ABSTRACT
OBJECTIVES: To examine the effects of music listening on sleep quality amongst older community-dwelling adults in Singapore. METHODS: In a randomized controlled study, a cohort of older adults (N=60) age 55 years or above were recruited in one community centre. Sleep quality, as measured by the Pittsburgh Sleep Quality Index (PSQI), was the primary outcome. Participants' demographic variables including age, gender, religion, education level, marital and financial status, any chronic illness, previous experiences of music intervention as well as depression levels were collected. Participants were asked to listen to soft, instrumental slow sedative music without lyrics, of approximately 60-80 beats per minute, and 40 min in duration, for 6 weeks. Generalized estimating equations were used to examine the effects of the intervention on the elders' sleep quality. RESULTS: Significant reductions in PSQI scores were found in the intervention group (n=28) from baseline (mean±SD, 10.2±2.5) to week 6 (5.9±2.4, p<0.001), while there were no changes in the control group (n=32) from baseline (9.0±2.4) to week 6 (9.5±2.6). At week 6, the intervention group showed a better sleep quality than the control (χ(2)=61.84, p<0.001). CONCLUSIONS: Notwithstanding the placebo effect, this study supports music listening as an effective intervention for older adults to improve sleep quality. Not only does this process improve their sleeping quality at old age, it also individualizes and enhances the quality of care provided by the healthcare provider as the therapeutic relationship between provider and client is being established. Contemporary gerontology is progressively characterized by collaboration between several approaches with the intent to comprehend the mental aspects of the multifarious process of ageing. Music listening is one such avenue to enhance sleep quality amongst older adults and make an essential contribution to healthy ageing.
Subject(s)
Music Therapy , Sleep/physiology , Aged , Female , Humans , Male , Middle Aged , SingaporeABSTRACT
There is little evidence to support the efficacy of the life storybook creation process, which incorporates the use of narratives, in mediating depression levels. The study aimed to examine the effects of the life storybook creation process on depressive symptoms among older community-dwelling Chinese adults in Singapore. A randomised controlled trial was conducted from January 2011 to March 2012. Twenty-six Chinese aged over 60 years, who were able to communicate in Chinese and/or English, and with mild to severe depression were randomly allocated to either the life storybook (intervention) group (n = 14) or the non-life storybook (control) group (n = 12). Subjects in the intervention group were interviewed on a one to one basis on five sessions over 8 weeks. Depressive symptoms were measured using the Geriatric Depression Scale. Generalised estimating equations were used to examine the effects of the intervention on the elderly peoples' depression level. Significant reductions in depression scores were found in the intervention group from baseline (mean 7.9 [SD 3.0]) to week 8 (2.5 [1.7], χ(2) = 15.25, P < 0.001). At week 8, the intervention group showed a lower level of depression than the control (χ(2) = 4.33, P = 0.037). This study supports the life storybook creation process as an effective intervention for depressed older Chinese adults living in the community. The findings suggest that this intervention may enhance the quality of care provided by healthcare providers as the therapeutic relationship between provider and client is being established.
