The Fort Collins Symphony

B Sharp

Live musical performance and meaningful social connection enrich the lives of those living with dementia and their care partners. The Fort Collins Symphony partners with Dementia Together to provide these experiences.
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B Sharp event
B Sharp event

B Sharp

An Arts Engagement Program

Founded in 2015 as a collaboration between the Fort Collins Symphony, Dementia Together, and Colorado State University, B Sharp is a nationally-recognized arts engagement program that brings together live music, social connection, and community support to enhance the lives of those living with dementia and their care partners.

Each season, 30 couples are given season tickets to the Fort Collins Symphony. Participants attend every concert and build familiarity by sitting in the same seats each time. Dementia Together hosts a pre-concert reception that fosters community and social connection and enables participants to get to know one another.

Throughout the season, the Fort Collins Symphony also partners with Dementia Together to host daytime musical Memory Cafes that feature live music, conversation, and fond reminiscence.

» Interview - Recorded July 2023

Dementia Together and B Sharp Participants

About B SharpResearch MethodsResearch Results

About the B Sharp Dementia Research Program

B Sharp was launched in 2015 and provided 30 people with dementia and their primary caregiver the opportunity to attend five Fort Collins Symphony Masterworks concerts. Pairs were given season tickets, invited to a pre-concert and post-concert reception, and were able to meaningfully interact with others. The study explored a number of factors, including the impact of the music on the cognitive ability of participants with dementia, the social connections between the caregiver and person with dementia, and the degree to which study participants feel supported by the community.

This study was unique as most music therapy programs operate in an isolated social setting. In this program, participants were given season, tickets, enjoyed public music, attended receptions with fellow community members, and participated in a “normal” social setting.

Attending dementia-friendly community events like B sharp helped caregivers feel connected to their loved one, other caregivers, and enjoy a night out.

Research Methods

In order to assess the impact of participation on memory, mood, and attention, participant with dementia were gien one of two cognitive tests before and after concerts, as well as the Geriatric Depression Scale and a mood assessment. The first cognitive test, called RBANS, is a neuropsychological test that assesses current cognitive functioning, improvement, and/or decline. The second, Alzheimer’s Quick Test, measures perception speed and overall cognitive speed. To assess social connection of caregivers, researchers administered surveys, performed social network mapping, and conducted post-concert phone calls, in-depth interviews, and focus groups.

Research Results

B Sharp data

The Cognitive function (mood, memory, and attention) of participants improved.

Dementia Caregivers identified a number of positive changes in their loved ones after participating in the program; including improved alertness, engagement, and mood in comparison with other activities done together.

Last season, there was a nearly significant correlation (R=.50, p=.058) between the change in the RBANS score and attendance. This suggests that overall cognition IMPROVED over the course of the 9-month B Sharp intervention. This season, those who completed RBANs in both February and May also demonstrated an INCREASE in index scores across time. Across tests, participants also showed and increased mood after attending the concert. Future analyses will seek to investigate whether increases in mood also translates to higher accuracy and faster completion rate on tasks.

Attending the concert was a shared activity that allowed caregivers to meaningfully connect with their loved one.

As people lose heir memory, they lose their ability to relate to people and communicate in meaningful ways. Through attending the B Sharp concerts, caregivers were able to feel connected to their loved one in a familiar and meaningful way, allowing them to remember the person they fell in love with and reconnect to past memories and experiences. Additionally, the concerts resurfaced old memories and allowed new memories to be formed. The concerts became a point of conversation prior to attendance, immediately after, and for some, continued to be so. Many participants remarked that they turned the concert into a “date night.” It was something to look forward to and it gave both caregiver and the person with dementia an opportunity to get dressed up and socialize with the broader Fort Collins Community.

There is very little that we can do together, so this is just very nice. In a sense, it gives dignity to both of us or to all of us. To me, it’s a nice way of having something to do together when you feel like you’ve lost all the things you used to be able to do together.

 

holding hands

Caregivers were able to form new connections with other caregivers.

The diagnosis of dementia changes both the caregiver’s relationship with their loved one, as well as their relationships with friends, colleagues, and family. s one of the program components consisted of a pre- and post-concert reception, caregivers and their loved ones were able to interact in a “normal” social setting and develop new social connections. Through participating in the program, caregivers were able to interact socially with others in a similar position and share experiences. Additionally, the normalcy of the reception room generated different kinds of conversations than what typically take place in support groups. Rather than “focusing on our problems,” as one caregiver put it, caregivers were able to discuss personal interests, contemporary events, or other community events.

Across interviews, caregivers remarked that attending the reception helped reduce feelings of social isolation and increased their feelings of community connectedness.

It gives us all a night to dress up and play normal adult. There’s a lot of child-parenting going on, and then when you’ve got to get your clothes on and show up and you get to mingle with other adults. It feels normal again.

Caregivers appreciate the chance to be in the moment.

Those with dementia are commonly supported by informal caregivers such as spouses, other family members, friends, or neighbors. Caring for an individual with dementia is often associated with physical, psychological, emotional, financial, and social burdens. However, attending community based interventions can reduce feelings of social isolation and provide caregivers with an opportunity for respite. Across interviews, participants remarked that attending the concert with their loved one allowed them to take a break from their caregiver role and enjoy the moment. For caregivers, the opportunity to enjoy the music with their loved one without worrying about the future was welcome.

I can get lost in the moment. I can just get lost in it, and think that this really good for us caregivers is to be able to relax and to enjoy. We do know it’s a short time, but we’re going to enjoy it while we’ve got it.

Program Donors

Thank you to the donors who support the B Sharp program and research:

Diane Holt and Michele Mcfarland Fund of the Community Foundation of Northern Colorado, Lisa Schwartz, Margo Matthews, Mary & Paul Kopco, Mary Pat & Michael McCurdie, Kenneth & Myra Monfort Charitable Foundation, Robert Heer & Mary Kolesnyk, Rotary Club of Fort Collins, Marlys & John McGrath, Walta Ruff, Dementia Together, Catherine & Michael Kane, Karel Applebee

Founding Partners

Fort Collins Museum of Art
Banner Health
Kaiser Permanente
Alzheimer’s Association, Colorado Chapter
Dementia-Friendly Communities of Northern Colorado
Fort Collins Symphony
Colorado State University
Larimer County, Office On Aging
Kenneth and Myra Monfort Charitable Foundation

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Research Inquiries

Please contact Jeni Cross, PhD, Associate Professor of Sociology, Colorado State University