@article{WoschEickholt, author = {Wosch, Thomas and Eickholt, Jasmin}, title = {Music Interventions for Dementia and Depression in ELderly care (MIDDEL)}, series = {BMJ Open}, volume = {9}, journal = {BMJ Open}, number = {3}, issn = {2044-6055}, doi = {10.1136/bmjopen-2018-023436}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-18942}, pages = {14}, abstract = {Introduction: In older adults, dementia and depression are associated with individual distress and high societal costs. Music interventions such as group music therapy (GMT) and recreational choir singing (RCS) have shown promising effects, but their comparative effectiveness across clinical subgroups is unknown. This trial aims to determine effectiveness of GMT, RCS and their combination for care home residents and to examine heterogeneity of treatment effects across subgroups. Methods and analysis: This large, pragmatic, multinational cluster-randomised controlled trial with a 2×2 factorial design will compare the effects of GMT, RCS, both or neither, for care home residents aged 65 years or older with dementia and depressive symptoms. We will randomise 100 care home units with ≥1000 residents in total across eight countries. Each intervention will be offered for 6 months (3 months 2 times/week followed by 3 months 1 time/week), with extension allowed if locally available. The primary outcome will be the change in the Montgomery-{\AA}sberg Depression Rating Scale score at 6 months. Secondary outcomes will include depressive symptoms, cognitive functioning, neuropsychiatric symptoms, psychotropic drug use, caregiver burden, quality of life, mortality and costs over at least 12 months. The study has 90\% power to detect main effects and is also powered to determine interaction effects with gender, severity and socioeconomic status. Ethics and dissemination: Ethical approval has been obtained for one country and will be obtained for all countries. Results will be presented at national and international conferences and published in scientific journals.}, language = {en} } @article{Wosch, author = {Wosch, Thomas}, title = {HOMESIDE: Home-based family caregiver-delivered music and reading interventions for people living with dementia}, series = {BMJ Open}, volume = {9}, journal = {BMJ Open}, number = {11}, issn = {2044-6055}, doi = {10.1136/bmjopen-2019-031332}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-18937}, pages = {11}, abstract = {Introduction: Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs. Methods and analysis: A large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of PwD (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes will examine relationship quality between CG and PwD, depression, resilience, competence, QoL for CG and QoL for PwD. Outcomes will be collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia will be used to collect economic data across the life of the intervention and at 6-month follow-up. We hypothesise that the music programme plus SC will generate better results than SC alone (primary comparison) and the reading programme plus SC (secondary comparison). Ethics and dissemination: Ethical approval has been obtained for all countries. Results will be presented at national and international conferences and published in scientific journals and disseminated to consumer and caregiver representatives and the community.}, language = {en} } @article{WoschCampbell, author = {Wosch, Thomas and Campbell, Elsa A.}, title = {Tactile low frequency vibration in dementia care}, series = {International Journal of Environmental Research and Public Health}, volume = {18}, journal = {International Journal of Environmental Research and Public Health}, issn = {1660-4601}, doi = {10.3390/ijerph18041904}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-18961}, pages = {11}, abstract = {Dementia is a growing issue in modern society. Non pharmacological interventions such as music are suggested as the primary methods for symptom management. Therapeutic potential may also be found in sound/mechanical low frequency vibrations (LFV) that share the core characteristics of music, but these are lesser understood. The aim of the proposed scoping review is to explore the responses of persons with dementia to LFV, e.g., vibroacoustic therapy or whole-body vibration. The scoping review will follow the Joanna Briggs Institute methodology guidelines. An extensive search in BMC, CINAHL, Cochrane Central Register of Controlled Trials, EMBASE, ERIC, MEDLINE (OvidSP), Pedro, ProQuest Central, PsycINFO, Scopus, Web of Science, and grey literature sources in Clinical Trials, Current Controlled Trials, Google Scholar, and manual search of relevant journals is planned to find all relevant research papers. The paper selection, full-text assessment, and data extraction will be performed by two independent reviewers. Participants' responses to the interventions and the experiment designs, including methodological challenges, will be analysed and compared. Results may highlight potential gaps in reporting and comparing sound and mechanical vibration approaches and promote better understanding of their potential for managing the symptoms of dementia. Furthermore, the possible relationships between LFV and music-based interventions may become clearer.}, language = {en} } @inproceedings{WoschBlauthClarketal., author = {Wosch, Thomas and Blauth, Laura and Clark, Imogen and Eickholt, Jasmin and Fachner, J{\"o}rg and Grandjean, Didier and M{\"u}hling, Tanja and Thurn, Tabea and Warnke, Sven}, title = {Musiktherapie im Spannungsfeld gesellschaftlicher Herausforderungen}, address = {W{\"u}rzburg}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-19055}, pages = {146}, abstract = {Die Musiktherapie in der Altenpflege, der Demenzpflege und f{\"u}r Familien mit Menschen mit Beeintr{\"a}chtigungen ber{\"u}hrt sowohl musiktherapeutisch als auch interdisziplin{\"a}r ein umfassendes Spannungsfeld. Im vorliegenden Tagungsband werden aktuelle Entwicklung und Evaluation musiktherapeutischer Interventionen in Promotionsstudien, die Wirkung musiktherapeutischer Interventionen auf die Beziehungsqualit{\"a}t von Pflegenden, relevante neurowissenschaftliche Untersuchungen von Musik und Emotion, musikalischer Synchronisation sowie Social Brain in Musiktherapie und mit Menschen mit Demenz, gesundheits{\"o}konomische Modelle in Deutschland und Großbritannien sowie Familienforschung zur h{\"a}uslichen Pflege vorgestellt und diskutiert von Forschern und Forschungszentren der FHWS, aus Deutschland, Australien, der Schweiz und Großbritannien.}, language = {mul} } @article{WoschEickholt, author = {Wosch, Thomas and Eickholt, Jasmin}, title = {Creative arts interventions to address depression in older adults}, series = {Frontiers in Psychology}, volume = {9}, journal = {Frontiers in Psychology}, issn = {1664-1078}, doi = {10.3389/fpsyg.2018.02655}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-18958}, abstract = {Depression experienced by older adults is proving an increasing global health burden, with rates generally 7\% and as high as 27\% in the USA. This is likely to significantly increase in coming years as the number and proportion of older adults in the population rises all around the world. Therefore, it is imperative that the effectiveness of approaches to the prevention and treatment of depression are understood. Creative arts interventions, including art, dance movement, drama, and music modalities, are utilized internationally to target depression and depressive symptoms in older adults. This includes interventions led by trained arts therapists as well as other health and arts professionals. However, to date there has not been a systematic review that reports effects and examines the processes (why) and mechanisms (how) of creative arts interventions are used to address depression in this older age group. This systematic review of studies on creative arts interventions for older adults experiencing depression examined: outcomes of four creative arts modalities (art, dance movement, drama, and music); with particular attention paid to processes documented as contributing to change in each modality; and mechanisms considered to result from these processes. Our analysis of 75 articles (17 art, 13 dance, 4 drama, and 41 music) indicates mostly significant quantitative or positive qualitative findings, particularly for interventions led by creative arts therapists. Mechanisms of change gleaned from the studies that were common across modalities include physical (e.g., increased muscle strength; neurochemical effects, such as endorphin release), intra-personal (e.g., enhanced self-concept, strengthened agency and mastery; processing and communication of emotions), cultural (e.g., creative expression, aesthetic pleasure), cognitive (e.g., stimulation of memory), and social (e.g., increased social skills and connection), that were all considered to contribute to reduced depression and symptoms. Recommendations for future research includes stronger focus on testing of processes and mechanisms.}, language = {en} } @misc{BlauthWosch, author = {Blauth, Laura and Wosch, Thomas}, title = {Digitale Musikangebote f{\"u}r Menschen mit Demenz}, url = {http://nbn-resolving.de/urn:nbn:de:bvb:863-opus-57307}, pages = {20}, abstract = {In dieser Handreichung haben wir Informationen f{\"u}r Sie zusammengestellt, damit Sie selbst und/oder Ihr Verein erfolgreich digitale Musikaktivit{\"a}ten f{\"u}r Menschen mit Demenz umsetzen k{\"o}nnen. Zu Beginn finden Sie einf{\"u}hrendes Hintergrundwissen zum Thema Demenz und Musik. Außerdem stellen wir Ihnen das Forschungsprojekt DigiMus, aus dem diese Handreichung hervorgegangen ist, kurz vor. Um digitale Angebote erfolgreich umsetzen zu k{\"o}nnen, sind die Wahl der Technik und der richtige Umgang damit entscheidend. Deswegen teilen wir unsere Erfahrungen mit dem relevanten technischen Equipment und z{\"a}hlen wichtige Punkte auf, die es beim Einsatz der Technik zu beachten gibt. Kern dieser Handreichung sind vier konkrete Ideen f{\"u}r digitale Musikangebote, die detailliiert beschrieben werden. Zu jeder Idee geben wir praktische Hinweise f{\"u}r die Durchf{\"u}hrung und benennen die r{\"a}umlichen und technischen Anforderungen.}, language = {de} }