Cargando…

THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES

The numbers of Americans with dementia are projected to increase by 44.8% by 2025. Many of these patients are cared for in nursing homes (NH), 70% of NH residents with dementia have been reported to have significant behavioral or psychiatric symptoms (BPSD) that are often challenging to manage. Hist...

Descripción completa

Detalles Bibliográficos
Autores principales: Bakerjian, Debra, Bettega, Kristen, Marin-Cachu, Ana, Azzis, Leslie, Taylor, Sandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846389/
http://dx.doi.org/10.1093/geroni/igz038.2682
_version_ 1783468871385088000
author Bakerjian, Debra
Bettega, Kristen
Marin-Cachu, Ana
Azzis, Leslie
Taylor, Sandra
author_facet Bakerjian, Debra
Bettega, Kristen
Marin-Cachu, Ana
Azzis, Leslie
Taylor, Sandra
author_sort Bakerjian, Debra
collection PubMed
description The numbers of Americans with dementia are projected to increase by 44.8% by 2025. Many of these patients are cared for in nursing homes (NH), 70% of NH residents with dementia have been reported to have significant behavioral or psychiatric symptoms (BPSD) that are often challenging to manage. Historically, the first lines of treatment for BPSD has been antipsychotic medications; however, serious adverse effects have been associated with these drugs. Our main aim was to study the effects of Music and MemorySM (M&M), a personalized music program, on improving behaviors and reducing antipsychotics and other medications in residents with dementia in participating NHs. This 3-year, quasi-experimental, mixed methods study used a cluster, randomized design in three phases. We used the Qualtrics Research Suite to create and disseminate a baseline survey and a 4-part quarterly survey thereafter. The quarterly survey collected select resident MDS data including diagnoses, medication use, pain, falls, mood and behaviors; how M&M was being implemented; resident use of M&M; organization level information. We also downloaded NH 5-Star quality rating quarterly. A total of 265 NH and 4,109 residents participated in the study. We found the odds of antipsychotic use declined by 11%, antianxiety medications by 17%, and antidepressants by 9% per quarter. The odds of residents exhibiting aggressive behaviors declined by 20% per quarter, depressive symptoms by 16% and residents reporting pain by 17%. Our findings indicate that M&M provides substantial benefit to NH residents, particularly in reduction of psychoactive medications and improving mood and behaviors.
format Online
Article
Text
id pubmed-6846389
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-68463892019-11-18 THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES Bakerjian, Debra Bettega, Kristen Marin-Cachu, Ana Azzis, Leslie Taylor, Sandra Innov Aging Session 3390 (Paper) The numbers of Americans with dementia are projected to increase by 44.8% by 2025. Many of these patients are cared for in nursing homes (NH), 70% of NH residents with dementia have been reported to have significant behavioral or psychiatric symptoms (BPSD) that are often challenging to manage. Historically, the first lines of treatment for BPSD has been antipsychotic medications; however, serious adverse effects have been associated with these drugs. Our main aim was to study the effects of Music and MemorySM (M&M), a personalized music program, on improving behaviors and reducing antipsychotics and other medications in residents with dementia in participating NHs. This 3-year, quasi-experimental, mixed methods study used a cluster, randomized design in three phases. We used the Qualtrics Research Suite to create and disseminate a baseline survey and a 4-part quarterly survey thereafter. The quarterly survey collected select resident MDS data including diagnoses, medication use, pain, falls, mood and behaviors; how M&M was being implemented; resident use of M&M; organization level information. We also downloaded NH 5-Star quality rating quarterly. A total of 265 NH and 4,109 residents participated in the study. We found the odds of antipsychotic use declined by 11%, antianxiety medications by 17%, and antidepressants by 9% per quarter. The odds of residents exhibiting aggressive behaviors declined by 20% per quarter, depressive symptoms by 16% and residents reporting pain by 17%. Our findings indicate that M&M provides substantial benefit to NH residents, particularly in reduction of psychoactive medications and improving mood and behaviors. Oxford University Press 2019-11-08 /pmc/articles/PMC6846389/ http://dx.doi.org/10.1093/geroni/igz038.2682 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of The Gerontological Society of America. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Session 3390 (Paper)
Bakerjian, Debra
Bettega, Kristen
Marin-Cachu, Ana
Azzis, Leslie
Taylor, Sandra
THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title_full THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title_fullStr THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title_full_unstemmed THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title_short THE IMPACT OF MUSIC AND MEMORYSM ON RESIDENT MOOD, BEHAVIORS, AND USE OF MEDICATIONS IN NURSING HOMES
title_sort impact of music and memorysm on resident mood, behaviors, and use of medications in nursing homes
topic Session 3390 (Paper)
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6846389/
http://dx.doi.org/10.1093/geroni/igz038.2682
work_keys_str_mv AT bakerjiandebra theimpactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT bettegakristen theimpactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT marincachuana theimpactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT azzisleslie theimpactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT taylorsandra theimpactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT bakerjiandebra impactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT bettegakristen impactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT marincachuana impactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT azzisleslie impactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes
AT taylorsandra impactofmusicandmemorysmonresidentmoodbehaviorsanduseofmedicationsinnursinghomes