's self-efficacy for managing problematic behaviours.