Group-Based Telehealth Music Therapy Intervention for Patients With Dementia: A Pilot Study
Condition: Behavioral and Psychiatric Symptoms of Dementia; Alzheimer Disease; Lewy Body Disease; Frontotemporal Dementia
MeSH terms: Alzheimer Disease; Dementia; Frontotemporal Dementia; Aphasia, Primary Progressive; Pick Disease of the Brain; Lewy Body Disease
Study type: Interventional

Summary: 
      Twelve participants and their care partners will be randomized for the intervention. The
      music therapy intervention takes place once a week for 6 weeks via telemedicine, with the
      first session reserved for music therapy intake/assessment. There are 5 additional visits,
      once per week. The format of the sessions may include: a greeting song to orient the
      participant to the start of the session; singing of 1-3 preferred/chosen songs to address
      cognition and communication; two movement songs with instrument playing interventions to
      stimulate cognition and movement; songwriting for self-expression, cognitive, and emotional
      support; relaxation/mindfulness; a closing song to help the participant transition at the
      completion of the session, The music therapist also provides training to caregivers in
      techniques to utilize music for behavioral support.

      Twelve participants and their care partners will be randomized to receive a personalized
      music CD that they keep and can listen to as they wish.
    

Detailed description: 
      This is a single-blinded prospective randomized control pilot study. We are aiming to recruit
      24 participants, with their caregiver, who have mild to moderate dementia from Geisinger
      Memory and Cognition Program. 12 participants will be randomized for the music intervention
      arm, and 12 for the control arm. The music therapy intervention takes place once a week for 6
      weeks via telemedicine. 12 participants will be randomized to receive a music CD with a
      personalized playlist. At baseline and end of study several measures will be completed:
      Mini-mental State Examination and the Geriatric Depression Scale by the participant; and the
      caregiver will complete the Neuropsychiatric Inventory-Severity/Distress scales, Modified
      Caregiver Stain Index and Patient Health Questionnaire-9 at those times as well as at 6
      weeks. The music therapist will fill out an engagement form for each session she has with the
      participant. The primary outcome is to compare pre- and post-scores on measures of cognition,
      BPSD, caregiver strain, and depression for participant and caregiver for those undergoing the
      telehealth music therapy intervention vs. those who receive a personalized music selection on
      CD. We also aim to explore whether degree of engagement during music therapy affects outcomes
      in Aim 1.

      With significant economic and emotional impacts, caregiving for patients with dementia is
      stressful. BPSD associated with dementia leads to increased stress for people with dementia
      and their loved ones and may lead to earlier nursing home placement. If behavioral symptoms
      of persons with dementia could be alleviated, caregivers may feel more empowered, and
      patients with dementia may be able to stay at home longer. Music therapy has been shown to
      help with behaviors, agitation, and depression, and may help decrease caregiver stress. We
      are hoping through this study to show that using a telehealth platform, music therapy is
      feasible for patients who would not otherwise have access to it.
    

Intervention name(s): Music therapy intervention; Personalized music CD
Intervention type(s): Behavioral; Behavioral
Intervention description(s): The format of the sessions may include: a greeting song to orient the participant to the start of the session; singing of 1-3 preferred/chosen songs to address cognition and communication; two movement songs with instrument playing interventions to stimulate cognition and movement; songwriting for self-expression, cognitive, and emotional support; relaxation/mindfulness; a closing song to help the participant transition at the completion of the session, The music therapist also provides training to caregivers in techniques to utilize music for behavioral support.; Participants will receive a personalized music CD that they keep and can listen to as they wish.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care