Evidence map›Paper›PMID 31301191›Full record

ArticleJournal of the American Geriatrics Society2019

Measuring Effects of Nondrug Interventions on Behaviors: Music & Memory Pilot Study.

Ellen M McCreedy, Xiaofei Yang, Rosa R Baier, James L Rudolph, Kali S Thomas, Vincent Mor

Abstract readMulticenter Study
In one paragraph

Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ellen M McCreedyCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island.ORCID 0000-0003-4063-8220
Xiaofei YangDepartment of Biostatistics, Brown University School of Public Health, Providence, Rhode Island.
Rosa R BaierCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island.
James L RudolphCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island.
Kali S ThomasCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island.
Vincent MorCenter for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, Rhode Island.

Funding

METRIcAL - Music & MEmory: a Pragmatic TRIal for Nursing Home Residents with ALzheimer's DiseaseR33AG057451 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2018 to 2021
$5.0M
METRIcAL - Music & MEmory: a Pragmatic TRIal for Nursing Home Residents with ALzheimer's DiseaseR21AG057451 · NIA · BROWN UNIVERSITY · PI MOR, VINCENT · 2017 to 2017
$571k
NIA NIH HHS R21 AG057451NIA NIH HHS R21AG057451NIA NIH HHS R33 AG057451
6 · The paper itself

Abstract

BACKGROUND/

objectivesMost people with Alzheimer disease and related dementias will experience agitated and/or aggressive behaviors during the later stages of the disease. These behaviors cause significant stress for people living with dementia and their caregivers, including nursing home (NH) staff. Addressing these behaviors without the use of chemical restraints is a growing focus of policy makers and professional organizations. Unfortunately, evidence for nonpharmacological strategies for addressing dementia-related behaviors is lacking.

designSix-month, preintervention-postintervention pilot study.

settingUS NHs (n = 4).

participantsResidents with advanced dementia (n = 45).

interventionMusic & Memory, an individualized music program in which the music a resident preferred when she/he was young is delivered at early signs of agitation, using a personal music player. MEASUREMENTS: Dementia-related behaviors for the same residents were measured three ways: (1) observationally using the Agitation Behavior Mapping Instrument (ABMI); (2) staff report using the Cohen-Mansfield Agitation Inventory (CMAI); and (3) administratively using the Minimum Data Set-Aggressive Behavior Scale (MDS-ABS).

resultsABMI score was 4.1 (SD = 3.0) preintervention while not listening to the music, 4.4 (SD = 2.3) postintervention while not listening to the music, and 1.6 (SD = 1.5) postintervention while listening to music (P < .01). CMAI score was 61.2 (SD = 16.3) preintervention and 51.2 (SD = 16.1) postintervention (P < .01). MDS-ABS score was 0.8 (SD = 1.6) preintervention and 0.7 (SD = 1.4) postintervention (P = .59).

conclusionDirect observations were most likely to capture behavioral responses, followed by staff interviews. Nursing-home based, pragmatic trials that rely solely on available administrative data may fail to detect effects of nonpharmaceutical interventions on behaviors. Findings are relevant to evaluations of nonpharmaceutical strategies for addressing behaviors in NHs, and will inform a large, National Institute on Aging-funded pragmatic trial beginning spring 2019. J Am Geriatr Soc 67:2134-2138, 2019.

Indexed as

AggressionAgedAged, 80 and overAlzheimer DiseaseHomes for the AgedHumansMemoryMusic TherapyNursing HomesPilot ProjectsPsychomotor Agitationbehaviordementiamusicnursing homespragmatic clinical trials as topic

Identifiers

PMID31301191
PMCPMC6822268

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Registered trials

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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.