Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual

Bidragets oversatte titel: Personafstemt musikalsk interaktion (PAMI) i demensomsorgen. Kompleks interventionsforskning mhp. udvikling af en undervisningsmanual

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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Abstract

Introduction: Music is of vital importance for cognition, human care, and the formation of social communities throughout life. Dementia is a neurocognitive disorder that affects cognitive domains, and in late-stage dementia, care is needed in all aspects of daily living. Within residential care home contexts, carers play a significant role for the “caring culture” but often lack professional training in verbal and nonverbal communication skills. Thus, there is a need for training carers to respond to the multidimensional needs of persons with dementia. Music therapists use musical interactions but are not trained to train carers. Therefore, our aim was to explore person-attuned musical interactions (PAMI), and additionally, to develop and evaluate a training manual to be used by music therapists when supporting and training carers in nonverbal communication with persons with late-stage dementia in residential care home contexts.

Research process: With a realist perspective and systems thinking and within the framework for complex intervention research, the research group integrated several overlapping subprojects by applying a non-linear and iterative research process. Core elements related to person-centred dementia care as well as learning objectives were considered through the following four phases; Developing, Feasibility, Evaluation, and Implementation.

Results: The result was a training manual for qualified music therapists to use when teaching and collaborating with carers about how to implement PAMI in dementia care. The manual included comprehensive resources, a clear structure for training, defined learning objectives, and integration of theory.

Discussion: With increased knowledge about caring values and nonverbal communication, residential care home cultures may develop carer competencies and provide professional attuned care for persons with dementia. Further piloting and testing to examine the general effect on caring cultures is needed.
Bidragets oversatte titelPersonafstemt musikalsk interaktion (PAMI) i demensomsorgen. Kompleks interventionsforskning mhp. udvikling af en undervisningsmanual
OriginalsprogEngelsk
Artikelnummer1160588
TidsskriftFrontiers in Medicine
Vol/bind10
Sider (fra-til)0-13
ISSN2296-858X
DOI
StatusUdgivet - 2 maj 2023

Bibliografisk note

Copyright © 2023 Ridder, Krøier, Anderson-Ingstrup and McDermott.

Emneord

  • Complex interventions
  • attunement
  • dementia
  • music therapy
  • person-centred care
  • residential care home

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