"Strategies to Enhance Treatment Fidelity and Music-based Intervention " by Alaine E. Reschke-Hernández and Daniel Tranel
 

Strategies to Enhance Treatment Fidelity and Music-based Intervention Reporting in Dementia Research

Journal

Translational Behavioral Medicine

Year

2024

Abstract

Creative solutions are needed to address the well-being of the growing number of individuals living with dementia. Music-based interventions (MBIs) are promising and can be cost-effective; however, empirical evidence for MBIs is limited and published findings have not been widely translated into practice. Here, we describe how we implemented strategies to enhance rigor in a randomized clinical trial of an MBI for persons with dementia. We examined the impact of a singing-based MBI on feelings, emotions, and social engagement, relative to a non-music treatment (verbal discussion), delivered in small group format (25 minutes, 3 times/week for 2 weeks). We implemented National Institutes of Health Behavior Change Consortium strategies regarding: (i) design, (ii) interventionist training, (iii) treatment delivery, (iv) treatment receipt, and (v) treatment skills enactment. We applied the MBI Reporting Criteria including: (i) theoretical framework, (ii) musical content, (iii) dosage, (iv) interventionist, (v) treatment fidelity, (vi) setting, and (vii) delivery unit. We analyzed data with a separate linear mixed model for each dependent variable. 32 older adults with dementia (65-97 years) participated. The MBI yielded significant positive effects on all measured outcomes (all p's < .05). Application of established guidelines enhanced methodological rigor and MBI reproducibility. To support translation of research into practice, clinicians should understand how to implement an MBI reported in research. Our study illustrates practical steps to address the need for improved MBI research in persons with dementia and can provide a model for others to enhance evidence-based practice with this population.

Music and Health Institute Terms

Neurodegenerative Disorders; Alzheimer's and Related Dementias; Emotional Functioning; Engagement Level; Elderly; Recreative Music Methods; Singing a Song; Therapeutic Music

Indexed Terms

Elderly; Elderly; Alzheimer’s; Dementia; Research Design; Singing; evidence-based practice; translational research

Study Type

Quasi-Experimental Study; Quantitative Methods

PubMed ID

PMID: 38334197 PMCID: PMC11121062

Document Type

Article

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