Please use this identifier to cite or link to this item: https://doi.org/10.1186/s13063-017-2080-7
Title: Art therapy and music reminiscence activity in the prevention of cognitive decline: Study protocol for a randomized controlled trial
Authors: Mahendran, R 
Rawtaer, I 
Fam, J 
Wong, J 
Kumar, A.P 
Gandhi, M 
Jing, K.X
Feng, L 
Kua, E.H 
Keywords: adult
aged
anxiety
art therapy
Article
brain function
Clinical Dementia Rating
clinical protocol
cognition
cognitive defect
community living
controlled study
daily life activity
depression
disease severity
DSM-5
feasibility study
female
Geriatric Depression Scale
human
intention to treat analysis
male
Mini Mental State Examination
mood change
music therapy
neuroimaging
neuropsychological test
outcome assessment
parallel design
pilot study
psychological well-being
psychosocial care
quality of life
randomized controlled trial
Rey auditory verbal learning test
social psychology
statistical analysis
telomere length
very elderly
wellbeing
affect
age
cognition
cognitive aging
cognitive defect
emotion
memory
methodology
middle aged
psychology
Singapore
time factor
treatment outcome
Affect
Age Factors
Aged
Aged, 80 and over
Art Therapy
Clinical Protocols
Cognition
Cognitive Aging
Cognitive Dysfunction
Emotions
Feasibility Studies
Female
Humans
Intention to Treat Analysis
Male
Memory
Middle Aged
Music Therapy
Neuropsychological Tests
Pilot Projects
Quality of Life
Research Design
Singapore
Time Factors
Treatment Outcome
Issue Date: 2017
Citation: Mahendran, R, Rawtaer, I, Fam, J, Wong, J, Kumar, A.P, Gandhi, M, Jing, K.X, Feng, L, Kua, E.H (2017). Art therapy and music reminiscence activity in the prevention of cognitive decline: Study protocol for a randomized controlled trial. Trials 18 (1) : 324. ScholarBank@NUS Repository. https://doi.org/10.1186/s13063-017-2080-7
Abstract: Background: Attention has shifted to the use of non-pharmacological interventions to prevent cognitive decline as a preventive strategy, as well as for those at risk and those with mild cognitive impairment. Early introduction of psycho-social interventions can address cognitive decline and significantly impact quality of life and the wellbeing of elderly individuals. This pilot study explores the feasibility of using art therapy and music reminiscence activity to improve the cognition of community living elderly with mild cognitive impairment. Methods/Design: This open-label, interventional study involves a parallel randomized controlled trial design with three arms (two intervention arms and a control group) over a nine-month period. Participants will be community-living elderly individuals aged 60-85 years, both genders, who meet predefined inclusion and exclusion criteria. In the initial three months, interventions will be provided weekly and for the remaining six months fortnightly. A sample size of 90 participants is targeted based on expected neuropsychological test performance, a primary outcome measure, and drop-out rates. The randomization procedure will be carried out via a web-based randomization system. Interventions will be provided by trained staff with a control group not receiving any intervention but continuing life as usual. Assessments will be done at baseline, three months, and nine months, and include neuroimaging to measure cerebral changes and neuropsychological tests to measure for changes in cognition. Secondary outcome measures will include mood changes in anxiety and depression and telomere lengths. Statistical analysis will be undertaken by statisticians; all efficacy analysis will be carried out on an intention-to-treat basis. Primary and secondary outcomes will be modeled using the linear mixed model for repeated measurements and further analysis may be undertaken to adjust for potential confounders. Discussion: This will be the first study to compare the effectiveness of art therapy and music reminiscence activity in a randomized controlled trial. We expect that the trial will provide useful evidence for developing psychosocial interventions for the elderly with mild cognitive impairment. Trial registration: The study was registered on 7 July 2016 at Clinical Trials.gov, a service of the US National Institute of Health ( NCT02854085 ), retrospectively. © 2017 The Author(s).
Source Title: Trials
URI: https://scholarbank.nus.edu.sg/handle/10635/173781
ISSN: 17456215
DOI: 10.1186/s13063-017-2080-7
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