The aim of this research is to measure/identify cognitive, behavioural and psychological effects of music therapy on older adults with dementia. 47.5 million people are affected with age-related neuro-cognitive and behavioural disorder named as Dementia, and 1.9 million people have died due to this disease according to the world health report of 2015 whereas 7.7 million new cases are occurring every year. One in four people aged 85 and over will have different forms of dementia by the end of the year 2050. However, in the year of 2013, this fatal psychological disease lead to 1.7 million annual deaths, whereas in 1990; there were only 0.8 million deaths per annum due to dementia; which indicates that the rate of affected patients and case fatality rate are increasing gradually.
Music therapy is a quick form of non-pharmacological, non-invasive intervention for the rising number of demented patients besides the medical as well as pharmacological intervention. Because these traditional interventions have proven their ineffectiveness and handled to side effects of medicine in demented patients. Nationwide, about 10% of the population, develop dementia at some point in their lives. It is a common form of brain defects which occur due to the ageing process and genetic abnormalities. Approximately half of the entire dementia population is over 85 years old and over. 3% individuals aged between 65–74 years have dementia in 2016; whereas 19% people with this disease aged between 75 - 84 years, which indicates that the percentage of individuals who are getting dementia is proportionate to the gradual increase of their age.
By the blessings of modern medicine where more people are living longer, dementia is becoming more and more common in the population which overrides the percentage of cardiac illness, hypertension and other neurological age-related problems. Furthermore, for individuals with a younger age group, dementia is less frequent in the developing countries. Due to decrease risk factors and caring environment for the elderly persons, more carer within the family, family values and morals; dementia has not taken it tolls in countries like Bangladesh. Dementia is an excellent cause of disability among the old in various parts of the world. This fatal disease has increased the economic burden by which costs of care increases by USD 604 billion a year worldwide in 2010.
Table of Contents
1. INTRODUCTION
DESCRIPTION OF THE CONDITION
DESCRIPTION OF INTERVENTION
JUSTIFICATION
2. LITERATURE REVIEW
Epidemiology of dementia
Concept of Dementia with older adults
Impact of music therapy on cognitive functions of older adult patients with dementia
3. METHODOLOGY
METHODS
SEARCH STRATEGY:
Aims and objectives
Research Goal and Thematic Focus
This systematic review aims to investigate the association between music therapy interventions and the cognitive, behavioural, and psychological states of older adults living with dementia. By synthesizing findings from randomized control trials, the study explores whether music therapy serves as an effective, non-pharmacological treatment to improve the quality of life and neural function in this demographic.
- Evaluation of non-pharmacological interventions for dementia patients.
- Analysis of cognitive and behavioral improvements through music therapy.
- Systematic review and meta-analysis of clinical trial methodologies.
- Investigation into neural pathways and sensory stimulation in dementia care.
- Examination of the economic and social impact of dementia on caregiving.
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DESCRIPTION OF INTERVENTION
The use of music therapy in older adults with dementia helps to stimulate communication and memory skills which have been reported by The Rebecca Centre for Music Therapy in New York, 2016. The Founder of the centre, John Carpenter and other licensed board-certified music therapists proved by their studies that listening to previously acquainted music and being involved in live music assist in making experiences come to life and empowers clients to get back into real life from the isolation which is superimposed by dementia(Sung, Lee, & Watson, 2012).However, the advantages of music therapy are theability to remember or gain the previous memories, positive changes in moods, attitudes towards life, emotional and psychological improvement of themind, a sense of control over life. It is a non-invasive procedure and non-meditational, but rather effective (Standring, 2015).
Music therapy is a non-pharmacological medication for pain, disability and discomfort according to the Age UK Report, (2016). According to WHO, 2016; some registered music therapist of USA, this therapy is used to maintain and increase levels of physical, psychological, social, and emotional functioning. Music is used as a sensory and intellectual stimulation which can help dementia patients to maintain and improve their quality of life (QOL), quality adjusted life years(QALY), etc.
Summary of Chapters
1. INTRODUCTION: This chapter introduces the global impact of dementia, highlighting its rising prevalence and the limitations of traditional pharmacological treatments, while proposing music therapy as an accessible alternative.
2. LITERATURE REVIEW: This section covers the epidemiology and concepts of dementia, critically examining existing research on how music interventions influence cognitive, behavioral, and psychological outcomes.
3. METHODOLOGY: This chapter outlines the rigorous systematic review process, detailing the search strategies, inclusion criteria for randomized control trials, and the theoretical frameworks applied to analyze the gathered data.
Key Keywords
Randomized Control Trials, Dementia, Cognitive, Behavioural Therapy, Psychological Symptoms, Music Therapy, Clinical Trials, Quality of Life, Treatment Outcomes, Nursing Home Patients, Geriatric Depression Scale, Clinical Assessment Tools.
Frequently Asked Questions
What is the core focus of this dissertation?
This research conducts a systematic review to evaluate the impact of music therapy on the cognitive, behavioral, and psychological functions of older adults diagnosed with dementia.
Which primary research areas are covered?
The work covers dementia epidemiology, the application of non-pharmacological interventions, neurological responses to music, and the systematic synthesis of randomized control trial (RCT) data.
What is the primary objective of this study?
The primary aim is to measure and identify the effectiveness of music therapy as a first-line non-pharmacological treatment to help dementia patients reconnect with their cognitive and behavioral strengths.
Which research methodology is employed?
The study follows a systematic review and meta-analysis methodology, adhering to established guidelines for screening, quality assessment (using CASP tools), and data extraction from clinical trials.
What is analyzed in the main part of the document?
The main sections analyze the progression of dementia, the theoretical mechanisms of music therapy (such as rhythmic stimulation), and the outcomes reported in various RCTs regarding agitation and cognitive health.
Which keywords best characterize this work?
Key terms include Randomized Control Trials, Dementia, Music Therapy, Cognitive Function, Behavioral Therapy, Quality of Life, and Clinical Assessment.
How does music therapy influence the brain in dementia patients?
According to the research cited, music recruits large-scale neural networks, including auditory and motor pathways, which helps in redirecting brain pathways and stimulating memory recovery.
Why is a systematic review preferred over empirical research for this topic?
Systematic reviews are considered the "gold standard" because they minimize bias and accumulate findings from multiple primary studies, providing a stronger evidence base than individual small-scale empirical studies.
What is the significance of the "Music Therapy Checklist"?
The checklist provides a practical tool for music therapists to monitor the therapeutic process in 1-minute intervals, reducing data processing time and identifying key factors in musical interaction.
How does this study address the economic burden of dementia?
The study highlights the high costs of pharmacological care and informal nursing, arguing that cost-effective, non-invasive treatments like music therapy are crucial for the sustainability of future healthcare systems.
- Citation du texte
- Tarannum Rahman (Auteur), 2017, Cognitive and Behavioral Effects of Music Therapy on Older Adults with Dementia, Munich, GRIN Verlag, https://www.grin.com/document/538444