Music Effects on Dementia
Effects of an Active Musical Intervention on the Health of Older Adults Living With Dementia: the DeMúsica Study, a Cross-over Trial on a Non-pharmacological Intervention
1 other identifier
interventional
7
1 country
1
Brief Summary
Older adults constitute a population whose age-related physiological and cognitive changes predispose them to conditions that are less likely to occur in younger individuals. Dementia encompasses a group of health conditions that primarily affect this age group. These disorders commonly impair mental functions-particularly memory-but they also manifest through behavioral symptoms, such as irritability, and exert a significant impact not only on the affected individual but also on their immediate environment. In this study, the investigators will implement a structured musical improvisation intervention led by four professional concert musicians. This approach, which has demonstrated effectiveness in other populations, aims to evaluate its effects on the mental and physical health of older adults living with dementia. Additionally, the intervention will be assessed in terms of its potential impact on primary caregivers, thereby exploring its reach beyond the individual diagnosed with dementia. Previous studies have reported the effectiveness of such interventions, noting improvements in memory, behavioral symptoms, and even overall physical well-being. To date, no studies of this nature have been conducted in our country, making this the first to pursue an extensive exploration of outcomes-not only those traditionally assessed in similar trials, but also a broader evaluation of various dimensions of health in older adults undergoing the intervention. Additionally, caregivers may also benefit from actively participating in these sessions, which are designed to include them from the very beginning. Beyond generating data on the potential effects across different bodily and cognitive functions-knowledge that may become a leading reference in this field-this intervention holds the potential to be scaled up, thereby benefiting a larger population and ultimately enhancing the care provided to older adults living with dementia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2025
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
November 10, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 20, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 20, 2025
CompletedFirst Submitted
Initial submission to the registry
March 20, 2026
CompletedFirst Posted
Study publicly available on registry
April 21, 2026
CompletedApril 21, 2026
April 1, 2026
1 month
March 20, 2026
April 17, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Neuropsychiatric symptoms
This outcome was assessed with the Neuropsychiatric Inventory Questionnaire, has a score that ranges from 0 to 12, with the lowest score meaning no neuropsychiatric symptoms and 12 the highest neuropsychiatric symptom burden possible. Additionally, if the symptom is present, a severity scale is applied for the symptom, that ranges from 0 to 36.
8 weeks
Secondary Outcomes (3)
Caregiver burden
8 weeks
Frailty
8 weeks
Depression
8 weeks
Study Arms (1)
Music therapy in caregiver burden of dementia patients: A quasi-experimental study
EXPERIMENTALThe intervention will be assessed in terms of its potential impact on primary caregivers, thereby exploring its reach beyond the individual diagnosed with dementia. Additionally, two other outcomes will be assessed as secondary goals: frailty and neuropsychiatric symptoms.
Interventions
Each session lasts three hours and includes preparation and rehearsal, an introductory improvisation with musical instruments, improvisation by patients and their caregivers with small percussion instruments, and finally, an artistic reflection involving musicians, caregivers, and patients
Eligibility Criteria
You may qualify if:
- Older adults aged 60 years or older
- Positive screening result for Alzheimer´s disease, vascular dementia, or mixed dementia
- Prior diagnosis of dementia in a mild or moderate stage
- Individuals capable of performing minimal physical activity
- Complete vaccination schedule for COVID-19 and influenza
You may not qualify if:
- Individuals currently participating in a similar intervention or received similar intervention within the past 6 months
- Undergoing continous treatment for another health condition
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Instituto Nacional de Geriatria, Mexicolead
- Universidad La Salle, Mexicocollaborator
- National Polytechnic Institute, Mexicocollaborator
Study Sites (1)
Instituto Nacional de Geriatria
Mexico City, Mexico City, 10200, Mexico
Related Publications (8)
Salihu D, Chutiyami M, Bello UM, Sulaiman SK, Dawa KK, Hepworth A, Adeleye KK, Alruwaili MM. A meta-review of systematic reviews on the effectiveness of music therapy on depression, stress, anxiety and cognitive function in adult's with dementia or cognitive impairment. Geriatr Nurs. 2024 Nov-Dec;60:348-360. doi: 10.1016/j.gerinurse.2024.09.014. Epub 2024 Oct 9.
PMID: 39388962BACKGROUNDTing B, Chen DT, Hsu WT, Tsai CL, Malau IA, Lee SL, Jingling L. Multifaceted Music Therapy for Depression in Dementia: A Network Meta-Analysis of Randomized Controlled Trials. Eur J Investig Health Psychol Educ. 2024 Feb 11;14(2):351-367. doi: 10.3390/ejihpe14020024.
PMID: 38391491BACKGROUNDTing B, Su CH, Chen DT, Hsu WT, Tsai CL, Lin PY, Jingling L. The Sound of Memory: Investigating Music Therapy's Cognitive Benefits in Patients with Dementia-A Network Meta-Analysis of Randomized Controlled Trials. J Pers Med. 2024 May 8;14(5):497. doi: 10.3390/jpm14050497.
PMID: 38793079BACKGROUNDWong ARK, Ng LTE, Lee MH, Yeow JLH, Lim YJ, Yap KH. The effectiveness of group music reminiscence therapy for people thriving with dementia: A systematic review of randomized controlled trials. Aging Med (Milton). 2024 Aug 17;7(4):528-534. doi: 10.1002/agm2.12344. eCollection 2024 Aug.
PMID: 39234199BACKGROUNDXu H, Li A, Apuke OD. The impact of group music therapy in ameliorating the depression among patients with dementia in care homes: A randomized control trial. Geriatr Nurs. 2024 Mar-Apr;56:304-311. doi: 10.1016/j.gerinurse.2024.02.021. Epub 2024 Feb 27.
PMID: 38417183BACKGROUNDYuan SH, Silverman MJ, Cevasco-Trotter AM, Wang SG. Ten Reasons Why Neurologists Should Refer Patients With Alzheimer Dementia to Music Therapy. Neurol Clin Pract. 2024 Dec;14(6):e200357. doi: 10.1212/CPJ.0000000000200357. Epub 2024 Aug 16.
PMID: 39185103BACKGROUNDBorda MG, Landi F, Cederholm T, Venegas-Sanabria LC, Duque G, Wakabayashi H, Barreto GE, Rodriguez-Sanchez I, Canevelli M, Cano-Gutierrez C, Perez-Zepeda MU, Wallace L, Rockwood K, Salas-Carrillo M, Gjestsen M, Testad I, Ballard C, Aarsland D; IPEFUND. Assessment and management of frailty in individuals living with dementia: expert recommendations for clinical practice. Lancet Healthy Longev. 2025 Jan;6(1):100666. doi: 10.1016/j.lanhl.2024.100666. Epub 2024 Dec 27.
PMID: 39736268BACKGROUNDMei Z, Zhang Y, Zhao W, Lam C, Luo S, Wang S, Luo S. Music-based interventions for anxiety and depression in older adults with dementia: A systematic review of randomized controlled trials. Complement Ther Clin Pract. 2025 May;59:101951. doi: 10.1016/j.ctcp.2025.101951. Epub 2025 Jan 13.
PMID: 39826392BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mario U Perez
Instituto Nacional de Geriatria, Mexico
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Researcher
Study Record Dates
First Submitted
March 20, 2026
First Posted
April 21, 2026
Study Start
November 10, 2025
Primary Completion
December 20, 2025
Study Completion
December 20, 2025
Last Updated
April 21, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ANALYTIC CODE
- Time Frame
- Data will be stored and available for five years after the final analysis of the main objective.
- Access Criteria
- A brief proposal on the secondary analysis, one page will be needed, with a current academic affiliation. It can be used for undergraduate thesis.
Once the main analysis is finished, the data will be shared upon request to the main researcher.