Pathways is a comprehensive singing program for use in memory care Comprised of a video series, activity booklets, online training, and audio CDs
Resource: Pathways Why? AD - Vulnerable population Literature shows neural pathways in music processing may not be lost in AD Singing is an engaging and holistic musical activity with many health benefits Void of available resource Accessibility for care partners
Pathways video series 3 collections Seasons, Journeys, Inspirations themed episodes
Expert singing host Briar Boake
Episode content Welcome Introduction Breathing warm-up 5 songs song cue image, singing success Breathing warm-down Goodbye 25-30 minutes long
Song order The session is meant to be a journey that is therapeutic in nature having a rise and fall in musical intensity. warm up warm down Song 1 2 3 4 5 moderate more upbeat upbeat upbeat gentle
Subtitles
Images - Episode
Images Song cue North America - Home on the Range Uplifting Zip-a-dee-doo-dah
Images - Background Caribbean United Kingdom Love
Pathways Sampler
Activity booklets 325 unique activities (5 per song) Universal themes from content or implication Can be modified based on cultural content, cognitive ability, gender, age, mobility Can be extended based on interest, integration, responsiveness Co-constructing encourage participant agency, engagement, empowerment
Activity approaches Active Passive Concrete Abstract Short Long Singular Integrated Simple Complex
ICON CATEGORY AREAS OF STIMULATION Arts & Crafts Food creativity, gross and fine motor skills through modelling, painting, decorating, making collage etc. reminiscence, and taste through baking, identifying, mixing, decorating, eating etc. Costumes creativity, play, and cultural awareness through dress-up, make believe, identifying etc. Music-making Games cognition, coordination, listening, moving, creativity through playing instruments, humming, and singing etc. cognition, play, awareness through matching, naming etc. Discussion Videos Movement cognition, reminiscence, ideas, emotions, through asking questions about ideas, experiences, stories, history, travel etc. visual acuity, story, reminiscence etc. through watching videos gross motor skills through dance, moving body parts, clapping etc. Activity categories Reminiscence memories using prompts through tangible objects, pictures, videos, ideas etc. Auditory aural acuity, and cognition through listening, identifying, etc. Nature awareness of natural objects through observation, walking, touching, questioning, visiting etc. Sensory senses through tasting, seeing, smelling, touching or hearing Vocational skills like sorting, packing, stacking, etc.
WATCH EUROPE
Activity page for Roll Out the Barrel
Demo Spring Episode
Catalogues Alphabetical Permission By episode By activity category
6 topical tutorials Understanding dementia Why singing works in memory care How Pathways Works 1: Video Series How Pathways Works 2: Activity booklets How pathways Works 3: Using Pathways Strengthening relationships through Pathways Animated Short Self-directed Online training
Audio CD 1 CD per episode for extended use Instrumental and vocal tracks Integrated into program, use on its own, for extended use
Research and testing to date 2011 2013 2014 2015 Pilot Study - design 20 Cdn LTC Positive results 3 Focus Groups GTA experts Advisory Group Activity experts brainstorming Activity Booklet design Pilot study published BETA testing 30+ facilities, programs, homes
BETA results Beta test results confirm anticipated outcomes Increased responsiveness and socialization noted
What makes Pathways unique? Ready-to-use No musical expertise required Hundreds of hours of repeatable, interactive programming Flexible delivery i.e. individual/group Multi-sensory appeal Closed captioning option 1 episode entirely in French
What are some benefits of Pathways? Strengthens relationships Evokes memories Sparks conversations Creates moments Engages people in music-making Reduces isolation and brings people together Improves mood and engagement Makes people happy Helps express emotions
Room 217 website Pathways access points Home page online training box Menu Pathways drop-down descriptions, SAMPLE (6 min Europe) Resource store to purchase
Some music and dementia research Clair, AA (2002). The effects of music therapy on engagement in family caregiver and care receiver couples with dementia. American Journal of Alzheimer s Disease and Other Dementias, 17 (5) 286-290. Clements-Cortés, A (2014). Sing-a-long DVD and activity package pilot study with older adults. Journal of Music, Technology & Education, 7 (2), 123-139. DOI: 10.1386/jmte.7.2.123_1 Kitwood, T (1997). The experience of dementia. Aging & Mental Health, 1 (1): 13-22. Kontos, P & Martin, W, (2013). Embodiment and dementia: exploring critical narratives of selfhood, surveillance, and dementia care. Dementia, 12(3) 288-302. DOI: 10.1177/1471301213479787 Kydd, P (2001). Using music therapy to help a client with Alzheimer s disease adapt to long term care. American Journal of Alzheimer s Disease and Other Dementias. 16 (2) 103-108 Lewis, V, Bauer, M, Winbolt, M, Chenco, C, & Hanley F (2015). A study of the effectiveness of MP3 players to support family carers of people living with dementia at home. International Psychogeriatrics, 27:3, 471-479. DOI:10.1017/S1041610214001999 McDermott, Orrell M, Ridder, H (2014). The importance of music for people with dementia: the perspectives of people with dementia, family carers, staff and music therapists. Aging & Mental Health, 18 (6) 706-716. DOI: 10.1080/13607863.2013.875124 Osman, S, Tischler, V, Schneider, J (2014). Singing for the Brain : a qualitative study exploring the health and wellbeing benefits of singing for people with dementia and their carers. Dementia, 0 (0) 1-14. DOI: 10.1177/1471301214556291 Särkämö, T, Laitinen, S, Tervaniemi, M, Numminen, A, Kurki, M, & Rantanen, P (2012). Music, emotion, and dementia: insight from neuroscientific and clinical research. Music and Medicine 4(3) 153-162. DOI: 10.1177/1943862112445323 Sixsmith, A & Gibson, G (2007). Music and the wellbeing of people with dementia. Ageing & Society, 27, 127-145. DOI:10.1017/S0144686X06005228 Volicer, L (2013). Palliative care in dementia. Progress in Palliative Care, 21 (3) 146-150. DOI: 10.1179/1743291X12Y.0000000036
Available Fall 2015 www.room217.ca