PMID- 37614648
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230825
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 14
DP  - 2023
TI  - Can a personalised music listening intervention decrease agitation in 
      hospitalised patients with dementia? A feasibility trial.
PG  - 1186043
LID - 10.3389/fpsyt.2023.1186043 [doi]
LID - 1186043
AB  - INTRODUCTION: Agitation is a common manifestation of the behavioural and 
      psychological symptoms of dementia (BPSD). Pharmacotherapy is not the first-line 
      management because of its potential harms, particularly in the elderly. Music as 
      a non-pharmacological intervention for agitation has been explored in residential 
      aged-care facilities, but few studies have been situated in hospitals. This pilot 
      aims to evaluate the feasibility of a personalised music listening intervention 
      for reducing agitation in hospitalised patients with dementia in a metropolitan 
      Geriatric Evaluation and Management (GEM) unit. METHODS: Two-arm randomised 
      control feasibility trial. Eligible patients were assigned to the music 
      intervention or control group, with the intervention group receiving music daily 
      between 15:00-16:00, and agitation levels measured in both groups hourly based on 
      the Pittsburgh Agitation Score (PAS) over 5 days of hospitalisation. Post-trial 
      semi-structured interviews assessed feasibility of the intervention. RESULTS: 
      Twenty-one patients were recruited over 8 months. Interviews with staff involved 
      indicated that the music intervention was manageable to deliver, assisted 
      engagement with patients which increased efficiency of some clinical tasks, and 
      challenged staff mindset around using psychotropic medication to address 
      agitation. PAS results were inconclusive, because of underpowered numbers in this 
      pilot study. CONCLUSION: It is feasible for nursing staff to deliver a 
      personalised music listening intervention to patients with dementia in a 
      geriatric unit of a tertiary hospital, without compromising on usual clinical 
      care.
CI  - Copyright (c) 2023 Lee, Chan and Maddison.
FAU - Lee, Shanna
AU  - Lee S
AD  - Adelaide Medical School, The University of Adelaide, Adelaide, SA, Australia.
AD  - Riverland General Hospital, Riverland Mallee Coorong Local Health Network, Berri, 
      SA, Australia.
FAU - Chan, Lily
AU  - Chan L
AD  - School of Public Health, The University of Adelaide, Adelaide, SA, Australia.
FAU - Maddison, John
AU  - Maddison J
AD  - Geriatric Medicine, Northern Adelaide Local Health Network, Adelaide, SA, 
      Australia.
LA  - eng
PT  - Journal Article
DEP - 20230808
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC10442569
OTO - NOTNLM
OT  - agitation
OT  - dementia
OT  - music
OT  - non-pharmacological intervention
OT  - personalised playlist
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2023/08/24 06:42
MHDA- 2023/08/24 06:43
PMCR- 2023/08/08
CRDT- 2023/08/24 04:06
PHST- 2023/03/14 00:00 [received]
PHST- 2023/07/24 00:00 [accepted]
PHST- 2023/08/24 06:43 [medline]
PHST- 2023/08/24 06:42 [pubmed]
PHST- 2023/08/24 04:06 [entrez]
PHST- 2023/08/08 00:00 [pmc-release]
AID - 10.3389/fpsyt.2023.1186043 [doi]
PST - epublish
SO  - Front Psychiatry. 2023 Aug 8;14:1186043. doi: 10.3389/fpsyt.2023.1186043. 
      eCollection 2023.