TY - JOUR A1 - Wosch, Thomas A1 - Eickholt, Jasmin T1 - Music Interventions for Dementia and Depression in ELderly care (MIDDEL) BT - protocol and statistical analysis plan for a multinational cluster-randomised trial JF - BMJ Open N2 - 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-Åsberg 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. KW - Demenz KW - Depression KW - Musiktherapie Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-18942 UR - https://bmjopen.bmj.com/content/9/3/e023436 SN - 2044-6055 N1 - Published version des Artikels. Published source: Gold C, Eickholt J, Assmus J, et alMusic Interventions for Dementia and Depression in ELderly care (MIDDEL): protocol and statistical analysis plan for a multinational cluster-randomised trialBMJ Open 2019;9:e023436. doi: 10.1136/bmjopen-2018-023436 VL - 9 IS - 3 ER - TY - JOUR A1 - Wosch, Thomas T1 - HOMESIDE: Home-based family caregiver-delivered music and reading interventions for people living with dementia BT - protocol of a randomised controlled trial JF - BMJ Open N2 - 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. KW - Demenz KW - Musiktherapie Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-18937 UR - https://bmjopen.bmj.com/content/9/11/e031332 SN - 2044-6055 N1 - Published version des Artikels. Published source: Baker FA, Bloska J, Braat S, et alHOMESIDE: home-based family caregiver-delivered music and reading interventions for people living with dementia: protocol of a randomised controlled trialBMJ Open 2019;9:e031332. doi: 10.1136/bmjopen-2019-031332 VL - 9 IS - 11 ER - TY - JOUR A1 - Wosch, Thomas A1 - Campbell, Elsa A. T1 - Tactile low frequency vibration in dementia care BT - a scoping review protocol JF - International Journal of Environmental Research and Public Health N2 - 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. KW - low frequency vibration KW - sound vibration KW - mechanical vibration KW - vibroacoustic KW - dementia KW - music interventions KW - Demenz KW - Musiktherapie Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-18961 UR - https://www.mdpi.com/1660-4601/18/4/1904 SN - 1660-4601 N1 - Published version des Artikels. Published source: Campbell, E.A.; Kantor, J.; Kantorová, L.; Svobodová, Z.;Wosch, T. Tactile Low Frequency Vibration in Dementia Management: A Scoping Review Protocol. Int. J. Environ. Res. Public Health 2021, 18, 1904. https://doi.org/10.3390/ijerph18041904 VL - 18 ER - TY - CHAP A1 - Wosch, Thomas A1 - Blauth, Laura A1 - Clark, Imogen A1 - Eickholt, Jasmin A1 - Fachner, Jörg A1 - Grandjean, Didier A1 - Mühling, Tanja A1 - Thurn, Tabea A1 - Warnke, Sven T1 - Musiktherapie im Spannungsfeld gesellschaftlicher Herausforderungen T1 - Music therapy responds societal challenges BT - Musiktherapie in der Altenpflege (Vorwort von Dr. Hülya Düber) BT - Music therapy for geriatric care (foreword by Dr. Hülya Düber) N2 - Die Musiktherapie in der Altenpflege, der Demenzpflege und für Familien mit Menschen mit Beeinträchtigungen berührt sowohl musiktherapeutisch als auch interdisziplinär ein umfassendes Spannungsfeld. Im vorliegenden Tagungsband werden aktuelle Entwicklung und Evaluation musiktherapeutischer Interventionen in Promotionsstudien, die Wirkung musiktherapeutischer Interventionen auf die Beziehungsqualität von Pflegenden, relevante neurowissenschaftliche Untersuchungen von Musik und Emotion, musikalischer Synchronisation sowie Social Brain in Musiktherapie und mit Menschen mit Demenz, gesundheitsökonomische Modelle in Deutschland und Großbritannien sowie Familienforschung zur häuslichen Pflege vorgestellt und diskutiert von Forschern und Forschungszentren der FHWS, aus Deutschland, Australien, der Schweiz und Großbritannien. N2 - Music Therapy in the care of older adults, in dementia care and for families with people with special needs is located in the comprehensive field of music-therapy- and interdisciplinary research. Conference proceedings present and discuss current developments and evaluations of music therapy interventions in PhD-research projects, furthermore outcomes on quality of relationship of caregivers, relevant brain research on music and emotion, musical entrainment and social brain in music therapy and for people living with dementia, relevant health technology assessment models in Germany and UK, and sociological research on homebased family caregivers of researchers and research centers of FHWS, Germany, Australia, Switzerland and UK. Y1 - 2021 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-19055 CY - Würzburg ER - TY - JOUR A1 - Wosch, Thomas A1 - Eickholt, Jasmin T1 - Creative arts interventions to address depression in older adults BT - a systematic review of effects JF - Frontiers in Psychology N2 - 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. KW - Depression KW - Therapie KW - creative arts therapy KW - dance movement therapy KW - drama therapy KW - arts therapy KW - depression KW - older adults Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-18958 UR - https://www.frontiersin.org/articles/10.3389/fpsyg.2018.02655/full SN - 1664-1078 N1 - Published version des Artikels. First published by Frotiers Media. Pulished source: Dunphy K, Baker FA, Dumaresq E, Carroll-Haskins K, Eickholt J, Ercole M, Kaimal G, Meyer K, Sajnani N, Shamir OY and Wosch T (2019) Creative Arts Interventions to Address Depression in Older Adults: A Systematic Review of Outcomes, Processes, and Mechanisms. Front. Psychol. 9:2655. doi: 10.3389/fpsyg.2018.02655 VL - 9 ER - TY - GEN A1 - Blauth, Laura A1 - Wosch, Thomas T1 - Digitale Musikangebote für Menschen mit Demenz BT - Eine Handreichung für Musikvereine und Musizierende N2 - In dieser Handreichung haben wir Informationen für Sie zusammengestellt, damit Sie selbst und/oder Ihr Verein erfolgreich digitale Musikaktivitäten für Menschen mit Demenz umsetzen können. Zu Beginn finden Sie einführendes 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 können, sind die Wahl der Technik und der richtige Umgang damit entscheidend. Deswegen teilen wir unsere Erfahrungen mit dem relevanten technischen Equipment und zählen wichtige Punkte auf, die es beim Einsatz der Technik zu beachten gibt. Kern dieser Handreichung sind vier konkrete Ideen für digitale Musikangebote, die detailliiert beschrieben werden. Zu jeder Idee geben wir praktische Hinweise für die Durchführung und benennen die räumlichen und technischen Anforderungen. Y1 - 2024 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:863-opus-57307 ER -