Managing the Needs of Care Home Residents With Dementia Through a Music Therapy Intervention

NCT05176444 | Unknown DMC

• 1 other identifier: U4-11662
• Study Type: interventional
• Target: 84
• Locations: 1 country
• Sites: 11

Brief Summary

The purpose of this study is to implement and evaluate a music therapy intervention in care homes. The primary aim is to assess whether implementing the intervention will have an impact on unmet in care homes for people living with dementia. Researchers will also examine the feasibility of a music therapy programme in care homes and its effects on care staff and residents with cognitive impairment. Care home staff will also receive training with music therapists via video communications to help staff use music therapy techniques to support people living with dementia.

Conditions

Cognitive Impairment; Dementia

Keywords

Dementia; Music therapy; Cognition; Care home; Quality of care; Non-pharmacological intervention; Needs; Neuropsychiatric symptoms

Outcome Measures

Primary Outcomes (1)

• Camberwell Assessment of Needs in the Elderly - CANE

  For people with cognitive impairment - to measure the quality of care in care homes by assessing individual needs. This measure examines met and unmet needs in older people in 24 areas from self-care to communicative abilities. 1 = a met need, 2 = an unmet need. Met needs and unmet needs are totalled. A higher score indicates a higher number of needs.

  15 minutes

Secondary Outcomes (10)

• Standardised Mini Mental State Examination - SMMSE

  15 minutes

• Neuropsychiatric Inventory Nursing Homes - NPI-NH

  12 minutes

• EuroQoL - EQ-5D-5L - self completion

  5 minutes

• EuroQoL - EQ-5D-5L - proxy

  5 minutes

• Barthel Index (BI)

  10 minutes

Study Arms (2)

Music therapy intervention

EXPERIMENTAL

Music therapy

Behavioral: Music therapy

Control group - standard care

NO INTERVENTION

Standard care for residents with cognitive impairment. Staff will not receive music therapy training.

Interventions

Music therapy BEHAVIORAL

Individual music therapy sessions across 12-weeks with people with cognitive impairment/dementia. Music therapy training for care home staff at four time points across 12-weeks.

Music therapy intervention

Eligibility Criteria

• Age: 18 Years - 105 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants must be aged 50+ years
• Participants will be a resident of one of the 12 care homes taking part
• For each participant, there must be clinical evidence of cognitive impairment. This will be determined by a score of 24 or under on the SMMSE
• Each participant must display at least one behavioural/psychological symptom of dementia. This will be determined by a score of 4 or higher on the NPI-NH.
• Participants must be aged 18+ years
• Participants must have worked in the care home for at least 3 months
• Participants will be required to have in-depth knowledge of the resident participant(s). This will be determined through communications with home managers to ensure each staff member is paired with a resident they provide regular care for.

You may not qualify if:

• \- Participants who's health appears to be at risk which raises the concerns of their sustained involvement with the study. This would be evident from a health assessment from a general practitioner. Given that this is a music therapy study, this could also include people with a hearing impairment.
• \- Staff who cannot adequately answer on behalf of the residents due to lack of knowledge of the residents.

Sponsors & Collaborators

• Anglia Ruskin University: lead
• Anchor Trust: collaborator
• The Utley Foundation: collaborator

Study Sites (11)

Ridgemount

Banstead, Surrey, SM7 2BQ, United Kingdom

Location

Oakleigh, Godstone

London, Surrey, RH9 8BD, United Kingdom

Location

Greenacres, Banstead

London, Surrey, SM7 2BQ, United Kingdom

Location

Hatfield House

Doncaster, DN7 6JQ, United Kingdom

Location

Simon Marks Court

Leeds, LS21 1RJ, United Kingdom

Location

Oak Tree Lodge

Leeds, LS9 6BT, United Kingdom

Location

Kimberly Court

Newquay, TR7 1JG, United Kingdom

Location

Wharfside

Otley, LS21 1RJ, United Kingdom

Location

St Anne's

Saltash, PL12 6DJ, United Kingdom

Location

Prior Bank

Sheffield, S11 9AB, United Kingdom

Location

Herries Lodge

Sheffield, S5 8TT, United Kingdom

Location

Related Links

• This study has tested similar methods to those that are being used in the current study
• This study has informed the current study of outcome measures to use
• This study details the effects of music therapy on dementia and highlights the need for further trials

MeSH Terms

Conditions

Cognitive Dysfunction; Dementia

Interventions

Music Therapy

Condition Hierarchy (Ancestors)

Cognition Disorders; Neurocognitive Disorders; Mental Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Helen Odell-Miller, PhD

  Anglia Ruskin University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 15, 2021
• First Posted: January 4, 2022
• Study Start: July 4, 2022
• Primary Completion: June 1, 2024
• Study Completion: June 1, 2024
• Last Updated: January 23, 2024

Record last verified: 2024-01

Data Sharing

• IPD Sharing: Will not share

Locations

GB (11)