A Home-Based Dyadic Music-with-Movement Intervention for People with Dementia and Caregivers: A Hybrid Type 2...

Area of Science:

• Gerontology
• Psychiatry
• Rehabilitation Medicine

Background:

• Implementing evidence-based music-with-movement interventions for dementia care requires effective strategies.
• This study aimed to assess the clinical effectiveness and implementation success of a music-with-movement program for people with dementia and their caregivers.

Purpose of the Study:

• Evaluate the clinical efficacy of a 12-week music-with-movement intervention on dementia patients and caregivers.
• Examine the effectiveness of implementation strategies in promoting home-based adoption and sustained use.

Main Methods:

• Cluster randomized controlled trial with a hybrid effectiveness-implementation design.
• Assessed clinical outcomes including anxiety, depression, caregiver stress, and dyadic relationship quality.
• Gathered qualitative data through interviews and quantitative data on reach and adoption rates.

Main Results:

• Significant reductions in anxiety and depression symptoms for people with dementia compared to controls.
• Significant reduction in perceived stress for caregivers.
• High positive perceptions of the intervention and implementation strategies; 57% of centers continued use, with over half of families sustaining use for six months.

Conclusions:

• Music-with-movement interventions show promise for enhancing well-being in dementia dyads.
• Effective implementation strategies, including technology integration and volunteer involvement, facilitated adoption and scalability.
• The intervention demonstrated positive clinical outcomes and successful, sustained home-based implementation.