Barriers and Facilitators for Implementing Music Interventions in Care Homes for People with Dementia and Depression: Process Evaluation Results of the Multinational Cluster-Randomized MIDDEL Trial
Creators
- 1. ArtEZ Univ Arts, Acad Mus, Mus Therapy Dept, ArtEZ Professorship Mus Based Therapies & Interven, NL-7511 PN Enschede, Netherlands
- 2. Univ Groningen, Univ Med Ctr Groningen, Dept Primary & Long Term Care, NL-9713 GZ Groningen, Netherlands
- 3. NORCE Norwegian Res Ctr, Grieg Acad Mus Therapy Res Ctr, N-5008 Bergen, Norway
- 4. NORCE Norwegian Res Ctr, Hlth & Social Sci, N-5008 Bergen, Norway
- 5. Haci Bayram Veli Univ, Turk Muzigi Devlet Conservatory, TR-06560 Ankara, Turkiye
- 6. Carl von Ossietzky Univ Oldenburg, Dept Mus, D-26129 Oldenburg, Germany
- 7. Carl von Ossietzky Univ Oldenburg, Epidemiol & Biometry, D-26129 Oldenburg, Germany
Description
A process evaluation was embedded in the multinational Music Interventions for Dementia and Depression in ELderly care (MIDDEL) trial to better understand barriers and facilitators for implementing music-based interventions (MBIs). Stakeholders from 66 care home units across 5 countries completed a survey at baseline (n = 229) and after a six-month intervention period (n = 101), comparing expectations and experiences between countries, intervention groups, and stakeholders. MBIs were evaluated and found to be relevant and feasible. Barriers include a lack of support, turnover among employees, and a lack of motivation. Facilitators include individual stakeholders who proactively facilitate and stimulate implementation, as well as the presence of stable, well-functioning teams, clear communication, and adhering to project plans. Fewer barriers than expected related to care staff workload and the time needed for implementing new MBIs in care homes. MBIs can be beneficial for people with dementia, yet implementation in care homes can be challenging due to contextual factors. Involving stakeholders in key positions is essential: care home managers are pivotal for policy-making and the sustainable adoption of MBIs, whereas the commitment and the involvement of care staff are needed for day-to-day implementation. Insight into these barriers to and facilitators of implementation can contribute to the interpretation of trial results.
Files
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