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Cited by 158Dementia and Cognitive Impairment ResearchGeriatric Care and Nursing HomesMusic Therapy and Health

The DOI matches its Crossref record; 20 of the 20 references it cites were found in a registry or an index.

A Comparison of Two Treatments of Agitated Behavior in Nursing Home Residents With Dementia: Simulated Family Presence and Preferred Music

Garland, Kathryn, Beer, Edwina, Eppingstall, Barbara, O'Connor, Daniel W.·2007·The American Journal of Geriatric Psychiatry
DOI 10.1097/01.jgp.0000249388.37080.b4
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Abstract

Objective The objective of this study was to compare the effectiveness of two individualized psychosocial treatments in reducing the frequency of physically and verbally agitated behaviors in nursing home residents whose dementia was complicated by marked behavioral disturbance.Methods Thirty nursing home residents with frequent, severe behavioral disturbances were observed by research staff before, during, and after multiple, randomized, single-blind exposures to 15-minute audiotapes of simulated family presence (a conversation prepared by a family member about positive experiences from the past), music preferred by the resident in earlier life, and a placebo condition of a reading from a horticultural text. Selected (usually multiple) physical and verbal behaviors were counted as present or absent at regular intervals. All three treatment conditions were compared with usual care.Results Simulated presence and preferred music both proved effective in reducing counts of physically agitated behaviors. Simulated presence, but not music, resulted in significantly reduced counts of verbally agitated behaviors. The placebo tape proved more effective than expected. Participants' responses to simulated presence and music varied widely. Behavior counts fell by one-half or more in many cases. Other residents became more agitated.Conclusion Participants' better-than-expected responses to the placebo tape suggest that even the simplest technology can improve the lives of confused, disturbed nursing home residents. Of the two psychosocial treatments, preferred music tapes were easier to make and were clearly helpful in many instances. By contrast, family members often struggled to recall enough happy memories to compile a simulated presence tape. Simulated presence might prove just as effective if relatives speak on topics of their own choosing. Although not all residents were helped by these treatments, adverse effects were mild and shortlived.

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Metadata

Authors
Garland, K., Beer, E., Eppingstall, B., & O'Connor, D. W.
Affiliations
Monash University (AU)
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2007-06
Volume
15
Issue
6
Pages
514-521
ISSN
1064-7481 (ISSN-L)
DOI
10.1097/01.jgp.0000249388.37080.b4
OpenAlex
W2074227168
Cited by
157
References
19
Citations by year
2026: 2 · 2025: 5 · 2024: 2 · 2023: 2 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 8 · 2018: 13 · 2017: 16 · 2016: 11 · 2015: 10 · 2014: 11 · 2013: 12 · 2012: 8
FWCI
5.64
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
  • Social Sciences › Psychology › Social Psychology › Music Therapy and Health
Keywords
dementia, behavioral problems, agitation, nursing home residents, musical taste, psychosocial interventions, verbal aggression, physical aggression, placebo effect, reminiscence
MeSH terms
Aged, Aged, 80 and over, Choice Behavior, Dementia, Family, Female, Humans, Male, Music Therapy, Nursing Homes, Psychological Theory, Psychomotor Agitation, Social Environment, Verbal Behavior

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