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照顾者和痴呆症患者日常使用音乐聆听和音乐技术:调查和焦点小组研究。

Everyday Uses of Music Listening and Music Technologies by Caregivers and People With Dementia: Survey and Focus Group Study.

机构信息

School of Computing and Information Systems, The University of Melbourne, Parkville, Australia.

Facultad de Comunicación y Artes Audiovisuales, University of Las Américas Ecuador, Quito, Ecuador.

出版信息

J Med Internet Res. 2024 Aug 27;26:e54186. doi: 10.2196/54186.

Abstract

BACKGROUND

Music has long been identified as a nonpharmacological tool that can provide benefits for people with dementia, and there is considerable interest in designing technologies to support the use of music in dementia care. However, to ensure that music technologies are appropriately designed for supporting caregivers and people living with dementia, there remains a need to better understand how music is currently used in everyday dementia care at home.

OBJECTIVE

This study aims to understand how people living with dementia and their caregivers use music and music technologies in everyday caring, as well as the challenges they experience using music and technology.

METHODS

This study used a mixed methods design. First, a survey was administered to 13 people living with dementia and 64 caregivers to understand their use of music and technology. Subsequently, 18 survey respondents (family caregivers: n=12, 67%; people living with dementia: n=6, 33%) participated in focus groups regarding their experiences of using music and technology in care. Interview transcripts were analyzed using reflexive thematic analysis.

RESULTS

Most of the survey respondents (people living with dementia: 9/13, 69%; family caregivers: 47/63, 75%) reported using music often or very often in their daily lives. Participants reported a range of technologies used for listening to music, such as CDs, radio, and streaming services. Focus groups highlighted the benefits and challenges of using music and music technologies in everyday care. Participants identified using music and music technologies to regulate mood, provide joy, facilitate social interaction and connection, encourage reminiscence, provide continuity of music use before and after the dementia diagnosis, and make caregiving easier. The challenges of using music technology in everyday caring included difficulties with staying up to date with evolving technology and low self-efficacy with technology for people living with dementia.

CONCLUSIONS

This study shows that people with a dementia diagnosis and their caregivers already use music and music technologies to support their everyday care needs. The results suggest opportunities to design technologies that enable easier access to music and to support people living with dementia with recreational and therapeutic music listening as well as music-based activities.

摘要

背景

音乐长期以来被认为是一种非药物工具,可以为痴呆症患者带来益处,因此人们对设计支持痴呆症护理中使用音乐的技术产生了浓厚的兴趣。然而,为了确保音乐技术能够为照顾者和痴呆症患者提供适当的支持,仍然需要更好地了解音乐在家庭日常护理中的使用情况。

目的

本研究旨在了解痴呆症患者及其照顾者如何在日常护理中使用音乐和音乐技术,以及他们在使用音乐和技术时所面临的挑战。

方法

本研究采用混合方法设计。首先,对 13 名痴呆症患者和 64 名照顾者进行了问卷调查,以了解他们对音乐和技术的使用情况。随后,18 名调查参与者(家庭照顾者:n=12,67%;痴呆症患者:n=6,33%)参加了焦点小组,讨论他们在护理中使用音乐和技术的经验。对访谈记录进行了反思性主题分析。

结果

大多数调查参与者(痴呆症患者:9/13,69%;家庭照顾者:47/63,75%)报告在日常生活中经常或非常频繁地使用音乐。参与者报告了一系列用于听音乐的技术,如 CD、收音机和流媒体服务。焦点小组强调了在日常护理中使用音乐和音乐技术的好处和挑战。参与者认为使用音乐和音乐技术可以调节情绪、带来快乐、促进社交互动和联系、鼓励怀旧、为痴呆症诊断前后的音乐使用提供连续性,并使照顾更容易。在日常护理中使用音乐技术的挑战包括难以跟上技术的发展和痴呆症患者对技术的低自我效能感。

结论

本研究表明,痴呆症诊断患者及其照顾者已经在使用音乐和音乐技术来满足他们的日常护理需求。研究结果表明,有机会设计能够更轻松地访问音乐的技术,并为痴呆症患者提供娱乐性和治疗性的音乐聆听以及基于音乐的活动支持。

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