[Effect of a non-pharmacological intervention, Voix d'Or(®), on behavior disturbances in Alzheimer disease and associated disorders]

Geriatr Psychol Neuropsychiatr Vieil. 2013 Sep;11(3):323-30. doi: 10.1684/pnv.2013.0421.
[Article in French]

Abstract

An innovative non-pharmacological intervention called Voix d'Or(®) (Golden Voice) was proposed in the Cognitive behavioral unit (CBU) of the Memory center at the Hospices civils in Lyon. Voix d'Or(®) offers eight sound activities disseminated via an audio device based on different approaches sociotherapeutic (music therapy, reminiscence, relaxation, reorientation in reality). The aim of this study was to test the effects of the Voix d'Or(®) program on behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer's disease hospitalized in the CBU. Twenty four patients with agitation and/or apathy and/or anxiety and/or depression were included. Patients were randomly selected in the intervention group exposed to Voix d'Or versus a control group exposed to usual occupational activities. Patients were assessed before (T0) and after (T1) the intervention period. Several variables were measured: frequency and severity of behavioral disorders, anxiety, depression, agitation and apathy. A significant improvement of anxiety level between T0 and T1was observed in the group with Voix d'Or(®) compared to the control group. This study suggests that this non-pharmacological intervention may be beneficial on anxiety in patients with Alzheimer's disease.

Keywords: Alzheimer disease; BPSD; dementia; non-pharmacological intervention; sensory stimulation.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Acoustic Stimulation / methods*
  • Aged
  • Alzheimer Disease / diagnosis
  • Alzheimer Disease / psychology
  • Alzheimer Disease / therapy*
  • Anxiety Disorders / diagnosis
  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Apathy
  • Cognitive Behavioral Therapy / methods*
  • Combined Modality Therapy
  • Depressive Disorder / diagnosis
  • Depressive Disorder / psychology
  • Depressive Disorder / therapy
  • Female
  • Follow-Up Studies
  • Hospitalization
  • Humans
  • Male
  • Mental Disorders / diagnosis
  • Mental Disorders / psychology
  • Mental Disorders / therapy*
  • Mental Status Schedule
  • Middle Aged
  • Occupational Therapy / methods
  • Psychomotor Agitation / diagnosis
  • Psychomotor Agitation / psychology
  • Psychomotor Agitation / therapy
  • Socioenvironmental Therapy / methods*