Table_1_The use of audio-biographical cues in dementia care: a four-year evaluation in Swiss hospitals, care, and domestic homes.DOCX

IntroductionIn dementia care, the integration of innovative interventions is essential to enhancing the wellbeing and quality of life of people with dementia. Among these interventions, the Music Mirror intervention has emerged as a promising tool to provide personalized audio-biographical cues aimed at soothing, motivating, and engaging people with dementia. This study examined the effects of a Music Mirror intervention on the (a) wellbeing, emotions, and behavioral and psychological symptoms of 155 individuals with dementia, (b) perceived burden, relationship quality, and gains of their informal/formal caregivers, and (c) momentary closeness, wellbeing and stress of caregivers.MethodsThis four-year study employed a quasi-experimental waiting-control group design, utilizing before-after measurements in Swiss hospitals, care homes, and domestic homes. For four 6-week intervention phases, Music Mirrors, i.e., brief written resources of acoustic material, associated with practical activities of daily life, were applied at least twice a week by the caregivers during critical moments such as staff handover. Repeated measures' analysis of variance and other tests were used to analyze the data.ResultsIndividuals with dementia had a higher wellbeing after the Music Mirror use across different care situations. While the Music Mirrors were played, individuals with dementia showed more positive than negative emotions at each measurement occasion, but emotion scores did not significantly change over time. After the MM use, caregivers felt better, closer to the person with dementia, and less stressed. Caregivers also reported significant gains at the end of the intervention. However, there were no significant changes in the frequency of the behavioral and psychological symptoms of dementia, care-related burden and relationship quality over time, regardless of the treatment condition.DiscussionBy incorporating personalized audio-biographical cues into their care routines, the wellbeing of people with dementia was improved as well as it had positive momentary effects on their caregivers. The Music Mirror intervention addresses the preferences and needs of people with dementia and helps build bonds between care-recipients and caregivers. Therefore, Music Mirrors can be seen as a highly adaptive and individualized instrument to improve momentary wellbeing of people with dementia in various care situations during daily life.

引言在痴呆护理领域，整合创新干预措施对于提升痴呆症患者的生活福祉与生活质量至关重要。在这些干预措施中，音乐镜像干预作为一种有望的工具，旨在提供个性化的音频传记提示，以安抚、激励并吸引痴呆症患者。本研究旨在探讨音乐镜像干预对155名痴呆症患者（a）福祉、情绪、行为和心理症状的影响，（b）非正式/正式照护者感知的负担、关系质量及收益，（c）照护者瞬间的亲密感、福祉与压力的影响。方法本项为期四年的准实验性等待对照组设计研究，在瑞士医院、养老院和居家环境中进行前后测量。在四个为期6周的实施阶段中，照护者至少每周两次在关键时刻，如工作人员交接时，应用音乐镜像，即与日常生活实际活动相关的简短书面声学材料。采用重复测量方差分析和其他测试来分析数据。结果痴呆症患者在使用音乐镜像后，在不同照护情境下的福祉均有所提高。在播放音乐镜像期间，痴呆症患者在每次测量时均表现出更多积极的而非消极的情绪，但情绪得分并未随时间显著变化。使用音乐镜像后，照护者感觉更佳，与痴呆症患者的亲密感增强，压力减轻。照护者还在干预结束时报告了显著的收益。然而，无论治疗条件如何，痴呆症行为和心理症状的频率、照护相关负担和关系质量在时间上均未发生显著变化。讨论通过将个性化的音频传记提示融入照护常规中，痴呆症患者的福祉得到改善，同时对其照护者产生了积极的即时影响。音乐镜像干预满足了痴呆症患者的偏好和需求，并有助于建立受照护者与照护者之间的联系。因此，音乐镜像可被视为一种高度适应性和个性化的工具，用以改善痴呆症患者在不同日常生活中的照护情境中的瞬时福祉。