Table 1:
Inclusion and Exclusion Criteria for Older Adults with ADRD
Inclusion | Exclusion |
---|---|
Age 60 and older | Planned transition to another residential or institutional care setting in less than 3 months to decrease attrition rates |
Existing physician diagnosis of ADRD or self-reported memory impairment and Clinical Dementia Rating (CDR) Scale score of greater than 0.5 (Morris, 1993) | Hearing impairment (defined as inability to hear a normal speaking voice at a distance of 1–1/2 feet) to exclude those who cannot hear the music intervention |
Presence of sleep problems determined first during phone screening using Neuropsychiatric Inventory sleep disorders item, then using proxy-rated Sleep Disorders Inventory (SDI) (Tractenberg, Singer, Cumming, & Thal, 2003) (presence of at least one sleep disturbance symptom of moderate severity) | Presence of extrapyramidal symptoms affecting non-dominant hand which may include persons with the following diagnoses: schizophrenia, bipolar disorder, Huntington’s disease, Parkinson’s disease, Lewy Body dementia due to REM sleep disorders affecting actigraphy measurement of sleep disruption (Camargos et al., 2013) |
Stable dose of psychotropic medications, sedatives/hypnotics, anti-dementia or opioids in the past 90 days (typical time frame in clinical trials) prior to enrollment to minimize confounding effects of medications | Currently enrolled in an interventional clinical trial for ADRD aimed to improve sleep as to not to confound the efficacy results |
Tolerates and agrees to wear wrist actigraph | Acute sleep disruption within 2 weeks of screening as it may indicate sleep disorders not related to ADRD or delirium (Camargos et al., 2013) |
Responsive to their environment (e.g., able to understand short commands) | End stage disease (i.e. cancer, bed bound) to minimize factors affecting actigraphy measurement |
Sufficient English to complete questionnaires |