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The Effect of Group Music Therapy with Physical Activities to Prevent Frailty in Older People Living in the Community

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  • Feng-Ching Sun

    (Kaohsiung Municipal United Hospital, No. 976, Zhonghua 1st Rd., Gushan Dist., Kaohsiung City 804114, Taiwan
    College of Nursing, Kaohsiung Medical University, 100 Shih-Chuan 1st Rd., Sanmin District, Kaohsiung 80708, Taiwan)

  • Hui-Chi Li

    (College of Nursing, Asia University, 500 Lioufeng Rd., Wufeng, Taichung 41354, Taiwan)

  • Hsiu-Hung Wang

    (College of Nursing, Kaohsiung Medical University, 100 Shih-Chuan 1st Rd., Sanmin District, Kaohsiung 80708, Taiwan)

Abstract

Background: The frail elderly are prone to falls and fractures, which can result in dependency, disability, admission to institutions, and even death. They are at increased risk of frailty due to decreased physical activity, cognitive decline, and depression. Some evidence suggests that music therapy with physical activities may be particularly beneficial. Objective: This study aimed to investigate the intervention effect of music therapy with physical activities (MTPA) on frail elderly in the community. Methods: A quasi-experimental design was adopted. We selected 10 community care centers in southern Taiwan, in which elderly people over the age of 65 were assigned to a MTPA group and a comparison group after obtaining their informed consent. The MTPA group performed group music activities once a week for 120 min for 12 weeks, while the comparison group only continued with their daily activities. Instruments in this study included the Kihon Checklist, Senior Fitness Test (with Body Mass Index (BMI) and seven physical fitness items), Mini-Mental Status Examination (MMSE), and Geriatric Depression Scale Short Form (GDS-SF). Results: A total of 132 community elders agreed to participate in this study, and 122 completed both the pretest and posttest, with 62 in the music therapy group and 60 in the comparison group. The results of ANCOVA showed that after intervention, except for BMI, the Kihon frailty assessment, seven fitness scores individually and in total, MMSE, and depression showed significant improvements in the music therapy group relative to the comparison group (all p < 0.05). Conclusion: MTPA can improve the frailty index, cognitive function, depression, and physical fitness index in the community elderly. The results of this study can be used as a reference for the design of activities for the community elderly, to provide them with appropriate activities, improve their physical functions, and improve or delay their disability.

Suggested Citation

  • Feng-Ching Sun & Hui-Chi Li & Hsiu-Hung Wang, 2021. "The Effect of Group Music Therapy with Physical Activities to Prevent Frailty in Older People Living in the Community," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8791-:d:618218
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    References listed on IDEAS

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    1. Chih-Chung Hsu & Su-Ru Chen & Pi-Hsia Lee & Pi-Chu Lin, 2019. "The Effect of Music Listening on Pain, Heart Rate Variability, and Range of Motion in Older Adults After Total Knee Replacement," Clinical Nursing Research, , vol. 28(5), pages 529-547, June.
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    Cited by:

    1. Misa Nakamura & Masataka Ohki & Riku Mizukoshi & Itsuki Takeno & Taira Tsujita & Ryota Imai & Masakazu Imaoka & Masatoshi Takeda, 2022. "Effect of Home-Based Training with a Daily Calendar on Preventing Frailty in Community-Dwelling Older People during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(21), pages 1-9, October.

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