Evaluating the use of music-assisted caregiving interventions by certified nursing assistants caring for nursing home residents with HIV-associated neurocognitive disorders and depressive symptoms: A mixed-methods study


  • Kendra Ray New York University Langone, Grossman School of Medicine Menorah Center for Rehabilitation and Nursing, MJHS Montclair State University, John H. Cali School of Music http://orcid.org/0000-0002-5115-9762
  • Girija Kaimal
  • Ayelet Dassa
  • Jaime Slaughter-Acey
  • Mary Mittelman




In recent years, HIV-associated neurocognitive disorders (HAND) have become more common as people with HIV live longer due to advances in anti-retroviral medications. The symptoms of HAND are often associated with mild-to-severe cognitive impairment and depression, which may lead to burden and burnout among the certified nursing assistants (CNAs) of individuals with HAND. Music-based interventions provided by paid caregivers have been shown to have positive effects for people with cognitive impairments, depression, and HIV. However, little is known about the benefits of music-based interventions for people with HAND and depression. In this concurrent nested, mixed-methods experiment, 12 nursing home residents with HIV-associated neurocognitive disorders and depression participated in 4 weeks of music-assisted caregiving with 5 CNAs. The music-assisted caregiving intervention significantly decreased depressive symptoms among the residents and personal achievement improved among the CNAs. This study supports the effectiveness of the music-assisted caregiving intervention in reducing depressive symptoms among nursing home residents with HIV-associated neurocognitive disorders and provides directions for research to explore interdisciplinary approaches for people with HIV and related cognitive disorders further.

Author Biography

Kendra Ray, New York University Langone, Grossman School of Medicine Menorah Center for Rehabilitation and Nursing, MJHS Montclair State University, John H. Cali School of Music

Research Assistant Professor

NYU Langone, Grossman School of Medicine, Department of Rehabilitation Medicine



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