Music Based Caregiving in Patients With Pain and Dementia
NCT ID: NCT04229446
Last Updated: 2023-12-07
Study Results
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View full resultsBasic Information
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COMPLETED
NA
276 participants
INTERVENTIONAL
2019-08-05
2020-08-05
Brief Summary
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Detailed Description
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1. About 12 nursing homes are selected to participate in Trondheim and in Oslo.
2. All patients at the included nursing homes will be screened with respect to dementia and pain (see screening tools later). If patients have dementia and report pain (≥3 on MOBID 2) they will be included in the intervention part of the study (n=240).
3. The included patients will then have a clinical examination of pain and pain management by expert physicians (see below). Evaluation of the use of analgesics and psychopharmacological medication will be performed. Inappropriate medication (both too much and too little) will be corrected in collaboration with the nursing home doctor.
4. In addition to the clinical examination of pain, the investigators will measure total daily physical activity, ADL, QOL, and neuropsychiatric symptoms on all included patients.
5. After the pre-test - a randomization of the wards into intervention wards or control wards will be performed.
6. About five staff members at each of the wards randomized to the intervention group will receive education in the MBC before intervention.
7. A post-test just after the intervention has ended, pain, total daily physical activity, ADL, QOL, and neuropsychiatric symptoms will be measured.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Receive the music based intervention
After the healthcare workers have accomplished the MBC program the eight week intervention program will be applied by the trained staff at the intervention wards. The intervention (MBC) consists of daily individualized prerecorded music integrated with activity with about 30 minutes duration, combined with a one hour active session in groups twice weekly. The music will be selected based on individualized preferences from the patients or their family. The music will also be adapted to the day rhythm; awakening in the morning, support activities during the day, or for sleep in the evening. The healthcare worker will bring playback equipment e.g. a CD-player to the patient room. In addition will two weekly sessions in groups be performed (each on one hour) with music and movement. The movement will be adapted to their physical capacity.
Music based caregiving
The intervention (MBC) consists of daily individualized prerecorded music integrated with activity with about 30 minutes duration, combined with a one hour active session in groups twice weekly. The music will be selected based on individualized preferences from the patients or their family. The music will also be adapted to the day rhythm; awakening in the morning, support activities during the day, or for sleep in the evening. The healthcare worker will bring playback equipment e.g. a CD-player to the patient room. In addition will two weekly sessions in groups be performed (each on one hour) with music and movement.
Standard care group
Standard care for participants in this group
No interventions assigned to this group
Interventions
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Music based caregiving
The intervention (MBC) consists of daily individualized prerecorded music integrated with activity with about 30 minutes duration, combined with a one hour active session in groups twice weekly. The music will be selected based on individualized preferences from the patients or their family. The music will also be adapted to the day rhythm; awakening in the morning, support activities during the day, or for sleep in the evening. The healthcare worker will bring playback equipment e.g. a CD-player to the patient room. In addition will two weekly sessions in groups be performed (each on one hour) with music and movement.
Eligibility Criteria
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Inclusion Criteria
* Patients will be included in the intervention part if they report moderate pain or more (≥3 on MOBID) and mild dementia or more (≥1 on CDR).
Exclusion Criteria
ALL
No
Sponsors
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Helse Midt-Norge
OTHER
St. Olavs Hospital
OTHER
University of Oslo
OTHER
University of Bergen
OTHER
Norwegian Centre for Ageing and Health
OTHER
Oslo University Hospital
OTHER
Responsible Party
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Tone Rustøen
Professor
Principal Investigators
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Tone Rustøen, PhD
Role: PRINCIPAL_INVESTIGATOR
Oslo University Hospital
Locations
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Oslo University Hospital
Oslo, , Norway
St. Olavs hospital Trondheim University Hospital
Trondheim, , Norway
Countries
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References
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Myrenget ME, Rustoen T, Myskja A, Smastuen M, Rangul V, Hapnes O, Borchgrevink PC, Butler S, Selbaek G, Husebo B, Sandvik R. The effect of a music-based caregiving intervention on pain intensity in nursing home patients with dementia: a cluster-randomized controlled study. Pain. 2024 Jul 1;165(7):1550-1558. doi: 10.1097/j.pain.0000000000003156. Epub 2024 Jan 2.
Myrenget ME, Borchgrevink PC, Rustoen T, Butler S, Thorsvik D, Smastuen MC, Sandvik R. Chronic pain conditions and use of analgesics among nursing home patients with dementia. Pain. 2023 May 1;164(5):1002-1011. doi: 10.1097/j.pain.0000000000002794. Epub 2022 Dec 21.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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2018/2519
Identifier Type: -
Identifier Source: org_study_id