Effect of Music Activities on Depression and Sleep Quality in Frail Older Adults

N/ANot Yet RecruitingNCT07049445

National Chung Hsing University80 enrolled

Overview

This study aims to examine the effects of music activities on depression and sleep quality among frail older adults, and to develop a standardized music activity protocol suitable for use in adult day care centers. A randomized controlled trial (RCT) design will be used. Participants will be recruited from 4 to 5 adult day care centers and randomly assigned to either an intervention group (receiving music activities twice per week, one hour per session, for eight weeks) or a control group (receiving only routine activities). Depression and sleep quality will be measured at baseline, week 4, and week 8. Assessments will include validated questionnaires and the index of osteoporotic fractures. Data analysis will evaluate the effectiveness of music activities in improving depression and enhancing sleep quality.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Depression Sleep Quality Frailty

Interventions

Music Activity ProgramBEHAVIORAL

Participants in the experimental group will receive the standard day care center activities plus a music activity intervention. The music activity consists of pre-recorded video sessions conducted twice a week, each lasting one hour, for a total duration of 8 weeks.

Eligibility

Sex: ALLMin age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Inclusion Criteria: 1. Aged 60 years or older. 2. Currently receiving services at an adult day care center. 3. Frailty score ≥1 based on the Study of Osteoporotic Fractures (SOF) index. 4. Geriatric Depression Scale (GDS-15) score ≥5 or Pittsburgh Sleep Quality Index (PSQI) score ≥5. 5. Clear consciousness and able to communicate in Mandarin or Taiwanese. Exclusion Criteria: 1. Severe hearing or visual impairments. 2. Diagnosed with severe psychiatric disorders or dementia. 3. Unable to participate in group activities.

Outcomes

Primary Outcomes

Geriatric Depression Scale-15 (GDS-15)

The Geriatric Depression Scale-15 (GDS-15) is a self-report questionnaire used to assess depressive symptoms in older adults. It consists of 15 yes/no questions. Total scores range from 0 to 15, with higher scores indicating more severe depressive symptoms. A score of ≥5 is suggestive of depression. The scale is widely used and validated for older populations.

Time frame: At baseline, week 4, and week 8

Pittsburgh Sleep Quality Index (PSQI)

The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire that assesses sleep quality and disturbances over a 1-month interval. It includes 19 items generating 7 component scores (e.g., sleep latency, sleep duration), which are summed to yield a global score ranging from 0 to 21. Higher scores indicate poorer sleep quality. A global score \>5 suggests significant sleep disturbances.