Art therapy and music reminiscence activity in the prevention of cognitive decline: study protocol for a randomized controlled trial

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This article explores the feasibility of using art therapy and music reminiscence activity to improve the cognition of community living elderly with mild cognitive impairment.

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10 p.

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Mahendran, Rathi; Rawtaer, Iris; Fam, Johnson; Wong, Jonathan; Kumar, Alan PremSingapore Clinical Research Institute, Duke-NUS Medical School, University of Tampere, Tampere University Hospital; Gandhi, Mihir et al. July 12, 2017.

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This article explores the feasibility of using art therapy and music reminiscence activity to improve the cognition of community living elderly with mild cognitive impairment.

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10 p.

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Abstract:
Background: Attention has shifted to the use of non-pharmacological interventions to prevent cognitive decline as
a preventive strategy, as well as for those at risk and those with mild cognitive impairment. Early introduction of
psycho-social interventions can address cognitive decline and significantly impact quality of life and the wellbeing
of elderly individuals. This pilot study explores the feasibility of using art therapy and music reminiscence activity to
improve the cognition of community living elderly with mild cognitive impairment.
Methods/Design: This open-label, interventional study involves a parallel randomized controlled trial design with
three arms (two intervention arms and a control group) over a nine-month period. Participants will be community living elderly individuals aged 60–85 years, both genders, who meet predefined inclusion and exclusion criteria. In
the initial three months, interventions will be provided weekly and for the remaining six months fortnightly. A
sample size of 90 participants is targeted based on expected neuropsychological test performance, a primary
outcome measure, and drop-out rates. The randomization procedure will be carried out via a web-based
randomization system. Interventions will be provided by trained staff with a control group not receiving any
intervention but continuing life as usual. Assessments will be done at baseline, three months, and nine months, and
include neuroimaging to measure cerebral changes and neuropsychological tests to measure for changes in
cognition. Secondary outcome measures will include mood changes in anxiety and depression and telomere
lengths. Statistical analysis will be undertaken by statisticians; all efficacy analysis will be carried out on an intention to-treat basis. Primary and secondary outcomes will be modeled using the linear mixed model for repeated
measurements and further analysis may be undertaken to adjust for potential confounders.
Discussion: This will be the first study to compare the effectiveness of art therapy and music reminiscence activity
in a randomized controlled trial. We expect that the trial will provide useful evidence for developing psychosocial
interventions for the elderly with mild cognitive impairment.
Trial registration: The study was registered on 7 July 2016 at Clinical Trials.gov, a service of the US National Institute of Health (NCT02854085), retrospectively.

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  • Trials, 2017. London, UK: Biomed Central, Ltd.

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  • Publication Title: Trials
  • Volume: 18
  • Pages: 1-10
  • Peer Reviewed: Yes

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  • July 12, 2017

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  • July 31, 2017, 8:25 p.m.

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Mahendran, Rathi; Rawtaer, Iris; Fam, Johnson; Wong, Jonathan; Kumar, Alan PremSingapore Clinical Research Institute, Duke-NUS Medical School, University of Tampere, Tampere University Hospital; Gandhi, Mihir et al. Art therapy and music reminiscence activity in the prevention of cognitive decline: study protocol for a randomized controlled trial, article, July 12, 2017; London, United Kingdom. (digital.library.unt.edu/ark:/67531/metadc987446/: accessed August 14, 2018), University of North Texas Libraries, Digital Library, digital.library.unt.edu; crediting UNT College of Arts and Sciences.