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SOUND, ENVIRONMENT AND AGEING: BRINGING THE OUTSIDE INTO CARE HOMES

Lead Research Organisation: University of Gloucestershire
Department Name: School of Creative Industries

Abstract

The research is being carried out with charities that work with older people, to make soundtracks of natural sounds that are then shared with people living in care homes. The project aims to evaluate what the impact of taking these outside sounds into care homes might be on the older people living in such institutional settings. Sounds recorded with the project team of birdsong, sea, rivers, forest walks for example, will be played through special headsets that offer the listener an immersive listening experience that takes them out of the care home, and into the natural world. We estimate, based on previous projects, that there will be affective responses to these sounds that can impact on wellbeing and in consultation with care home workers, older people not living in care homes and care home residents. The potential future applications would be most likely to be an app for use in care home settings.

Technical Summary

This two-year project explores whether nature based acoustic experiences can support the mental wellbeing of older adults experiencing soundscape deprivation in care home residential settings.

The soundscapes will be co-composed with community-based reference participants (i.e. physically mobile older people) who will monitor, select, and record biophony and geophony using specialist equipment, including third-order ambisonics, interference tube microphones, and parabolic reflectors. These recording techniques augment human listening capabilities and are typically used by recording professionals to achieve spatially immersive recordings, and to remotely record sounds as though they were nearby.

This process of listening, recording, and curating will result in approximately ten different natural sound listening experiences, for use by older people in institutional settings with restricted mobility. The finished co-compositions will be trialed by 40 residents across eight residential care home on three delivery systems. The first system, will include static binaural renderings of the audio using over-ear headphones. The second, will deliver a head tracked rendering of the audio via Apple's Spatial Audio implementation of Dolby Atmos, using Apple's AirPods Max headphones. The third will deliver a Dolby Atmos Master to groups of participants, using a multichannel loudspeaker system as appropriate to the room, and of no more than 7.1.4 specification.

Each soundscape and delivery method will be assessed for suitability for use with care home residents and for its ease of use for facilitators. Participants will also take part in exit conversations when they, or their care workers, or, as the BGS terms it 'family consultees' will record their feelings about the participation. The project will result on an open access suite of 10 soundscapes and a project manual called 'Sage Sounds'.

Publications

10 25 50
 
Description BSG Care Home Research SIG Steering Committee Membeership
Geographic Reach National 
Policy Influence Type Participation in a guidance/advisory committee
 
Description British Academy Conferences 2025-26
Amount £23,330 (GBP)
Funding ID BAC25\250314 
Organisation The British Academy 
Sector Academic/University
Country United Kingdom
Start 08/2025 
End 09/2025
 
Description ENRICH / NIHR - Care Home Research facilitation 
Organisation National Institute for Health and Care Research
Department Enabling Research in Care Homes
Country United Kingdom 
Sector Academic/University 
PI Contribution SAGE offered care homes the opportunity to participate and benefit from the research project.
Collaborator Contribution ENRICH provided access to a network of research ready care homes. Staff at these care homes provided pre-screening, resident introductions, regular support during fieldwork, and facilitated gathering of impact data for care homes and their residents. ENRICH also provided support at the research design stage, providing access to a community of care home managers and social care practitioners who were able to shape the design of the project prior to entering care homes.
Impact Care homes have taken part in the SAGE project, offering direct benefits to care home residents as evidenced in their individual project impact assessments.
Start Year 2023
 
Description Gloucestershire County Council 
Organisation Gloucestershire County Council
Country United Kingdom 
Sector Public 
PI Contribution The SAGE research team offered older adult community groups and dementia support networks hosted by Gloucestershire County Council the opportunity to take part in a validation study to confirm the viability of WEMWBS-14 and NCI in older adult populations.
Collaborator Contribution Gloucestershire County Council assisted in the recruitment of older adult participants for a validation study.
Impact The collaboration confirmed the validity of the WEMWBS-14 and NCI surveys for use in the SAGE project with older adults. Further collaboration is planned to disseminate research findings via public exhibition at council sites (e.g., libraries) in 2025/2026.
Start Year 2024
 
Description 11th December: SAGE meeting with NIHR panel, 5 attendees 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Briefing meeting on the SAGE project and the possibility of linking with NIHR in order to a) source care homes and b) extend the reach of the project to target groups of practitioners working around ageing and health care.
Year(s) Of Engagement Activity 2023
 
Description 25th April: Presentation on SAGE @ SHINE HIT Quarterly Meeting, expected to have ~20 attendees 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact This followed on from the previous presentation and targeted practitioners across the UK working with dementia in an academic and social care capacity
Year(s) Of Engagement Activity 2024
 
Description 26th February: Presentation on SAGE @ Dementia HIT Research Workstream, 10-15 attendees 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact As a follow on from working with NIHR, the Dementia HIT team were interested in learning about SAGE
Year(s) Of Engagement Activity 2024
 
Description Bristol Dementia Health Integration Team - Research Showcase 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact The Bristol Dementia Health Integration Team are a regional network of researchers and practitioners supporting people living with dementia. Participation in the showcase and panel sparked questions and discussions afterward on how SBIs such as SAGE might aid people living with dementia in the region.
Year(s) Of Engagement Activity 2025
 
Description British Academy ECRN SW Regional Showcase 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Other audiences
Results and Impact A talk was given as part of a research showcase on the use of images and photography in interdisciplinary research projects at the SW regional meeting of the British Academy Early Career Researcher Network. Researchers reported that the SAGE approach to using images as part of their research processes would aid them in their future research.
Year(s) Of Engagement Activity 2024
 
Description Brunel Ageing Research Showcase, May 28th 2024. Sage had a poster presentation. 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact 62 members of the public attended the Brunel Ageing Research Showcase event. Sage presented a poster and recruited members of the Brunel Older Peoples Group to take part in focus groups and validated study sessions later in the year.
Year(s) Of Engagement Activity 2024
URL https://www.brunel.ac.uk/news-and-events/events/2024/Ageing-Research-Showcase
 
Description ECR Event at British Academy 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Other audiences
Results and Impact A talk was given as part of an early career research network event at the British Academy on the interdisciplinary research approaches used throughout SAGE. This provoked discussion as part of a panel at the event, and contributed to the development of ECRs within the network.
Year(s) Of Engagement Activity 2024
 
Description Invited Talk at Baycrest Health Science 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Professional Practitioners
Results and Impact Baycrest Health Science is an academic health sciences centre providing a continuum of care for older adults
Year(s) Of Engagement Activity 2024
 
Description Panel member for "Dementia, Mental Health and Music" @ NCCH 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Public/other audiences
Results and Impact Huddle event for National Centre for Creative Health exploring current practices in sound-based interventions to inform the general public and bring together persons and organisations who work with health inequalities, creative health, and place based interventions. Further involvement with NCCH expected, project added to NCCH portfolio of SBIs, and potential for future collaborations delivering SAGE (or training on how to deliver SAGE) to healthcare organisations and charitable groups across the UK.
Year(s) Of Engagement Activity 2024
 
Description Possibilities and Limitations of Participatory Methodologies in Sound, Environment, and Ageing: Bringing the Outside into Care Homes 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Presentation as part of workshops hosted by Aging in Data research network. Network expressed an interest in involvement in future developments in the project and potential partnerships for international expansion of the research (e.g., adapting the intervention for use in international audiences).
Year(s) Of Engagement Activity 2024
URL http://uoc.edu/portal/en/agenda/2024/agenda_198.html
 
Description Sage methods presentation at British Society of Gerontology Newcastle University 4/7/24 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Abigail Gardner and Stephen Tatlow from the SAGE project highlight interconnections between sound, nature and wellbeing and how the use of immersive audio technologies and natural sound interventions can be co-produced with older people not living in care homes for care home residents.
Year(s) Of Engagement Activity 2024