Using Music to Develop a Multisensory Communicative Environment for People with Late-Stage Dementia
Using Music to Develop a Multisensory Communicative Environment for People with Late-Stage Dementia
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DOI：
10.1093/geront/gnz169
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发表时间：
2020-09-01
期刊：
影响因子：
5.7
通讯作者：
Brotherhood, Emilie
中科院分区：
文献类型：
--
作者：
Clare, Amy;Camic, Paul M.;Brotherhood, Emilie
背景和目标：研究表明，音乐干预对痴呆症的生物，心理和认知方面有好处，但关注音乐在沟通中的作用的研究有限。这项研究发展了一个概念性的理解，晚期痴呆患者如何在一个现场音乐团体中随着时间的推移用非语言表达自己并与他人互动。研究设计和方法：八个老年痴呆症患者在寄宿护理中（82-97岁），4名护理人员，三位音乐家参加了8小时的每周现场音乐生活会议，并听取了1小时的录音音乐会议。视觉扎根理论被用来分析视频数据收集nonintrusively通过飞360度camera.Results：现场音乐组促进了多感官的沟通环境，允许语言和非语言的沟通行为，社会interpretation组件和机构随着时间的推移发展。这些方面受到三个因素的影响：时间，一对一的互动在一组设置和特点的music.Discussion and Implications：非语言沟通在晚期痴呆症可能会被忽视或低估的忙碌繁忙的护理人员和家庭。使用音乐作为一种互动的沟通方式可以帮助发展镜像和轮流，这已被证明可以提高沟通障碍者的生活质量，增加他们的非语言沟通，并允许人们之间建立联系。虽然建议进一步的研究，个人负责的住宿照顾应该感到有信心，正在进行的音乐团体的发展，这一人口是必要的，作为持续的护理的一部分。
Background and Objectives: Research has indicated the benefit of music interventions on biological, psychological, and cognitive aspects of dementias, yet there is limited research focusing on music's role in communication. This study developed a conceptual understanding of how people with late-stage dementia may express themselves nonverbally and interact with others during a live music group over time.Research Design and Methods: Eight people with advanced dementias in residential care (aged 82-97 years), four care staff, and three musicians participated in 8-hr-long weekly live Music for Life sessions and listened to 1-hr-long recorded music session. Visual grounded theory was used to analyze video data collected nonintrusively via the Fly 360-degree camera.Results: The live music group facilitated a multisensory communicative environment allowing for verbal and nonverbal communicative actions, social interactional components and agency to develop over time. These aspects were influenced by three factors: time, one-to-one interaction within a group setting and the characteristics of the music.Discussion and Implications: Nonverbal communication in later-stage dementia may be overlooked or underestimated by busy care staff and families. Using music as an interactive way to communicate can help develop mirroring and turn-taking which has been shown to improve quality of life for people with communication impairment, increase their nonverbal communication and allow for a connection to be built between people. Although further research is recommended, individuals responsible for residential care should feel confident that the development of ongoing music groups for this population is warranted as part of ongoing care.