Evidence map›Paper›PMID 28483436›Full record

ArticleThe American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry2017

Individualized Music Program is Associated with Improved Outcomes for U.S. Nursing Home Residents with Dementia.

Kali S Thomas, Rosa Baier, Cyrus Kosar, Jessica Ogarek, Alissa Trepman, Vincent Mor

Open access · greenAbstract read
In one paragraph

Article in The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 81 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Kali S ThomasCenter for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI; Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI; Providence Veterans Affairs Medical Center, Providence, RI. Electronic address: Kali_Thomas@Brown.edu.
Rosa BaierCenter for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI; Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI.
Cyrus KosarCenter for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI.
Jessica OgarekCenter for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI.
Alissa TrepmanCenter for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI.
Vincent MorCenter for Gerontology & Healthcare Research, Brown University School of Public Health, Providence, RI; Center for Long-Term Care Quality & Innovation, Brown University School of Public Health, Providence, RI; Providence Veterans Affairs Medical Center, Providence, RI.
Brown University · USProvidence VA Medical Center · US

Funding

VARIATIONS IN LIFE'S FINAL CHAPTERP01AG027296 · NIA · BROWN UNIVERSITY · PI AMAL N. TRIVEDI, Kali St. Marie Thomas · 2007 to 2026
$38.9M
NIA NIH HHS P01 AG027296
6 · The paper itself

Abstract

objectivesThe objective of this study was to compare resident outcomes before and after implementation of an individualized music program, MUSIC & MEMORY (M&M), designed to address the behavioral and psychological symptoms associated with dementia (BPSD).

setting98 nursing homes trained in the M&M program during 2013 and 98 matched-pair comparisons.

participantsLong-stay residents with Alzheimer's disease and related dementias (ADRD) residing in M&M participating facilities (N = 12,905) and comparison facilities (N = 12,811) during 2012-2013.

interventionM&M is a facility-level quality improvement program that provides residents with music specific to their personal histories and preferences. MEASUREMENTS: Discontinuation of anxiolytic and antipsychotic medications, and reductions in behavioral problems and depressed mood in 2012 (pre-intervention) and 2013 (intervention), calculated using Minimum Data Set (MDS) assessments.

resultsThe proportion of residents who discontinued antipsychotic medication use over a 6-month period increased from 17.6% to 20.1% among M&M facilities, while remaining stable among comparison facilities (15.9% to 15.2%). The same trend was observed for anxiolytic medications: Discontinuation of anxiolytics increased in M&M facilities (23.5% to 24.4%), while decreasing among comparison facilities (24.8% to 20.0%). M&M facilities also demonstrated increased rates of reduction in behavioral problems (50.9% to 56.5%) versus comparison facilities (55.8% to 55.9%). No differences were observed for depressed mood.

conclusionsThese results offer the first evidence that the M&M individualized music program is associated with reductions in antipsychotic medication use, anxiolytic medication use, and BPSD symptoms among long-stay nursing home residents with ADRD.

Indexed as

Nursing HomesOutcome Assessment, Health CareQuality ImprovementAgedAged, 80 and overAlzheimer DiseaseDementiaFemaleHumansMaleMusic TherapyAlzheimer's diseaseMusic therapynonpharmacological interventionnursing homes

Identifiers

PMID28483436
PMCPMC5563268
OpenAlexW2606712571

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.