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

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...

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Autores principales: Ridder, Hanne Mette, Krøier, Julie Kolbe, Anderson-Ingstrup, Jens, McDermott, Orii
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185798/
https://www.ncbi.nlm.nih.gov/pubmed/37200965
http://dx.doi.org/10.3389/fmed.2023.1160588
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author Ridder, Hanne Mette
Krøier, Julie Kolbe
Anderson-Ingstrup, Jens
McDermott, Orii
author_facet Ridder, Hanne Mette
Krøier, Julie Kolbe
Anderson-Ingstrup, Jens
McDermott, Orii
author_sort Ridder, Hanne Mette
collection PubMed
description 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 non-verbal 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 non-verbal 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-centered 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 non-verbal 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.
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spelling pubmed-101857982023-05-17 Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual Ridder, Hanne Mette Krøier, Julie Kolbe Anderson-Ingstrup, Jens McDermott, Orii Front Med (Lausanne) Medicine 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 non-verbal 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 non-verbal 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-centered 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 non-verbal 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. Frontiers Media S.A. 2023-05-02 /pmc/articles/PMC10185798/ /pubmed/37200965 http://dx.doi.org/10.3389/fmed.2023.1160588 Text en Copyright © 2023 Ridder, Krøier, Anderson-Ingstrup and McDermott. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Ridder, Hanne Mette
Krøier, Julie Kolbe
Anderson-Ingstrup, Jens
McDermott, Orii
Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title_full Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title_fullStr Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title_full_unstemmed Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title_short Person-attuned musical interactions (PAMI) in dementia care. Complex intervention research for constructing a training manual
title_sort person-attuned musical interactions (pami) in dementia care. complex intervention research for constructing a training manual
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10185798/
https://www.ncbi.nlm.nih.gov/pubmed/37200965
http://dx.doi.org/10.3389/fmed.2023.1160588
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