Pragmatic Trial of Personalized Music for Agitation and Antipsychotic Use in Nursing Home Residents With Dementia.
Ellen M McCreedy, Anthony Sisti, Roee Gutman and 9 others
PMID 35038407WHAT IT FOUND
Personalized music did not show a reduction in agitation in nursing home residents with dementia after 4-month follow-up.
Antipsychotic use was lower in the music group, but that difference could be chance.
Key findings
01After 4-months of follow-up, agitation scores were 50.67 in the music group and 49.34 in usual care on a 29 to 203 scale, with no significant difference.
02Antipsychotic use in the past week was reported as 26.2 in the music group and 29.6 in usual care, but the difference did not reach conventional significance.
03In the music group, 344 of 483 residents (71%) had their preferred music identified and the player used at least once.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Staff chose residents for the trial, and the music group had more severe ADL dependencies (33.5% vs 24.1%), more agitated behaviors (23.4% vs 17.9%), and less antipsychotic use (25.3% vs 33.9%) at baseline. 9% of enrolled residents were excluded because they died or were discharged before the 4-month follow-up. Only 344 of 483 residents (71%) in the music group had preferred music identified and the player used at least once, and the median exposed dose was 22.1 minutes per exposed day. CMAI interviews took 15 to 20 minutes per resident, and many were hurried and completed by non-nursing staff, which may have affected quality and reliability. 20% of participants identified by nursing home staff as having dementia did not have an active dementia diagnosis in the administrative data. Usual care in control facilities could include ambient or group music.
Declared interests
The article states there are no conflicts of interest. The supplied publication types list Research Support, N.I.H., Extramural.
The easy way to misread this
Do not conclude that personalized music reduces agitation or reliably lowers antipsychotic use. The primary agitation outcome showed no significant difference, and the lower antipsychotic use did not reach conventional significance.