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An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a

Gerianne Smeets¹, Karin Volkers¹, Erik Scherder²

¹Philadelphia Care Foundation, Amersfoort, Netherlands.

JMIR Research Protocols

|February 7, 2024

Summary

This summary is machine-generated.

This study explored the impact of music interventions on adults with intellectual disabilities (ID) and challenging behaviors (CB). Findings will inform future music therapy for improved executive functioning (EF) and well-being.

Keywords:

RCT anxiety challenging behavior depression executive functioning intellectual disability music intervention randomized controlled trial self-esteem study protocol well-being

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Area of Science:

Clinical Psychology
Music Therapy
Neuroscience

Background:

Individuals with intellectual disabilities (ID) often experience challenges in executive functioning (EF) and exhibit challenging behaviors (CB), negatively impacting their well-being.
Music interventions show promise in improving outcomes like CB and EF in clinical populations.
No prior randomized controlled trials (RCTs) have investigated individual music interventions for adults with ID and CB.

Purpose of the Study:

To determine the effect and feasibility of an individual music intervention compared to care-as-usual for adults with ID and CB.
To assess the intervention's impact on challenging behaviors, executive functioning, and overall well-being.

Main Methods:

A 2-group randomized controlled trial (RCT) with pretest, posttest, and 8-week follow-up.
Intervention group received 16 individualized music sessions over 8-10 weeks, guided by a manual.
Control group received care-as-usual, with a budget for musical activities post-study.
Outcome measures included caregiver ratings, self-report questionnaires, and EF tests; a process evaluation was conducted.

Main Results:

97 participants were recruited (44 intervention, 53 control) between July 2021 and May 2023.
Data analysis is pending protocol acceptance.
The study provides a foundation for understanding the intervention's effectiveness and participant experiences.

Conclusions:

This study is the first RCT to examine an individual music intervention for adults with ID and CB.
Results will offer crucial insights into the effectiveness and feasibility of music interventions for this population.
Findings will guide the development of music-based support strategies to enhance EF and well-being in adults with ID and CB.