Ten people with dementia (PWD) and their family carers participated in a Singing Together Group for 10 weeks and measures of mood, quality of life, PWD's behavioural and psychological problems, activities of daily living and cognitive status were measured at pre, post and 10-week follow-up. Engagement levels were monitored during the sessions and care partners asked to rate each session. Additional qualitative information was obtained through interview pre-post and at follow-up and subjected to thematic analysis. The results showed that PWD were deteriorating slowly over the course of the study on all measures but that they and their carers’ quality of life remained relatively stable. Engagement levels during the group were very high and attendance excellent. Qualitative data gave strong support to the group having promoted wellbeing of all participants and Nolan's ‘Senses Framework’ was used to explore this further. Future research directions are suggested.
AdamsT.GardinerP. (2005) Communication and interaction within dementia care triads. Dementia, 4(2): 185–205.
2.
AdamsK. B.LiebbrandtS.MoonH. (2011) A critical review of the literature on social and leisure activity and wellbeing in later life. Ageing and Society, 31, 683–712.
3.
AndersenC. K.Wittrup-JensenK. U.LolkA.AndersenK.Kragh-SorensenP. (2004) Ability to perform activities of daily living in patients with dementia. Health and Quality of Life Outcomes, 2, 52–52.
4.
BanerjeeS.SamsiK.PetrieC. D.AlvirJ.TregliaM.SchwamE. M. (2009) What do we know about quality of life in dementia? A review of the emerging evidence on the predictive and explanatory value of disease specific measures of health related quality of life in people with a dementia. International Journal of Geriatric Psychiatry, 24, 15–24.
5.
BanerjeeS.SmithS. C.LampingD. L.HarwoodR. H.FoleyJ.SmithP. (2006) Quality of life in dementia: More than just cognition. Neurology, Neurosurgery and Psychiatry, 77, 146–148.
6.
BannanN.Montgomery-SmithC. (2008) Singing for the brain: Reflections on the human capacity for music arising from a pilot study of group singing with Alzheimer's patients. The Journal of the Royal Society for the Promotion of Health, 128, 73–78.
7.
BoyatzisR. E. (1998) Transforming qualitative information: Thematic analysis and code development, London: Sage.
8.
BraunV.ClarkeV. (2006) Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2): 77–101.
9.
BrodM.StewartA. L.SandsL.WaltonP. (1999) Conceptualization and measurement of quality of life in dementia: The dementia quality of life instrument (DQoL). The Gerontologist, 39, 25–35.
10.
BrodadyH.BermanK.(2008) Interventions for family caregivers of people with dementia. In: WoodsR.ClareL. (eds) Handbook of the clinical psychology of ageing, 2nd edn, Chichester: Wiley.
11.
CamicP. M.RhodesJ. E.YardleyL.(2003) Naming the stars: Integrating qualitative methods into psychological research. In: CamicP. M.RhodesJ. E.YardleyL. (eds) Qualitative research in psychology: Expanding perspectives in methodology and design, Washington, D.C.: American Psychological Association, pp. 3–15.
12.
CliftS.HancoxG.MorrisonI.HessB.KreutzG.StewartD. (2010) Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey. Journal of Applied Arts and Health, 1(1): 19–34.
13.
CohenG. D. (2009) New theories and research findings on the positive influence of music and art on health with ageing. Arts & Health: An International Journal of Research, Policy and Practice, 1, 48–62.
14.
CraigP.DieppeP.MacintyreS.MitchieS.NazarethI.PetticrewM. (2008) Developing and evaluating complex interventions: The new Medical Research Council Guidance. British Medical Journal, 337, 979–983.
15.
CrawfordJ. R.HenryJ. D. (2003) The depression and anxiety stress scales (DASS): Normative data and latent structure in a large non-clinical sample. British Journal of Clinical Psychology, 42, 111–131.
16.
CummingsJ. L.MegaM. S.GrayK.Rosemberg-ThompsonS.GornbeinT. (1994) The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia. Neurology, 44, 2308–2314.
17.
FolsteinM. F.FolsteinS. E.McHughP. R. (1975) Mini-mental state: A practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3): 189–98.
18.
Gaugler, J. E., Kane, R. L., & Newcomer, R. (2007). Resilience and transitions from dementia caregiving. Journal of Gerontology: Psychological Sciences, 62, 38–44.
19.
GotellE.BrownS.EkmanS. L. (2002) Caregiver singing and background music in dementia care. Western Journal of Nursing Research, 24(2): 195–216.
20.
GotellE.BrownS.EkmanS. (2009) The influence of caregiver singing and background music on vocally expressed emotions and moods in dementia care: A qualitative analysis. International Journal of Nursing Studies, 46, 422–430.
21.
HammarL. M.EmamiA.EngstromG.GotellE. (2010) Reactions of persons with dementia to caregivers singing in morning care situations. Open Nursing Journal, 4(4): 35–41.
22.
HaysY.MinichielloV. (2005) The contribution of music to quality of life in older people: An Australian quality of life study. Ageing and Society, 25(2): 261–278.
23.
HolmesC.KnightsA.DeanC.HodkinsonS.HopkinsV. (2006) Keep music live: Music and the alleviation of apathy in dementia subjects. International Psychogeriatrics, 18, 623–630.
24.
Hulme, C., Wright, J., Crocker, T., Oluboyede, Y., & House, A. (2009). Non-pharmacological approaches for dementia that informal carers might try or access: A systematic review. International Journal of Geriatric Psychiatry. Retrieved September 21 2010, from http://www3.interscience.wiley.com/journal/112161699/issue.
25.
KazdinA. (1977) Assessing the clinical and applied significance of behavioral change. Behavior Modification, 1(1): 427–452.
26.
Kelley, F. (2007). Well-being and expression of self in dementia: Interactions in long-term wards and creative sessions. University of Sterling. Retrieved April 5 2011, from http://hdl.handle.net/1893/207.
27.
KitwoodT. (1997) Reconsidering dementia: The person comes first, Buckingham: Open University Press.
28.
KneafseyR. (1997) The therapeutic use of music in a care of the elderly setting: A literature review. Journal of Clinical Nursing, 5(5): 341–346.
29.
KwaskyA. N.HarrisonB. E.WhallA. L. (2010) Quality of life and dementia: An integrated review of literature. Alzheimer's Care Today, 11(3): 186–195.
30.
LovibondS. H.LovibondP. F. (1995) Manual for the depression anxiety stress scales, 2nd edn, Sydney: Psychology Foundation.
31.
MioshiE.DawsonK.MitchellJ.ArnoldR.HodgesJ. R. (2006) The Addenbrooke’s Cognitive Examination Revised (ACE-R): A brief cognitive test battery for dementia screening. International Journal of Geriatric Psychiatry, 21(11): 1078–1085.
32.
Moniz-CookE.Vernooij-DassenM.WoodsR.VertheyF.ChattatR.De VugtM. (2008) A European consensus on outcome measures for psychosocial intervention research in dementia care. Ageing and Mental Health, 12(1): 14–29.
33.
NolanM.RyanT.EnderbyP.ReidD. (2002) Towards a more inclusive vision of dementia care practice and research. Dementia, 1(2): 193–211.
34.
SabatS. R. (2001) The experience of Alzheimer’s disease: Life through a tangled veil, Oxford: Blackwell Publishers.
35.
Serrano-AguilarP. G.Lopez-BastidaJ.Yanes-LopezV. (2006) Impact on health-related quality of life and perceived burden of informal caregivers of individuals with Alzheimer’s disease. Neuroepidemiology, 27(3): 136–142.
36.
SheikhJ. I.YesavageJ. A. (1986) Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5(1–2): 165–173.
37.
SixsmithA.GibsonG. (2007) Music and the wellbeing of people with a dementia. Ageing and Society, 27(1): 127–145.
38.
SkevingtonS. M.LotfyM.O’ConnellK. A. (2004) The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL Group. Quality of Life Research, 13, 299–310.
39.
SkingleyA.Vella-BurrowsT. (2010) Therapeutic effects of music and singing for older people. Nursing Standard, 24(19): 35–41.
40.
SmithS. C.LampingD. L.BanerjeeS. (2005) Measurement of health‐related quality of life for people with dementia: Development of a new instrument (DemQoL) and an evaluation of current methodology. Health Technology Assessment, 9, 101–108.
41.
SnyderL.(2006) Personhood and interpersonal communication in dementia. In: HughesJ. C.LouwS. J.SabatS. R. (eds) Dementia: Mind, meaning and the person, Oxford: Oxford University Press, pp. 259–276.
42.
Staricoff, R. (2004). Arts and health: A review of the medical literature. London: Arts Council England. Retrieved January 15, 2010, from www.artscouncil.org.uk/publication_archive/arts-in-health-a-review-of-the-medical-literature/.
43.
SungH. C.ChangA. M. (2005) Use of preferred music to decrease agitated behaviours in older people with a dementia: A review of the literature. Journal of Clinical Nursing, 14(9): 1133–1140.
44.
VolicerL. (2005) Caregiver burden in dementia care: Prevalence and health effects. Current Psychosis and Therapeutic Reports, 3, 20–25.
45.
Von LobG.CamicP. M.CliftS. M. (2010) The use of singing-in-a-group as a response to adverse life events. International Journal of Mental Health Promotion, 12(3): 45–53.
46.
YarryS. J.JudgeK. S.Orsulic-JerasS. (2010) Applying a strength-based intervention for dyads with mild to moderate memory loss: Two case examples. Dementia: The International Journal for Social Science and Practice, 9(4): 549–557.
47.
ZaritS. H.ReeverK. E.Bach-PetersonJ. (1980) Relatives of the impaired elderly: Correlates of feelings of burden. The Gerontologist, 20(6): 649–55.
