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DementiaNCT05520268

Efficacy of Music Therapy and Digital Music Rehabilitation in Dementia

A study testing Conventional music therapy (CMT) and Digital music rehabilitation (DMR) in people with Dementia, run by University of Helsinki at 1 site in Finland.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This study evaluates the applicability and clinical efficacy of conventional music therapy and digital music rehabilitation for dementia in home and care home settings. Read more about this study

Who is it for?
Ages 60 years and olderHealthy volunteers can take part
Conditions the study is for
Dementia
What is being tested?
Conventional music therapy (CMT) and Digital music rehabilitation (DMR)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
192 participants
Where
1 siteFinland
Study dates
1 Sep 2022to 31 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Diagnosed dementia (according to International Classification of Diseases [ICD] criteria), which is mild [Clinical Dementia Rating (CDR) score: 0.5-1, Global Deterioration Scale (GDS) score: 3-4], moderate (CDR: 2, GDS: 4-6), or severe (CDR: 3, GDS: 6-7) dementia
  • Age ≥ 60 years
  • Finnish-speaking (or bilingual; the study is performed in Finnish)
  • Stable physical and somatic condition (no major changes in psychotropic medication during the last 3 months)
  • Physically and cognitively able to take part in the intervention and assessments.

Who cannot join

  • Prior severe psychiatric illness or substance abuse
  • Major hearing or visual impairment

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Anni Pitkäniemi, MA contact

+358503115872

anni.pitkaniemi@helsinki.fi

Lotta Ahveninen, MSci contact

+358503009564

lotta.ahveninen@helsinki.fi

Finland1 site, 1 recruiting
  • University of Helsinki / Faculty of Medicine / Department of Psychology

    Helsinki, 00014

    Teppo Särkämö, PhD, +358505399065, teppo.sarkamo@helsinki.fi

    Recruiting

Other trials in Finland

About this study

This study evaluates the applicability and clinical efficacy of conventional music therapy and digital music rehabilitation for dementia in home and care home settings.

Read the detailed description

Rationale: In persons with dementia (PWDs), music-based interventions have shown positive effects on emotional, behavioural and cognitive symptoms as well as on psychological well-being and quality of life. Despite the evidence for the efficacy of music in PWDs, many issues surround the practicalities of music interventions, especially regarding their applicability, scalability, and optimization across the dementia care continuum. Moreover, the individual factors affecting the treatment outcomes of music-based interventions remain largely unexplored in dementia.

Aims: The purpose of this randomized controlled trial (RCT) is to determine the applicability and clinical efficacy of conventional music therapy and digital music rehabilitation for dementia in both home and care home settings. Specifically, the RCT seeks to determine (i) can conventional music therapy (CMT) and digital music rehabilitation (DMR) enhance or support cognitive function, mood, and quality of life in dementia compared to standard care; (ii) how does the efficacy of CMT and DMR differ in the different stages of dementia; and (iii) how do baseline demographic factors (e.g., age, gender, education), musical factors (musical background, music cognition) and neural factors (e.g., extent of neuropathology, preservation of music networks) affect the efficacy of the music interventions.

Methods: Participants are 192 PWDs across the dementia care continuum (PWDs with mild-moderate dementia living at home and PWDs with moderate-severe dementia living in care homes; N=96 each). Following a three-arm parallel-group RCT design, the PWDs living at home and at care homes are randomized into three groups (CMT, DMR, standard care; N=32 each]. The CMT and DMR comprise passive and active engagement with music over 10 weeks (2x60 min sessions/week), implemented either by a music therapist (CMT) or using a novel digital music content service (DMR). To investigate the efficacy of the music interventions, participants complete measures of cognitive functioning (neuropsychological tests) and mood and quality of life (questionnaires, clinical scales), which are assessed at three time points: baseline (pre-intervention), 3-month stage (post-intervention) and 6-month stage (follow-up). Additionally, family member and caregivers of PWDs are asked to answer questionnaires on the psychological well-being of the PWD (informant-report) and themselves (self-report). To explore the individual musical and neural factors that may affect the efficacy of music interventions, participants also complete a musical assessment battery as well as electroencephalography (EEG) and structural and functional MRI (s/fMRI) measurements at baseline.

Conditions
Dementia
Being tested
Conventional music therapy (CMT), Digital music rehabilitation (DMR)
Keywords
music therapy, music-based rehabilitation, digital intervention, cognitive functioning, memory, emotion, mood, quality of life, electroencephalography, magnetic resonance imaging
Medical subject headings
Dementia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional music therapy (CMT)Behavioural

    CMT comprises both receptive and expressive musical activities (listening and reminiscing to music, singing, and moving to music) held in small groups (8 PWDs/group) for a duration of 10 weeks (2x60 min sessions/week) and led by a professional music therapist. For PWDs living in a care home, the CMT sessions are implemented as inpatient rehabilitation held at the care home. For PWDs living at home, the CMT sessions are implemented as outpatient rehabilitation held at a local day activity centre.

  • Digital music rehabilitation (DMR)Behavioural

    DMR comprises both receptive and expressive musical activities (listening and reminiscing to music, singing, and moving to music) held in small groups (8 PWDs/group) for a duration of 10 weeks (2x60 min sessions/week) and implemented using a novel digital music content service called HILDA. In HILDA, there are a number of stand-alone musical programs hosted by a virtual presenter which the PWDs can follow and through which they can interact. The DMR sessions are moderated by an instructor (care home staff member or research assistant). For PWDs living in a care home, the DMR is implemented as live sessions held at the care home using a HILDA box connected to a TV screen and operated via a remote controller by the instructor. For PWDs living at home, the DMR is implemented as virtual sessions using a video communication platform that allows the instructor to stream and control the HILDA service and the participants to see and hear each other and interact.

Study groups in NCT05520268
Study groupRoleWhat they receive
Conventional music therapy (CMT)ExperimentalParticipants receive 10 weeks of CMT and standard care.
Receives: Behavioral: Conventional music therapy (CMT)
Digital music rehabilitation (DMR)ExperimentalParticipants receive 10 weeks of DMR and standard care.
Receives: Behavioral: Digital music rehabilitation (DMR)
Standard careNo interventionParticipants receive only standard care. Standard care comprises normal care services received by the PWDs in the Finnish health care system.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from baseline in the MoCA score at 3-month stage

    Montreal Cognitive Assessment (MoCA) score (range 0-30, higher score indicates better outcome), measures general cognitive function

    Measured: Baseline and 3-month stage

  2. Change from baseline in the CERAD total score at 3-month stage

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) total score (Chandler score, range 0-100, higher score indicates better outcome), measures general cognitive function

    Measured: Baseline and 3-month stage

Secondary outcomes (28)
  1. Change from baseline in the MoCA score at 6-month stage

    Montreal Cognitive Assessment (MoCA) score (range 0-30, higher score indicates better outcome), measures general cognitive function

    Measured: Baseline and 6-month stage

  2. Change from baseline in the CERAD total score at 6-month stage

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) total score (Chandler score, range 0-100, higher score indicates better outcome), measures general cognitive function

    Measured: Baseline and 6-month stage

  3. Change from baseline in the MoCA Fluency score at 3-month and 6-month stages

    Montreal Cognitive Assessment (MoCA) Fluency subtest score (phonemic fluency; min: 0, max: no upper limit, higher score indicates better outcome), measures language skills

    Measured: Baseline, 3-month stage and 6-month stage

  4. Change from baseline in the CERAD Fluency score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Fluency subtest score (semantic fluency; min: 0, max: no upper limit, higher score indicates better outcome), measures language skills

    Measured: Baseline, 3-month stage and 6-month stage

  5. Change from baseline in the CERAD Naming score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Naming subtest score (range: 0-15, higher score indicates better outcome), measures language skills

    Measured: Baseline, 3-month stage and 6-month stage

  6. Change from baseline in the CERAD Constructional Praxis score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Constructional Praxis subtest score (range: 0-11, higher score indicates better outcome), measures visuoconstructive function

    Measured: Baseline, 3-month stage and 6-month stage

  7. Change from baseline in the CERAD Word List Learning score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Word List Learning subtest score (range: 0-30, higher score indicates better outcome), measures verbal learning

    Measured: Baseline, 3-month stage and 6-month stage

  8. Change from baseline in the CERAD Word List Recall score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Word List Recall subtest score (range: 0-10, higher score indicates better outcome), measures delayed spontaneous verbal recall

    Measured: Baseline, 3-month stage and 6-month stage

  9. Change from baseline in the CERAD Word List Recognition score at 3-month and 6-month stages

    Consortium to Establish a Registry for Alzheimer's Disease (CERAD) Word List Recognition subtest score (range: 0-20, higher score indicates better outcome), measures delayed cued verbal recall

    Measured: Baseline, 3-month stage and 6-month stage

  10. Change from baseline in the WMS-IV Logical Memory I score at 3-month and 6-month stages

    Wechsler Memory Scale IV (WMS-IV) Logical Memory I subtest score (range: 0-56, higher score indicates better outcome), measures immediate verbal recall

    Measured: Baseline, 3-month stage and 6-month stage

  11. Change from baseline in the WMS-IV Logical Memory II score at 3-month and 6-month stages

    Wechsler Memory Scale IV (WMS-IV) Logical Memory II subtest score (range: 0-28, higher score indicates better outcome), measures delayed verbal recall

    Measured: Baseline, 3-month stage and 6-month stage

  12. Change from baseline in the IFS total score at 3-month and 6-month stages

    INECO Frontal Screening (IFS) total score (range 0-30, higher score indicates better outcome), measures executive function and working memory

    Measured: Baseline, 3-month stage and 6-month stage

  13. Change from baseline in the IFS Executive subscore at 3-month and 6-month stages

    INECO Frontal Screening (IFS) Executive subscore (summary score of the Motor Series, Conflicting Instructions, Go-No Go, Proverbs and Hayling Test subtests, range 0-18, higher score indicates better outcome), measures executive function

    Measured: Baseline, 3-month stage and 6-month stage

  14. Change from baseline in the IFS Working memory subscore at 3-month and 6-month stages

    INECO Frontal Screening (IFS) Working memory subscore (summary score of the Digits Backward, Verbal Working Memory and Spatial Working Memory subtests, range 0-12, higher score indicates better outcome), measures working memory

    Measured: Baseline, 3-month stage and 6-month stage

  15. Change from baseline in autobiographical memory score at 3-month and 6-month stages

    Custom-made autobiographical memory questionnaire, percentage score (range 0-100, higher score indicates better outcome; also qualitative data collected), measures subjective and objective autobiographical memory

    Measured: Baseline, 3-month stage and 6-month stage

  16. Change from baseline in the MADRS score at 3-month and 6-month stages

    Montgomery-Åsberg Depression Rating Scale (MADRS) score (range 0-60, higher score indicates worse outcome), measures depression symptoms

    Measured: Baseline, 3-month stage and 6-month stage

  17. Change from baseline in the PROMIS Depression score at 3-month and 6-month stages

    Patient-Reported Outcomes Measurement Information System (PROMIS) Depression scale score (range 8-40, higher score indicates worse outcome), measures depression symptoms

    Measured: Baseline, 3-month stage and 6-month stage

  18. Change from baseline in the PROMIS Anxiety score at 3-month and 6-month stages

    Patient-Reported Outcomes Measurement Information System (PROMIS) Anxiety scale score (range 8-40, higher score indicates worse outcome), measures anxiety symptoms

    Measured: Baseline, 3-month stage and 6-month stage

  19. Change from baseline in the NPI-Q Severity score at 3-month and 6-month stages

    Neuropsychiatric Inventory Questionnaire (NPI-Q) Severity scale score (range 0-36, higher score indicates worse outcome), measures the severity of neuropsychiatric symptoms

    Measured: Baseline, 3-month stage and 6-month stage

  20. Change from baseline in the NPI-Q Distress score at 3-month and 6-month stages

    Neuropsychiatric Inventory Questionnaire (NPI-Q) Distress scale score (range 0-60, higher score indicates worse outcome), measures the distress caused by the neuropsychiatric symptoms on caregivers

    Measured: Baseline, 3-month stage and 6-month stage

  21. Change from baseline in the NPI-Q total score at 3-month and 6-month stages

    Neuropsychiatric Inventory Questionnaire (NPI-Q) total score (range 0-180, calculated as Severity x Distress, higher score indicates worse outcome), measures the total level of neuropsychiatric symptoms

    Measured: Baseline, 3-month stage and 6-month stage

  22. Change from baseline in the QoL-AD score at 3-month and 6-month stages

    Quality of Life in Alzheimer's Disease (QoL-AD) score (range 15-60, higher score indicates better outcome), measures quality of life

    Measured: Baseline, 3-month stage and 6-month stage

  23. Change from baseline in the EuroQol EQ-5D-5L Health index score at 3-month and 6-month stages

    EuroQol EQ-5D-5L Health index score (range 0-1, higher score indicates better outcome), measures health-related quality of life

    Measured: Baseline, 3-month stage and 6-month stage

  24. Change from baseline in the EuroQol EQ-5D-5L Health VAS score at 3-month and 6-month stages

    EuroQol EQ-5D-5L Health VAS score (range 0-100, higher score indicates better outcome), measures general health

    Measured: Baseline, 3-month stage and 6-month stage

  25. Change from baseline in the caregiver GHQ-12 score at 3-month and 6-month stages

    General Health Questionnaire 12 (GHQ-12) score (caregiver self-report; range 0-36, higher score indicates worse outcome), measures stress and psychological well-being

    Measured: Baseline, 3-month stage and 6-month stage

  26. Change from baseline in the caregiver ZBI-12 score at 3-month and 6-month stages

    Zarit Burden Interview 12 (ZBI-12) score (caregiver self-report; range 0-48, higher score indicates worse outcome), measures caregiver burden

    Measured: Baseline, 3-month stage and 6-month stage

  27. Change from baseline in the UWES-9 score at 3-month and 6-month stages

    Utrecht Work Engagement Scale 9 (UWES-9) score (nurse self-report; range 0-54, higher score indicates better outcome), measures occupational well-being

    Measured: Baseline, 3-month stage and 6-month stage

  28. Change from baseline in the PCTB score at 3-month and 6-month stages

    Professional Care Team Burden (PCTB) score (nurse self-report; range 0-40, higher score indicates worse outcome), measures professional care team burden

    Measured: Baseline, 3-month stage and 6-month stage

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Aug 2022
  2. Study start1 Sep 2022
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2025 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
192 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05520268
Sponsor's protocol ID
346211
Other IDs
338448, 803466
Status last verified
Feb 2025
First submitted
23 Aug 2022
Last updated
6 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in articles, after deidentification

Questions about this trial

What is this clinical trial studying?

A study testing Conventional music therapy (CMT) and Digital music rehabilitation (DMR) in people with Dementia, run by University of Helsinki at 1 site in Finland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 6 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Finland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Anni Pitkäniemi, MA (+358503115872, anni.pitkaniemi@helsinki.fi), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from baseline in the MoCA score at 3-month stage (time frame: Baseline and 3-month stage). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Feb 2025.

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