An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial

BackgroundIndividuals with intellectual disabilities (ID) are more likely to have problems with executive functioning (EF) and challenging behavior (CB), which are negatively linked to well-being. Among clinical populations, music interventions have been shown to improve vari...

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Main Authors: Gerianne Smeets, Karin Volkers, Erik Scherder, Xavier Moonen
Format: Article
Language:English
Published: JMIR Publications 2024-02-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2024/1/e52497
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author Gerianne Smeets
Karin Volkers
Erik Scherder
Xavier Moonen
author_facet Gerianne Smeets
Karin Volkers
Erik Scherder
Xavier Moonen
author_sort Gerianne Smeets
collection DOAJ
description BackgroundIndividuals with intellectual disabilities (ID) are more likely to have problems with executive functioning (EF) and challenging behavior (CB), which are negatively linked to well-being. Among clinical populations, music interventions have been shown to improve various outcome measures, such as CB and EF. Until now, no randomized controlled trials (RCTs) have been conducted to examine the effectiveness of an individual music intervention for adults with ID and CB. ObjectiveThe study aims to identify the effect and feasibility of an individual music intervention compared with care-as-usual for people with ID and CB. MethodsIn this study, a 2-group RCT with a pretest, posttest, and follow-up assessment after 8 weeks is presented. Participants of the music intervention condition will receive 16 individual music sessions within 8 to 10 weeks. The music intervention will be guided by a manual for music workers, in which every session will have a different focus (introduction, emotions, different EF, and end performance). Participants receiving care as usual will function as a control group. After the research is finished, they will be offered a budget, which they can spend on musical activities or musical instruments as they wish. Assessments will include caregiver rating scales and self-report questionnaires and tests, which will assess outcome measures of CB, well-being, depression, anxiety, self-esteem, and 4 domains of EF. A process evaluation will be conducted after the completion of the study, which entails the analysis of data on multiple aspects of the intervention and the study overall. ResultsEnrollment commenced in July 2021, and data collection ended in May 2023. A total of 97 participants were recruited, with 44 participants allocated to the intervention group and 53 allocated to the control group. Data will be analyzed after this protocol has been accepted for publication. ConclusionsBecause there are currently no published RCTs of an individual music intervention for adults with ID and CB, this study will provide insight into the effectiveness and experiences of an individual music intervention for this target group. Trial RegistrationInternational Clinical Trials Registry Platform NL8482; http://tinyurl.com/4565s5pd International Registered Report Identifier (IRRID)DERR1-10.2196/52497
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spelling doaj.art-3bdfc4994b8e479688b2ced2b1d314d02024-02-07T13:45:33ZengJMIR PublicationsJMIR Research Protocols1929-07482024-02-0113e5249710.2196/52497An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled TrialGerianne Smeetshttps://orcid.org/0000-0001-9246-1477Karin Volkershttps://orcid.org/0000-0002-1532-429XErik Scherderhttps://orcid.org/0000-0003-1203-3208Xavier Moonenhttps://orcid.org/0000-0002-1336-9152 BackgroundIndividuals with intellectual disabilities (ID) are more likely to have problems with executive functioning (EF) and challenging behavior (CB), which are negatively linked to well-being. Among clinical populations, music interventions have been shown to improve various outcome measures, such as CB and EF. Until now, no randomized controlled trials (RCTs) have been conducted to examine the effectiveness of an individual music intervention for adults with ID and CB. ObjectiveThe study aims to identify the effect and feasibility of an individual music intervention compared with care-as-usual for people with ID and CB. MethodsIn this study, a 2-group RCT with a pretest, posttest, and follow-up assessment after 8 weeks is presented. Participants of the music intervention condition will receive 16 individual music sessions within 8 to 10 weeks. The music intervention will be guided by a manual for music workers, in which every session will have a different focus (introduction, emotions, different EF, and end performance). Participants receiving care as usual will function as a control group. After the research is finished, they will be offered a budget, which they can spend on musical activities or musical instruments as they wish. Assessments will include caregiver rating scales and self-report questionnaires and tests, which will assess outcome measures of CB, well-being, depression, anxiety, self-esteem, and 4 domains of EF. A process evaluation will be conducted after the completion of the study, which entails the analysis of data on multiple aspects of the intervention and the study overall. ResultsEnrollment commenced in July 2021, and data collection ended in May 2023. A total of 97 participants were recruited, with 44 participants allocated to the intervention group and 53 allocated to the control group. Data will be analyzed after this protocol has been accepted for publication. ConclusionsBecause there are currently no published RCTs of an individual music intervention for adults with ID and CB, this study will provide insight into the effectiveness and experiences of an individual music intervention for this target group. Trial RegistrationInternational Clinical Trials Registry Platform NL8482; http://tinyurl.com/4565s5pd International Registered Report Identifier (IRRID)DERR1-10.2196/52497https://www.researchprotocols.org/2024/1/e52497
spellingShingle Gerianne Smeets
Karin Volkers
Erik Scherder
Xavier Moonen
An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
JMIR Research Protocols
title An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
title_full An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
title_fullStr An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
title_full_unstemmed An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
title_short An Individual Music Intervention for Adults With Intellectual Disabilities and Challenging Behavior: Protocol for a Randomized Controlled Trial
title_sort individual music intervention for adults with intellectual disabilities and challenging behavior protocol for a randomized controlled trial
url https://www.researchprotocols.org/2024/1/e52497
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