This study aimed to determine the effect of Javanese Langgam music therapy on stress levels among older adults at Pucang Gading Elderly Social Service Home. A pre-experimental study with a pre-test post-test without control group design was conducted among 44 older adults. Stress levels were measured using DASS 42 before and after the intervention. Javanese Langgam music therapy was administered for 3 minutes, three times a week for one week. The Paired Samples t-Test showed a significant difference in stress scores before and after the intervention (t = 18.345; p < 0.001), with a mean reduction of 4.023 points, from 21.11 to 17.09. Cohen's d of 2.766 indicated a very large effect. Javanese Langgam music therapy significantly reduced stress levels among older adults and may be considered a non-pharmacological intervention.
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