The Effect of Individualized Listening to Music on Agitated Behaviors in Older Persons with Dementia

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Lalita Sawangchan
Porntip Malathum
Nuchanad Sutti

Abstract

Abstract: This quasi-experimental research aimed to examine the effect of individualized listening to music on the agitated behaviors of older persons with dementia. A crossover design was used to compare mean changes in agitated behaviors of older persons with dementia between the intervention period (listening to music) and the control period without music. Purposive sampling was used to recruit a sample of 16 older persons from a nursing home. Each participant’s sequence of these two periods was randomly assigned to the intervention group or control group by drawing lots. The sample in the intervention period listened to music that they chose for 30 minutes, three times per week, a total of four weeks, while those in the control group did not listen to music. The washout duration of two weeks was set between the two periods. The agitated behaviors were assessed with the Cohen-Mansfield Agitation Inventory every week (the 1st to the 4th weeks) and after finishing the music program (the 5th and the 6th weeks) from the baseline. The analysis showed that the mean changes in the total score of agitated behaviors in the intervention period significantly decreased more than in the control period in the first two weeks. For subsets of agitated behaviors, the mean changes in physically non-aggressive scores and verbally aggressive behaviors in the intervention period significantly decreased more than in the control period in the first two weeks. The mean changes in verbally nonaggressive behaviors and physically aggressive behaviors were not significantly different between the two periods. However, when the listening to music period ended at the 5th and the 6th weeks, the mean changes in verbally non-aggressive behaviors significantly increased more than in the control period. In conclusion, this study showed that the
individualized listening to music program could decrease overall agitated behaviors. For the subsets of agitated behaviors, the program could decrease physically non-aggressive behaviors and verbal behaviors even though not consistently, but it could not decrease physically aggressive behaviors. Thus, the caregivers of older persons with dementia may use the program as an option to decrease their non-aggressive behaviors.
Keywords: Music, Individualized listening, Agitated behaviors, Older persons, Dementia

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1.
Sawangchan L, Malathum P, Sutti N. The Effect of Individualized Listening to Music on Agitated Behaviors in Older Persons with Dementia . Rama Nurs J [Internet]. 2022 Aug. 23 [cited 2023 Feb. 5];28(2). Available from: https://he02.tci-thaijo.org/index.php/RNJ/article/view/251119
Section
บทความวิจัย
Author Biographies

Porntip Malathum, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Associate Professor, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Nuchanad Sutti, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

Lecturer, Ramathibodi School Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University

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