Use the practice problem and a quantitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.
In a 1000-1,250-word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.
Refer to the resource \”Research Critique Guidelines\” for suggested headings and content for your paper.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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“Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J. & Odell-Miller, H. (2015). Individual music therapy for managing neuropsychiatric symptoms for people with dementia and their carers: a cluster randomised controlled feasibility study” BMC Geritrics, 15, 84. doi: 10.1186/s12877-015-0082-4 Quantitative Research Critique Discussion.
Background of Study
The article mentions that about 44.4 million persons were diagnosed with dementia in 2013 with the population expected to increase to 75.6 million and double to 13.5 million by 2050. These figures are an indication that the care for dementia places a burden on health resources with the burden only expected to grow over time. To counter the expected burden, it is projected that medical care should be focused on addressing the neuropsychiatric symptoms of dementia that include anxiety, apathy, depression, and agitation. These symptoms are chronically present in all patients and only worsen over time. Previously, psychotropic medication was used to address these symptoms. Nonetheless, evaluations show that these medication have little effect on the symptoms, and no effect on the quality of life. Based on this awareness, music therapy is proposed as a psychosocial intervention that could achieve the desired goal of addressing the neuropsychiatric symptoms of dementia while improving the quality of life. As such, the present study evaluates the feasibility of using music therapy to manage dementia, in terms of acceptability, recruitment and retention, and preliminary outcomes. In this respect, the article quantitatively explores the feasibility of using music therapy to addressing the neuropsychiatric symptoms of dementia, and improve quality of life.
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Methods of Study
The research applied a mixed method approach (including elements of both qualitative and quantitative methods) was applied that used a cluster randomized trial. In fact, it applied a trial design that viewed the study in terms of feasibility. The participants were recruited between January and February 2013 from two care homes and randomized to either the intervention or control group. The inclusion was being a resident in one of the two homes, dementia diagnosis, display neuropsychiatric symptoms of dementia, be older than 39 years of age, and not display any significant health problems. The intervention group used personalized music therapy whereas the control group used psychotropic medication. Quantitative data was collected using observation whereas qualitative was collected using interviews. The measurements were made at the baseline, 3-month, 5-month, and 7-month time period. The interviews were conducted with the home staff at the 6-month time period. The outcome measures were neuropsychiatric inventory and dementia care mapping. Once collected, the primary data was subjected to descriptive and inferential analysis using SPSS software to note the link between the variables.
The research methodology is appropriate. That is because it allowed the study to access the required sample who were then recruited for the research. This implies that the right data could be collected and subjected to statistical analysis before interpretation. In essence, the methodology allowed for a true assessment of the feasibility of using music therapy when compared to psychotropic medication. In addition, the comprehensive exhibition of the research methodology expedites research replication efforts. Also, there is no indication that researcher bias was minimized since the research used data collected through interviews and observations by the researcher did not need to prepare new data collection tools and only had to ‘copy and paste’ data that was already available. Another notable shortcoming that can be discerned in the methodology is that the authors do not mention if an independent third-party was approached to conduct verification and accuracy checks. The mentioned shortcomings are an indication that there were opportunities for bias in the research Quantitative Research Critique Discussion.
Results of Study
The study initially approached 76 residents and 12 staff members for inclusion. 17 residents and 10 staff members met the inclusion criteria for a total of 27 participants who gave their consent. For the first care home, 7 residents and 3 staff were recruited of which 4 residents and 2 staff were in the intervention group while 3 residents and 1 staff were in the control group. For the second care home, 10 residents and 7 staff were recruited of which 5 residents and 5 staff were in the intervention group while 5 residents and 2 staff were in the control group. Comparison of the care outcomes for the two groups shows that music therapy improved outcomes for both the neuropsychiatric symptoms of dementia (13.42, 95 % CI: [4.78 to 22.07; p = 0.006]) and wellbeing (0.74, 95 % CI: [−1.15 to −0.33; p = 0.003]) when compared to psychotropic medication. This implies that music therapy is a feasible intervention strategy for addressing the neuropsychiatric symptoms of dementia, although these results should be verified using a larger sample of participants. As such, music therapy programs should be developed for use in dementia management.
These results are valuable to nursing practitioners since they present evidence that support efforts to manage dementia, particularly its neuropsychiatric symptoms. They show a clear correlation between the dementia and music therapy under review so that nurses will have evidence to support proposals for development of music therapy programs. Additionally, the study makes recommendations for future studies by noting that the present study only recruited a small sample of participants and the present results should first be verified by a study involving a larger sample of participants before the recommendations can be implemented.
The study mentions that ethical approval for the research was sought from all affiliated institutions after extensive consultation throughout the research process. In fact, the National Research Ethics Service is cited for having offered ethical approval for the study to proceed through the Anglia Ruskin University Ethics Committees. The approval from the affiliated institutions shows that they were persuaded that the study posed no harm to the participants and adequate actions had been undertaken to ensure that the participants were protected. In addition, it mentions that there was a requirement for informed consent that was signed by the participants to show that they were aware of the research intentions and consented to participate Quantitative Research Critique Discussion.
The research sought to evaluate the feasibility of using music therapy to manage dementia, in terms of acceptability, recruitment and retention, and preliminary outcomes. This is based on the understanding that a larger number of people are being diagnosed with dementia every year. The greater concern is that psychotropic medication have failed to address the neuropsychiatric symptoms of dementia. To facilitate the efforts, a mixed method approach was applied that used a cluster randomized trial. The participants were randomized into treatment group (using music therapy) and control group (using psychotropic medication). There is evidence to show that the methodology made ethical considerations by seeking approval from affiliated institutions and having the participants sign consent forms. The results of the data analysis showed that music therapy improved outcomes for both the neuropsychiatric symptoms of dementia (13.42, 95 % CI: [4.78 to 22.07; p = 0.006]) and wellbeing (0.74, 95 % CI: [−1.15 to −0.33; p = 0.003]) when compared to psychotropic medication. These results are valuable to nursing practitioners since they show a clear correlation between the dementia and music therapy under review so that nurses will have evidence to support proposals for development of music therapy programs. Still, additional evidence is necessary since the present study recruited a small sample to imply that a larger sample of participants should be recruited Quantitative Research Critique Discussion.
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