Nature-Based Video with Music for Individuals Experiencing an Episode of Sundown Syndrome

Context: There is currently little research using short duration activities like a six-minute nature-based video with classical music to assist in improving tranquility levels of individuals with dementia. Previous studies have shown that the combined use of a nature-based video with music has improved the tranquility levels of individuals with dementia living in a dementia care unit. Objectives: The current study attempts to assess the efficacy of a six-minute nature-based slideshow video accompanied with classical music and its effect on the tranquility levels of individuals with dementia during an episode of sundown syndrome. Methods: A one-group pre-test/post-test quasi-experimental design with mixed-methods data collection was used for this exploratory study. Ten participants living in a dementia care unit, who were experiencing an episode of Sundowning had their tranquility levels collected along with comments before and after the research intervention. Findings: Descriptive statistics of both CNA and participant statistics indicated improved tranquility levels and comments appeared to be more positive after the research intervention. Discussion: Increased levels of tranquility, more positive participant behaviors, and improved attitudes after the nature-based video with music occurred. The research video with music appeared to assist in the mitigation of sundown syndrome symptoms. Limitations: A limited number of participants were studied before and after only one episode of Sundowning. Multiple occurrences of Sundowning and implementation of the research intervention may add more evidence-based findings. Implications: A simple short duration six-minute nature-based video with music intervention could be integrated into a care home worker’s daily routine for residents with dementia and who are Sundowning to assist in mitigating symptoms of sundown syndrome. This method could also be used by home health care workers and family caregivers.