Haven: Sharing receptive music listening to foster connections and wellbeing for people with dementia who are nearing the end of life, and those who care for them

Dementia (London). 2020 Jul;19(5):1657-1671. doi: 10.1177/1471301218804728. Epub 2018 Oct 11.

Abstract

This paper reports on research exploring the effects of music played for 12 dyads: a care home resident ('resident') with dementia and someone closely connected to him/her ('carer'). Six individualised music interventions (3 live and 3 pre-recorded) were played by the first author on solo cello within five Scottish non-NHS care homes. All interventions were video-recorded. Semi-structured interviews with carer participants, key staff, and managers explored their responses to interventions. Thick descriptions of video recordings and interview transcripts were thematically coded using Nvivo. A key finding was that structural elements of the interventions combined with characteristics of the music played facilitated an internalised experience of 'haven'; sonically transporting listeners away from their present reality and fulfilling the basic human needs for inclusion, comfort, identity, occupation and attachment.

Keywords: communication; dementia; end of life; interaction; palliative care; therapeutic music.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Caregivers / psychology*
  • Dementia / mortality
  • Dementia / psychology*
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Music Therapy*
  • Palliative Care*
  • Quality of Life / psychology
  • Scotland
  • Terminal Care / psychology*