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Hammar LM, Lövenmark A, Swall A. The benefits of caregiver singing and receptive music in dementia care: a qualitative study of professional caregivers' experiences. Arts Health 2024:1-15. [PMID: 38389120 DOI: 10.1080/17533015.2024.2320248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 02/13/2024] [Indexed: 02/24/2024]
Abstract
BACKGROUND For persons with dementia, receptive music may reduce negative expressions and increase positive ones. Caregiver singing (CS) is an intervention aimed at facilitating care situations and involves caregivers singing for or together with persons with dementia during care activities. In the literature, CS is commonly addressed as a music activity rather than a care intervention. The aim was to describe caregivers' experiences of the reactions of persons with dementia when using CS and receptive music in dementia care. METHOD The data comprised three focus group interviews with 12 professional caregivers in dementia care, analysed using qualitative content analysis. RESULTS the analysis resulted in two themes: "CS increases interaction and builds companionship" and "Receptive music soothes, awakens memories and reflects the person's self". CONCLUSION Both CS and receptive music was shown to have positive influences, and while the results were sometimes intertwined, CS was shown to better facilitate problematic care situations.
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Affiliation(s)
- Lena Marmstål Hammar
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
- School of Health and Welfare, Dalarna University, Falun, Sweden
| | - Annica Lövenmark
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
| | - Anna Swall
- School of Health and Welfare, Dalarna University, Falun, Sweden
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Stuart-Röhm K, Clark I, Baker FA. Development of a person-centered caregiver singing model for formal caregivers of people living with dementia in South Africa. Geriatr Nurs 2023; 53:261-269. [PMID: 37598430 DOI: 10.1016/j.gerinurse.2023.08.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2023] [Revised: 08/04/2023] [Accepted: 08/04/2023] [Indexed: 08/22/2023]
Abstract
This action research study explored the co-design of a person-centered caregiver singing (PCCS) protocol and caregivers' experiences of applying the PCCS intervention with people living with dementia. Eight caregivers across two care homes participated in four iterative cycles aimed at refining the training. Qualitative data collected from semi-structed group interviews, individual interactions and researcher reflections were analysed via thematic analysis which informed the refinements to the training protocol. A Person-Centered Caregiver Singing Model was developed from the thematic findings relating to caregivers' experiences of applying the PCCS intervention: enhanced caregiver capabilities, resident's wellbeing, improved relationship, the positive ecological shift, and ease of caregiving. PCCS fostered caregivers' empathy and self-efficacy, helping them better attune to and meet the needs of people with dementia. Findings suggest music therapists could share music therapy-informed skills with caregivers for use in daily care. Further research would be beneficial to understand the relationship between live music interventions and caregivers' self-efficacy and empathy, and to explore the training barriers in South Africa.
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Affiliation(s)
| | | | - Felicity A Baker
- The University of Melbourne; Norwegian Academy of Music, Oslo, Norway
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Stuart-Röhm K, Baker FA, Clark I. Training formal caregivers in the use of live music interventions during personal care with persons living with dementia: a systematic mixed studies review. Aging Ment Health 2023; 27:1876-1886. [PMID: 36803176 DOI: 10.1080/13607863.2023.2180485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 01/20/2023] [Indexed: 02/22/2023]
Abstract
OBJECTIVES To examine research on the training of formal caregivers in live music interventions within care situations with persons with dementia. METHODS This review was registered with PROSPERO (CRD42020196506). PubMed, PsycINFO (Ovid), MEDLINE, Discovery EBSCO, Embase, CINAHL (Complete), AMED and ProQuest Dissertations and Theses Global were searched in September 2020 and again in October 2022. English, peer-reviewed studies on formal caregivers trained in using live music when caring one-on-one with persons with dementia were included. The Mixed Methods Assessment Tool (MMAT) was employed to assess quality, and narrative synthesis with effect sizes (Hedges-g) and thematic analysis were used for quantitative and qualitative studies respectively. RESULTS Nine studies (four qualitative, three quantitative, two mixed methods studies) were included. Quantitative studies demonstrated significant differences for music training on outcomes measuring agitation and emotional expression. Thematic analysis yielded five themes: emotional wellbeing; mutual relationship; shifts in caregivers' experiences; care environment; and insights into person-centered care. CONCLUSION Training for staff in live music interventions may benefit the delivery of person-centered care by supporting communication, easing care, and capacitating caregivers to meet the needs of persons with dementia. Findings appeared context specific due to high heterogeneity and small sample sizes. Further research on quality of care and caregiver outcomes, and sustainability of training is recommended.
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Affiliation(s)
| | - Felicity A Baker
- The University of Melbourne, Melbourne, VIC, Australia
- Norwegian Academy of Music, Oslo, Norway
| | - Imogen Clark
- The University of Melbourne, Melbourne, VIC, Australia
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Bender EN, Savundranayagam MY, Murray L, Orange J. Supportive strategies for nonverbal communication with persons living with dementia: A scoping review. Int J Nurs Stud 2022; 136:104365. [DOI: 10.1016/j.ijnurstu.2022.104365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Revised: 09/13/2022] [Accepted: 09/19/2022] [Indexed: 11/24/2022]
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Relational Care, Dementia, and Communication Challenges in Long-Term Care: A Meta-Ethnography. Can J Aging 2022; 42:259-270. [PMID: 35817789 DOI: 10.1017/s0714980822000253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Few studies examine care as a relational process in long-term care, and still fewer describe the participation of residents with dementia. In this article, our objective was to understand the development of knowledge in this area by means of a meta-ethnography. Our search and selection process resulted in six eligible articles. Each documents a qualitative study of resident-staff interactions during care activities in a residential care setting, and includes participants with dementia. Tronto's 4 Phases of Care were used to guide the identification of relational care practices within the articles selected. We identified five translatable concepts across the six studies: (1) doing with versus doing for, (2) staff responsiveness, (3) resident agency, (4) inclusive communication, and (5) time. In our new configuration of relational care, we combine these concepts to delineate an "interactive space" in which the agency of residents and initiative of staff are equally visible.
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Waters B, Sousa L, Orrell M, McDermott O. Analysing the use of music to facilitate social interaction in care home residents with dementia: Narrative synthesis systematic review. DEMENTIA 2022; 21:2072-2094. [PMID: 35593422 DOI: 10.1177/14713012221100625] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
INTRODUCTION Individuals with dementia residing in care homes can rely heavily on care staff to access activities and meaningful interactions. Previous research suggests that care home interactions can be short, fragmented and task-orientated due to staff workload and residents' language impairments. However, music has the potential to be an alternative communication form that remains intact in the later stages of dementia. This systematic review aims to explore how care home music interventions can facilitate social interactions. METHODS A narrative synthesis was conducted to explore the mechanisms behind how and why care home music intervention facilitate social interactions. The four-element framework guided analysis; (1) Developing a theory, (2) Developing a preliminary synthesis, (3) Exploring relationships, (4) Assessing robustness. FINDINGS The final synthesis included 23 articles. The studies consisted of music therapy sessions, personalised music listening, structured music singing or instrument playing sessions and music therapeutic care. Despite the difference in music interventions, most studies reported an increase in residents' sociable verbal and non-verbal communication and a decrease in unsociable communication. Music interventions allowed residents to reminisce, express themselves, focus and connect with others. DISCUSSION The studies highlighted music interventions are accessible to all residents with dementia despite their impairments. The adaptability allows individuals to continue to connect and express themselves even when language deteriorates. More research is needed into the enablers and barriers to implementing interventions into practice, as this systematic review has highlighted that some form of music intervention for all residents can be highly beneficial. Care homes use of music could increase social interactions and meaningful activities.
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Affiliation(s)
- Bryony Waters
- School of Medicine, Institute of Mental Health, 6123University of Nottingham, UK
| | - Lídia Sousa
- Faculty of Medicine of Porto University, 59043Center of Health Technologies and Services Research - CINTESIS, Portugal
| | - Martin Orrell
- School of Medicine, Institute of Mental Health, University of Nottingham, UK
| | - Orii McDermott
- School of Medicine, Institute of Mental Health, 6123University of Nottingham, UK
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Theorell T, Engström G, Hallinder H, Lennartsson AK, Kowalski J, Emami A. The use of saliva steroids (cortisol and DHEA-s) as biomarkers of changing stress levels in people with dementia and their caregivers: A pilot study. Sci Prog 2021; 104:368504211019856. [PMID: 34030538 PMCID: PMC10305820 DOI: 10.1177/00368504211019856] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The rationale was to explore the efficacy/sensitivity of using morning and evening cortisol levels as biomarkers for stress reduction in persons with dementia (PWDs) and their family caregivers (FCGs) participating in a music intervention program. Thirty-two PWD and their FGC were recruited to an 8-week, home-based music intervention program. Daily home-based collection of saliva samples took place at bedtime and upon awakening. Cortisol was analyzed in the morning and evening saliva samples and DHEA-s in the morning samples. Trends over 40 workdays (15-40 observations per subject) were assessed using linear regression analysis. Twenty-three PWD (72% of invited, 16 men and 7 women, age 69-93) and 24 caregivers (75%, 8 men and 16 women, age 37-90) completed the intervention for at least 6 weeks and were included in the analysis. One-fourth of the PWD and FCG had decreasing evening cortisol, accompanied by decreasing morning cortisol levels. In one-fourth of the participants the ratio between cortisol and DHEA-S in the morning samples was improved, indicating improved balance between energy mobilization and regeneration. Several participants showed no significant endocrine change. There was a statistically significant (two-sided test) correlation within the PWD-caregiver dyads in evening cortisol trend and a statistically significant decrease (two-sided test) in the morning-evening cortisol slope for the FCG group. Reduction in stress, as measured by evening cortisol, was observed in a substantial number of the participants. Recording endocrine stress is helpful for the unbiased assessment of the intervention.
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Affiliation(s)
- Tores Theorell
- Stress Research Institute, Stockholm
University, Stockholm, Sweden
- Department of International Health,
Karolinska Institute, Stockholm, Sweden
| | | | | | | | - Jan Kowalski
- JK Biostatistics, Karlbergsvägen,
Stockholm, Sweden
| | - Azita Emami
- School of Nursing, University of
Washington, Seattle, WA, USA
- Division of Occupational Therapy,
Department of Neuroscience, Care Sciences & Society (NVS), Karolinska
Institutet, Stockholm, Sweden
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Ibenthal E, Kehmann M, Backhaus C. Effectiveness of personalized music systems to influence neuropsychiatric symptoms associated with dementia: A quasi-experimental study. Explore (NY) 2021; 18:319-326. [PMID: 33781719 DOI: 10.1016/j.explore.2021.03.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Revised: 03/09/2021] [Accepted: 03/16/2021] [Indexed: 12/21/2022]
Abstract
CONTEXT Studies have shown that music can improve the neuropsychiatric symptoms in people with dementia. Personalized music has the greatest impact. However, people with dementia in residential care rarely listen to personalized music; in doing so, they themselves as well as their caregivers pass up the positive effects associated with it. As a result, customizable music systems have been developed that allow people with dementia to listen to their favorite music. AIM To determine the effectiveness of personalized music systems on the neuropsychiatric symptoms of people with dementia in residential care and the perceived distress of caregivers. METHOD 14 residents heard personalized music during personal care for eight weeks. Outcomes were derived from pre-post-follow up assessments of residents' neuropsychiatric symptoms and caregivers' distress using the Neuropsychiatric Inventory Questionnaire (NPI-Q). The frequency of the music systems' usage was recorded in log files. A control group of 14 residents received standard care. RESULTS Caregivers used the music systems among the residents with varying frequency. During the intervention, an increasing trend of the severity value of apathy was observed, while the severity values of delusions and nighttime disturbances tended to decrease. However, the trends did not reach statistical significance. Caregivers' perceived distress was not affected. CONCLUSION A practicable solution for providing personalized music to people with dementia in residential care was tested. Possible positive effects were observed for delusions and nighttime disturbances in people with dementia, but a larger study will be required to verify these observations.
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Affiliation(s)
- Elisabeth Ibenthal
- Münster University of Applied Sciences, Bürgerkamp 3, 48565 Steinfurt, Germany.
| | - Maximilian Kehmann
- Münster University of Applied Sciences, Bürgerkamp 3, 48565 Steinfurt, Germany
| | - Claus Backhaus
- Münster University of Applied Sciences, Bürgerkamp 3, 48565 Steinfurt, Germany
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Swall A, Hammar LM, Gransjön Craftman Å. Like a bridge over troubled water - a qualitative study of professional caregiver singing and music as a way to enable person-centred care for persons with dementia. Int J Qual Stud Health Well-being 2020; 15:1735092. [PMID: 32212959 PMCID: PMC7170273 DOI: 10.1080/17482631.2020.1735092] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/19/2020] [Indexed: 01/31/2023] Open
Abstract
Purpose: To describe the perspectives of caregivers in terms of using singing and music in their everyday work, and of their effect on care and interaction with the person with dementia.Methods: A qualitative design was used, consisting of group discussions with professional caregivers from three nursing homes in a medium-sized city in a rural area of Sweden.Results: The results demonstrate that caregiver singing and music can be powerful and useful in the care of and in communication with persons with dementia. Music, for example, can be used to facilitate socialization as it opens up for discussion, while caregiver singing was preferable when it came to the facilitation of care situations and interaction.Conclusions: Singing and music can be powerful and useful tools in the care of and in communication with persons with dementia. Regardless of whether singing or music is used, the most important factor is that a person-centred approach is adopted so as to make the music a facilitative tool. Caregiver singing and music are ways to connect with the person with dementia and an understanding of their use can contribute to dementia research. This in turn can increase awareness of the possible ways to strengthen the partnership between caregivers and persons with dementia.
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Affiliation(s)
- Anna Swall
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
| | - Lena Marmstål Hammar
- School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden
- Division of Nursing, Department of Neurobiology, Care Sciences, Karolinska Institutet, Stockholm, Sweden
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Olsen M, Udo C, Boström AM, Hammar LM. Important aspects of home care service: An interview study of persons with dementia. DEMENTIA 2020; 20:1649-1663. [DOI: 10.1177/1471301220964393] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Background and Aim Because of the policy of ‘ageing in place’ and a decreasing number of beds in residential settings, more persons with dementia live at home with support from home care services. However, previous studies have revealed more unmet needs and a lower quality of life in this group than in other groups. Because few qualitative studies are performed in which persons with dementia have the opportunity to tell their own stories and describe what they find important, this study aimed to interview persons with dementia and describe their views on the important aspects of receiving home care service. Methods The study used a qualitative approach, and 14 persons with dementia participated in the interviews. The interviews were analysed using qualitative content analysis. Findings The findings revealed one overarching theme. The importance of being supported as a unique and capable human, that is the persons with dementia stated that despite their dementia diagnoses, it was important to be seen as a person with capabilities, although in need of support. This theme was built on three subthemes: being seen as a person, being informed and involved, and being part of a relationship. Conclusions Our study showed that persons with dementia are able to express, formulate and reflect on their needs and preferences about their daily care as well as what is important to them when receiving home care service. Therefore, their point of view should be taken into consideration when planning, providing and evaluating care.
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Affiliation(s)
- Marie Olsen
- School of Education, Health and Social Studies, Dalarna University, Falun, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute and Stockholm University, Stockholm, Sweden
| | - Camilla Udo
- School of Education, Health and Social Studies, Dalarna University, Sweden; Center for Clinical Research, Dalarna, Sweden; Department of Health Care Sciences, Palliative Research Centre, Ersta Sköndal Bräcke University College, Stockholm, Sweden
| | - Anne-Marie Boström
- Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Sweden; Theme Ageing, Karolinska University Hospital, Huddinge, Sweden; Stockholms Sjukhem, R&D Unit, Stockholm, Sweden
| | - Lena Marmstål Hammar
- School of Health, Care, and Social Welfare, Mälardalen University, Sweden; School of Education, Health and Social Studies, Dalarna University, Sweden; Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Sweden
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A communication model for nursing staff working in dementia care: Results of a scoping review. Int J Nurs Stud 2020; 113:103776. [PMID: 33120133 DOI: 10.1016/j.ijnurstu.2020.103776] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 08/04/2020] [Accepted: 09/13/2020] [Indexed: 11/21/2022]
Abstract
BACKGROUND Communication between nursing staff and people with dementia can be challenging. According to the literature, communication is seen as a process of social- and/or informational exchange between a sender and a receiver in a context. Factors related to these elements determine the quality of communication. Insight into the factors involved in the communication process between nursing staff and people with dementia is limited and a comprehensive model of communication in dementia care is lacking. OBJECTIVES To identify and visualize factors associated with communication between nursing staff and people with dementia. DESIGN A scoping review of scientific literature. DATA SOURCES Scientific articles were retrieved from the bibliographic databases of PubMed, CINAHL and PsycINFO. REVIEW METHODS The reviewing process was directed by the Joanna Briggs guidelines for scoping reviews. Full-text articles describing the communication process between nursing staff and people with dementia were eligible for inclusion. A data extraction form was used to identify factors associated with communication. Following a directed content analysis approach, factors were categorized in one of three categories: nursing staff; people with dementia; or context. Each category was thematically analysed to identify themes and subthemes. Results were visualized into a communication model. RESULTS The review included 31 articles; in total, 115 factors were extracted. Thematic analysis of nursing staff factors (n = 78) showed that communication is associated with professional characteristics, individual experiences, verbal- and non-verbal communication skills, communication approach and values. Factors attributed to people with dementia (n = 22) concerned client characteristics, functional status, behaviour, verbal communication skills and values. Contextual factors (n = 15) related to organization of care, time and situation. Based on these results, the Contac-d model was constructed. CONCLUSIONS The Contac-d model gives a comprehensive overview of factors involved in the communication process between nursing staff and people with dementia, providing insight in potential starting points for communication improvement, e.g. respect for needs, identity and privacy of people with dementia, a flexible and adapted communication approach and matching language. Additionally, results suggest that an appealing location, longer duration of the interaction, and music in the surrounding may improve communication in certain situations. However, it was not feasible based on current literature to recommend what works to improve communication in which situations. Future studies should study factors and their interrelatedness in specific care situations. Authors further believe that more attention should be paid to strengths and capabilities of people with dementia and to non-modifiable factors that influence communication.
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Backhouse T, Dudzinski E, Killett A, Mioshi E. Strategies and interventions to reduce or manage refusals in personal care in dementia: A systematic review. Int J Nurs Stud 2020; 109:103640. [DOI: 10.1016/j.ijnurstu.2020.103640] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Revised: 05/07/2020] [Accepted: 05/10/2020] [Indexed: 11/25/2022]
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Levy-Storms L, Chen L. Communicating emotional support: family caregivers' visits with residents living with dementia in nursing homes. J Women Aging 2020; 32:389-401. [PMID: 32684113 DOI: 10.1080/08952841.2020.1787787] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
This study characterized emotional connections between largely female caregivers and female care recipients with dementia living in nursing homes with the research question: How does interpersonal communication between family caregivers and older adults with dementia convey enacted emotional support? Ten dyads (8 with at least one female) of regularly-involved family caregivers (7 female; 3 male) and their relatives with dementia (5 female; 5 male) were videotaped. Qualitatively, three themes emerged: 1) distinct conversational topics, 2) shared physical proximity and silence, and 3) catalysts for natural interaction. These findings may help improve the quality of life of these predominantly female dyads.
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Affiliation(s)
- Lené Levy-Storms
- Departments of Social Welfare & Medicine/Geriatrics, UCLA, USA.,Department of Social Work, School of Social Development and Public Policy, Fudan University , China
| | - Lin Chen
- Departments of Social Welfare & Medicine/Geriatrics, UCLA, USA.,Department of Social Work, School of Social Development and Public Policy, Fudan University , China
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Batt-Rawden KB, Stedje K. Singing as a health-promoting activity in elderly care: a qualitative, longitudinal study in Norway. J Res Nurs 2020; 25:404-418. [PMID: 34394654 PMCID: PMC7932378 DOI: 10.1177/1744987120917430] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Background The current standards of care of the older person recommend employing non-pharmacological approaches to challenges, including safe approaches to managing pain and stress, enhancing symptom relief, and fostering independent lifestyles with the highest quality of life possible. More research is needed to enable nurses and other medical staff to use singing and music-based interventions, to access singing-based programmes, and promote a greater use of choirs in nursing homes. A solid basis of positive experiences and feedback through evidence in practice is required to help promote support for such activities. Aims To identify, explore and describe experiences, attitudes, beliefs, issues, processes and changes among nurses, carers and leaders in reference to implementation of the educational programme 'Singing Nursing Homes', Norway. To increase knowledge and understanding of how an educational song programme could become an integral part of nursing practice and quality of care in nursing and care homes, and identify why this would be constructive. Since its inception in 2015, 'Singing Norway' wanted to offer a professional, evidence-based programme for nursing homes throughout the country. Methods A longitudinal, qualitative and explorative approach. In-depth interviews and focus group interviews of female employees (n = 19) from three nursing homes in Norway, 2018. Results Nursing home employees perceived singing to have potential benefits for their patients, such as reducing uneasiness, increased comfort, well-being and joy, improved sleep, and believed singing had the potential to reduce the need for medication and prevent accidents among their patients. By facilitating opportunities for learning and practice, staff in nursing homes were able to use singing as part of their 'art of caring', enhancing environmental care for the older person. Singing was found to have positive effects for the patients, their relatives and the staff, which improved the psychosocial working climate overall. Conclusions Singing interventions could be a vital component for the enhancement of health, well-being and quality of life for the patients and staff in nursing homes.
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Affiliation(s)
- Kari Bjerke Batt-Rawden
- Associate Professor/Sociologist, Department of Health Sciences Gjøvik, Norwegian University of Science and Technology, Norway
| | - Kristi Stedje
- Music Therapist, Department of Music and Health, University College of Music, Norway
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Ekra EMR, Dale B. Systematic Use of Song and Music in Dementia Care: Health Care Providers' Experiences. J Multidiscip Healthc 2020; 13:143-151. [PMID: 32103974 PMCID: PMC7023855 DOI: 10.2147/jmdh.s231440] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2019] [Accepted: 01/23/2020] [Indexed: 01/17/2023] Open
Abstract
Background and Aim Using song and music in a systematic way in residential dementia care may have several positive impacts on the patients, as well as the care providers. The aim of this study was to explore how health care providers experienced taking responsibility for conducting a song and music program in dementia care in nursing homes. Methods An explorative, qualitative study design was used. Focus groups were formed by 17 health care providers from 3 different nursing homes. These providers had experience implementing and using the “Gjenklang” (“reverberation”) song and music program especially developed for people with dementia. Focus group interviews were transcribed verbatim, and systematic text condensation was used for analysing the data. Results Three categories with associated subcategories emerged from the analysis process. The categories were 1) the music program increased the staff’s consciousness and awareness; 2) the music program evoked the patients’ emotions and reactions; and 3) maintaining enthusiasm over time. Conclusion The general opinion among the participants was that using the song and music program in a systematic and planned way had many benefits and positive impacts on the patients, as well as the staff. However, it was challenging to make it a part of the daily routine. Thus, it is important that the leaders of the units take responsibility to ensure continuity and maintain engagement among the staff over time.
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Affiliation(s)
- Else Mari Ruberg Ekra
- Institute of Health and Nursing Science, University of Agder, Grimstad NO-4898, Norway
| | - Bjørg Dale
- Centre of Caring Research - Southern Norway, Faculty of Health and Sport Sciences, University of Agder, Grimstad NO-4898, Norway
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Tessier A, Power E, Croteau C. Paid worker and unfamiliar partner communication training: A scoping review. JOURNAL OF COMMUNICATION DISORDERS 2020; 83:105951. [PMID: 31751831 DOI: 10.1016/j.jcomdis.2019.105951] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Revised: 10/02/2019] [Accepted: 10/23/2019] [Indexed: 06/10/2023]
Abstract
BACKGROUND Communication partner training could be employed to train people working in the community to facilitate interaction with individuals who live with a variety of communication disorders. However, current evidence syntheses are limited to a single disorder (e.g., aphasia) and focus on a variety of familiar and unfamiliar communication partners. An understanding of the scope of literature across the evidence-base of acquired neurological populations may provide a better basis to develop interventions and future research tailored for community workers. AIMS To explore the scope of literature on paid worker and unfamiliar partner communication training for acquired neurogenic communication disorders with a focus on describing: 1) the types of communication disorders addressed by interventions; 2) the types of learners who received the interventions; 3) the nature of the interventions; and 4) the reported effects on trainees and people with a communication disorder. METHODS & PROCEDURES A scoping review was conducted. Studies were selected by a systematic keyword search, undertaken through four databases. Eligibility criteria included studies that: (i) reported an intervention directed at paid workers or unfamiliar partners where the primary goal was to improve communication with people with acquired neurogenic communication disorders, (ii) reported original results, (iii) contained quantitative or qualitative data on the effects of the intervention, (iv) were written in English or French and (v) were published in a peer-reviewed journal. The PRISMA-ScR was used to guide design and reporting of the scoping review. RESULTS Seventy publications met the inclusion criteria. Interventions were mostly disorder-specific and addressed communication with people with dementia, aphasia or traumatic brain injury. 15/70 studies examined training programs that were not restructured to a specific population (e.g., aphasia). Learners were mostly working or studying in the healthcare field and only 2/70 studies included community workers without primarily health training. Sixty different interventions were reported and were mostly delivered by speech-language pathologists. Training varied in terms of duration (a few minutes to 46 h) and content, but many shared training methods (e.g., presentation of theory on communication disorders). Nearly all studies demonstrated positive results, 23/26 studies suggested that paid worker and unfamiliar partner communication training may increase the knowledge of trainees, 24/26 studies suggested that it could improve their confidence when interacting with people with a communication disorder and 44/46 studies suggested that it could improve the trainees' communication abilities. CONCLUSION A small developing evidence-base exists for communication training programs for paid and unfamiliar communications partners that focuses beyond a single diagnosis or disorder. However, there is very limited knowledge on interventions for community workers from non-health professions. Future research should focus on the evaluation of existing programs tailored to, or explicitly designed for this context with the aim of identifying active ingredients that lead to improved and sustainable outcomes.
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Affiliation(s)
- Alexandra Tessier
- Université de Montréal, Faculté de médecine, École d'orthophonie et d'audiologie, C.P. 6128, succursale Centre-ville, Montréal, Québec H3C 3J7, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, 6363 chemin Hudson (Pavillon Lindsay), bureau 061, Montréal, Québec H3S 1M9 Canada.
| | - Emma Power
- University of Technology Sydney, Graduate School of Health, The Graduate Research School, University of Technology Sydney, PO Box 123, Broadway, NSW 2007, Sydney, Australia.
| | - Claire Croteau
- Université de Montréal, Faculté de médecine, École d'orthophonie et d'audiologie, C.P. 6128, succursale Centre-ville, Montréal, Québec H3C 3J7, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, 6363 chemin Hudson (Pavillon Lindsay), bureau 061, Montréal, Québec H3S 1M9 Canada.
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Craftman ÅG, Swall A, Båkman K, Grundberg Å, Hagelin CL. Caring for older people with dementia reliving past trauma. Nurs Ethics 2019; 27:621-633. [PMID: 31462155 DOI: 10.1177/0969733019864152] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND The occurrence of behavioural changes and problems, and degree of paranoid thoughts, are significantly higher among people who have experienced extreme trauma such as during the Holocaust. People with dementia and traumatic past experiences may have flashbacks reminding them of these experiences, which is of relevance in caring situations. In nursing homes for people with dementia, nursing assistants are often the group of staff who provide help with personal needs. They have firsthand experience of care and managing the devastating outcomes of inadequate understanding of a person's past experiences. AIM The aim was to describe nursing assistants' experiences of caring for older people with dementia who have experienced Holocaust trauma. RESEARCH DESIGN A qualitative descriptive and inductive approach was used, including qualitative interviews and content analysis. PARTICIPANTS AND RESEARCH CONTEXT Nine nursing assistants from a Jewish nursing home were interviewed. ETHICAL CONSIDERATIONS The study was approved by the Regional Ethical Review Board, Stockholm. FINDINGS The theme 'Adapting and following the survivors' expression of their situation' was built on two categories: Knowing the life story enables adjustments in the care and Need for flexibility in managing emotional expressions. DISCUSSION AND CONCLUSION The world still witnesses genocidal violence and such traumatic experiences will therefore be reflected in different ways when caring for survivors with dementia in the future. Person-centred care and an awareness of the meaning of being a survivor of severe trauma make it possible to avoid negative triggers, and confirm emotions and comfort people during negative flashbacks in caring situations and environments. Nursing assistants' patience and empathy were supported by a wider understanding of the behaviour of people with dementia who have survived trauma.
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Affiliation(s)
| | | | | | - Åke Grundberg
- Department of Nursing Science, Sophiahemmet University, Sweden
| | - Carina Lundh Hagelin
- Department of Caring, Science and Karolinska Institutet; Department of Neurobiology, Caring Sciences and Society, Ersta Sköndal Bräcke University College, Sweden
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18
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Cho HK. The Effects of Music Therapy-Singing Group on Quality of Life and Affect of Persons With Dementia: A Randomized Controlled Trial. Front Med (Lausanne) 2018; 5:279. [PMID: 30460234 PMCID: PMC6232901 DOI: 10.3389/fmed.2018.00279] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2018] [Accepted: 09/12/2018] [Indexed: 11/29/2022] Open
Abstract
Dementia is a clinical syndrome that is progressive and degenerative, affecting memory, behavior, emotion, and personality. Persons with dementia often experience deterioration of cognitive ability, as well as various behavioral and psychological disturbances, which significantly contribute to reduced quality of life and emotional well-being. The demand for long-term care continues to rise rapidly and it is therefore critical to develop effective strategies and evidence-based interventions to improve the quality of life for persons with dementia. Music therapy has drawn attention as a promising non-pharmacological approach for persons with dementia. A variety of music interventions including singing and listening to music have been widely applied for dementia care not only by music therapists, but also by other healthcare professionals. There are, however, little research studies that compare possible effects of music therapy interventions with those of music-based approaches on dementia care. The purpose of the current study was to compare the short-term effects of a music therapy-singing group with those of a music medicine-listening group and a control-TV group, on quality of life and affect of persons with dementia at a long-term care facility. The music therapy-singing group was facilitated by a music therapist, whereas the music medicine-listening and the control-TV group were led by nursing home activity staff. Fifty-two participants, whose ages range from 67 to 99 years old, were randomly assigned to one of the three groups, and 37 participants completed the interventions. The participants in each group were engaged for a 40-min session twice a week for four consecutive weeks. Quality of life was measured at the baseline and after the last session and only the music therapy-singing group demonstrated significant improvements when compared to the other groups. Positive and negative affect were measured at three points, including pre and post the first, fourth and eighth sessions. Only the music therapy-singing group significantly increased positive affect scores and decreased negative affect scores. The findings of the current study suggest that music therapy with active group singing may be an effective non-pharmacological intervention in improving quality of life and affect of persons with dementia at long-term care settings. Clinical Trial Registration: http://www.germanctr.de/drks_web/, registration number DRKS00014934.
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Affiliation(s)
- Heeyoun Kim Cho
- Department of Music Therapy, Temple University, Philadelphia, PA, United States
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19
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Pires A, Galinha IC, de Herédia A. Estudo experimental: Impacto de grupos de canto no bem-estar subjetivo de seniores. PSYCHOLOGY, COMMUNITY & HEALTH 2018. [DOI: 10.5964/pch.v6i1.159] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Objetivo
Avaliar o impacto da participação num programa de canto no bem-estar subjetivo (BES) de seniores.
Método
O presente estudo, com metodologia experimental, utilizou medidas estruturadas das dimensões afetiva e cognitiva do BES (Afeto Positivo e Negativo – PANAS – e Satisfação com a Vida - SWLS) e entrevistas semiestruturadas para testar o impacto de um programa de canto de curta duração (10 sessões, durante cinco semanas), no BES de um grupo de seniores, com idades entre 61 e 92 anos, num centro de dia. Trinta seniores aceitaram participar no programa de canto e foram divididos aleatoriamente em dois grupos (experimental e de controlo), sendo que 26 participantes no total terminaram a intervenção nos dois grupos (quatro homens, 15.3%; 22 mulheres, 84.6%; M = 75 anos de idade).
Resultados
Observou-se um decréscimo significativo do nível de afeto negativo no grupo experimental, após a intervenção, que foi significativamente inferior ao do grupo de controlo. No entanto, este efeito não se manteve na medida de follow-up, oito semanas após a intervenção. Numa análise qualitativa à perceção dos indivíduos sobre a sua participação no programa indicou benefícios na interação e apoio social entre os seniores, na expressão de emoções positivas e em novas aprendizagens.
Conclusão
Os resultados sugerem que programas de grupos de canto podem promover variáveis de BES.
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Dowlen R, Keady J, Milligan C, Swarbrick C, Ponsillo N, Geddes L, Riley B. The personal benefits of musicking for people living with dementia: a thematic synthesis of the qualitative literature. Arts Health 2017. [DOI: 10.1080/17533015.2017.1370718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Robyn Dowlen
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - John Keady
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - Christine Milligan
- Faculty of Health and Medicine, Centre for Ageing Research, Lancaster University, Lancaster, UK
| | - Caroline Swarbrick
- Division of Nursing, Midwifery and Social Work, University of Manchester, Manchester, UK
| | - Nick Ponsillo
- Faculty of Education and Children’s Services, The University of Chester, Riverside Campus, Chester, UK
| | - Lucy Geddes
- Manchester Camerata, Old Granada Studios, Manchester, UK
| | - Bob Riley
- Manchester Camerata, Old Granada Studios, Manchester, UK
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21
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Williams CL, Newman D, Hammar LM. Preliminary Psychometric Properties of the Verbal and Nonverbal Interaction Scale: An Observational Measure for Communication in Persons with Dementia. Issues Ment Health Nurs 2017; 38:381-390. [PMID: 28448228 DOI: 10.1080/01612840.2017.1279248] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Little attention has been given to sociable/unsociable communication in persons with dementia despite the importance of these behaviors in maintaining engagement in marital relationships. An observational measure of verbal and nonverbal communication in persons with dementia (Verbal and Nonverbal Interaction Scale-CR) who were engaged in conversations with spouses was tested for reliability and validity. Married persons with dementia were video-recorded at home conversing with spouses over 10 weeks (N = 118 recordings). Reliability [inter-coder (.92), test-retest (r =.61-.77), internal consistency (α =.65 -.79)] were adequate. Following an intervention, the Verbal and Nonverbal Interaction Scale-CR predicted improved communication over 10 weeks. The ratio of sociable to unsociable communication improved by 4.46 points per session [β = 4.46, t(10) = 1.96, p =.039]. VNVIS-CR is recommended to describe sociable and unsociable communication in persons with dementia as they engage in conversations with spouses.
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Affiliation(s)
- Christine L Williams
- a Christine E. Lynn College of Nursing, Florida Atlantic University , Boca Raton , Florida , USA
| | - David Newman
- a Christine E. Lynn College of Nursing, Florida Atlantic University , Boca Raton , Florida , USA
| | - Lena Marmstål Hammar
- b School of Education, Health and Social Studies, Dalarna University , Falun , Sweden
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22
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Clements-Cortés A. Artful wellness: Attending chamber music concert reduces pain and increases mood and energy for older adults. ARTS IN PSYCHOTHERAPY 2017. [DOI: 10.1016/j.aip.2016.10.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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23
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Swall A, Ebbeskog B, Lundh Hagelin C, Fagerberg I. ‘Bringing respite in the burden of illness’ - dog handlers’ experience of visiting older persons with dementia together with a therapy dog. J Clin Nurs 2016; 25:2223-31. [DOI: 10.1111/jocn.13261] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/14/2016] [Indexed: 11/26/2022]
Affiliation(s)
- Anna Swall
- Department of Health Sciences; School of Health and Social Studies; Dalarna University; Falun Sweden
| | - Britt Ebbeskog
- Department of Neurobiology; Caring Science and Social Science; Karolinska Institutet; Huddinge Sweden
| | - Carina Lundh Hagelin
- Sophiahemmet University; Stockholm Sweden
- Department of Learning; Informatics; Management and Ethics; Karolinska Institutet; Stockholm Sweden
- Stockholms Sjukhem Foundation; Stockholm Sweden
| | - Ingegerd Fagerberg
- Ersta Sköndal University College; Department of Health Care Sciences; Stockholm Sweden
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24
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Fletcher PD, Downey LE, Golden HL, Clark CN, Slattery CF, Paterson RW, Schott JM, Rohrer JD, Rossor MN, Warren JD. Auditory hedonic phenotypes in dementia: A behavioural and neuroanatomical analysis. Cortex 2015; 67:95-105. [PMID: 25929717 PMCID: PMC4465962 DOI: 10.1016/j.cortex.2015.03.021] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2015] [Revised: 03/08/2015] [Accepted: 03/27/2015] [Indexed: 02/03/2023]
Abstract
Patients with dementia may exhibit abnormally altered liking for environmental sounds and music but such altered auditory hedonic responses have not been studied systematically. Here we addressed this issue in a cohort of 73 patients representing major canonical dementia syndromes (behavioural variant frontotemporal dementia (bvFTD), semantic dementia (SD), progressive nonfluent aphasia (PNFA) amnestic Alzheimer's disease (AD)) using a semi-structured caregiver behavioural questionnaire and voxel-based morphometry (VBM) of patients' brain MR images. Behavioural responses signalling abnormal aversion to environmental sounds, aversion to music or heightened pleasure in music (‘musicophilia’) occurred in around half of the cohort but showed clear syndromic and genetic segregation, occurring in most patients with bvFTD but infrequently in PNFA and more commonly in association with MAPT than C9orf72 mutations. Aversion to sounds was the exclusive auditory phenotype in AD whereas more complex phenotypes including musicophilia were common in bvFTD and SD. Auditory hedonic alterations correlated with grey matter loss in a common, distributed, right-lateralised network including antero-mesial temporal lobe, insula, anterior cingulate and nucleus accumbens. Our findings suggest that abnormalities of auditory hedonic processing are a significant issue in common dementias. Sounds may constitute a novel probe of brain mechanisms for emotional salience coding that are targeted by neurodegenerative disease.
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Affiliation(s)
- Phillip D Fletcher
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Laura E Downey
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Hannah L Golden
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Camilla N Clark
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Catherine F Slattery
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Ross W Paterson
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Jonathan M Schott
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Jonathan D Rohrer
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Martin N Rossor
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom
| | - Jason D Warren
- Dementia Research Centre, UCL Institute of Neurology, University College London, United Kingdom.
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25
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Raglio A, Filippi S, Bellandi D, Stramba-Badiale M. Global music approach to persons with dementia: evidence and practice. Clin Interv Aging 2014; 9:1669-76. [PMID: 25336931 PMCID: PMC4199985 DOI: 10.2147/cia.s71388] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
Music is an important resource for achieving psychological, cognitive, and social goals in the field of dementia. This paper describes the different types of evidence-based music interventions that can be found in literature and proposes a structured intervention model (global music approach to persons with dementia, GMA-D). The literature concerning music and dementia was considered and analyzed. The reported studies included more recent studies and/or studies with relevant scientific characteristics. From this background, a global music approach was proposed using music and sound-music elements according to the needs, clinical characteristics, and therapeutic-rehabilitation goals that emerge in the care of persons with dementia. From the literature analysis the following evidence-based interventions emerged: active music therapy (psychological and rehabilitative approaches), active music therapy with family caregivers and persons with dementia, music-based interventions, caregivers singing, individualized listening to music, and background music. Characteristics of each type of intervention are described and discussed. Standardizing the operational methods and evaluation of the single activities and a joint practice can contribute to achieve the validation of the application model. The proposed model can be considered a low-cost nonpharmacological intervention and a therapeutic-rehabilitation method for the reduction of behavioral disturbances, for stimulation of cognitive functions, and for increasing the overall quality of life of persons with dementia.
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Affiliation(s)
- Alfredo Raglio
- Department of Public Health, Experimental and Forensic Medicine, University of Pavia, Pavia, Italy
- APSP “Margherita Grazioli”, Povo, Trento, Italy
| | | | - Daniele Bellandi
- Geriatric Department, Sospiro Foundation, Sospiro, Cremona, Italy
| | - Marco Stramba-Badiale
- Department of Geriatrics and Cardiovascular Medicine, IRCCS Istituto Auxologico Italiano, Milan, Italy
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26
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Konno R, Kang HS, Makimoto K. A best-evidence review of intervention studies for minimizing resistance-to-care behaviours for older adults with dementia in nursing homes. J Adv Nurs 2014; 70:2167-80. [PMID: 24738712 DOI: 10.1111/jan.12432] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/22/2014] [Indexed: 12/21/2022]
Abstract
AIM To conduct a best-evidence review of non-pharmacological interventions for resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. BACKGROUND Resistance to care is a major source of staff burnout in nursing homes and it is also a safety issue for the staff. DESIGN Best-evidence review. DATA SOURCES We searched for non-pharmacological intervention studies published from 1990-2012, written in English. REVIEW METHODS The search identified 19 intervention studies that examined the effects of interventions to reduce the resistance-to-care behaviours of nursing home residents with dementia in a personal-care context. These 19 papers met the quality assessment requirements of the critical appraisal criteria for experimental studies, which were published by the Joanna Briggs Institute. RESULTS Only three studies were RCTs and the rest were quasi-experimental. The sample size ranged from 7-127. Nine music interventions, such as pre-recorded music played to a group or playing a resident's preferred music, during his or her personal care, resulted in significant reductions in resistance-to-care behaviours. Resistance-to-care behaviours also were significantly reduced in three of four bathing interventions that focused on person-centred care. In the ability-focused interventions, only two out of five studies reported significant reductions in resistance-to-care behaviours. CONCLUSION Non-pharmacological interventions are options to consider to reduce resistance-to-care behaviours in older people with dementia, even though the evidence level is low, given the lack of alternatives. More randomized controlled trials are recommended to confirm the effects of non-pharmacological interventions during personal care.
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Affiliation(s)
- Rie Konno
- Division of Health Sciences, Osaka University Graduate School of Medicine, Osaka University, Japan
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27
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Huhtinen-Hildén L. Perspectives on professional use of arts and arts-based methods in elderly care. Arts Health 2014. [DOI: 10.1080/17533015.2014.880726] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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28
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Raglio A, Gianelli MV. Music and music therapy in the management of behavioral disorders in dementia. Neurodegener Dis Manag 2013. [DOI: 10.2217/nmt.13.27] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Alfredo Raglio
- Sospiro Foundation & Interdem Group, Piazza Libertà, 2 26048 Sospiro, Italy
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