Research and References

The five published studies that inform MUSE program design, with their findings and their limits. None of them evaluated MUSE.

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Evidence guide

Informed by Research. Responsive to People.

Published studies inform MUSE's design; none below evaluated MUSE. This catalogue describes creative and supportive services, not clinical music therapy or a treatment for dementia. Results depend on the population, delivery and duration.

References

Five Published Studies

1. Music and dementia

van der Steen et al. (2025). Music-based therapeutic interventions for people with dementia. Cochrane Database of Systematic Reviews, CD003477.

30 studies; 1,720 participants. At least five sessions probably slightly improve depressive symptoms versus usual care. Cognitive or lasting benefits were not established.

doi.org/10.1002/14651858.CD003477.pub5

2. A larger dementia trial

Sveinsdottir et al. (2025). Clinical effectiveness of music interventions for dementia and depression in older people (MIDDEL). Lancet Healthy Longevity, 6, 100783.

1,021 residents enrolled across six countries. At six months, no significant overall depression benefit from choir singing or group music therapy; effects varied by country.

doi.org/10.1016/j.lanhl.2025.100783

3. Breathwork and stress

Fincham et al. (2023). Effect of breathwork on stress and mental health: A meta-analysis of randomised-controlled trials. Scientific Reports, 13, 432.

"breathwork was associated with lower levels of stress than control conditions." General-adult evidence; it does not validate MUSE's original breathing practices.

doi.org/10.1038/s41598-022-27247-y

4. Comfort in palliative care

Warth et al. (2015). Music Therapy in Palliative Care: A Randomized Controlled Trial to Evaluate Effects on Relaxation. Deutsches Ärzteblatt International, 112, 788-794.

The study tested clinical music therapy, not MUSE bedside accompaniment. Findings support attention to comfort, without promising pain relief.

doi.org/10.3238/arztebl.2015.0788

5. Choir and belonging

Johnson et al. (2020). A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial. Journals of Gerontology: Series B, 75, 549-559.

Findings concern community-dwelling older adults without dementia. Cognitive and physical outcomes showed no significant between-group differences.

doi.org/10.1093/geronb/gby132

Selected evidence checked 2 October 2026. Quotes are brief verbatim excerpts; links open the cited publications.

Questions we get

Did any of these studies evaluate MUSE?

No. Published studies inform MUSE's design; none of the five evaluated MUSE.

Is this clinical music therapy?

No. MUSE describes creative and supportive services, not clinical music therapy or a treatment for dementia.

Does the research prove the programs work?

No. Results depend on the population, delivery and duration.

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Informed by Research. Responsive to People.

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Also from MUSE

More from MUSE for Older Adults and Families

Senior Program

Live music programs for senior living communities: group sing-alongs, bedside visits, meditation music, drum circles, performances and legacy work.

Memory Café

A two-hour gathering for people living with dementia and their caregivers, with music, shared singing and time to pause.

Caregiver Support

Private or group sessions, virtual or in person, with gentle breathing, meditation, humming and listening.

Lessons, Choir and Ensembles

Instrument and voice learning, recurring chances to sing and play, and an introduction to MUSE practices in listening and pacing.