Introducing music in rehabilitative pathways with older persons living in Maltese care homes : speech language pathologists’ perspectives

Abstract

Background: Music, a universal art form, surpasses verbal expression in communicating emotions. It has a positive effect on older persons' well-being by improving their ability to express themselves and provide health advantages. Since, older persons are more prone to vulnerability that results in a decline in their functionality because of their prevailing fragility, this emphasises the significance of rehabilitation as part of their medical care. Moreover, incorporating music into rehabilitation care enhances their quality of life and overall well-being. Aim: After identifying a gap in the literature, this study aimed to explore the role and perception of Speech-Language Pathologists in the integration of music as part of interventions with older persons living within Maltese long-term care facilities. Method: A qualitative research approach made it possible to examine the issue through multiple lenses which improved the comprehension of speech-language pathologists' perspectives and the use of music with older persons in Maltese long-term care settings. The researcher determined that the most effective method for analysing the data gathered, was thematic analysis. A one-time, face-to-face focus group which involved five speech-language pathologists employed by the Active Ageing Community Care was used to gather data. Results: The focus group conducted with the participants yielded a total of five main themes: (1) Effectiveness of Music, (2) Integrating music in rehabilitation sessions, (3) Challenges involving prioritisation, diversity and group forming, (4) Self-reflection and (5) Facing limitations and barriers. Respective sub-themes emerged. Conclusion: This study was noteworthy since there is a dearth of local and international research on speech-language pathologists' first-hand experiences and perspectives regarding music and older persons in long-term care facilities. Speech-language pathologists were able to express their thoughts, feelings, and challenges that they encounter on a daily basis. To help older persons receive the necessary assistance, legislators, institutions, and healthcare professionals were given recommendations. It is suggested, that future research ought to include more Speech Language Pathologists and offer training courses to improve their expertise. The optimal utilisation of music for older persons could be achieved through funding, multidisciplinary team collaboration, and further education.