Creating personalised playlists for those
How we’re tackling dementia through research
We all have soundtracks to our lives. Music for my Mind’s mission is through research and technological development, to promote and enable the take up of personalised music to improve the well-being of people living with dementia, their relatives, friends and carer providers.
There is compelling evidence for the importance of sensory experience as cognitive function deteriorates for people living with dementia (for example to ease behavioural and psychological symptoms). Music can enable non-verbal communication for people with advanced dementia. However, the evidence remains largely anecdotal and more well-conducted clinical trials are required to understand better the impact of music listening on people living with dementia. Our research programme aims to contribute to this growing evidence base demonstrating the value of personalised music for people living with dementia and help persuade care professionals to deploy personalised music listening appropriately within dementia care and social prescribing.
Our research programme has been developing over the years on a number of fronts.
A Focus on the Reminiscence Bump to Personalise Music Playlists for Dementia
Over the last year we have been doing research to find the age at which popular music has the greatest impression on an individual’s memory. After surveying respondents of different ages, we have found that, regardless of your current age, you are most attuned to popular music between the ages of 13 and 19, and can best recall it later in life. We have now published the paper in the Journal of Multidisciplinary Healthcare, a peer-reviewed medical journal, and will use this information to increase the accuracy of our playlist creation app.
Pilot study in 2016/17
We began our journey by conducting a small pilot study in 2016/17 with 8 volunteers. When playing the personally meaningful music, we observed a tapestry of responses – from smiling, tapping hands or feet to singing along. But the positive effect went even beyond that – it affected the family members present in the room, who saw their loved one engaging and interacting again through music. See our video with the results.
Feasibility Study in Quantum Care
Encouraged by our observations, we partnered with Quantum Care to conduct a feasibility study, which started in early 2020. We will work with 80 people living with dementia, to explore the most efficient and cost-effective ways of creating and delivering personalised music for people living with dementia and to assess their responses to the music, including trialling automated video analysis of responses to music. We are collaborating with Marcel Gehrung (Cyted, Cambridge computer scientist and entrepreneur) to test the feasibility of using machine learning analysis of changes in facial expression (captured on video) to develop quantitative measures of emotional responses to personalised music. This is showing really encouraging results when correlated with data recorded manually through direct observation. Our study will also include evaluating the user-friendliness and acceptability of implementing the intervention in care homes, including staff and residents’ willingness to participate and confidence to use it.
Our hypothesis is that personalised music (i.e. music based on the known preferences of the individual during their formative years – age 14 to 22) will have an effect on reducing behavioural and psychological symptoms and improving relationships with carers and family.
The methodologies developed through this study and our learnings, will be used to inform further feasibility studies and ultimately a larger scale study of the effects of personalised music on the well-being of people living with dementia.
Imaging pilot study with KCL
We are partnering with a team at the Maudsley Hospital and King’s College London, to work on brain imaging while listening to personally meaningful and neutral music. This exciting project will provide insights into the mechanisms by which music can help people living with dementia. We will recruit 15 research participants, to undergo a functional magnetic resonance imaging (fMRI) scan, while they are listening to snippets of 5 of their favourite songs and 5 songs that don’t induce any emotion.
We are excited about these studies and the potential to advance understanding of the impact of personalised music on people living with dementia. All of our projects detailed here have been given Research Ethics Committee approval by the Camberwell St Giles Ethics Committee in London.
To support our research, we have been developing and testing Web Apps to create and deliver the personalised playlists and you can read more about our technological development programme here.
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