- Title
- Individualised music intervention for people with dementia: a mixed methods implementation study
- Creator
- Gaviola, Minah Amor
- Relation
- University of Newcastle Research Higher Degree Thesis
- Resource Type
- thesis
- Date
- 2020
- Description
- Research Doctorate - Doctor of Philosophy (PhD)
- Description
- Background: Evidence demonstrates the promising impact of individualised music listening for people with dementia, however there is paucity of research on its implementation and uptake. Objectives: To evaluate the impact of strategies utilised to improve the adoption, acceptability, appropriateness, feasibility, fidelity and sustainability associated with implementing an individualised music listening intervention, costs and effects of the intervention on older people with dementia. Methods: A parallel mixed methods design was used involving a pre-test-post-test study and focus group and individual interviews. Trained staff and family or guardians implemented the individualised music intervention for older people with dementia in two residential care settings in NSW, Australia. The music intervention involved individualised music listening based on the person’s music preferences as determined by the older person with dementia where possible and their family or guardian. Strategies used to promote the implementation of the music intervention by staff and family or guardian included: training and education of staff, family and guardians regarding the music intervention, identification of program champions, providing and obtaining feedback about the implementation of the intervention, and reminders to prompt staff to implement the intervention. Application of the music intervention was recorded in a logbook over the 3-month research implementation period. Measurements: At baseline and at the end of the 3-month research implementation, agitation, quality of life, and psychotropic medication use were measured using the Cohen-Mansfield Agitation Inventory, Dementia Quality of Life Questionnaire, and medical records respectively. The Homecare Measure of Engagement Staff-Questionnaire was administered during each month of implementation. Qualitative interviews were conducted with staff and a guardian during the third month of research implementation. Results: Of the 32 older people with dementia who consented to the study, 22 completed the individualised music intervention. Fourteen staff and seven family members or guardians participated in the training and implemented the music intervention. A total of 331 entries of individualised music listening implemented to participating older people were documented throughout the 3-month research implementation period. The total annual cost of the music intervention and its implementation for 32 older people across implementation sites was AU$6,623.76. There were significant improvements in quality of life and the people with dementia’s engagement during the intervention increased throughout the implementation period. Findings from the qualitative interviews revealed positive responses from older people with dementia and the simplicity of the intervention. Barriers to routine uptake of the intervention by participants included discomfort from headphones, and care and storage of equipment. Conclusion: Regular implementation of an individualised music listening intervention in residential care for older people with dementia by staff and family or guardian is feasible. The music intervention is perceived as appropriate for older people with dementia by older people, family and staff. Findings of this study support the promising impact of individualised music listening as a low-cost, simple, and meaningful non-pharmacological intervention for older people with dementia.
- Subject
- dementia; individualised music; music listening; residential aged care; older people; implementation; parallel mixed methods; feasibility
- Identifier
- http://hdl.handle.net/1959.13/1412927
- Identifier
- uon:36552
- Rights
- Copyright 2020 Minah Amor Gaviola
- Language
- eng
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Thesis | 3 MB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Abstract | 124 KB | Adobe Acrobat PDF | View Details Download |