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Original Article

Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis

Eun Hi Kong, Myonghwa Park
Korean J Adult Nurs 2015;27(1):106-116. Published online: February 28, 2015
1College of Nursing, Gachon University, Incheon, Korea.
2College of Nursing, Chungnam National University, Daejeon, Korea. mhpark@cnu.ac.kr
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Abstract

PURPOSE
The purpose of this review was to assess the quality and to evaluate the effectiveness of music interventions in reducing agitation in older adults with dementia.
METHODS
Randomized controlled studies and randomized crossover studies were identified by searching MEDLINE, EMBASE, CINAHL, PsycINFO, AGELINE, Cochrane Central Register of Controlled Trials, Korea Med, Kmbase, RISS, National Assembly Digital Library, KISS, and RICH. Two reviewers independently retrieved articles, extracted data, and assessed the quality of studies.
RESULTS
In total, 10 studies were selected from 1095 unique citations. All included studies were conducted in long term care settings. Overall, risk of bias for included studies was low to moderate. The weighted average effect size across studies was -0.39 (95%CI [-0.69, -0.10], p=.009, I2=63%). Music therapy was effective to reduce agitation of the older adults with dementia.
CONCLUSION
Music intervention can be an effective non-pharmacological intervention for the reduction of agitation in dementia. Future studies need to use rigorous research method and to provide description of research methods in greater detail. In addition, future studies are required to explore the effects of music therapy according to severity of agitation and dementia.


Korean J Adult Nurs. 2015 Feb;27(1):106-116. Korean.
Published online Feb 28, 2015.
https://doi.org/10.7475/kjan.2015.27.1.106
© 2015 Korean Society of Adult Nursing
Original Article

Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis

Eun-Hi Kong,1 and Myonghwa Park2
    • 1College of Nursing, Gachon University, Incheon, Korea.
    • 2College of Nursing, Chungnam National University, Daejeon, Korea.
  • Corresponding author: Park, Myonghwa. College of Nursing, Chungnam National University, 266 Munhwa-ro, Jung-gu, Daejeon 301-747, Korea. Tel: +82-42-580-8328, Fax: +82-42-580-8309, Email: mhpark@cnu.ac.kr
Received December 09, 2014; Revised February 03, 2015; Accepted February 07, 2015.

Abstract

Purpose

The purpose of this review was to assess the quality and to evaluate the effectiveness of music interventions in reducing agitation in older adults with dementia.

Methods

Randomized controlled studies and randomized crossover studies were identified by searching MEDLINE, EMBASE, CINAHL, PsycINFO, AGELINE, Cochrane Central Register of Controlled Trials, Korea Med, Kmbase, RISS, National Assembly Digital Library, KISS, and RICH. Two reviewers independently retrieved articles, extracted data, and assessed the quality of studies.

Results

In total, 10 studies were selected from 1095 unique citations. All included studies were conducted in long term care settings. Overall, risk of bias for included studies was low to moderate. The weighted average effect size across studies was -0.39 (95%CI [-0.69, -0.10], p=.009, I2=63%). Music therapy was effective to reduce agitation of the older adults with dementia.

Conclusion

Music intervention can be an effective non-pharmacological intervention for the reduction of agitation in dementia. Future studies need to use rigorous research method and to provide description of research methods in greater detail. In addition, future studies are required to explore the effects of music therapy according to severity of agitation and dementia.

Keywords
Music; Psychomotor agitation; Dementia; Systematic review; Meta-analysis

Figures

Figure 1
PRISMA flow diagram of screening and selection process of studies.

Figure 2
Forest plot of effect size and 95% CI by music therapy on agitation.

Figure 3
Funnel plot of effect sizes by standard error.

Tables

Table 1
Descriptive Summary of Included Studies

Notes

This study was supported by Gachon University Research Fund and Basic Science Research Program through the National Research Foundation of Korea(NRF) funded by the Ministry of Science, ICT and future Planning(NRF. 2013R1A2A2A01069090).

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Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis
Korean J Adult Nurs. 2015;27(1):106-116.   Published online February 28, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.1.106
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Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis
Korean J Adult Nurs. 2015;27(1):106-116.   Published online February 28, 2015
DOI: https://doi.org/10.7475/kjan.2015.27.1.106
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