Dementia Clinical Trial
Official title:
Partnership With the Community to Improve the Well-being of People With Mild Cognitive Impairment (MCI)/Early Dementia and Their Caregivers With Music Intervention: an Effectiveness-Implementation Cluster Randomized Clinical Hybrid Trial
NCT number | NCT03575026 |
Other study ID # | 5-ZH2P |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 18, 2018 |
Est. completion date | July 31, 2019 |
Verified date | September 2023 |
Source | The Hong Kong Polytechnic University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a 12-week cluster randomized controlled trial utilizing music-with-movement (MWM) intervention compared with usual care to investigate the effect of MWM among subjects with early dementia or mild cognitive impairment implemented by their caregivers at home.
Status | Completed |
Enrollment | 100 |
Est. completion date | July 31, 2019 |
Est. primary completion date | July 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 60 Years and older |
Eligibility | Patients with dementia/people with mild cognitive impairment Inclusion Criteria: - Aged 60 or above - Cognitively impaired, defined by Global Deterioration Scale 3 or 4 - Community-dwelling - With stable medical condition - Able to communicate in Cantonese - have a family caregiver who was willing to take part in the study Exclusion Criteria: - Suffering from any critical medical or psychiatric illnesses - Unable to hear even using hearing aids - Unable to sit independently for around 30 minutes - Received music intervention within 6 months - Participate in any clinical trial within 6 months prior to the start of study Caregivers Inclusion criteria: - Primary caregiver of the PWeD - Related to the PWeD and not a paid live-in care attendant Exclusion criteria: - Suffering from any critical medical or psychiatric illnesses - Received music intervention within 6 months prior to the start of study |
Country | Name | City | State |
---|---|---|---|
Hong Kong | School of Nursing, The Hong Kong Polytechnic University | Hong Kong |
Lead Sponsor | Collaborator |
---|---|
The Hong Kong Polytechnic University |
Hong Kong,
Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Cornell Scale for Depression in Dementia. Biol Psychiatry. 1988 Feb 1;23(3):271-84. doi: 10.1016/0006-3223(88)90038-8. — View Citation
Alexopoulos GS, Abrams RC, Young RC, Shamoian CA. Use of the Cornell scale in nondemented patients. J Am Geriatr Soc. 1988 Mar;36(3):230-6. doi: 10.1111/j.1532-5415.1988.tb01806.x. — View Citation
Berntson, G. G., & Cacioppo, J. T. (2004). Heart rate variability: Stress and psychiatric conditions. In M. Malik & A. J. Camm (Eds.), Dynamic electrocardiography (pp. 57-64). Oxford, UK: Blackwell Publishing.
Cahill S, Pierce M, Werner P, Darley A, Bobersky A. A systematic review of the public's knowledge and understanding of Alzheimer's disease and dementia. Alzheimer Dis Assoc Disord. 2015 Jul-Sep;29(3):255-75. doi: 10.1097/WAD.0000000000000102. — View Citation
Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M. The Alzheimer's Disease Knowledge Scale: development and psychometric properties. Gerontologist. 2009 Apr;49(2):236-47. doi: 10.1093/geront/gnp023. Epub 2009 Mar 25. — View Citation
Cheung DSK, Lai CKY, Wong FKY, Leung MCP. The effects of the music-with-movement intervention on the cognitive functions of people with moderate dementia: a randomized controlled trial. Aging Ment Health. 2018 Mar;22(3):306-315. doi: 10.1080/13607863.2016.1251571. Epub 2016 Nov 7. — View Citation
Clary EG, Snyder M, Ridge RD, Copeland J, Stukas AA, Haugen J, Miene P. Understanding and assessing the motivations of volunteers: a functional approach. J Pers Soc Psychol. 1998 Jun;74(6):1516-30. doi: 10.1037//0022-3514.74.6.1516. — View Citation
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available. — View Citation
Curran GM, Bauer M, Mittman B, Pyne JM, Stetler C. Effectiveness-implementation hybrid designs: combining elements of clinical effectiveness and implementation research to enhance public health impact. Med Care. 2012 Mar;50(3):217-26. doi: 10.1097/MLR.0b013e3182408812. — View Citation
Darragh M, Booth RJ, Koschwanez HE, Sollers J 3rd, Broadbent E. Expectation and the placebo effect in inflammatory skin reactions: a randomised-controlled trial. J Psychosom Res. 2013 May;74(5):439-43. doi: 10.1016/j.jpsychores.2012.12.010. Epub 2013 Jan 24. — View Citation
Galindo-Kuhn, R., & Guzley, R. M. (2002). The volunteer satisfaction index: Construct definition, measurement, development, and validation. Journal of social service research, 28(1), 45-68.
Harmer BJ, Orrell M. What is meaningful activity for people with dementia living in care homes? A comparison of the views of older people with dementia, staff and family carers. Aging Ment Health. 2008 Sep;12(5):548-58. doi: 10.1080/13607860802343019. — View Citation
Krueger, R., & Casey, M. (2015). Participants in a focus group. In R. A. Krueger & M. A. Casey (Eds.), Focus Groups: A Practical Guide for Applied Research (5th ed., pp. 77-136). Thousand Oaks, California, USA: SAGE.
Kwok, T., Lam, K.-C., Yip, A., & Ho, F. (2011). Knowledge of dementia among undergraduates in the health and social care professions in Hong Kong. Social Work in Mental Health, 9(4), 287-301.
Lai CK, Lai DL, Ho JS, Wong KK, Cheung DS. Interdisciplinary collaboration in the use of a music-with-movement intervention to promote the wellbeing of people with dementia and their families: Development of an evidence-based intervention protocol. Nurs Health Sci. 2016 Mar;18(1):79-84. doi: 10.1111/nhs.12238. Epub 2015 Sep 10. — View Citation
Lawrence RH, Tennstedt SL, Assmann SF. Quality of the caregiver--care recipient relationship: does it offset negative consequences of caregiving for family caregivers? Psychol Aging. 1998 Mar;13(1):150-8. doi: 10.1037//0882-7974.13.1.150. — View Citation
Legislative Council of the Hong Kong SAR. (2017). Care services for elderly persons with dementia. Retrieved from https://www.legco.gov.hk/research-publications/english/essentials-1617ise10-care-services-for-elderly-persons-with-dementia.htm
Leung DY, Lam TH, Chan SS. Three versions of Perceived Stress Scale: validation in a sample of Chinese cardiac patients who smoke. BMC Public Health. 2010 Aug 25;10:513. doi: 10.1186/1471-2458-10-513. — View Citation
Lin JN, Wang JJ. Psychometric evaluation of the Chinese version of the Cornell Scale for Depression in Dementia. J Nurs Res. 2008 Sep;16(3):202-10. doi: 10.1097/01.jnr.0000387307.34741.39. — View Citation
Liu H, Wang Y, Wang L. A review of non-contact, low-cost physiological information measurement based on photoplethysmographic imaging. Annu Int Conf IEEE Eng Med Biol Soc. 2012;2012:2088-91. doi: 10.1109/EMBC.2012.6346371. — View Citation
Lou VW, Lau BH, Cheung KS. Positive aspects of caregiving (PAC): scale validation among Chinese dementia caregivers (CG). Arch Gerontol Geriatr. 2015 Mar-Apr;60(2):299-306. doi: 10.1016/j.archger.2014.10.019. Epub 2014 Nov 7. — View Citation
McDuff D, Gontarek S, Picard R. Remote measurement of cognitive stress via heart rate variability. Annu Int Conf IEEE Eng Med Biol Soc. 2014;2014:2957-60. doi: 10.1109/EMBC.2014.6944243. — View Citation
McParland P, Devine P, Innes A, Gayle V. Dementia knowledge and attitudes of the general public in Northern Ireland: an analysis of national survey data. Int Psychogeriatr. 2012 Oct;24(10):1600-13. doi: 10.1017/S1041610212000658. Epub 2012 May 17. — View Citation
Montedori A, Bonacini MI, Casazza G, Luchetta ML, Duca P, Cozzolino F, Abraha I. Modified versus standard intention-to-treat reporting: are there differences in methodological quality, sponsorship, and findings in randomized trials? A cross-sectional study. Trials. 2011 Feb 28;12:58. doi: 10.1186/1745-6215-12-58. — View Citation
Newman, D. B., Tay, L., & Diener, E. (2014). Leisure and subjective well-being: A model of psychological mechanisms as mediating factors. Journal of Happiness Studies, 15(3), 555-578.
O'Connor, M. L., & McFadden, S. H. (2010). Development and psychometric validation of the Dementia Attitudes Scale. International journal of Alzheimer's disease, 2010.
Osman SE, Tischler V, Schneider J. 'Singing for the Brain': A qualitative study exploring the health and well-being benefits of singing for people with dementia and their carers. Dementia (London). 2016 Nov;15(6):1326-1339. doi: 10.1177/1471301214556291. Epub 2014 Nov 24. — View Citation
Peng RC, Zhou XL, Lin WH, Zhang YT. Extraction of heart rate variability from smartphone photoplethysmograms. Comput Math Methods Med. 2015;2015:516826. doi: 10.1155/2015/516826. Epub 2015 Jan 12. — View Citation
Prince M, Bryce R, Albanese E, Wimo A, Ribeiro W, Ferri CP. The global prevalence of dementia: a systematic review and metaanalysis. Alzheimers Dement. 2013 Jan;9(1):63-75.e2. doi: 10.1016/j.jalz.2012.11.007. — View Citation
Reyes del Paso GA, Langewitz W, Mulder LJ, van Roon A, Duschek S. The utility of low frequency heart rate variability as an index of sympathetic cardiac tone: a review with emphasis on a reanalysis of previous studies. Psychophysiology. 2013 May;50(5):477-87. doi: 10.1111/psyp.12027. Epub 2013 Feb 27. — View Citation
Roland KP, Chappell NL. Meaningful activity for persons with dementia: family caregiver perspectives. Am J Alzheimers Dis Other Demen. 2015 Sep;30(6):559-68. doi: 10.1177/1533317515576389. Epub 2015 Mar 18. — View Citation
Ryan, R. M., Patrick, H., Deci, E. L., & Williams, G. C. (2008). Facilitating health behaviour change and its maintenance: Interventions based on self-determination theory. European Health Psychologist, 10(1), 2-5.
Sarkamo T, Tervaniemi M, Laitinen S, Numminen A, Kurki M, Johnson JK, Rantanen P. Cognitive, emotional, and social benefits of regular musical activities in early dementia: randomized controlled study. Gerontologist. 2014 Aug;54(4):634-50. doi: 10.1093/geront/gnt100. Epub 2013 Sep 5. — View Citation
Shankar, K., Walker, M., Frost, D., & Orrell, M. (1999). The development of a valid and reliable scale for rating anxiety in dementia (RAID). Aging Ment Health, 3(1), 39-49.
Sixsmith, A., & Gibson, G. (2007). Music and the wellbeing of people with dementia. Ageing & society, 27(1), 127-145.
Tarlow, B. J., Wisniewski, S. R., Belle, S. H., Rubert, M., Ory, M. G., & Gallagher-Thompson, D. (2004). Positive aspects of caregiving: Contributions of the REACH project to the development of new measures for Alzheimer's caregiving. Research on Aging, 26(4), 429-453.
Tarvainen MP, Niskanen JP, Lipponen JA, Ranta-Aho PO, Karjalainen PA. Kubios HRV--heart rate variability analysis software. Comput Methods Programs Biomed. 2014;113(1):210-20. doi: 10.1016/j.cmpb.2013.07.024. Epub 2013 Aug 6. — View Citation
van der Steen JT, van Soest-Poortvliet MC, van der Wouden JC, Bruinsma MS, Scholten RJ, Vink AC. Music-based therapeutic interventions for people with dementia. Cochrane Database Syst Rev. 2017 May 2;5(5):CD003477. doi: 10.1002/14651858.CD003477.pub3. — View Citation
Van't Leven N, Prick AE, Groenewoud JG, Roelofs PD, de Lange J, Pot AM. Dyadic interventions for community-dwelling people with dementia and their family caregivers: a systematic review. Int Psychogeriatr. 2013 Oct;25(10):1581-603. doi: 10.1017/S1041610213000860. Epub 2013 Jul 24. — View Citation
Wadham O, Simpson J, Rust J, Murray C. Couples' shared experiences of dementia: a meta-synthesis of the impact upon relationships and couplehood. Aging Ment Health. 2016;20(5):463-73. doi: 10.1080/13607863.2015.1023769. Epub 2015 Mar 26. — View Citation
Wong LP, Chui WH, Kwok YY. The Volunteer Satisfaction Index: A Validation Study in the Chinese Cultural Context. Soc Indic Res. 2011 Oct;104(1):19-32. doi: 10.1007/s11205-010-9715-3. Epub 2010 Sep 25. — View Citation
Woo BK. Knowledge of dementia among Chinese American immigrants. Asian J Psychiatr. 2013 Aug;6(4):351-2. doi: 10.1016/j.ajp.2013.03.010. Epub 2013 May 8. No abstract available. — View Citation
Wu, J., Lo, W. T., & Liu, E. S. (2009). Psychometric properties of the volunteer functions inventory with Chinese students. Journal of Community Psychology, 37(6), 769-780.
Xia, N. (2014). Dementia literacy among nursing students in mainland China: a cross sectional study in three cities. (Master of Philosophy thesis), The University of Hong Kong, Hong Kong.
Yu R, Chau PH, McGhee SM, Cheung WL, Chan KC, Cheung SH, Woo J. Trends in prevalence and mortality of dementia in elderly Hong Kong population: projections, disease burden, and implications for long-term care. Int J Alzheimers Dis. 2012;2012:406852. doi: 10.1155/2012/406852. Epub 2012 Oct 14. — View Citation
* Note: There are 45 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Feasibility of MWM intervention in community | Interview caregivers, patients, collaborating community centre staff and supporting volunteers | 3-month post-intervention | |
Primary | Changes in patients' anxiety | Rating Anxiety in Dementia (RAID), total score (range 0-54), higher indicates higher anxiety level (score>=11 indicates clinically significant anxiety) | Baseline, immediate post-intervention (month 3) | |
Primary | Changes in patients' depression | Cornell scale for depression in dementia (CSDD), total score (range 0-36), higher indicates higher depression | Baseline, immediate post-intervention (month 3) | |
Primary | Changes in caregivers' stress and well-being | Perceived Stress Scale 10 (PSS-10), total score (range 0-40), higher indicates higher perceived stress | Baseline, immediate post-intervention (month 3) | |
Primary | Changes in caregivers' stress | Heart Rate Variability (HRV) | Baseline, immediate post-intervention (month 3) | |
Primary | Changes in caregivers' well-being | Positive Aspects of Caregiving scale (PAC), total score (range 0-44), higher indicates more gain from caregiving experience | Baseline, immediate post-intervention (month 3) | |
Primary | Changes in caregivers' relationship with PWD | Quality of the Caregiver-Care Recipient Relationship, 4 questions (range 0-4 each), higher score indicates better relationship between caregiver and care recipient | Baseline, immediate post-intervention (month 3) | |
Secondary | Changes in volunteers' satisfaction from volunteering | Volunteer Satisfaction Index (VSI), 3 sub-scores (Relationship within organization [range 0-70], Personal gain [range 0-70], Relationship with peers [range 0-28]). In any sub-score, higher mean better satisfaction in that aspect | Baseline, 3-month post-intervention (month 6) | |
Secondary | Changes in volunteers' expectation from volunteering | Volunteer Functions Inventory (VFI), 6 sub-scores (Protective [range 0-35], Values [range 0-35], Career [range 0-35], Social [range 0-35], Understanding [range 0-35], Enhancement [range 0-35]). In each sub-score, higher score indicates that aspect motivates more that individual to be a volunteer. | Baseline, 3-month post-intervention (month 6) | |
Secondary | Changes in volunteers' knowledge towards dementia | Alzheimer's Disease Knowledge Scale (ADKS), total score (range 0-24), higher indicates better knowledge towards Alzheimer's Disease | Baseline, 3-month post-intervention (month 6) | |
Secondary | Changes in volunteers' attitude towards dementia | Dementia Attitude Scale (DAS), total score [calculated by summation of 2 sub-scores, range 0-140] and 2 sub-scores (Comfort [range 0-70], Knowledge [range 0-70]). Higher indicates more positive attitude towards people with dementia. | Baseline, 3-month post-intervention (month 6) |
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