Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2017

Open Access 01-12-2017 | Research article

Rhythm-centred music making in community living elderly: a randomized pilot study

Authors: Angela Frances Yap, Yu Heng Kwan, Chuen Seng Tan, Syed Ibrahim, Seng Bin Ang

Published in: BMC Complementary Medicine and Therapies | Issue 1/2017

Login to get access

Abstract

Background

Quality of life has become an important aspect in the measurement of the health of an individual as the population ages. Rhythm-centred music making (RMM) has been shown to improve physical, psychological and social health. The purpose of this study was to explore the effects of RMM on quality of life, depressive mood, sleep quality and social isolation in the elderly.

Methods

A randomised controlled trial with cross over was conducted. 54 participants were recruited with 27 participants in each arm. In phase 1, group A underwent the intervention with group B as the control. In phase 2, group B underwent the intervention with group A as the control. The intervention involved 10 weekly RMM sessions. Patient related outcome data which included European Quality of Life-5 Dimensions (EQ5D), Geriatric Depression Scale (GDS), Pittsburg Sleep Quality Index (PSQI) and Lubben Social Network Scale (LSNS) scores were collected before the intervention, at 11th and at the 22nd week.

Results

A total of 31 participants were analyzed at the end of the study. The mean age was 74.65 ± 6.40 years. In analysing the change in patient related outcome variables as a continuous measure, participation in RMM resulted in a non-significant reduction in EQ5D by 0.004 (95% CI: -0.097,0.105), GDS score by 0.479 (95% CI:-0.329,1.287), PSQI score by 0.929 (95% CI:- 0.523,2.381) and an improvement in LSNS by 1.125 (95% CI:-2.381,0.523). In binary analysis, participation in RMM resulted in a 37% (OR = 1.370, 95% CI: 0.355,5.290), 55.3% (OR = 1.553, 95% CI: 0.438,5.501), 124.1% (OR = 2.241, 95% CI = 0.677,7.419) and 14.5% (OR = 1.145, 95% CI = 0.331,3.963) non-significant increase in odds of improvement in EQ5D, GDS, PSQI and LSNS scores respectively.

Conclusion

Participation in RMM did not show any statistically significant difference in the quality of life of the participants. It is however, an interesting alternative tool to use in the field of integrative medicine. Moving forward, a larger study could be performed to investigate the effects of RMM on the elderly with an inclusion of a qualitative component to evaluate effects of RMM that were not captured by quantitative indicators.

Trial registration

This trial was retrospectively registered. This trial was registered in the Australian New Zealand Clinical Trials Registry under trial number ACTRN12616001281​482 on 12 September 2016.
Appendix
Available only for authorised users
Literature
1.
go back to reference Goh VH. Aging in Asia: a cultural, socio-economical and historical perspective. The Aging Male. 2005;8(2):90–6.CrossRefPubMed Goh VH. Aging in Asia: a cultural, socio-economical and historical perspective. The Aging Male. 2005;8(2):90–6.CrossRefPubMed
2.
go back to reference Felce D, Perry J. Quality of life: its definition and measurement. Res Dev Disabil. 1995;16(1):51–74.CrossRefPubMed Felce D, Perry J. Quality of life: its definition and measurement. Res Dev Disabil. 1995;16(1):51–74.CrossRefPubMed
3.
go back to reference Frank J, Snoek M. PhD: quality of life: a closer look at measuring patients' well-being. Diabetes Spectrum. 2000;13(1):24–8. Frank J, Snoek M. PhD: quality of life: a closer look at measuring patients' well-being. Diabetes Spectrum. 2000;13(1):24–8.
4.
go back to reference Dominick KL, Ahern FM, Gold CH, Heller DA, Heller DA. Relationship of health-related quality of life to health care utilization and mortality among older adults. Aging Clin Exp Res. 2002;14(6):499–508.CrossRefPubMed Dominick KL, Ahern FM, Gold CH, Heller DA, Heller DA. Relationship of health-related quality of life to health care utilization and mortality among older adults. Aging Clin Exp Res. 2002;14(6):499–508.CrossRefPubMed
5.
go back to reference DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006;21(3):267–75.CrossRefPubMedPubMedCentral DeSalvo KB, Bloser N, Reynolds K, He J, Muntner P. Mortality prediction with a single general self-rated health question. A meta-analysis. J Gen Intern Med. 2006;21(3):267–75.CrossRefPubMedPubMedCentral
6.
go back to reference Pang R, Wang S, Tian L, Lee MC, Do A, Cutshall SM, et al. Complementary and integrative medicine at Mayo Clinic. The American Journal of Chinese Medicine. 2015;43(8):1503–13.CrossRefPubMed Pang R, Wang S, Tian L, Lee MC, Do A, Cutshall SM, et al. Complementary and integrative medicine at Mayo Clinic. The American Journal of Chinese Medicine. 2015;43(8):1503–13.CrossRefPubMed
7.
go back to reference Maizes V, Rakel D, Niemiec C. Integrative medicine and patient-centered care. EXPLORE: The Journal of Science and Healing. 2009;5(5):277–89.CrossRef Maizes V, Rakel D, Niemiec C. Integrative medicine and patient-centered care. EXPLORE: The Journal of Science and Healing. 2009;5(5):277–89.CrossRef
8.
go back to reference Deng GE, Rausch SM, Jones LW, Gulati A, Kumar NB, Greenlee H, et al. Complementary Therapies and Integrative Medicine in Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2013;143(5, Suppl):e420S–36S.CrossRefPubMed Deng GE, Rausch SM, Jones LW, Gulati A, Kumar NB, Greenlee H, et al. Complementary Therapies and Integrative Medicine in Lung Cancer: Diagnosis and Management of Lung Cancer, 3rd ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2013;143(5, Suppl):e420S–36S.CrossRefPubMed
9.
go back to reference Wicke FS, Guthlin C, Mergenthal K, Gensichen J, Loffler C, Bickel H, et al. Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients. BMC Fam Pract. 2014;15:62.CrossRefPubMedPubMedCentral Wicke FS, Guthlin C, Mergenthal K, Gensichen J, Loffler C, Bickel H, et al. Depressive mood mediates the influence of social support on health-related quality of life in elderly, multimorbid patients. BMC Fam Pract. 2014;15:62.CrossRefPubMedPubMedCentral
10.
go back to reference Tsou M-T. Association between sleep duration and health outcome in elderly Taiwanese. International Journal of Gerontology. 2011;5(4):200–5.CrossRef Tsou M-T. Association between sleep duration and health outcome in elderly Taiwanese. International Journal of Gerontology. 2011;5(4):200–5.CrossRef
11.
go back to reference Rodrigues GH, Gebara OC, Gerbi CC, Pierri H, Wajngarten M. Depression as a clinical determinant of dependence and low quality of life in elderly patients with cardiovascular disease. Arq Bras Cardiol. 2015;104(6):443–9.PubMedPubMedCentral Rodrigues GH, Gebara OC, Gerbi CC, Pierri H, Wajngarten M. Depression as a clinical determinant of dependence and low quality of life in elderly patients with cardiovascular disease. Arq Bras Cardiol. 2015;104(6):443–9.PubMedPubMedCentral
12.
go back to reference Solhaug HI, EB R, Romild U, Stordal E. Increased prevalence of depression in cohorts of the elderly: an 11-year follow-up in the general population - the HUNT study. Int Psychogeriatr. 2012;24(1):151–8.CrossRefPubMed Solhaug HI, EB R, Romild U, Stordal E. Increased prevalence of depression in cohorts of the elderly: an 11-year follow-up in the general population - the HUNT study. Int Psychogeriatr. 2012;24(1):151–8.CrossRefPubMed
13.
go back to reference Phua HP, Chua AV, Ma S, Heng D, Chew SK. Singapore's burden of disease and injury 2004. Singap Med J. 2009;50(5):468–78. Phua HP, Chua AV, Ma S, Heng D, Chew SK. Singapore's burden of disease and injury 2004. Singap Med J. 2009;50(5):468–78.
14.
go back to reference Faraut B, Boudjeltia KZ, Vanhamme L, Kerkhofs M. Immune, inflammatory and cardiovascular consequences of sleep restriction and recovery. Sleep Med Rev. 2012;16(2):137–49.CrossRefPubMed Faraut B, Boudjeltia KZ, Vanhamme L, Kerkhofs M. Immune, inflammatory and cardiovascular consequences of sleep restriction and recovery. Sleep Med Rev. 2012;16(2):137–49.CrossRefPubMed
15.
go back to reference Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. The role of actigraphy in the study of sleep and circadian rhythms. Sleep. 2003;26(3):342–92.CrossRefPubMed Ancoli-Israel S, Cole R, Alessi C, Chambers M, Moorcroft W, Pollak CP. The role of actigraphy in the study of sleep and circadian rhythms. Sleep. 2003;26(3):342–92.CrossRefPubMed
16.
go back to reference Bittman BB, Snyder C, Bruhn KT, Liebfreid F, Stevens CK, Westengard J, et al. Recreational music-making: an integrative group intervention for reducing burnout and improving mood states in first year associate degree nursing students: insights and economic impact. International Journal of Nursing Education Scholarship. 2004;1(Article 12) Bittman BB, Snyder C, Bruhn KT, Liebfreid F, Stevens CK, Westengard J, et al. Recreational music-making: an integrative group intervention for reducing burnout and improving mood states in first year associate degree nursing students: insights and economic impact. International Journal of Nursing Education Scholarship. 2004;1(Article 12)
17.
go back to reference Ho P, Tsao JC, Bloch L, Zeltzer LK. The impact of group drumming on social-emotional behavior in low-income children. Evid Based Complement Alternat Med. 2011; doi:10.1093/ecam/neq072. Ho P, Tsao JC, Bloch L, Zeltzer LK. The impact of group drumming on social-emotional behavior in low-income children. Evid Based Complement Alternat Med. 2011; doi:10.​1093/​ecam/​neq072.
18.
go back to reference Bittman B, Bruhn KT, Stevens C, Westengard J, Umbach PO. Recreational music-making: a cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers. Advances in Mind-Body Medicine. 2003;19(3–4):4–15.PubMed Bittman B, Bruhn KT, Stevens C, Westengard J, Umbach PO. Recreational music-making: a cost-effective group interdisciplinary strategy for reducing burnout and improving mood states in long-term care workers. Advances in Mind-Body Medicine. 2003;19(3–4):4–15.PubMed
19.
go back to reference Smith C, Viljoen JT, McGeachie L. African drumming: a holistic approach to reducing stress and improving health? Journal of Cardiovascular Medicine. 2014;15(6):441–6.CrossRefPubMed Smith C, Viljoen JT, McGeachie L. African drumming: a holistic approach to reducing stress and improving health? Journal of Cardiovascular Medicine. 2014;15(6):441–6.CrossRefPubMed
20.
go back to reference Maschi T, MacMillan T, Viola D. Group drumming and well-being: a promising self-care strategy for social workers. Arts & Health. 2013;5(2):142–51.CrossRef Maschi T, MacMillan T, Viola D. Group drumming and well-being: a promising self-care strategy for social workers. Arts & Health. 2013;5(2):142–51.CrossRef
21.
go back to reference Venkit VR, Godse AA, Godse AS. Exploring the potentials of group drumming as a group therapy for young female commercial sex workers in Mumbai, India. Arts & Health. 2013;5(2):132–41.CrossRef Venkit VR, Godse AA, Godse AS. Exploring the potentials of group drumming as a group therapy for young female commercial sex workers in Mumbai, India. Arts & Health. 2013;5(2):132–41.CrossRef
22.
go back to reference Fleming Cottrell RP, Gallant KA. The elders drum project: enhancing quality of life for long-term care residents. Physical & Occupational Therapy In Geriatrics. 2004;22(2):57–79.CrossRef Fleming Cottrell RP, Gallant KA. The elders drum project: enhancing quality of life for long-term care residents. Physical & Occupational Therapy In Geriatrics. 2004;22(2):57–79.CrossRef
23.
go back to reference Stone NN. Hand-drumming to build community: the story of the Whittier drum project. New Directions for Youth Development. 2005;6(103):73–83.CrossRef Stone NN. Hand-drumming to build community: the story of the Whittier drum project. New Directions for Youth Development. 2005;6(103):73–83.CrossRef
24.
go back to reference Bungay H. A rhythm for life: drumming for wellbeing. British Journal of Wellbeing. 2010;1(9):13–5.CrossRef Bungay H. A rhythm for life: drumming for wellbeing. British Journal of Wellbeing. 2010;1(9):13–5.CrossRef
26.
go back to reference Quercioli C, Messina G, Barbini E, Carriero G, Fani M, Nante N. Importance of sociodemographic and morbidity aspects in measuring health-related quality of life: performances of three tools: comparison of three questionnaire scores. Eur J Health Econ. 2009;10(4):389–97.CrossRefPubMed Quercioli C, Messina G, Barbini E, Carriero G, Fani M, Nante N. Importance of sociodemographic and morbidity aspects in measuring health-related quality of life: performances of three tools: comparison of three questionnaire scores. Eur J Health Econ. 2009;10(4):389–97.CrossRefPubMed
27.
go back to reference Luo N, Wang P, Thumboo J, Lim Y-W, Vrijhoef HJM. Valuation of EQ-5D-3L health states in Singapore: modeling of time trade-off values for 80 empirically observed health states. PharmacoEconomics. 2014;32(5):495–507.CrossRefPubMed Luo N, Wang P, Thumboo J, Lim Y-W, Vrijhoef HJM. Valuation of EQ-5D-3L health states in Singapore: modeling of time trade-off values for 80 empirically observed health states. PharmacoEconomics. 2014;32(5):495–507.CrossRefPubMed
28.
go back to reference van Hout B, Janssen MF, Feng Y-S, Kohlmann T, Busschbach J, Golicki D, et al. Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5L to EQ-5D-3L value sets. Value Health. 2012;15(5):708–15.CrossRefPubMed van Hout B, Janssen MF, Feng Y-S, Kohlmann T, Busschbach J, Golicki D, et al. Interim scoring for the EQ-5D-5L: mapping the EQ-5D-5L to EQ-5D-3L value sets. Value Health. 2012;15(5):708–15.CrossRefPubMed
29.
go back to reference Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO: Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research 1982–1983, 17(1):37–49. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO: Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research 1982–1983, 17(1):37–49.
30.
go back to reference Nyunt MS, Fones C, Niti M, Ng TP. Criterion-based validity and reliability of the geriatric depression screening scale (GDS-15) in a large validation sample of community-living Asian older adults. Aging Ment Health. 2009;13(3):376–82.CrossRefPubMed Nyunt MS, Fones C, Niti M, Ng TP. Criterion-based validity and reliability of the geriatric depression screening scale (GDS-15) in a large validation sample of community-living Asian older adults. Aging Ment Health. 2009;13(3):376–82.CrossRefPubMed
31.
go back to reference Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(21):193–213.CrossRefPubMed Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh sleep quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(21):193–213.CrossRefPubMed
32.
go back to reference Smith MT, Wegener ST. Measures of sleep: the insomnia severity Index, medical outcomes study (MOS) sleep scale, Pittsburgh sleep diary (PSD), and Pittsburgh sleep quality Index (PSQI). Arthritis Care & Research. 2003;49(S5):S184–96.CrossRef Smith MT, Wegener ST. Measures of sleep: the insomnia severity Index, medical outcomes study (MOS) sleep scale, Pittsburgh sleep diary (PSD), and Pittsburgh sleep quality Index (PSQI). Arthritis Care & Research. 2003;49(S5):S184–96.CrossRef
33.
go back to reference Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln KW, Beck JC, et al. Performance of an abbreviated version of the Lubben social network scale among three European Community-dwelling older adult populations. The Gerontologist. 2006;46(4):503–13.CrossRefPubMed Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln KW, Beck JC, et al. Performance of an abbreviated version of the Lubben social network scale among three European Community-dwelling older adult populations. The Gerontologist. 2006;46(4):503–13.CrossRefPubMed
34.
go back to reference Walters SJ, Brazier JE. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res. 2005;14(6):1523–32.CrossRefPubMed Walters SJ, Brazier JE. Comparison of the minimally important difference for two health state utility measures: EQ-5D and SF-6D. Qual Life Res. 2005;14(6):1523–32.CrossRefPubMed
35.
go back to reference Sung HC, Lee W, Li TL, Watson R. A group music intervention using percussion instruments with familiar music to reduce anxiety and agitation of institutionalized older adults with dementia. International Journal of Geriatric Psychiatry. 2012;27(6):621–7.CrossRefPubMed Sung HC, Lee W, Li TL, Watson R. A group music intervention using percussion instruments with familiar music to reduce anxiety and agitation of institutionalized older adults with dementia. International Journal of Geriatric Psychiatry. 2012;27(6):621–7.CrossRefPubMed
36.
go back to reference Mungas R, Silverman MJ. Immediate effects of group-based wellness drumming on affective states in university students. The Arts in Psychotherapy. 2014;41(3):287–92.CrossRef Mungas R, Silverman MJ. Immediate effects of group-based wellness drumming on affective states in university students. The Arts in Psychotherapy. 2014;41(3):287–92.CrossRef
37.
go back to reference Snow S, D'Amico M. The drum circle project: a qualitative study with at-risk youth in a school setting. Canadian Journal of Music Therapy. 2010;16(1):12–39. Snow S, D'Amico M. The drum circle project: a qualitative study with at-risk youth in a school setting. Canadian Journal of Music Therapy. 2010;16(1):12–39.
Metadata
Title
Rhythm-centred music making in community living elderly: a randomized pilot study
Authors
Angela Frances Yap
Yu Heng Kwan
Chuen Seng Tan
Syed Ibrahim
Seng Bin Ang
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2017
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/s12906-017-1825-x

Other articles of this Issue 1/2017

BMC Complementary Medicine and Therapies 1/2017 Go to the issue