Effects of Music in Reducing Disruptive Behavior in a
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Effects of Music in Reducing Disruptive Behavior in a General Hospital Edward Helmes and Donna C. Wiancko
BACKGROl1ND: There [tre {ew controlled studies in acute care of the ef(ectiveness of distracting music in reducing the {requency ofnoise produced by dementing indi!!iduals. OBJECTIVE: The authors tested whether a randomized interven· tion of playing baroque music for 30-min periods would reduce the frequency of repetitive shouting and banging in elderly patients l/l a teaching hospital. STUDY DESIGN: Single case studies with 9 participants (7 femaks. 2 males). with a, mea/l age of 82,7 years tSD ,: 7.44). Obser!!ations were made at different times of day for a minimum offour sessions. RESULTS: Trials with distmeting music in seven cases had a reduced frequency ofdisruptive noises offrDm 89% to 63% (rom peak lCt'els ill control trials. In 2 participants with an extremely high frequency of incidents, the frequency of out· bursts oj'noise was reduced by up to 31% on trials witlt music compared to control trials. CONCLUSIONS: The use of music to reduce disruptive noise in an acute care setting appears fa be as effective as other such interventions have been. 111 residential care facilities. JAm PsycJtiatr Nurses Assoc, 2006; 12(1), 87·44 DOl: 10.117711078390306291514 Keywords: dementia.: disruptive l>eluwior; music; singLe case study
Music has long had a reputation as soothing and relaxing. It has thus often been recommended as a m~ans of a1 leviating tension and other effe