Holding momentum : a grounded theory study of strategies for sustaining living at home in older persons

Purpose: Government strategies are putting increasing emphasis on sustaining the capacity of older persons to continue living independently in their own homes to ease strain on aged care services. The aim of this study was to understand the experiences and strategies that older people utilize to remain living at home from their own perspective. Methods: A grounded theory methodology was used to explore the actions and strategies used by persons over the age of 65 to enable them to remain living in their own homes. Data were collected from 21 women and men in three focus group discussions and 10 in-depth semi-structured interviews. Results: The data revealed that the central process participants used to hold momentum and sustain living at home involves a circular process in which older people acknowledge change and make ongoing evaluations and decisions about ageing at home. Conclusion: These findings have implications for informing policy and service provision by identifying appropriate resources and services to promote successful ageing at home

Music playlists for people with dementia : trialing a guide for caregivers

Background: Music programs have the potential to provide an effective non-pharmacological tool for caregivers to reduce depression and agitation and increase quality of life in people with dementia. However, where such programs are not facilitated by a trained music therapist, caregivers need greater access to information about how to use music most effectively in response to key challenges to care, and how to pre-empt and manage adverse responses. Objective: This study reports on the trial of a Guide for use of music with 45 people with dementia and their caregivers in residential care facilities and home-based care. Methods: The study used a pre-post experimental design in which participants were randomly allocated to a treatment group or a waitlist control group. Results: Improvements to quality of life were found in the experimental group over the 6-week period. Significant increases in Interest, Responsiveness, Initiation, Involvement, and Enjoyment were reported for individual listening sessions. Conclusion: The Guide can provide an effective protocol for caregivers to follow in selecting music to manage particular challenges to care, confirming the need for caregivers to be prepared to monitor and manage potential negative responses

Music playlists for people with dementia : qualitative evaluation of a guide for caregivers

This study aimed to evaluate a set of guidelines for music use with people with dementia. A secondary aim was to identify challenges and barriers to implementation of music interventions by caregivers. Caregivers (n = 16) were interviewed after implementing a music listening programme based on the guidelines with 29 people with dementia in home-care and aged care facilities. Caregivers found the guidelines informative, easy to understand and use. Positive effects on mood, reduced agitation and reduced challenges to care were reported. Difficulties with technology and finding time to implement the music programme were identified. Results highlight the need for more research around appropriate technology and the streamlining of processes and procedures for aged care staff. Further iterations of the guidelines will need to address these issues and consider the differing needs of home-based carers and aged care providers separately

The role of artistic creative activities in navigating the COVID-19 pandemic in Australia

During the COVID-19 pandemic some Australians turned to artistic creative activities (ACAs) as a way of managing their own mental health and well-being. This study examined the role of ACAs in regulating emotion and supporting mental health and well-being during the COVID-19 pandemic, and also attempted to identify at-risk populations. We proposed that (1) participants would use ACAs as avoidance-based emotion regulation strategies; and (2) music engagement would be used for emotion regulation. Australian participants (N = 653) recruited from the general public completed an online survey, which included scales targeting anxiety (GAD7 scale), depression (PHQ9 scale) and loneliness (two UCLA Loneliness Scales, referring to “Before” and “Since” COVID-19). Participants reported which ACAs they had undertaken and ceased during the pandemic using an established list and ranked their undertaken ACAs in terms of effectiveness at making them “feel better.” For their top-ranked ACA, participants then completed the Emotion Regulation Scale for Artistic Creative Activities (ERS-ACA), and if participants had undertaken any musical ACAs, also the Musical Engagement Questionnaire (MusEQ). The results supported both hypotheses. ANOVAs indicated that participants ranked significantly higher on the “avoidance” ERS-ACA subscale than the other subscales, and that participants ranked significantly higher on the emotion regulation and musical preference MusEQ subscales than the other subscales. Additionally, while ACAs such as “Watching films or TV shows” and “Cookery or baking” were common, they ranked poorly as effective methods of emotion regulation, whereas “Listening to music” was the second-most frequently undertaken ACA and also the most effective. “Singing” and “Dancing” were among the most ceased ACAs but also ranked among the most effective for emotion regulation, suggesting that support for developing pandemic-safe approaches to these ACAs may provide well-being benefits in future crises. Additionally, correlation analyses showed that younger participants, those who took less exercise during the pandemic, and those with the highest musical engagement reported the poorest well-being. We conclude that ACAs provided an important resource for supporting mental health and well-being during the COVID-19 pandemic in Australia and could potentially support mental health and well-being in future crises

Young people's response to six smartphone apps for anxiety and depression : focus group study

Background: Suicide is one of the most frequent causes of death in young people worldwide. Depression lies at the root of this issue, a condition that has a significant negative impact on the lives of those who experience it and on society more generally. However, 80% of affected young people do not obtain professional help for depression and other mental health issues. Therefore, a key challenge is to find innovative and appealing ways to engage young people in learning to manage their mental health. Research suggests that young people prefer to access anonymous Web-based programs rather than get face-to-face help, which has led to the development of numerous smartphone apps. However, the evidence indicates that not all of these apps are effective in engaging the interest of young people who are most in need of help. Objective: The study aimed to investigate young people’s response to six currently available smartphone apps for mental health and to identify features that young people like and dislike in such apps. Methods: Focus groups were conducted with 23 young people aged 13 to 25 years in which they viewed and used six smartphone apps for mental health. A general inductive approach following a realist paradigm guided data analysis. Results: The results revealed that young people value autonomy and the opportunity to personalize experiences with these apps above other things. Finding a balance between simplicity and informativeness is also an important factor. Conclusions: App developers need to consider using participant-design frameworks to ensure that smartphone apps are providing what young people want in a mental health app. Solutions to the need for personalization and increasing user engagement are also crucially needed

Prevention

Prevention programs targeting substance abuse, violence, or sexually transmitted diseases such as human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) often focus on increasing awareness of the issues surrounding these problems within at-risk populations. Adolescents and young adults are frequently the most affected. Because music is one of the biggest influences on the beliefs and views of adolescents, some programs have effectively used music as part of these educational strategies. An approach that utilizes music that is popular within the targeted subculture can often prove a valuable tool for reaching affected youths. Other schemes aimed at preventing risky behavior associated with music use have focused on minimizing the dangers to youths attending music events such as raves. In other cases, government agencies have used music as part of offensives to prevent crime

Weddings

Weddings are rituals held in cultures across the world to celebrate a marriage. They are rites of passage that mark the transition of a couple from one social status to another, and in some cultural settings they mark the transition from childhood to adulthood. The form that the ritual takes varies from culture to culture, but music is often a central part of the celebration. The music used is often dictated by the religious tradition predominant in the culture. However, in contemporary Western societies, this is becoming less true, with the ceremony becoming deinstitutionalized, and music choices increasingly personalized

Why Are We Attracted to Sad Music?

In this book, perspectives in psychology, aesthetics, history and philosophy are drawn upon to survey the value given to sad music by human societies throughout history and today. Why do we love listening to music that makes us cry? This mystery has puzzled philosophers for centuries and tends to defy traditional models of emotions. Sandra Garrido presents empirical research that illuminates the psychological and contextual variables that influence our experience of sad music, its impact on our mood and mental health, and its usefulness in coping with heartbreak and grief. By means of real-life examples, this book uses applied music psychology to demonstrate the implications of recent research for the use of music in health-care and for wellbeing in everyday life

Suicide

Suicide and self-harming behavior are prevalent topics in the lyrics of popular music. Genres such as heavy metal, rap, and rock often deal with themes related to death, alienation, and depression. Whole musical subcultures such as emo (emotional) and Goth (Gothic) have arisen around music focusing on such dark themes. The connection between youth suicide and music or other media has therefore frequently been publicized in the press. Some researchers suggest that music with suicidal themes can act as a priming agent or can intensify tendencies to self-harm and suicide. While correlational evidence has linked certain genres with suicide, it is likely that other factors such as family dysfunction are more closely implicated

Joyce's Mob : a musical portrait of a family

This study presents the case of Joyce Evans, a well-known Australian photographer, and the musical work that she commissioned from the esteemed Australian composer Elena Kats-Chernin. The work, called Joyce's Mob, was premiered at the Sydney Opera House in August 2013. In her introductory speech on that occasion, eighty-four-year-old Evans called the work her requiem. The current paper explores Evans' motivation in commissioning the work and what processes the composer went through in attempting to write a requiem for a living person. The paper traces the process of adjustment by Evans as she contemplates her advancing age and the changes this has and will involve. It also explores the compositional process undertaken by the composer