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Title: Rhythm-centred music making in community living elderly: A randomized pilot study
Authors: Yap, A.F
Kwan, Y.H
Tan, C.S 
Ibrahim, S
Ang, S.B 
Keywords: aged
clinical effectiveness
community living
community participation
controlled study
crossover procedure
European Quality of Life 5 Dimension
Geriatric Depression Scale
Health Assessment Questionnaire
health program
health status
Lubben Social Network Scale
outcome assessment
Pittsburgh Sleep Quality Index
quality of life
randomized controlled trial
rating scale
rhythm centered music making
sleep quality
social isolation
music therapy
pilot study
quality of life
very elderly
Aged, 80 and over
Music Therapy
Pilot Projects
Quality of Life
Issue Date: 2017
Publisher: BioMed Central Ltd.
Citation: Yap, A.F, Kwan, Y.H, Tan, C.S, Ibrahim, S, Ang, S.B (2017). Rhythm-centred music making in community living elderly: A randomized pilot study. BMC Complementary and Alternative Medicine 17 (1) : 311. ScholarBank@NUS Repository.
Abstract: Background: Quality of life has become an important aspect in the measurement of the health of an individual as the population ages. Rhythm-centred music making (RMM) has been shown to improve physical, psychological and social health. The purpose of this study was to explore the effects of RMM on quality of life, depressive mood, sleep quality and social isolation in the elderly. Methods: A randomised controlled trial with cross over was conducted. 54 participants were recruited with 27 participants in each arm. In phase 1, group A underwent the intervention with group B as the control. In phase 2, group B underwent the intervention with group A as the control. The intervention involved 10 weekly RMM sessions. Patient related outcome data which included European Quality of Life-5 Dimensions (EQ5D), Geriatric Depression Scale (GDS), Pittsburg Sleep Quality Index (PSQI) and Lubben Social Network Scale (LSNS) scores were collected before the intervention, at 11th and at the 22nd week. Results: A total of 31 participants were analyzed at the end of the study. The mean age was 74.65 ± 6.40 years. In analysing the change in patient related outcome variables as a continuous measure, participation in RMM resulted in a non-significant reduction in EQ5D by 0.004 (95% CI: -0.097,0.105), GDS score by 0.479 (95% CI:-0.329,1.287), PSQI score by 0.929 (95% CI:- 0.523,2.381) and an improvement in LSNS by 1.125 (95% CI:-2.381,0.523). In binary analysis, participation in RMM resulted in a 37% (OR = 1.370, 95% CI: 0.355,5.290), 55.3% (OR = 1.553, 95% CI: 0.438,5.501), 124.1% (OR = 2.241, 95% CI = 0.677,7.419) and 14.5% (OR = 1.145, 95% CI = 0.331,3.963) non-significant increase in odds of improvement in EQ5D, GDS, PSQI and LSNS scores respectively. Conclusion: Participation in RMM did not show any statistically significant difference in the quality of life of the participants. It is however, an interesting alternative tool to use in the field of integrative medicine. Moving forward, a larger study could be performed to investigate the effects of RMM on the elderly with an inclusion of a qualitative component to evaluate effects of RMM that were not captured by quantitative indicators. Trial registration: This trial was retrospectively registered. This trial was registered in the Australian New Zealand Clinical Trials Registry under trial number ACTRN12616001281482on 12 September 2016. © 2017 The Author(s).
Source Title: BMC Complementary and Alternative Medicine
ISSN: 14726882
DOI: 10.1186/s12906-017-1825-x
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