About this trial
This study examines the feasibility, acceptability, and preliminary outcomes of a structured music-based intervention for individuals living with dementia and their family care partners.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 60 and older
Existing physician diagnosis of dementia or self-reported memory impairment and Telephone Montreal Cognitive Assessment (T-MoCA) score between 18-25 with a capacity to consent.
Care partner or PLWD reporting current or past (8-12 months) dissatisfaction with the relationship (score of 3 or less on the relationship satisfaction measure), given that one member's dissatisfaction affects the other.
Stable dose of psychotropic medications, sedatives/hypnotics, anti-dementia medications or opioids in the past 60 days to minimize the confounding effects of medications.
Disqualifiers
None
Trial design
Parallel
Treatments tested in this trial
Dyadic Music-based Intervention (MBI)
BehavioralThe dyadic MBI (adjusted in consultation with the Community Advisory Board) consists of training and support components centered on shared music listening. The interventionist will meet with the dyad once a week (frequency) for 45 minutes (dose) for 6 weeks (duration) to guide them through the weekly listening activity and provide support between sessions by email (per the dyad's preference). Dyads will be trained in 3 basic skills: 1) identifying personally-meaningful music, 2) approaching a mutual discussion of this music, and 3) engaging in shared music listening. Each session will follow a similar format.
Reminiscence Activity
BehavioralThe control condition intends to isolate the impact of music in the dyadic MBI and will consist of an object-based reminiscence activity shared by the dyad. The duration, dose, frequency, and timing in the control condition will match that of the intervention group.
Treatment groups
Trial outcomes
Primary outcomes
Percentage of dyads who complete at least 4 out of 6 music/control condition sessions
Percentage of dyads who rate the music/control condition sessions after intervention as highly acceptable/satisfactory (the average score is greater than 3)
Researchers will evaluate the acceptability of each condition using the Acceptability of Intervention Measure (AIM). The AIM has 4 statements on a 5-point Likert scale, on which responses range from 1=completely disagree to 5=completely agree.
Secondary outcomes
Reasons for dyad drop out
The reason why the dyad decided to drop out will be documented
Number of dyads screened per month
Recruitment will be assessed as number of dyads screened per month
Number of dyads enrolled per month
Percentage of eligible dyads who enroll
Enrollment success will be calculated as percent of eligible dyads who enroll
Sponsors and contacts
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Duke University
Lead sponsor
National Institutes of Health (NIH)
Collaborator
National Center for Complementary and Integrative Health (NCCIH)
Collaborator
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