Methods | RCT (parallel). 6‐weeks intervention and 4‐weeks follow‐up. No information reported about start and end dates of data collection. |
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Participants | Country: Iceland. N = 38 (? female, ? male); residents in 2 nursing homes and 2 psychogeriatric wards. Age range: 71 to 87 (recruited sample, N = 48). Diagnosis of dementia: all diagnosed with Alzheimers disease (ICD‐10); Global Deterioration Scale (GDS) score of 5 to 7 (moderate to severe dementia). |
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Interventions | 1) Group music therapy (three or four participants per session), mixed active (playing instruments) and receptive (listening), 3 times a week for 6 weeks (total of 18 sessions), 30 minutes per session. 2) Standard care as usual. |
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Outcomes | Behavioural and psychological symptoms of dementia (BPSD) assessed with the Behaviour Pathology in Alzheimer's disease Rating Scale (BEHAVE‐AD). | |
Notes | No clear baseline characteristics presented. Funded by the Research Fund for Alzheimer’s Disease and Related Disorders, Landspitali University Hospital. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | No information provided. |
Allocation concealment (selection bias) | Unclear risk | Quote: "...The 46 remaining patients were then randomised to a music therapy group or a control group, with 23 individuals in each group". |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Not possible to blind the convener and participants. |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | The outcome assessors were blinded. Quote: "Two nurses were trained in using the BEHAVE‐AD scale and they were blinded to the therapy used. The nurses were not part of the staff of the wards".. |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | No information provided. |
Selective reporting (reporting bias) | Unclear risk | No data. |
Other bias | Unclear risk | No clear baseline characteristics presented. First author (HBS) provided the music therapy. Quote: "Throughout the study the same qualified music therapist (H.B.S.) conducted the music therapy". |