Cochrane · systematic review · CD003477
Music‐based therapeutic interventions for people with dementia
van der Steen, JT, Smaling, HJA, van der Wouden, JC, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
14
No studies
2
Included studies
NR
No studies 2 · 12.5%Ungraded 0 · 0%Very low 3 · 18.8%Low 8 · 50%Moderate 3 · 18.8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyMusic‐based therapeutic interventions compared to usual care or other activities for people with dementia: end‐of‐treatment effects
Population: people with dementia (all resided in institutional settings)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes (end of treatment) Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | NR | No studies |
Emotional well‐being including quality of life Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 9 studies · 348 participants | Low Downgraded: risk of bias |
Mood disturbance or negative affect: depression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 11 studies · 503 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Mood disturbance or negative affect: anxiety Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 13 studies · 478 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Behavioural problems: agitation or aggression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 14 studies · 626 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Behavioural problems: overall Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 10 studies · 442 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Social behaviour: music vs other activities Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 3 studies · 70 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Cognition Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 7 studies · 350 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Music‐based therapeutic interventions compared to usual care or other activities for people with dementia: long‐term effects (scores 4 weeks or more after treatment ended)
Population: people with dementia (all resided in institutional settings)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes (long‐term) Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | NR | No studies |
Emotional well‐being including quality of life Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 4 studies · 180 participants | Low Downgraded: risk of bias |
Mood disturbance or negative affect: depression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 354 participants | Low Downgraded: risk of bias |
Mood disturbance or negative affect: anxiety Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 265 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Behavioural problems: agitation or aggression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 5 studies · 330 participants | Low Downgraded: risk of bias |
Behavioural problems: overall Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 351 participants | Low Downgraded: risk of bias |
Social behaviour: music vs other activities Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 2 studies · 48 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Cognition Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 2 studies · 193 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Music‐based therapeutic interventions compared to usual care or other activities for people with dementia: end of treatment effects
Population: people with dementia (all resided in institutional settings)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes (end of treatment) Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | NR | No studies |
Emotional well‐being including quality of life Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 181 participants | Low Downgraded: risk of bias |
Mood disturbance or negative affect: depression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 9 studies · 376 participants | Moderate Downgraded: risk of bias |
Mood disturbance or negative affect: anxiety Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 11 studies · 365 participants | Very low Downgraded: risk of bias |
Behavioural problems: agitation or aggression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 12 studies · 515 participants | Moderate Downgraded: risk of bias |
Behavioural problems: overall Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 209 participants | Low Downgraded: risk of bias |
Social behaviour: music vs other activities Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 3 studies · 70 participants | Very low Downgraded: risk of bias |
Cognition Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 6 studies · 257 participants | Low Downgraded: risk of bias |
Music‐based therapeutic interventions compared to usual care or other activities for people with dementia: long‐term effects (scores 4 weeks or more after treatment ended)
Population: people with dementia (all resided in institutional settings)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcomes (long‐term) Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | NR | No studies |
Emotional well‐being including quality of life Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 2 studies · 48 participants | Very low Downgraded: risk of bias |
Mood disturbance or negative affect: depression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 5 studies · 234 participants | Very low Downgraded: risk of bias |
Mood disturbance or negative affect: anxiety Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 5 studies · 160 participants | Very low Downgraded: risk of bias |
Behavioural problems: agitation or aggression Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 4 studies · 225 participants | Very low Downgraded: risk of bias |
Behavioural problems: overall Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 3 studies · 125 participants | Very low Downgraded: risk of bias |
Social behaviour ‐ music vs other activities Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 2 studies · 48 participants | Very low Downgraded: risk of bias |
Cognition ‐ music vs usual care Music‐based therapeutic interventions vs usual care or other activities | no estimate extracted | 1 study · 100 participants | Very low Downgraded: risk of bias |