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The applicability of music coaching on different stages of dementia: a literature review

Breij, M.A. (2019) The applicability of music coaching on different stages of dementia: a literature review.

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Abstract:An ever-increasing number of people are diagnosed with dementia each year, leading to cognitive, psychological and behavioral impairment, which become worse as the disease progresses. Currently no treatment options are available to cure dementia, however, there are treatments that influence and reduce the symptoms which accompany the disease. The treatments can be divided into pharmacological and non-pharmacological treatments. Non-pharmacological treatments such as music therapy are preferred as they have less harmful side effects and are less costly than pharmacological treatments. As of yet, there is no overview provided in current reviews to what extent different forms of music coaching are applicable to the different stages of dementia. Therefore, the aim of the current study is “to identify the current literature on music coaching for people with different stages of dementia that target cognitive, psychological and/or behavioral symptoms, and/or enhance quality of life”, thereby contributing to the current scientific body of knowledge on dementia care. More specifically, the currently existing music coaching interventions, the effects of music coaching interventions, the effects of passive and active music coaching interventions and the effects of personalized and non-personalized music coaching interventions were explored. A literature review was conducted in an attempt to provide a clear overview of the literature. Studies were selected based on the PICOC method, by establishing inclusion and exclusion criteria, and additionally, following the steps of screening for titles, abstract, full text and lastly the reference list of reviews. Three tables were created for the data extraction, covering a description of the technical details, the intervention procedure used and the practical details of the included studies. N=31 studies were included in this study. The most common elements of music therapy are “listening to music”, “singing”, “playing instruments”, “movement”, “musical activities”, “interaction” and “warm-up”. Limited evidence was found for improvement in psychological, behavioral and cognitive symptoms of dementia through music coaching interventions in general. Overall, active music coaching interventions and non-personalized music coaching interventions have better evidence of effectiveness than passive, blended and personalized music coaching. With regard to the different stages of dementia, the results imply overall that there are no differences in effectiveness between applying passive, active or blended music coaching interventions and personalized or non-personalized music coaching interventions, but currently, active music coaching, especially in the early stages of dementia, and non-personalized music coaching overall, are slightly preferred. As most studies had their limitations, it was difficult to draw strong conclusions. Moreover, some forms of music coaching were underrepresented in the current study, such as personalized music coaching, of which some authors claim, is the key for effective music coaching interventions. Therefore, it is encouraged that research into the effectiveness of music coaching, especially personalized music coaching interventions in reducing symptoms of dementia is continued, specifically studies with a RCT design.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/78644
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