Evidence exists relating to music-based initiatives and positive health outcomes for people living with dementia who can access them. Yet, knowledge about the impact of ‘music-making’ on the well-being of community-dwelling people with dementia is limited. Much of the existing evidence about the benefits of music is focused on care home settings where initiatives can be readily applied as part of a weekly schedule of activities. Therefore, this initiative aimed to provide opportunities to participate in music-making, to increase social interaction and ultimately well-being in a community environment. Ten music-making session were scheduled for community-dwelling people living with dementia and care-partners, once a month between September 2019 and March 2020. Three sessions did not take place due to Covid19. Eighteen participants consented to take part including seven people living with dementia, five care-partners and six former care-partners. Baseline semi-structured interviews explored the lived experience of music and expectations of the upcoming music-making cafes. Self-report questionnaires captured ‘in the moment’ experiences of each music-making cafe. Follow-up semi-structured interviews explored the impact of music-making on participants' self-reported well-being. Interviews were transcribed verbatim and analysed thematically. The findings demonstrate that participating in the music-making café benefitted the self-reported well-being of participants in three ways: first, a sense of camaraderie that enabled the facilitation of connections with others; second, creating opportunities to ‘level the playing field’ by always assuming a person's strengths and abilities; and third, group participation in music-making meets a need for meaningful musical experiences. We conclude that participating in music-making is a powerful medium to promote well-being for community-dwelling people living with dementia and care-partners.

中文翻译：

---

与痴呆症患者和护理伙伴一起在社区中制作音乐——“我将感觉置身于世界之巅”

有证据表明，基于音乐的举措和可以接触到的痴呆症患者的积极健康成果。然而，关于“音乐制作”对社区痴呆症患者福祉的影响的知识是有限的。关于音乐益处的大部分现有证据都集中在养老院环境中，在这些环境中，可以很容易地将举措作为每周活动计划的一部分加以应用。因此，该计划旨在提供参与音乐制作的机会，增加社交互动并最终改善社区环境中的福祉。在 2019 年 9 月至 2020 年 3 月期间，每月为社区痴呆症患者和护理伙伴安排了 10 场音乐制作会议。 由于 Covid19，三场会议没有举行。18 名参与者同意参加，其中包括 7 名痴呆症患者、5 名护理伙伴和 6 名前护理伙伴。基线半结构化访谈探讨了音乐的生活体验和即将到来的音乐制作咖啡馆的期望。自我报告问卷记录了每个音乐制作咖啡馆的“当下”体验。后续的半结构化访谈探讨了音乐制作对参与者自我报告的幸福感的影响。访谈被逐字转录并按主题进行分析。研究结果表明，参加音乐制作咖啡馆在三个方面有益于参与者自我报告的幸福感：第一，一种能够促进与他人联系的友情；第二，通过始终假设一个人的长处和能力来创造“公平竞争环境”的机会；第三，集体参与音乐创作满足了对有意义的音乐体验的需求。我们得出的结论是，参与音乐制作是促进社区痴呆症患者和护理伙伴幸福感的有力媒介。