Exploring caregivers' experiences of communication with persons with dementia in relation to therapeutic caregiver singing

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.