Abstract:
Studies show that the use of music and therapeutic singing in dementia care can be
beneficial to both caregivers and persons with dementia (PWDs). Therapeutic singing
forms part of music therapy interventions with PWDs, which is typically carried out by
the music therapist. Equipping caregivers with the skills to use therapeutic singing
during morning routines is still relatively unexplored in South Africa. This case study
aims to explore four caregivers’ experiences of implementing Therapeutic Caregiver
Singing in morning routines with PWDs. Subsequently, this study also explores ways
in which Therapeutic Caregiver Singing can facilitate communication between these
caregiver-participants and PWD-participants. Data collection took place at a care
home in South Africa. One four-hour workshop was conducted to equip caregivers
with practical techniques to implement during daily routines with PWDs. Interviews
were the primary source of data collection, and were conducted with each caregiver
on three separate occasions. Diary prompts and observations were used to assist
interview questions. This study employed an interpretative phenomenological
approach. Results showed 7 superordinate themes namely: a deepened relational
connection between caregivers and residents; interpersonal experiences for
caregivers; an enhancement of person-centered ethos; promotion of participatory
engagement; promotion of emotional responses; unpredictability, changes and
challenges in the work environment; and caregivers’ resilience. Findings suggest an
overall positive experience of Therapeutic Caregiver Singing, with facilitation in
communication between caregivers and residents with dementia. Recommendations
for future research include exploring limiting factors to the use of Therapeutic
Caregiver Singing during morning routines.
