音乐干预对痴呆症患者行为和心理症状的影响:系统综述和网络荟萃分析协议。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Aging & Mental Health Pub Date : 2024-12-01 Epub Date: 2024-07-05 DOI:10.1080/13607863.2024.2373969
Martina de Witte, Leila Nategh, Hayley Antipas, Alissa Westphal, Nicola T Lautenschlager, Felicity A Baker, Amit Lampit
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引用次数: 0

摘要

目的:痴呆症患者经常会出现痴呆症的行为和心理症状(BPSD),这严重影响了他们在患病期间的生活。特别是对于 BPSD 的治疗效果,人们亟需增加非药物治疗方法的循证知识,例如基于音乐的干预措施。尽管之前的综述强调了音乐干预对痴呆症患者的潜在影响,但它们涵盖了各种不同的干预措施和结果:因此,本系统综述(SR)和网络荟萃分析(NMA)不仅旨在研究音乐干预对BPSD的疗效,还旨在比较不同类型的音乐干预对结果的影响。研究遵循SR和荟萃分析协议的首选报告项目(PRISMA-P)以及PRISMA NMA扩展。将在多个数据库中检索从开始到检索日期的相关随机或非随机对照试验,比较音乐干预与常规治疗、积极对照或其他音乐干预。将对每种结果进行多变量配对荟萃分析。将使用基于频数随机效应模型的 NMA 来估算每种音乐干预措施及相关组成部分对不同结果的比较效果。异质性将通过元回归模型进行研究:据我们所知,这可能是第一项比较不同类型音乐干预效果的 SR 和 NMA 研究。此外,结合我们的多变量分析方法,它将使我们能够确定音乐干预治疗 BPSD 的潜在效应调节因子。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effects of music-based interventions on behavioural and psychological symptoms of people living with dementia: a systematic review and network meta-analysis protocol.

Objectives: People living with dementia often experience behavioural and psychological symptoms of dementia (BPSD), which severely affect their well-being during the course of the disease. Particularly for BPSD outcomes, there is a high demand for increasing the evidence-based knowledge of non-pharmacological approaches, such as music-based interventions. Although previous reviews emphasize the potential effects of music-based interventions in people with dementia, they cover a wide range of different interventions and outcomes.

Method: Therefore, this systematic review (SR) and network meta-analysis (NMA) aims to not only investigate the efficacy of music-based interventions on BPSD, but also to compare the impact of different types of music-based interventions on outcomes. Preferred reporting items for SR and meta-analysis protocols (PRISMA-P) and the PRISMA NMA extension were followed. Several databases will be searched from inception to the date the search will be performed, for relevant randomized or non-randomized controlled trials comparing a music-based intervention with treatment as usual, active controls, or another music-based intervention. Multivariate pairwise meta-analyses will be conducted for each outcome. NMA based on a frequentist random-effects model will be used to estimate the comparative effects of each type of music-based intervention and related components across outcomes. Heterogeneity will be investigated by meta-regression models.

Conclusion: Based on our knowledge, this may be the first SR and NMA study to compare the efficacy of different types of music-based interventions. In addition, combined with our multivariate analysis approach, it will allow us to identify potential effect modifiers in music-based intervention for treating BPSD.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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