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Assessing Wellbeing in People Living with Dementia Using Reminiscence Music with a Mobile App (Memory Tracks): A Mixed Methods Cohort Study

机译:使用回忆音乐和移动应用程序(记忆轨迹)评估痴呆症患者的健康状况:混合方法队列研究

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The number of people living with dementia is growing, leading to increasing pressure upon care providers. The mechanisms to reduce symptoms of dementia can take many forms and have the aim of improving the wellbeing and quality of life of the person living with dementia and those who care for them. Besides the person who has dementia, the condition has a profound impact upon their loved ones and carers. One therapeutic approach is the use of music, an area recognised as having potential benefit, but requiring further research. The present paper reports upon a mixed methods cohort study that examines the use of a musical mobile app as a way to promote song-task association in people living with dementia. The study took place in care home environments in the UK. A total of fourteen participants (N14) were recruited. Quantitative measurements were taken on a daily basis prior to, and during, use of the mobile app over several weeks. Metrics came from the complete Self-Assessment Manikin scale (arousal, valence, and dominance), and a subset of three from the Quality of Life in Alzheimers Disease questionnaire (physical health, memory, and life as a whole). Subsequently, semistructured interviews were conducted with staff at the care home to assess the impact of the app upon their role and the residents they care for. No significant differences were found in the combined quantitative measures for the ten (n10) sets of responses sufficient to be analysed. However, the qualitative results suggest that use of the mobile app produced positive changes in terms of behaviour, ability, and routine in the life of residents living with dementia. These findings contribute to the growing body of evidence-based research in the field of musical therapies for reducing symptoms of dementia and highlight elements where further study is warranted.
机译:痴呆症患者的人数正在增加,导致对护理人员的压力越来越大。减轻痴呆症状的机制可以有多种形式,其目的是改善患有痴呆症的人以及照顾他们的人的健康和生活质量。除了患有痴呆症的人外,这种状况对他们的亲人和照料者也有深远的影响。一种治疗方法是使用音乐,这一领域被认为具有潜在的好处,但需要进一步研究。本论文报告了一项混合方法队列研究,该研究考察了使用音乐移动应用程序作为促进痴呆症患者的歌唱任务联想的一种方法。该研究在英国的家庭护理环境中进行。总共招募了十四名参与者(N14)。在使用移动应用程序之前和期间,在数周内每天进行定量测量。指标来自完整的自我评估人体模型量表(唤醒,化合价和主导地位),以及来自阿尔茨海默氏病生活质量调查表(身体健康,记忆和整体生活)的三个子集。随后,在养老院与员工进行了半结构化访谈,以评估该应用程序对他们的角色和所照顾的居民的影响。在十组(n10)响应的组合定量测量中,未发现足以分析的显着差异。但是,定性结果表明,使用移动应用程序在痴呆症患者的生活,行为,能力和常规方面产生了积极的变化。这些发现有助于减少痴呆症状的音乐疗法领域中基于证据的研究的增长,并突出了需要进一步研究的要素。

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