The 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).
98 nursing homes trained in the M&M program during 2013 and 98 matched-pair comparisons.
Long-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.
M&M is a facility-level quality improvement program that provides residents with music specific to their personal histories and preferences.
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.
The 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.
These 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.
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Published online: April 14, 2017
Accepted: April 12, 2017
Received in revised form: April 11, 2017
Received: December 23, 2016
KST and RB contributed equally to this work.
Presented at the AcademyHealth Annual Research Meeting, Boston, MA, June 2016.
Published by Elsevier Inc. on behalf of American Association for Geriatric Psychiatry.
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- Editorial Comment: Does Music Have Charms to Soothe Dementia?The American Journal of Geriatric PsychiatryVol. 25Issue 9