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Phase I trial of the MuSic to CONnect (MuSiCON) protocol: feasibility and effect of choir participation for individuals with cognitive impairment
Brain Impairment ( IF 0.8 ) Pub Date : 2023-01-06 , DOI: 10.1017/brimp.2022.32
Penelope Monroe , Mark Halaki , Georgina Luscombe , Fiona Kumfor , Kirrie J. Ballard

Background:

Individuals living in residential aged care facilities with cognitive decline are at risk of social isolation and decreased wellbeing. These risks may be exacerbated by decline in communication skills. There is growing awareness that group singing may improve sense of wellbeing for individuals with dementia. However, to date few studies have examined broader rehabilitative effects on skills such as communication of individuals with dementia.

Aims:

To determine the feasibility and acceptability of the MuSic to Connect (MuSiCON) choir and language/communication assessment protocol in people with cognitive impairment living in non-high-care wards of a residential facility.

Methods:

Six individuals with mild-moderate cognitive impairment participated (age range 55–91 years, five female, one male). A mixed method approach was used. Quantitative outcomes included attendance rates, quality of life and communication measures. The qualitative measure was a brief survey of experience completed by participants and carers post-intervention.

Results:

Overall, MuSiCON was perceived as positive and beneficial, with high attendance, perception of improved daily functioning and high therapeutic benefit without harmful effects. While there was no reliable change in communication skills over the course of the six-week intervention, most participants successfully engaged in the conversational task, suggesting it is a suitable and ecologically valid method for data collection

Conclusions:

The MuSiCON protocol demonstrated feasibility and was well received by participants and staff at the residential facility. A co-design approach is recommended to improve upon feasibility, acceptability and validity of the assessment protocol prior to Phase II testing.



中文翻译:

MuSic to CONnect (MuSiCON) 协议的 I 期试验:认知障碍患者参加合唱团的可行性和效果

背景:

居住在住宅老年护理机构中认知能力下降的个人面临社会孤立和福祉下降的风险。沟通技巧的下降可能会加剧这些风险。人们越来越意识到集体唱歌可以改善痴呆症患者的幸福感。然而,迄今为止,很少有研究探讨更广泛的康复对痴呆症患者沟通等技能的影响。

目标:

确定 MuSic to Connect (MuSiCON) 合唱团和语言/交流评估方案对于居住在住宅设施非高级护理病房的认知障碍患者的可行性和可接受性。

方法:

六名患有轻度至中度认知障碍的人参与了研究(年龄范围 55-91 岁,五名女性,一名男性)。使用了混合方法。定量结果包括出勤率、生活质量和沟通措施。定性测量是对参与者和护理人员在干预后完成的经历的简短调查。

结果:

总体而言,MuSiCON 被认为是积极且有益的,出席率高,日常功能得到改善,治疗效果高且无有害影响。虽然在六周的干预过程中沟通技巧没有发生可靠的变化,但大多数参与者成功地完成了对话任务,这表明这是一种合适且生态有效的数据收集方法

结论:

MuSiCON 协议证明了可行性,并受到参与者和住宅设施工作人员的好评。建议在第二阶段测试之前采用协同设计方法来提高评估方案的可行性、可接受性和有效性。

更新日期:2023-01-06
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