Individualized Music Playlist Based on Iso-Principle for De-Escalating Agitation of People With Dementia: A Randomized Controlled Feasibility Study

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2025-03-27 DOI:10.1002/gps.70070

Daphne Sze Ki Cheung, Hau Yi Jodie Tse, Paul Hong Lee, Ken Hok Man Ho, Xue Bai, Claudia Kam Yuk Lai

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Abstract

Objectives

To evaluate the feasibility of the Individualized Music Playlist based on Iso-Principle for de-escalating agitation of people with dementia and provide preliminary evidence about its efficacy.

Methods

The randomized participants listened to either a 30-min music playlist or a book-reading audio script twice weekly for six weeks, and when agitation occurred. Their agitation level was observed every 5 min from the beginning of an agitation episode for an hour to monitor its trajectory over a 2-week period. Multilevel models with maximum likelihood analysis was conducted. The frequency of agitation and other behavioural symptoms was assessed at baseline and the 6th week and analysed with Generalized Estimating Equations.

Results

Twenty-four participants were recruited, and 10 presented 36 agitation episodes during the first two weeks of observation. The recruitment and retention rates were 85.7% and 83.3%, respectively. A total of 97.2% of the intervention and control conditions were delivered as planned. The intervention was not more effective than the control condition in de-escalating agitation or reducing agitation and other behavioural symptoms. Overall, agitation symptoms were apparently alleviated in the first 10 min, with a decelerated pace observed thereafter.

Conclusions

The intervention was feasible, and its efficacy in de-escalating agitation is yet to be confirmed.

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.