HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial

Introduction Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies...

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Main Authors: Sabine Braat, Felicity Anne Baker, Imogen Clark, Young-Eun Claire Lee, Thomas Wosch, Helen Odell-Miller, Nicola Lautenschlager, Jodie Bloska, Anna Bukowska, Ming H Hsu, Tone Kvamme, Agnieszka Smrokowska-Reichmann, Karette A Stensaeth
Format: Article
Language:English
Published: BMJ Publishing Group 2019-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/11/e031332.full
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author Sabine Braat
Felicity Anne Baker
Imogen Clark
Young-Eun Claire Lee
Thomas Wosch
Helen Odell-Miller
Nicola Lautenschlager
Jodie Bloska
Anna Bukowska
Ming H Hsu
Tone Kvamme
Agnieszka Smrokowska-Reichmann
Karette A Stensaeth
author_facet Sabine Braat
Felicity Anne Baker
Imogen Clark
Young-Eun Claire Lee
Thomas Wosch
Helen Odell-Miller
Nicola Lautenschlager
Jodie Bloska
Anna Bukowska
Ming H Hsu
Tone Kvamme
Agnieszka Smrokowska-Reichmann
Karette A Stensaeth
author_sort Sabine Braat
collection DOAJ
description Introduction Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs.Methods and analysis A large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of PwD (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes will examine relationship quality between CG and PwD, depression, resilience, competence, QoL for CG and QoL for PwD. Outcomes will be collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia will be used to collect economic data across the life of the intervention and at 6-month follow-up. We hypothesise that the music programme plus SC will generate better results than SC alone (primary comparison) and the reading programme plus SC (secondary comparison).Ethics and dissemination Ethical approval has been obtained for all countries. Results will be presented at national and international conferences and published in scientific journals and disseminated to consumer and caregiver representatives and the community.Trial registration numbers ACTRN12618001799246p; NCT03907748
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spelling doaj-art-78f8b15de26348a0b34d20b84eff16062024-11-30T01:50:12ZengBMJ Publishing GroupBMJ Open2044-60552019-11-0191110.1136/bmjopen-2019-031332HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trialSabine Braat0Felicity Anne Baker1Imogen Clark2Young-Eun Claire Lee3Thomas Wosch4Helen Odell-Miller5Nicola Lautenschlager6Jodie Bloska7Anna Bukowska8Ming H Hsu9Tone Kvamme10Agnieszka Smrokowska-Reichmann11Karette A Stensaeth12Centre for Epidemiology and Biostatistics, University of Melbourne School of Population and Global Health, Carlton, Victoria, AustraliaFaculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, AustraliaFaculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, AustraliaFaculty of Fine Arts and Music, The University of Melbourne, Melbourne, Victoria, AustraliaHochschule für angewandte Wissenschaften Würzburg-Schweinfurt, Würzburg, GermanyCambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge, UKUNSW Ageing Futures Institute, University of New South Wales, Sydney, New South Wales, AustraliaCambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge, UKDepartment of Occupational Therapy, University of Physical Education, Kraków, PolandCambridge Institute for Music Therapy Research, Anglia Ruskin University, Cambridge, UKCentre for Research in Music and Health, Norwegian Academy of Music, Oslo, NorwayDepartment of Occupational Therapy, University of Physical Education, Kraków, PolandCentre for Research in Music and Health, Norwegian Academy of Music, Oslo, NorwayIntroduction Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs.Methods and analysis A large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of PwD (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes will examine relationship quality between CG and PwD, depression, resilience, competence, QoL for CG and QoL for PwD. Outcomes will be collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia will be used to collect economic data across the life of the intervention and at 6-month follow-up. We hypothesise that the music programme plus SC will generate better results than SC alone (primary comparison) and the reading programme plus SC (secondary comparison).Ethics and dissemination Ethical approval has been obtained for all countries. Results will be presented at national and international conferences and published in scientific journals and disseminated to consumer and caregiver representatives and the community.Trial registration numbers ACTRN12618001799246p; NCT03907748https://bmjopen.bmj.com/content/9/11/e031332.full
spellingShingle Sabine Braat
Felicity Anne Baker
Imogen Clark
Young-Eun Claire Lee
Thomas Wosch
Helen Odell-Miller
Nicola Lautenschlager
Jodie Bloska
Anna Bukowska
Ming H Hsu
Tone Kvamme
Agnieszka Smrokowska-Reichmann
Karette A Stensaeth
HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
BMJ Open
title HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
title_full HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
title_fullStr HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
title_full_unstemmed HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
title_short HOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trial
title_sort homeside home based family caregiver delivered music and reading interventions for people living with dementia protocol of a randomised controlled trial
url https://bmjopen.bmj.com/content/9/11/e031332.full
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