Argyle, Elaine

Jones, Rob

Kelly, Tony

Nottingham eTheses

Argyle, Elaine and Kelly, Tony and Jones, Rob (2015) Barriers and facilitators to person centred dementia care: a musical intervention. In: 21st International Network for Psychiatric Nursing Research Conference, 17-18 September 2015, Manchester, UK. Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/30963/1/V4%20Soundtrack%20to%20My%20Life%20Evaluation%20Poster%203.8.15_A0.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.This article is made available under the University of Nottingham End User licence and may be reused according to the conditions of the licence.  For more details see: http://eprints.nottingham.ac.uk/end_user_agreement.pdfA note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukBARRIERS AND FACILITATORS TO PERSON CENTRED DEMENTIA CARE: A MUSICAL INTERVENTION  Elaine Argyle, Tony Kelly and Rob Jones BACKGROUND Recent years have seen the advocacy of a person centred approach to dementia care including the use of arts  in the promotion of health and well-being.  This research has explored some of the  ?ƵŶƐƉŽŬĞŶ ? challenges of the collaborative working that these  approaches  can involve.  AIMS It was originally aimed to evaluate the impact of a personalised musical intervention on the well-being of the clients of a specialist dementia home care service.  This would have involved the compilation, by home care staff, of a music CD for each client.  However, due to the failure of this intervention to be fully implemented, it subsequently became the goal of the research to establish the reasons for this. Overview of respondent interviews: All were in agreement on the potential value of the musical intervention:  ?DƵƐŝĐŝƐĨƵŶĚĂŵĞŶƚĂůƚŽŚŽǁǁĞĚĞůŝǀĞƌƉĞƌƐŽŶĐĞŶƚƌĞĚĐĂƌĞďĞĐĂƵƐĞŝƚƐǁŚĂƚǁĞĂƌĞĚŽŝŶŐƚŚĂƚ ?ƐƐƉĞĐŝĂůĂŶĚŝĨǁĞũƵƐƚŬĞĞƉƉĞŽƉůĞǁĂƌŵ ?ĨĞĚ ?ĐůĞĂŶĂŶĚƐĂĨĞƚŚĞŶƚŚĂƚ ?ƐŶŽƚƐƉĞĐŝĂůŝƐƚĚĞŵĞŶƚŝĂĐĂƌĞ ? ?ƐĞŶŝŽƌmanager)  ?tĞhave a lady who was very closed to meeting new carers and the only way we could get through to her was through ŵƵƐŝĐ ? ?ĨƌŽŶƚůŝŶĞůĞĂĚĞƌ ? All also agreed that the failure to fully implement the intervention  was partially due to inadequacies in understanding, training and leadership:  ?ĂƌĞŝƐƐƚŝůůĂƉƉƌŽĂĐŚĞĚĂƐĂƚŝŵĞĂŶĚƚĂƐŬŽƉĞƌĂƚŝŽŶ ?dŚĞŝĚĞĂŽĨƉĞƌƐŽŶĐĞŶƚƌĞĚĐĂƌĞ ?ĂůƚŚŽƵŐŚƉĞŽƉůĞƉƌŽďĂďůǇƵŶĚĞƌƐƚĂŶĚǁŚĂƚƚŚĂƚŵĞĂŶƐ ?ƚŚĞǇĚŽŶ ?ƚŶĞĐĞƐƐĂƌŝůǇƵŶĚĞƌƐƚĂŶĚŚŽǁƚŽŝŵƉůĞŵĞŶƚŝƚ ? ?ƚƌĂŝŶŝŶŐprovider)  ?/ƚǁĂƐŶ ?ƚŵĂĚĞĐůĞĂƌĞŶŽƵŐŚ ?dŚĞƌĞǁĂƐŶ ?ƚĂĨŽƌŵĂůĂĐƚŝŽŶƉůĂŶƐĞƚďǇŽƵƌƐĞůǀĞƐĂƐƚŚĞƉĞŽƉůĞĚĞůŝǀĞƌŝŶŐmusic training but also there was an assumption that if you bought into the approach you would make sure  ƚŚĂƚƚŚŝŶŐƐǁĞƌĞŚĂƉƉĞŶŝŶŐ ?/ƚŚŝŶŬƚŚĂƚǁĂƐĂďĂĚĂƐƐƵŵƉƚŝŽŶƚŽŵĂŬĞ ? ?ƚƌĂŝŶŝŶŐƉƌŽǀŝĚĞƌ ?  ?/ƚǁĂƐŶĞǀĞƌŵĂĚĞĐůĞĂƌƚŽŵĞǁŚĂƚŵǇƌŽůĞǁĂƐ ?ĞƐƉĞĐŝĂůůǇƌĞŐĂƌĚŝŶŐƚŚĞƉĂƉĞƌǁŽƌŬ ?ǁĞǁĞƌĞĂďŝƚĐŽŶĨƵƐĞĚĂďŽƵƚŚŽǁƚŽŝŵƉůĞŵĞŶƚŝƚ ?ŝƚƐƚĂƌƚĞĚŽĨĨƋƵŝƚĞƉŽƐŝƚŝǀĞďƵƚŝƚĞŶĚĞĚƵƉǁŝƚŚĂďŝƚŽĨƐƚƌƵŐŐůĞ ? ?ĨƌŽŶƚline leader) Contextual issues such as time pressure and commissioning practices were another barrier:  ?Our carers are under such time pressure ĂŶǇǁĂǇ ? ?ĨƌŽŶƚůŝŶĞůĞĂĚĞƌ ?  ?/ƚŚŝŶŬĐŽŵŵŝƐƐŝŽŶĞƌƐŚĂǀĞĂǀĞƌǇůĂƌŐĞƉĂƌƚƚŽƉůĂǇŝŶƚŚĞĐƵůƚƵƌĞǁŝƚŚŝŶĐĂƌĞƐĞƌǀŝĐĞƐĂŶĚĨƌŽŵŵǇexperience it is the idea of commissioning based on time-slots and pre-ĂƐƐĞƐƐŝŶŐƉĞŽƉůĞĨŽƌǁŚĂƚƚŚĞǇŶĞĞĚ ?(training provider)  ?ƐƉƌŽǀŝĚĞƌƐ ?ŝƚ ?ƐĚŝĨĨŝĐƵůƚƚŽƉƌŽǀŝĚĞǁŚĂƚǁĞŚĂǀĞŶ ?ƚďĞĞŶĐŽŵŵŝƐƐŝŽŶĞĚƚŽĚŽ ? ?ƐĞŶŝŽƌŵĂŶĂŐĞƌ ? /ŶŽƌĚĞƌƚŽŽǀĞƌĐŽŵĞƚŚĞƐĞďĂƌƌŝĞƌƐ ?ĞĐůĞĐƚŝĐŵĞĂƐƵƌĞƐǁĞƌĞƐƵŐŐĞƐƚĞĚŝŶĐůƵĚŝŶŐƚŚĞŶĞĞĚƚŽďĞ ?ƉŽůŝƚŝĐĂů ?ŝŶŽƌĚĞƌƚŽĂĚĚƌĞƐƐƚŚĞǁŝĚĞƌ ?ƐŽĐŝĂůĨĂďƌŝĐ ?ĂŶĚƚŚĞĂĚŽƉƚŝŽŶŽĨĂƵƐĞƌĐĞŶƚƌĞĚĂƉƉƌŽĂĐŚƚŽŝŵƉůĞŵĞŶƚĂƚŝŽŶ ?  ?/ƚ ?ƐǇŽƵƌƐŽĐŝĂůĨĂďƌŝĐŝƐŶ ?ƚŝƚ ?/ƚ ?ƐŶŽƚũƵƐƚƐƚĂƚƵƚŽƌǇƐĞƌǀŝĐĞƐ ?/ƚ ?ƐĂůůƚŚĂƚ ?ƐŐŽŝŶŐƚŽŝŵƉĂĐƚŽŶŚŽǁǇŽƵĞǆƉĞƌŝĞŶĐĞǇŽƵƌĚĂŝůǇůŝĨĞ ? ?ƐĞŶŝŽƌŵĂŶĂŐĞƌ ?  ?WĞŽƉůĞǁŚŽĂƌĞƌĞĐĞŝǀŝŶŐĂƐĞƌǀŝĐĞ ?ŝĨǇŽƵĂƌĞůŽŽŬŝŶŐĂƚŝƚĨƌŽŵĂƉĞƌƐŽŶĐĞŶƚƌĞĚƉĞƌƐƉĞĐƚŝǀĞ ?ĂƌĞƚŚĞƉĞŽƉůĞǁŚŽĚƌŝǀĞǁŚĂƚƚŚĞƐĞƌǀŝĐĞůŽŽŬƐůŝŬĞ ? ?ƚƌĂŝŶŝŶŐƉƌŽǀŝĚĞƌ ? ? DISCUSSION  The use of music and of arts interventions more generally are important components of person centred approaches to dementia care.  The process of implementing these interventions can be subject to a number of multi-levelled barriers.  Due to the diverse nature of these barriers, measures to overcome them should adopt a similarly eclectic approach.  CONCLUSION Innovative interventions are increasingly common within mental health practice.  However, the multi-disciplinary and collaborative working that these interventions often entail can be subject to many challenges which must be addressed if they are to be effective.  METHODS Semi-structured interviews were carried out with five key staff involved in the management of the personalised musical intervention with emergent themes being identified and pursued.  Respondents included a training provider, a senior manager who initiated and guided the project and a front line leadership team who were responsible for recruiting participants to this project.  FINDINGS  Emerging themes on the barriers and facilitators to implementation  Respondents tended to have conflicting views on the individual team members responsible for the failure of the intervention to be fully implemented and expressed the opposing priorities which have been found to be common between health and social care workforce hierarchies.  However, there was widespread agreement on the potential value of the musical intervention and on the major barriers and facilitators to its implementation, with issues of training, leadership and contextual circumstances such as commissioning all commonly expressed. BARRIERS FACILITATORS TRAINING  Lack of understanding of person centred care and how to implement it leading to a prevailing task centred focus (training provider and  senior manager)  Lack of clarity in training in how person centred care should be implemented (training provider and front line leaders)    A recognition of the intrinsic benefits of the intervention (all)  Training which is preceded by awareness raising and followed by reinforcement. (training provider)  More wide reaching and audience targeted training (all) LEADERSHIP  Lack of staff consultation in implementing the project (all)  Lack of leadership by the senior manager (front line leaders)  The failure of front line leaders to properly lead their care teams (senior manager)  Business focussed rather than client focussed supervision (senior manager)    Staff turnover leading to lack of continuity in leadership (senior manager and  front line leaders)  Lack of managerial consultation, communication and support in the implementation process (all)    The  adoption of a user centred approach to implementation which is driven by carers and clients in receipt of the service (all)  Better leadership with a greater focus on clinical issues in staff supervision (all)  Clearer rationale for selecting staff to be involved and the provision of more staff support and consultation (all)  CONTEXT  Time and task focussed commissioning practices (all)  The inertia and lack of flexibility of  front line staff (senior manager)  Organisational restructuring and cumbersome paper work which was incompatible with new client care plans (front line leaders)  Time pressure and conflicting demands on this time (front line leaders)  Cut backs and resource limitations n the wider community (senior manager)    More flexible and responsive commissioning practices (all)  The promotion of  ?ĚĞŵĞŶƚŝĂĨƌŝĞŶĚůǇcommunities ?ƚŚƌŽƵŐŚƚŚĞŐƌĞĂƚĞƌavailability of relevant resources (senior manager)  The provision of a person centred and responsive service (senior manager and training provider)  Simpler paperwork which is compatible with the services care plans (all)         Argyle, E. (2012) Person centred dementia care: problems and           possibilities, Working with Older People, 16 (2): 69-77  Argyle, E. and Kelly, T. (2015) Implementing person centred dementia    care: a musical intervention, Working with Older People, 19 (2): 77-84  Contact  details: Elaine.Argyle@Nottingham.ac.uk  

Barriers and facilitators to person centred dementia care: a musical intervention

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Nottingham ePrints

Argyle, Elaine and Kelly, Tony and Jones, Rob (2015) Barriers and facilitators to person centred dementia care: a musical intervention. In: 21st International Network for Psychiatric Nursing Research Conference, 17-18 September 2015, Manchester, UK. Access from the University of Nottingham repository: http://eprints.nottingham.ac.uk/30963/1/V4%20Soundtrack%20to%20My%20Life%20Evaluation%20Poster%203.8.15_A0.pdfCopyright and reuse: The Nottingham ePrints service makes this work by researchers of the University of Nottingham available open access under the following conditions.· Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners.· To the extent reasonable and practicable the material made available in Nottingham ePrints has been checked for eligibility before being made available.· Copies of full items can be used for personal research or study, educational, or not-for-profit purposes without prior permission or charge provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way.· Quotations or similar reproductions must be sufficiently acknowledged.Please see our full end user licence at: http://eprints.nottingham.ac.uk/end_user_agreement.pdf A note on versions: The version presented here may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher’s version. Please see the repository url above for details on accessing the published version and note that access may require a subscription.For more information, please contact eprints@nottingham.ac.ukBARRIERS AND FACILITATORS TO PERSON CENTRED DEMENTIA CARE: A MUSICAL INTERVENTION  Elaine Argyle, Tony Kelly and Rob Jones BACKGROUND Recent years have seen the advocacy of a person centred approach to dementia care including the use of arts  in the promotion of health and well-being.  This research has explored some of the  ?ƵŶƐƉŽŬĞŶ ? challenges of the collaborative working that these  approaches  can involve.  AIMS It was originally aimed to evaluate the impact of a personalised musical intervention on the well-being of the clients of a specialist dementia home care service.  This would have involved the compilation, by home care staff, of a music CD for each client.  However, due to the failure of this intervention to be fully implemented, it subsequently became the goal of the research to establish the reasons for this. Overview of respondent interviews: All were in agreement on the potential value of the musical intervention:  ?DƵƐŝĐŝƐĨƵŶĚĂŵĞŶƚĂůƚŽŚŽǁǁĞĚĞůŝǀĞƌƉĞƌƐŽŶĐĞŶƚƌĞĚĐĂƌĞďĞĐĂƵƐĞŝƚƐǁŚĂƚǁĞĂƌĞĚŽŝŶŐƚŚĂƚ ?ƐƐƉĞĐŝĂůĂŶĚŝĨǁĞũƵƐƚŬĞĞƉƉĞŽƉůĞǁĂƌŵ ?ĨĞĚ ?ĐůĞĂŶĂŶĚƐĂĨĞƚŚĞŶƚŚĂƚ ?ƐŶŽƚƐƉĞĐŝĂůŝƐƚĚĞŵĞŶƚŝĂĐĂƌĞ ? ?ƐĞŶŝŽƌmanager)  ?tĞhave a lady who was very closed to meeting new carers and the only way we could get through to her was through ŵƵƐŝĐ ? ?ĨƌŽŶƚůŝŶĞůĞĂĚĞƌ ? All also agreed that the failure to fully implement the intervention  was partially due to inadequacies in understanding, training and leadership:  ?ĂƌĞŝƐƐƚŝůůĂƉƉƌŽĂĐŚĞĚĂƐĂƚŝŵĞĂŶĚƚĂƐŬŽƉĞƌĂƚŝŽŶ ?dŚĞŝĚĞĂŽĨƉĞƌƐŽŶĐĞŶƚƌĞĚĐĂƌĞ ?ĂůƚŚŽƵŐŚƉĞŽƉůĞƉƌŽďĂďůǇƵŶĚĞƌƐƚĂŶĚǁŚĂƚƚŚĂƚŵĞĂŶƐ ?ƚŚĞǇĚŽŶ ?ƚŶĞĐĞƐƐĂƌŝůǇƵŶĚĞƌƐƚĂŶĚŚŽǁƚŽŝŵƉůĞŵĞŶƚŝƚ ? ?ƚƌĂŝŶŝŶŐprovider)  ?/ƚǁĂƐŶ ?ƚŵĂĚĞĐůĞĂƌĞŶŽƵŐŚ ?dŚĞƌĞǁĂƐŶ ?ƚĂĨŽƌŵĂůĂĐƚŝŽŶƉůĂŶƐĞƚďǇŽƵƌƐĞůǀĞƐĂƐƚŚĞƉĞŽƉůĞĚĞůŝǀĞƌŝŶŐmusic training but also there was an assumption that if you bought into the approach you would make sure  ƚŚĂƚƚŚŝŶŐƐǁĞƌĞŚĂƉƉĞŶŝŶŐ ?/ƚŚŝŶŬƚŚĂƚǁĂƐĂďĂĚĂƐƐƵŵƉƚŝŽŶƚŽŵĂŬĞ ? ?ƚƌĂŝŶŝŶŐƉƌŽǀŝĚĞƌ ?  ?/ƚǁĂƐŶĞǀĞƌŵĂĚĞĐůĞĂƌƚŽŵĞǁŚĂƚŵǇƌŽůĞǁĂƐ ?ĞƐƉĞĐŝĂůůǇƌĞŐĂƌĚŝŶŐƚŚĞƉĂƉĞƌǁŽƌŬ ?ǁĞǁĞƌĞĂďŝƚĐŽŶĨƵƐĞĚĂďŽƵƚŚŽǁƚŽŝŵƉůĞŵĞŶƚŝƚ ?ŝƚƐƚĂƌƚĞĚŽĨĨƋƵŝƚĞƉŽƐŝƚŝǀĞďƵƚŝƚĞŶĚĞĚƵƉǁŝƚŚĂďŝƚŽĨƐƚƌƵŐŐůĞ ? ?ĨƌŽŶƚline leader) Contextual issues such as time pressure and commissioning practices were another barrier:  ?Our carers are under such time pressure ĂŶǇǁĂǇ ? ?ĨƌŽŶƚůŝŶĞůĞĂĚĞƌ ?  ?/ƚŚŝŶŬĐŽŵŵŝƐƐŝŽŶĞƌƐŚĂǀĞĂǀĞƌǇůĂƌŐĞƉĂƌƚƚŽƉůĂǇŝŶƚŚĞĐƵůƚƵƌĞǁŝƚŚŝŶĐĂƌĞƐĞƌǀŝĐĞƐĂŶĚĨƌŽŵŵǇexperience it is the idea of commissioning based on time-slots and pre-ĂƐƐĞƐƐŝŶŐƉĞŽƉůĞĨŽƌǁŚĂƚƚŚĞǇŶĞĞĚ ?(training provider)  ?ƐƉƌŽǀŝĚĞƌƐ ?ŝƚ ?ƐĚŝĨĨŝĐƵůƚƚŽƉƌŽǀŝĚĞǁŚĂƚǁĞŚĂǀĞŶ ?ƚďĞĞŶĐŽŵŵŝƐƐŝŽŶĞĚƚŽĚŽ ? ?ƐĞŶŝŽƌŵĂŶĂŐĞƌ ? /ŶŽƌĚĞƌƚŽŽǀĞƌĐŽŵĞƚŚĞƐĞďĂƌƌŝĞƌƐ ?ĞĐůĞĐƚŝĐŵĞĂƐƵƌĞƐǁĞƌĞƐƵŐŐĞƐƚĞĚŝŶĐůƵĚŝŶŐƚŚĞŶĞĞĚƚŽďĞ ?ƉŽůŝƚŝĐĂů ?ŝŶŽƌĚĞƌƚŽĂĚĚƌĞƐƐƚŚĞǁŝĚĞƌ ?ƐŽĐŝĂůĨĂďƌŝĐ ?ĂŶĚƚŚĞĂĚŽƉƚŝŽŶŽĨĂƵƐĞƌĐĞŶƚƌĞĚĂƉƉƌŽĂĐŚƚŽŝŵƉůĞŵĞŶƚĂƚŝŽŶ ?  ?/ƚ ?ƐǇŽƵƌƐŽĐŝĂůĨĂďƌŝĐŝƐŶ ?ƚŝƚ ?/ƚ ?ƐŶŽƚũƵƐƚƐƚĂƚƵƚŽƌǇƐĞƌǀŝĐĞƐ ?/ƚ ?ƐĂůůƚŚĂƚ ?ƐŐŽŝŶŐƚŽŝŵƉĂĐƚŽŶŚŽǁǇŽƵĞǆƉĞƌŝĞŶĐĞǇŽƵƌĚĂŝůǇůŝĨĞ ? ?ƐĞŶŝŽƌŵĂŶĂŐĞƌ ?  ?WĞŽƉůĞǁŚŽĂƌĞƌĞĐĞŝǀŝŶŐĂƐĞƌǀŝĐĞ ?ŝĨǇŽƵĂƌĞůŽŽŬŝŶŐĂƚŝƚĨƌŽŵĂƉĞƌƐŽŶĐĞŶƚƌĞĚƉĞƌƐƉĞĐƚŝǀĞ ?ĂƌĞƚŚĞƉĞŽƉůĞǁŚŽĚƌŝǀĞǁŚĂƚƚŚĞƐĞƌǀŝĐĞůŽŽŬƐůŝŬĞ ? ?ƚƌĂŝŶŝŶŐƉƌŽǀŝĚĞƌ ? ? DISCUSSION  The use of music and of arts interventions more generally are important components of person centred approaches to dementia care.  The process of implementing these interventions can be subject to a number of multi-levelled barriers.  Due to the diverse nature of these barriers, measures to overcome them should adopt a similarly eclectic approach.  CONCLUSION Innovative interventions are increasingly common within mental health practice.  However, the multi-disciplinary and collaborative working that these interventions often entail can be subject to many challenges which must be addressed if they are to be effective.  METHODS Semi-structured interviews were carried out with five key staff involved in the management of the personalised musical intervention with emergent themes being identified and pursued.  Respondents included a training provider, a senior manager who initiated and guided the project and a front line leadership team who were responsible for recruiting participants to this project.  FINDINGS  Emerging themes on the barriers and facilitators to implementation  Respondents tended to have conflicting views on the individual team members responsible for the failure of the intervention to be fully implemented and expressed the opposing priorities which have been found to be common between health and social care workforce hierarchies.  However, there was widespread agreement on the potential value of the musical intervention and on the major barriers and facilitators to its implementation, with issues of training, leadership and contextual circumstances such as commissioning all commonly expressed. BARRIERS FACILITATORS TRAINING  Lack of understanding of person centred care and how to implement it leading to a prevailing task centred focus (training provider and  senior manager)  Lack of clarity in training in how person centred care should be implemented (training provider and front line leaders)    A recognition of the intrinsic benefits of the intervention (all)  Training which is preceded by awareness raising and followed by reinforcement. (training provider)  More wide reaching and audience targeted training (all) LEADERSHIP  Lack of staff consultation in implementing the project (all)  Lack of leadership by the senior manager (front line leaders)  The failure of front line leaders to properly lead their care teams (senior manager)  Business focussed rather than client focussed supervision (senior manager)    Staff turnover leading to lack of continuity in leadership (senior manager and  front line leaders)  Lack of managerial consultation, communication and support in the implementation process (all)    The  adoption of a user centred approach to implementation which is driven by carers and clients in receipt of the service (all)  Better leadership with a greater focus on clinical issues in staff supervision (all)  Clearer rationale for selecting staff to be involved and the provision of more staff support and consultation (all)  CONTEXT  Time and task focussed commissioning practices (all)  The inertia and lack of flexibility of  front line staff (senior manager)  Organisational restructuring and cumbersome paper work which was incompatible with new client care plans (front line leaders)  Time pressure and conflicting demands on this time (front line leaders)  Cut backs and resource limitations n the wider community (senior manager)    More flexible and responsive commissioning practices (all)  The promotion of  ?ĚĞŵĞŶƚŝĂĨƌŝĞŶĚůǇcommunities ?ƚŚƌŽƵŐŚƚŚĞŐƌĞĂƚĞƌavailability of relevant resources (senior manager)  The provision of a person centred and responsive service (senior manager and training provider)  Simpler paperwork which is compatible with the services care plans (all)         Argyle, E. (2012) Person centred dementia care: problems and           possibilities, Working with Older People, 16 (2): 69-77  Argyle, E. and Kelly, T. (2015) Implementing person centred dementia    care: a musical intervention, Working with Older People, 19 (2): 77-84  Contact  details: Elaine.Argyle@Nottingham.ac.uk  

http://eprints.nottingham.ac.uk/30963/1/V4%20Soundtrack%20to%20My%20Life%20Evaluation%20Poster%203.8.15_A0.pdf

Barriers and facilitators to person centred dementia care: a musical intervention

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