IntroductionPharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no randomised study has examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project aims to address the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia (PwD) and CGs.Methods and analysisA large international three-arm parallel-group randomised controlled trial will recruit a sample of 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads will be randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of PwD (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes will examine relationship quality between CG and PwD, depression, resilience, competence, QoL for CG and QoL for PwD. Outcomes will be collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia will be used to collect economic data across the life of the intervention and at 6-month follow-up. We hypothesise that the music programme plus SC will generate better results than SC alone (primary comparison) and the reading programme plus SC (secondary comparison).Ethics and disseminationEthical approval has been obtained for all countries. Results will be presented at national and international conferences and published in scientific journals and disseminated to consumer and caregiver representatives and the community.Trial registration numbersACTRN12618001799246p; NCT03907748

This article describes the changes taking place in the functions of allotment gardens, their perceived value, reasons for purchasing allotments and subjective (self-reported) assessments of their importance during the pandemic. A questionnaire survey was conducted among 203 owners of allotment gardens located in three highly urbanised cities in the Silesian Voivodeship (Southern Poland). Semi-structured questionnaires and non-standardised questionnaires were used to collect the data. The results demonstrate that the respondents aged above 61 years (38.5%) have observed a generational change in the function of allotments, from cultivating fruits and vegetables to recreational purposes. Regardless of age, the owners of allotment gardens did not notice any technological progress or new crops. The young respondents (21–30 years) treated allotment gardens as an investment (36.7%), while the respondents aged below 20 years and over 61 years declared that the greatest benefits of allotment gardening are improved health and growing one’s own fruits and vegetables. The respondents aged over 41 years (25.9%) also pointed out the importance of growing their own produce. Allotments were especially important during the pandemic as a private space free from COVID-related restrictions. Extended interviews with the respondents revealed that allotment gardening was perceived as a coping strategy for the stress generated during the lockdown. This study showed that allotment gardens are important sites not only for food production but also for maintaining mental health, social capital and environmental engagement.

Background: The number of people living with dementia (PwD) worldwide is expected to double every 20 years. Many continue living at home, receiving support from family caregivers who may experience significant stress, simultaneously to that of the PwD. Meaningful and effective home-based interventions to support PwD and their caregivers are needed. The development of a theory- and practice-driven online home-based music intervention (MI) is delivered by credentialed music therapists, nested within the HOMESIDE RCT trial. Methods: Dyads including the PwD and their family carer are randomised to MI, reading (RI) or standard care (SC). MI aims to support health wellbeing and quality of life by training caregivers to intentionally use music (singing, instrument playing, movement/dancing, and music listening) with their family member (PwD) in daily routines. MI is underpinned by cognitive, relational, social, and psychological theories of mechanisms of change. Results: Preliminary sub-cohort results analyses show MI can be delivered and is accepted well by participants and music-therapist interventionists across five countries. Conclusions: The specialist skills of a music therapist through MI enable carers to access music when music therapists are not present, to meet carer and PwD needs. Music therapists embrace this changing professional role, observing therapeutic change for members of the dyads.

The aim of this article is to present the level of happiness perceived by women aged over 60 years (N = 100), to indicate the factors that determine the perception of happiness, and to determine the possibilities for strengthening the feeling of happiness. For the purposes of this article and the analysis of the obtained empirical data, the authors of this article assumed the structural theory of happiness, which allows for study participants to be viewed as biological, psychological, social, and spiritual beings.

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