Background Music in elderly nursing home: a feasibility explorative study.

SUMMARY: Introduction. This study explores how a background music-listening program within residential facilities for the elderly can influence the general environment and be effective on psychological and behavioral aspects. The feasibility of this type of intervention was explored. Methods and Materials. Twenty-nine residents involved in the experiment were observed for 4 weeks in absence of a music intervention and for the same period during the experimental condition. The intervention consisted in music listening programs, designed by trained music therapists for specific objectives according to the different times of the day. Experimental and control condition effects were compared through the administration of clinical scales and observational grids. Results. The results of clinical scales showed that music listening programs reduced behavioral symptoms in 7 out of 8 people with the most severe neuropsychiatric symptoms. The observational scheme completion showed a clear improvement in all outcomes considered, with the exceptions of agitation (in the morning) and irritability (in the afternoon). Discussion. The study brings several points to attention, including the need to establish a set of criteria in music listening programs selection and administration (e.g. identification of music characteristics related to objectives and outcomes, assessment strategies, involvement of a team of professionals). Implementing evidence-based clinical practice is crucial and the highlighted results encourage the introduction of music-listening approaches as part of therapeutic interventions in elderly nursing homes.

Cognitive Stimulation with Music in Older Adults with Cognitive Impairment: A Scoping Review.

BACKGROUND: The use of music in cognitive interventions represents a possibility with potential worthy of further investigation in the field of aging, both in terms of prevention from dementia, in the phase of mild cognitive impairment, and in the treatment of overt dementia. OBJECTIVES: Currently, the types of music-based interventions proposed in the literature are characterized by wide heterogeneity, which is why it is necessary to clarify which interventions present more evidence of effectiveness in stimulating different cognitive domains. METHOD: The study was conducted in accordance with PRISMA guidelines for scoping reviews. By searching two different databases, PubMed and the Web of Science, all studies evaluating the cognitive effects of music-based interventions on people at early stages of cognitive decline (MCI or mild-to-moderate dementia) were selected. RESULTS: The study selection included a total of 28 studies involving n = 1612 participants (mean age ranged from 69.45 to 85.3 years old). Most of the studies analyzed agree with the observation of an improvement, or at least maintenance, of global cognitive conditions (mainly represented by the results of the MMSE test) following music-based interventions, together with a series of other positive effects on verbal fluency, memory, and executive processes. CONCLUSIONS: The results of this review suggest the introduction of music-based interventions as complementary approaches to usual cognitive treatments. Also, the use of standardized and well-defined protocols, in addition to strong methodological research approaches, is suggested. Music-based interventions are recommended in the early stages of dementia, in MCI, and in a preventive sense in healthy older adults.