"Feasibility of Light and Music Therapy in the Elderly for the Preventi" by Sarah Keene, Arvind Balasundaram et al.
 

Feasibility of Light and Music Therapy in the Elderly for the Prevention of Hospital-Associated Delirium.

Document Type

Article

Publication Date

5-1-2023

Publication Title

R I Med J (2013)

Abstract

Hospital-associated delirium is common in older adults, especially those with dementia, and is associated with high morbidity and mortality. We performed a feasibility study in the emergency department (ED) to examine the effect of light and/or music on the incidence of hospital- associated delirium. Patients aged ≥ 65 who presented to the ED and tested positive for cognitive impairment were enrolled in the study (n = 133). Patients were randomized to one of four treatment arms: music, light, music and light, and usual care. They received the intervention during their ED stay. In the control group, 7/32 patients developed delirium, while in the music-only group, 2/33 patients developed delirium (RR 0.27, 95% CI 0.06-1.23), and in the light-only group (RR 0.41, 95% CI 0.12-1.46), 3/33 patients developed delirium. In the music + light group, 8/35 patients developed delirium (RR 1.04, 95% CI 0.42--2.55). Providing music therapy and bright light therapy to ED patients was shown to be feasible. Although this small pilot study did not reach statistical significance, there was a trend towards less delirium in the music-only and light-only groups. This study lays the groundwork for future investigation into the efficacy of these interventions.

Volume

106

Issue

4

First Page

35

Last Page

39

ISSN

2327-2228

PubMed ID

37098145

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