Poster Presentation

Thursday, July 12, 2007
9:30 AM - 10:15 AM

Thursday, July 12, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation II
A Music Intervention to Help Cognitively Impaired Older Adults Fall Asleep
Myra A. Aud, PhD, RN, MU Sinclair School of Nursing, University of Missouri-Columbia, Columbia, MO, USA and Rebecca A. Johnson, RN, PhD, University of Missouri-Columbia, Siclair School of Nursing, Columbia, MO, USA.
Learning Objective #1: discuss the effectiveness of music as an intervention to reduce the length of the sleep latency period for older adults with Alzheimer's disease
Learning Objective #2: discuss relative merits of two types of music used to reduce the length of the sleep latency period for older adults with Alzheimer's disease

Cognitively impaired older adult residents of Alzheimer’s Special Care Units often experience difficulty falling asleep at night. Identifying an effective non-pharmacologic intervention to reduce the length of the sleep latency period would enhance resident comfort, reduce the use of sedating drugs, and reduce the risk of adverse medication effects. This quasi-experimental intervention research project evaluated use of music at bedtime to decrease the amount of time it took elderly residents of an Alzheimer’s Special Care Unit to fall asleep (sleep latency), to reduce restlessness while waiting in bed to fall asleep, and to reduce use of sedating medications. The control condition of no music was compared with two types of music.  

Twelve residents of an Alzheimer's Special Care Unit in a mid-Missouri skilled nursing facility were their own controls in this one group repeated measures design. Participation involved listening to music after going to bed and wearing a monitoring bracelet (Actigraph accelerometer) to measure the length of the sleep latency period and restlessness. Current nursing home medical records were reviewed to identify the use of sedating medications during the course of the project. The duration of the project was 28 consecutive nights: 7 nights of no music, 7 nights of soft classical music, 7 nights of no music, and 7 nights of soft contemporary music with nature sounds. Participants were put to bed at their usual times by their usual caregivers who also applied the monitoring bracelets and turned on the music.

Data analysis is currently underway with calculation and comparison mean sleep latency, mean restlessness as quantified by actigraphy, and mean number of sedating doses of medications. The findings of this project will be used part of the preliminary work for a proposal to fund a larger version of this project