Dowson Becky, Atkinson Rebecca, Barnes Julie, Barone Clare, Cutts Nick, Donnebaum Eleanor, Hung Hsu Ming, Lo Coco Irene, John Gareth, Meadows Grace, O'Neill Angela, Noble Douglas, Norman Gabrielle, Pfende Farai, Quinn Paul, Warren Angela, Watkins Catherine, Schneider Justine
Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom.
Blue Skies Singing Group Facilitator, Nottingham, United Kingdom.
Front Psychol. 2021 Apr 23;12:625258. doi: 10.3389/fpsyg.2021.625258. eCollection 2021.
Before COVID-19, dementia singing groups and choirs flourished, providing activity, cognitive stimulation, and social support for thousands of people with dementia in the UK. Interactive music provides one of the most effective psychosocial interventions for people with dementia; it can allay agitation and promote wellbeing. Since COVID-19 has halted the delivery of in-person musical activities, it is important for the welfare of people with dementia and their carers to investigate what alternatives to live music making exist, how these alternatives are delivered and how their accessibility can be expanded. This community case study examines recent practice in online music-making in response to COVID-19 restrictions for people with dementia and their supporters, focusing on a UK context. It documents current opportunities for digital music making, and assesses the barriers and facilitators to their delivery and accessibility. Online searches of video streaming sites and social media documented what music activities were available. Expert practitioners and providers collaborated on this study and supplied input about the sessions they had been delivering, the technological challenges and solutions they had found, and the responses of the participants. Recommendations for best practice were developed and refined in consultation with these collaborators. Over 50 examples of online music activities were identified. In addition to the challenges of digital inclusion and accessibility for some older people, delivering live music online has unique challenges due to audio latency and sound quality. It is necessary to adapt the session to the technology's limitations rather than expect to overcome these challenges. The recommendations highlight the importance of accessibility, digital safety and wellbeing of participants. They also suggest ways to optimize the quality of their musical experience. The pandemic has prompted innovative approaches to deliver activities and interventions in a digital format, and people with dementia and their carers have adapted rapidly. While online music is meeting a clear current need for social connection and cognitive stimulation, it also offers some advantages which remain relevant after COVID-19 restrictions are relaxed. The recommendations of this study are intended to be useful to musicians, dementia care practitioners, and researchers during the pandemic and beyond.
在新冠疫情之前，痴呆症歌唱团体和合唱团蓬勃发展，为英国成千上万的痴呆症患者提供了活动、认知刺激和社会支持。互动音乐为痴呆症患者提供了最有效的心理社会干预措施之一；它可以减轻焦虑并促进幸福感。由于新冠疫情已停止面对面音乐活动的开展，因此对于痴呆症患者及其护理人员的福祉而言，研究现场音乐制作的替代方案有哪些、这些替代方案是如何提供的以及如何扩大其可及性非常重要。本社区案例研究考察了在新冠疫情限制下，针对痴呆症患者及其支持者开展的在线音乐制作的近期实践，重点关注英国的情况。它记录了当前数字音乐制作的机会，并评估了其提供和可及性方面的障碍与促进因素。通过对视频流网站和社交媒体的在线搜索，记录了有哪些音乐活动。专家从业者和提供者参与了这项研究，并提供了有关他们所开展的课程、所发现的技术挑战及解决方案，以及参与者的反应等方面的信息。在与这些合作者协商的过程中，制定并完善了最佳实践建议。共识别出50多个在线音乐活动的例子。除了一些老年人在数字融入和可及性方面存在的挑战外，由于音频延迟和音质问题，在线直播音乐也有其独特的挑战。有必要使课程适应技术的局限性，而不是期望克服这些挑战。这些建议强调了可及性、数字安全和参与者福祉的重要性。它们还提出了优化其音乐体验质量的方法。疫情促使人们采用创新方法以数字形式开展活动和干预措施，痴呆症患者及其护理人员也迅速适应了这种变化。虽然在线音乐满足了当前对社交联系和认知刺激的明确需求，但在新冠疫情限制放宽后，它也具有一些仍然相关的优势。本研究的建议旨在在疫情期间及之后对音乐家、痴呆症护理从业者和研究人员有所帮助。
