Harmony in the Bush is an ambitious national dementia research project that seeks to identify key drivers of a personalised care, and use co-design principles to implement and evaluate a personalised model of care incorporating music/art and movement interventions for residents with dementia in 5 rural aged care homes in South Australia and Far North Queensland.
The project is funded by a two-year $1.5 million 'innovation in dementia care' grant from the Australian government.
This project took shape through the impact of two projects which were undertaken in the Riverland region during 2017. The first, 'Spinback' (pictured at left), was a partnership between Flinders Rural and Remote Health SA and Country Arts SA, where local school children and residents from a local nursing home came together the engage in music and art making activities, as well as to enjoy fellowship and break down intergenerational barriers to form meaningful relationships for young and old alike.
The second project, 'Music and Memory', involved residents from a Renmark nursing home currently living with dementia, who were given music to listen to (chosen by the resident) for 30 minutes each day, in order to observe the responses and effects of regular listening on their behaviour, social interactions, and memory retention.
Both projects were extremely successful, and demonstrated the immense potential value of visual arts, music and dance on the wellbeing, improved mental heath and quality of life of dementia sufferers. This new project takes these ideas, and seeks to find concrete and meaninful ways to help older Australians, and in particular those living with dementia, to live full and enjoyable lives into the future.
To Expand the Progressively Lowered Stress Threshold (PLST) model of care for residents with dementia by incorporating individualised preferred music/art and movement interventions to co-design a personalised model of care that reduces levels of challenging behaviours and improves wellbeing in residents with dementia, minimises carers’ stress, and brings about a positive residential aged care culture change.
We anticipate that this approach will result in long-term positive outcomes for residents with dementia in residential aged care facilities, and a parallel stress reduction in aged care staff.
Train aged care staff:
Identify forms of music and art activities preferred by residents with dementia before the onset of their dementia condition, and co-design personalised care plans.
Implement co-designed personalised PLST-based care plans, and the integrated PLST Plus music and art/movement programs care plans to care for residents with dementia.
Evaluate the effectiveness of the co-design personalised care plans with and without music, art or community engagement interventions, by analysing its impact on patient behavioural outcomes, staff stress level, and institutional culture change.
The project will be conducted in the following Residential Aged Care Homes:
Dr Vivian Isaac – Senior Lecturer (Rural Mental Health), Flinders University
Dr Abraham Kuot – Research Fellow, Flinders University
Prue Mellor – Research Fellow, Flinders University
Associate Investigators
Professor Geri Hall – Consultant Expert for the Progressively Lowered Stress Threshold Model and research in person-centred dementia care, and the Clinical Nurse Specialist at University of Arizona, Phoenix – USA
A/Professor Edward Strivens – Consultant Expert for the Research in Dementia care, and the Regional Geriatrician and Clinical Director for Older Person Health Services in Cairns and Hinterland Health Service in Far North Queensland; and the Co-Chair of Queensland Health’s State-wide Dementia Clinical Network
Support Staff
Mrs Margaret Kimani – Research Assistant, Flinders University
We will be regularly updating our progress with the Harmony in the Bush project on this site, with links to reports and images of the research in action. If you would like to know more or contact the Harmony in the Bush research team, please contact:
Flinders Rural and Remote Health SA
Ral Ral Avenue (GPO Box 852)
Renmark, South Australia
Ph: (08) 8586 1000
Email: abraham.kuot@flinders.edu.au.
Flinders University Rural and Remote Health SA has a large presence in our State's regional areas, including Barossa Valley, Hills Mallee Fleurieu and Kangaroo Island, Mid North and Yorke Peninsula, Riverland, South East and Far North and Eyre Peninsula.
Sturt Rd, Bedford Park
South Australia 5042
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