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 OJN  Vol.3 No.6 , October 2013
The effect of individualized music on agitation for home-dwelling persons with dementia
Abstract: Purpose: The purpose of this study was to test the effect of individualized music on agitation for homedwelling patients with dementia. Method: One group pre-post test was used for research design and a total of 26 subjects participated in this study. Individualized music intervention was subjects’ listening to their preferred music for 30 minutes prior to peak agitation time twice a week for a total of four sessions. The subject’s agitation levels were measured for three different points: thirty minutes prior to listening to music, 30 minutes while listening to the music, and after listening to the music throughout the 4 sessions. To measure the agitation level, the modified CohenMansfield Agitation Inventory was used. A Paired ttest was used for data analysis. Results: Most subjects were female (73.1%), Caucasian (92.4%), Protestant (50%), and independent activity (53.8%). The mean of the subjects’ MMSE scores was 8.08 (8.17). The most favorite music types included country/western music (31.0%), religious music (26.9%), and big band (26.9%). Agitation level decreased while listening to the music compared to the baseline (t = 3.70, p < .001). Conclusion: The findings of this study would provide meaningful data to develop an individualized music intervention protocol to control agitation for homedwelling patients with dementia.  
Cite this paper: Park, H. (2013) The effect of individualized music on agitation for home-dwelling persons with dementia. Open Journal of Nursing, 3, 453-459. doi: 10.4236/ojn.2013.36061.
References

[1]   Gerontological Nursing Interventions Research Center, Iowa City.

[2]   Ray, W.A., Taylor, J.A., Lichtenstein, M.J. and Meador, K.G. (1992) The Nursing Home Behavior Problem Scale. Journal of Gerontology, 47, M9-M16.
http://dx.doi.org/10.1093/geronj/47.1.M9

[3]   Jennings, B. and Vance, D. (2002) The short-term effects of music therapy on different types of agitation in adults with Alzheimer’s. Activities, Adaptation & Aging, 26, 27-33. http://dx.doi.org/10.1300/J016v26n04_03

[4]   Richeson, N.E. and Neill, D.J. (2004) Therapeutic recreation music intervention to decrease mealtime agitation and increase food intake in older adults with dementia. American Journal of Recreation Therapy, 3, 37-41.

[5]   Algase, D.L., Beattie, E.R.A. and Therrien, B. (2001) Impact of cognitive impairment on wandering behavior. Western Journal of Nursing Research, 23, 283-295.
http://dx.doi.org/10.1177/01939450122045159

[6]   Leggett, A.N., Zarit, S., Taylor, A. and Galvin, J.E. (2011) Stress and Burden among Caregivers of Patients with Lewy Body Dementia. Gerontologist, 51, 76-85.
http://dx.doi.org/10.1093/geront/gnq055

[7]   Bastiampillai, T., Dhillon, R. and French, T.H. (2009) Clozapine use in treatment-resistant agitation in the setting of dementia. Australian & New Zealand Journal of Psychiatry, 43, 689-690.
http://sx.doi.org/10.1080/00048670902970924

[8]   Passmore, M. J., Gardner, D. M., Polak, Y. and Rabheru, K. (2008) Alternatives to atypical antipsychotics for the management of dementia-related agitation. Drugs & Aging, 25, 381-398.
http://dx.doi.org/10.2165/00002512-200825050-00003

[9]   Sourial, R., McCusker, J., Cole, M. and Abrahamowicz, M. (2001) Agitation in demented patients in an acute care hospital: prevalence, disruptiveness, and staff burden. International Psychogeriatrics, 13, 183-197.
http://dx.doi.org/10.1017/S1041610201007578

[10]   Cohen-Mansfield, J. (1986) Agitated behaviors in the elderly. II. Preliminary results in the cognitively deteriorated. Journal of the American Geriatrics Society, 34, 722-727.

[11]   Cohen-Mansfield, J., Werner, P., Watson, V. and Pasis, S. (1995) Agitation among elderly persons at adult day-care centers: the experiences of relatives and staff members. International Psychogeriatrics/IPA, 7, 447-458.
http://dx.doi.org/10.1017/S1041610295002195

[12]   Gruber-Baldini, A.L., Boustani, M., Sloane, P.D. and Zimmerman, S. (2004) Behavioral symptoms in residential care/assisted living facilities: prevalence, risk factors, and medication management. Journal of the American Geriatrics Society, 5, 1610-1617.
http://dx.doi.org/10.1111/j.1532-5415.2004.52451.x

[13]   Cohen-Mansfield, J. and Werner, P. (1999) Longitudinal predictors of non-aggressive agitated behaviors in the elderly. International Journal of Geriatric Psychiatry, 14, 831-844.
http://dx.doi.org/10.1002/(SICI)1099-1166(199910)14:10<831::AID-GPS29>3.0.CO;2-A

[14]   Kolanowski, A. and Litaker, M. (2006) Social interaction, premorbid personality, and agitation in nursing home residents with dementia. Archives of Psychiatric Nursing, 20, 12-20. http://dx.doi.org/10.1016/j.apnu.2005.08.006

[15]   Scherder, E.J.A., Bogen, T., Eggermont, L.H.P., Hamers, J.P.H. and Swaab, D.F. (2010) The more physical inactivity, the more agitation in dementia. International Psychogeriatrics, 22, 1203-1208.
http://dx.doi.org/10.1017/S1041610210001493

[16]   Cohen-Mansfield, J., Marx, M.S. and Rosenthal, A.S. (1989) A description of agitation in a nursing home. Journal of Gerontology, 44, M77-84.
http://dx.doi.org/10.1093/geronj/44.3.M77

[17]   Sloane, P.D., Mitchell, C.M., Preisser, J.S., Phillips, C., Commander, C. and Burker, E. (1998) Environmental correlates of resident agitation in Alzheimer’s disease special care units. Journal of the American Geriatrics Society, 46, 862-869.

[18]   Mintzer, J. and Burns, A. (2000) Anticholinergic sideeffects of drugs in elderly people. Journal of the Royal Society of Medicine, 93, 457-462.

[19]   Paterson, B., Bradley, P., Stark, C., Sadler, D., Leadbetter, D. and Allen, D. (2003) Legal issues. Restraint-related deaths in health and social care in the UK: Learning the lessons. Mental Health Practice, 6, 10-17.
http://dx.doi.org/10.7748/mhp2003.06.6.9.10.c1763

[20]   Lin, L., Yang, M., Kao, C., Wu, S., Tang, S. and Lin, J. (2009) Using acupressure and Montessori-based activities to decrease agitation for residents with dementia: A cross-over trial. Journal of the American Geriatrics Society, 57, 1022-1029.
http://dx.doi.org/10.1111/j.1532-5415.2009.02271.x

[21]   Monnat, M.L. (2011) Incorporating occupational therapy to decrease agitation in nursing home residents with dementia. Journal of the American Geriatrics Society, 59, 556-557.
http://dx.doi.org/10.1111/j.1532-5415.2010.03297.x

[22]   Ragneskog, H., Asplund, K., Kihlgren, M. and Norberg, A. (2001) Individualized music played for agitated patients with dementia: analysis of video-recorded sessions. International Journal of Nursing Practice, 7, 146-155.
http://dx.doi.org/10.1046/j.1440-172X.2001.00254.x

[23]   Wierman, H.R., Wadland, W.R., Walters, M., Kuhn, C. and Farrington, S. (2011) Nonpharmacological management of agitation in hospitalized patients with late-stage dementia: A pilot study. Journal of Gerontological Nursing, 37, 44-48.
http://dx.doi.org/10.3928/00989134-20100930-04

[24]   Gerdner, L.A. (2000) Effects of individualized versus classical “relaxation” music on the frequency of agitation in elderly persons with Alzheimer’s disease and related disorders. International Psychogeriatrics, 12, 49-65.
http://dx.doi.org/10.1017/S1041610200006190

[25]   Hicks-Moore, S.L. (2005) Relaxing music at mealtime in nursing homes: Effect on agitated patients with dementia. Journal of Gerontological Nursing, 31, 26-32.

[26]   Gerdner, L.A. (2005) Use of individualized music by trained staff and family: Translating research into practice. Journal of Gerontological Nursing, 31, 22-30.

[27]   Park, H. and Specht, J.K. (2009) Effect of individualized music on agitation in individuals with dementia who live at home. Journal of Gerontological Nursing, 35, 47-55.
http://dx.doi.org/10.3928/00989134-20090706-01

[28]   Cohen, J. (1988) Statistical Power Analysis. Lawrence Erlbaum Associates Inc., Mahwah.

[29]   Gerdner, L.A. (1998) The effects of individualized vs classical “relaxation” music on the frequency of agitation in elderly persons with Alzheimer’s disease and related disorders. Ph.D. Thesis, University of Iowa.
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=2004133266&site=ehost-live

[30]   Gerdner, L.A. (2007) Individualized music for elders with dementia. In Titler, M.G., Ed., Series on EvidenceBased Practice for Older Adults. The University of Iowa

 
 
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