Exploring the Clinical Utility of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) With People With End-stage Dementia
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Authors
Magee, Wendy Louise
Lipe, Anne Wheeler
Ikeda, Takayoshi
Siegert, Richard John
Supervisor
Item type
Journal Article
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Publisher
MDPI AG
Abstract
Dementia is a major health concern globally and cross-culturally with progressive decline in cognition, mobility and communication. There are few interventions for end-stage dementia (ESD) although music interventions have been observed to be accessible for people with mid to late-stage dementia. The lack of protocols and measures suited to ESD has limited research into the effects of music therapy. Measure sensitivity to minimal responsiveness is one limitation to the use of existing music intervention measures with ESD. This exploratory study examined the clinical utility of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) for use with people with end-stage dementia, including preliminary reliability and validity. The MATADOC is a standardized assessment for minimally responsive patients with disorders of consciousness and may be useful for ESD. Using repeated measures with blinded MATADOC-trained raters, MATADOC data were collected with a small convenience sample of people with ESD in a residential care setting. Clinical utility data were collected from the raters and evaluated using a multidimensional model. To explore its functionality, MATADOC outcomes were compared to another measure for music interventions in dementia. The MATADOC may be useful for assessing functioning and responsiveness to music interventions for people with ESD without the risk of floor effects. Modifying the MATADOC protocol and assessment documentation prior to testing with a larger sample will enhance its sensitivity specific to ESD and age-related needs, providing a new music-based ESD assessment.Description
Keywords
MATADOC, MiDAS, assessment, clinical utility, end-stage dementia, music therapy, 32 Biomedical and Clinical Sciences, 5201 Applied and Developmental Psychology, 5202 Biological Psychology, 3209 Neurosciences, 52 Psychology, Acquired Cognitive Impairment, Complementary and Integrative Health, Aging, Dementia, Clinical Trials and Supportive Activities, Brain Disorders, Alzheimer's Disease, Clinical Research, Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD), Neurodegenerative, Behavioral and Social Science, Neurosciences, Neurological, 1109 Neurosciences, 1701 Psychology, 1702 Cognitive Sciences
Source
Brain Sciences, ISSN: 2076-3425 (Print); 2076-3425 (Online), MDPI AG, 12(10), 1306-. doi: 10.3390/brainsci12101306
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© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).