Nurse-Led Active Music Program in Older Adults With Cognitive Impairment

This pilot study evaluated the feasibility and acceptability of a structured, nurse-led active music program for older adults with cognitive impairment living in a long-term care facility. Participants took part in eight group music sessions delivered twice weekly over four consecutive weeks. The program included singing, rhythmic activities, seated movement, music-based reminiscence, cognitive stimulation, and social interaction. Feasibility and acceptability were the primary domains of interest. Cognitive function, depressive symptoms, active participation, sustained attention, and social interaction were also assessed as exploratory outcomes.

Inclusion Criteria: * Age 70 years or older. * Permanent residence in the long-term care facility for at least one month. * Documented clinical diagnosis or screening result consistent with mild-to-moderate cognitive impairment. * Sufficient motor capacity to participate in seated group activities. * Adequate or corrected hearing ability to understand verbal instructions and participate in the musical activities. * Written informed consent from the participant or, when applicable, from a family member or legal representative. Exclusion Criteria: * Severe uncorrected hearing impairment. * Unstable medical condition, decompensated disease, or terminal illness that could compromise safe participation. * Severe uncontrolled neuropsychiatric symptoms, including delusions, hallucinations, or marked agitation. * Refusal to participate.