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   <front>
      <journal-meta>
         <journal-id journal-id-type="DOAJ">15041611</journal-id>
         <journal-title-group>
            <journal-title>Voices: A World Forum for Music Therapy</journal-title>
         </journal-title-group>
         <issn>1504-1611</issn>
         <publisher>
            <publisher-name>Grieg Academy Music Therapy Research Centre, Uni Research
               Health</publisher-name>
         </publisher>
      </journal-meta>
      <article-meta>
         <article-id pub-id-type="doi">10.15845/voices.v18i1.883</article-id>
         <article-categories>
            <subj-group subj-group-type="heading">
               <subject>Research</subject>
            </subj-group>
         </article-categories>
         <title-group>
            <article-title>An intergenerational singing group: A Community music therapy qualitative
               research project and graduate student mentoring initiative</article-title>
         </title-group>
         <contrib-group>
            <contrib contrib-type="author">
               <name>
                  <surname>Vaillancourt</surname>
                  <given-names>Guylaine</given-names>
               </name>
               <xref ref-type="aff" rid="G_Vaillancourt"/>
               <address>
                  <email>g.vaillancourt@concordia.ca</email>
               </address>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Costa</surname>
                  <given-names>Danna Da</given-names>
               </name>
               <xref ref-type="aff" rid="D_Costa"/>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Han</surname>
                  <given-names>Evie (Yi)</given-names>
               </name>
               <xref ref-type="aff" rid="E_Han"/>
            </contrib>
            <contrib contrib-type="author">
               <name>
                  <surname>Lipski</surname>
                  <given-names>Gloria</given-names>
               </name>
               <xref ref-type="aff" rid="G_Lipski"/>
            </contrib>
         </contrib-group>
         <aff id="G_Vaillancourt"><label>1</label>Concordia University, Montreal, QC, Canada</aff>
         <aff id="D_Costa"><label>2</label>Private Practice, Cambridge, ON, Canada</aff>
         <aff id="E_Han"><label>3</label>Fondation Dr. Julien, Montreal, QC, Canada</aff>
         <aff id="G_Lipski"><label>4</label>Music Therapy Center, Toronto, ON, Canada</aff>
         <contrib-group>
            <contrib contrib-type="editor">
               <name>
                  <surname>Rickson</surname>
                  <given-names>Daphne</given-names>
               </name>
            </contrib>
         </contrib-group>
         <contrib-group>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Oosthuizen</surname>
                  <given-names>Helen</given-names>
               </name>
            </contrib>
            <contrib contrib-type="reviewer">
               <name>
                  <surname>Bolger</surname>
                  <given-names>Lucy</given-names>
               </name>
            </contrib>
         </contrib-group>
         <pub-date pub-type="pub">
            <day>1</day>
            <month>3</month>
            <year>2018</year>
         </pub-date>
         <volume>18</volume>
         <issue>1</issue>
         <history>
            <date date-type="received">
               <day>16</day>
               <month>3</month>
               <year>2016</year>
            </date>
            <date date-type="accepted">
               <day>19</day>
               <month>9</month>
               <year>2017</year>
            </date>
         </history>
         <permissions>
            <copyright-statement>Copyright: 2018 The Author(s)</copyright-statement>
            <copyright-year>2018</copyright-year>
         </permissions>
         <self-uri xlink:href="https://dx.doi.org/10.15845/voices.v18i1.883"
            >https://dx.doi.org/10.15845/voices.v18i1.883</self-uri>
         <abstract>
            <p>This study describes the implementation and investigation of a community music
               therapy (CoMT) intergenerational singing group. Participants were a non-clinical
               group of adults aged 20 to 65 years old. Weekly sessions were held over a 10-week
               period at a community art studio in a lower-income neighborhood within a large
               Canadian urban city. Participants reported experiencing increased self-expression, a
               sense of accomplishment, improved respiration, and feelings of general well-being.
               They developed new relationships and social and community networks, however
               participants mentioned limitations regarding the sustainability of this community
               development. They also indicated challenges with the multilingual repertoire. Three
               professional music therapy graduate students, acting as co-researchers, were
               introduced to and mentored in implementing community music therapy practice and
               research. Potential implications and recommendations for further research are
               discussed.</p>
         </abstract>
         <kwd-group kwd-group-type="author-generated">
            <kwd>Key words: Community music therapy</kwd>
            <kwd>intergenerational</kwd>
            <kwd>singing group</kwd>
            <kwd>community</kwd>
            <kwd>graduate students</kwd>
         </kwd-group>
      </article-meta>
   </front>
   <body>
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Introduction</title>
         <p>Community music therapy (CoMT) is a social music approach that promotes social
            inclusion, wellbeing, and a sense of belonging by resourcing clinical and marginalized
            populations to music within their communities (<xref ref-type="bibr" rid="A2002"
               >Ansdell, 2002</xref>; <xref ref-type="bibr" rid="PA2004">Pavlicevic &amp; Ansdell,
               2004</xref>; <xref ref-type="bibr" rid="SAEP2010">Stige, Ansdell, Elefant, &amp;
               Pavlicevic, 2010</xref>; <xref ref-type="bibr" rid="SA2012">Stige &amp; Aarø,
               2012</xref>; <xref ref-type="bibr" rid="V2012">Vaillancourt, 2012</xref>). While
            international CoMT research has included children, youth, and adults living with special
            needs or precarious social conditions (<xref ref-type="bibr" rid="OFT2007">Oosthuizen,
               Fouché, &amp; Torrance, 2007</xref>; <xref ref-type="bibr" rid="S2004">Stewart,
               2004</xref>; <xref ref-type="bibr" rid="ZS2004">Zharinova-Sanderson, 2004</xref>),
            Canadian research is still limited (<xref ref-type="bibr" rid="B2003">Baines,
               2003</xref>; <xref ref-type="bibr" rid="B1998">Bird, 1998</xref>; <xref
               ref-type="bibr" rid="C2012">Curtis, 2012,</xref>, <xref ref-type="bibr" rid="C2015"
               >2015</xref>; <xref ref-type="bibr" rid="CV2012">Curtis &amp; Vaillancourt,
               2012</xref>; <xref ref-type="bibr" rid="CM2004">Curtis &amp; Mercado, 2004</xref>;
               <xref ref-type="bibr" rid="SSDA2008">Snow, Snow, &amp; D’Amico, 2008</xref>; <xref
               ref-type="bibr" rid="V2009">Vaillancourt, 2009</xref>; <xref ref-type="bibr"
               rid="Y2009">Young, 2009</xref>), and a non-clinical population has not been
            studied.</p>
         <p>Meanwhile, the benefits of the everyday uses of music to support health and wellbeing
            are getting more academic attention outside of music therapy as well (<xref
               ref-type="bibr" rid="BD2003">Bailey &amp; Davidson, 2003</xref>; <xref
               ref-type="bibr" rid="BRTDN2007">Batt-Rawden, Trythall, &amp; DeNora, 2007</xref>).
            The therapeutic properties of music and its potential to improve health, to develop
            community, and to foster personal cultural expression are being recognised (<xref
               ref-type="bibr" rid="BD2003">Bailey &amp; Davidson, 2003</xref>). When it comes to
            singing in particular, participation in a choir can benefit social, emotional, and
            mental well-being (<xref ref-type="bibr" rid="BD2003">Bailey &amp; Davidson,
            2003</xref>); vocal exercises and singing can address social, communicational, and
            physical needs (<xref ref-type="bibr" rid="FT2011">Fogg &amp; Talmage, 2011</xref>);
            choral singing can improve mood, health, and wellbeing in the general population (<xref
               ref-type="bibr" rid="TLLFRP2013">Talmage, Ludlam, Leão, Fogg-Rogers, &amp; Purdy,
               2013</xref>); and music can foster emotional awareness, social and spiritual
            connection, and social competency (<xref ref-type="bibr" rid="R2004">Ruud,
            2004</xref>).</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Benefits of Singing</title>
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Psychological benefits of singing</title>
               <p>Bailey and Davidson (<xref ref-type="bibr" rid="BD2003">2003</xref>) found that
                  participants who lived on the street felt that participating in a choir improved
                  their self-esteem, helped them distance themselves from daily problems, and gave
                  them the opportunity to express long-time repressed emotions. According to Bailey
                  and Davidson (<xref ref-type="bibr" rid="BD2007">2007</xref>), singing enables
                  “emotional release, physical arousal, social communion; [and] perhaps it also
                  offers a personal sense of transformation: a shift of the sense of what you
                  experience” (pp. 60–61). Chinese-Australian adults reported that they experienced
                  enjoyment, pleasure, and relaxation when participating in a choir, which
                  translated into improved emotional well-being (<xref ref-type="bibr" rid="LS2012"
                     >Li &amp; Southcott, 2012</xref>). The participants eagerly anticipated their
                  group, which gave them a sense of belonging and purpose.</p>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Social benefits of singing.</title>
               <p>Singing experiences can develop participants’ sense of belonging, community,
                  connection, relationship formation and confidence. Regardless of previous singing
                  experience, shared emotional experiences like group singing can lead to group
                  cohesion, a sense of community and connection to others, social expression and a
                  sense of accomplishment (<xref ref-type="bibr" rid="CH2001">Clift &amp; Hancox,
                     2001</xref>; <xref ref-type="bibr" rid="Y2009">Young, 2009</xref>). In another
                  study, participants report increased confidence, positive reminiscence, feelings
                  of “instant community”, building relationships, making connections, and in the
                  context of an intergenerational singing curriculum, enjoyment of seeing the
                  younger generation (<xref ref-type="bibr" rid="BHONZC2013">Beynon, Heydon,
                     O’Neill, Zhang, &amp; Cocker 2013</xref>). “Belonging” was also an important
                  theme for a group of older Chinese Australians (<xref ref-type="bibr" rid="LS2012"
                     >Li &amp; Southcott, 2012</xref>):</p>
               <disp-quote>
                  <p>Being in a group with shared understandings helps members overcome feelings of
                     isolation and loneliness. The weekly rehearsal becomes a social gathering that
                     engenders positive and transformative experiences. When asked why they joined
                     the group, participants responded that forming relationships with others was a
                     strong motivation. (p.67)</p>
               </disp-quote>
               <p>Additionally, research has shown that participation in group singing can influence
                  social change and agency within communities. Sattler’s (<xref ref-type="bibr"
                     rid="S2013">2013</xref>) ethnographic study investigating the contribution
                  of music ensemble programs to socio-cultural development in Australia, Canada, and
                  the United States found that adult learning communities involving music can have a
                  role in community social change. Moreover, choir participants living with
                  neurological conditions noted an increased sense of confidence, which counteracted
                  feelings of being stigmatized (<xref ref-type="bibr" rid="FT2011">Fogg &amp;
                     Talmage, 2011</xref>). The literature also points to the impact of musical
                  participation on the individual’s relationship and agency within community and
                  culture, namely that it can bridge social barriers and foster community wellness.
                  Batt-Rawden, Trythall, &amp; De Nora (<xref ref-type="bibr" rid="BRTDN2007"
                     >2007</xref>) suggested that musicking:</p>
               <disp-quote>
                  <p>…engenders self-awareness, may retrieve fond memories or “happy times” and
                     memories of self as a more capable agent; provides resources for converting
                     music recipients to music actors; heightened and renewed forms of agency;
                     [provides] feelings of self-recovery, self-change, pleasure, connection to
                     others, new lifestyle patterns, and many other means of enhancing well-being or
                     “wellness.” (p. 77)</p>
               </disp-quote>
            </sec>
            <!-- sec lvl 4 end -->
            <!-- sec lvl 4 begin -->
            <sec>
               <title>Physiological benefits of singing</title>
               <p>Active participation in singing leads to increased immunoglobulin A (sIgA) and
                  decreased cortisol, which could indicate improvement in immune system functioning
                     (<xref ref-type="bibr" rid="BD2007">Bailey &amp; Davidson, 2007</xref>). Stacy,
                  Brittain, and Kerr (<xref ref-type="bibr" rid="SBK2002">2002</xref>) advanced
                  that singing can affect pulmonary functions such as breathing, muscle tension,
                  posture, and respiratory symptoms. They also found links between singing and
                  emotional and spiritual states, and their influences on the sympathetic nervous
                  system and brain functioning. <xref ref-type="bibr" rid="SBK2002">Stacy et al.
                     (2002)</xref> reported that there were numerous variables associated with being
                  music participants and listeners and that the social, psychological, and
                  physiological aspects of being in the music are often intertwined. They found that
                  music can be relaxing; reduce anxiety and depression; elicit different feelings
                  (i.e. relaxation, anger, etc.); and elicit strong “…physical reactions, perception
                  (hearing, seeing), changes of attitudes, emotion and feelings, transcendent
                  aspects (spiritual, religious), and personal development (such as increased
                  self-confidence)” (p. 157). A group of adults living with cancer experienced
                  enhanced body awareness, relaxation, motivation, and physical energy levels (<xref
                     ref-type="bibr" rid="Y2009">Young, 2009</xref>). Singing is also reported to
                  induce endorphin secretion, pain reduction, better oxygenation of the blood, and
                  breathing (<xref ref-type="bibr" rid="P1999">Parker, 1999</xref>).</p>
            </sec>
            <!-- sec lvl 4 end -->
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Music and Intergenerational Groups</title>
            <p>The reported benefits of singing groups also apply to intergenerational groups.
               Beynon, Heydon, O’Neill, Zhang, and Cocker (<xref ref-type="bibr" rid="BHONZC2013"
                  >2013</xref>) drew on Ayala, Hewson, Bray, Jones, and Hartley’s (<xref
                     ref-type="bibr" rid="AHBJH2007">2007</xref>) work to define an intergenerational
               singing program as “…the purposeful bringing together of different generations for
               the teaching, learning, and sharing of singing in a ‘mutually beneficial’ fashion”
               (p. 5). Belgrave (<xref ref-type="bibr" rid="B2012">2012</xref>) reported that
               programs involving intergenerational groups and music are attractive because music is
               already a part of daily life, either through listening, singing, and/or making music.
               Daykin (<xref ref-type="bibr" rid="D2007">2007</xref>) argued that we are all
               influenced by “cultural notions of aesthetics and music scripts” that influence how
               we respond to music and perceive health (p. 96). Darrow, Johnson, Ollengerger, and
               Meeker Miller (<xref ref-type="bibr" rid="DJMM2001">2001</xref>) showed that
               intergenerational programming breaches set boundaries. Learning that depression,
               loneliness, and fearfulness for the future are human experiences that occur at every
               age, was mutually beneficial in creating empathy and understanding.</p>
            <p>Most studies of intergenerational choirs involve young children, students, and senior
               citizens. In these cases, intergenerational groups present an opportunity for the
               musical experience, either through participating, observing or listening, to
               contribute to dissolving stereotypes and negative attitudes (<xref ref-type="bibr"
                  rid="BHONZC2013">Beynon et al., 2013</xref>; <xref ref-type="bibr" rid="DJMM2001"
                  >Darrow et al., 2001</xref>). Making music together can serve as an equalizer
               between different age groups (<xref ref-type="bibr" rid="BHONZC2013">Beynon et al.,
                  2013</xref>). “It seems possible that music, along with the experience of age and
               the enthusiasm of youth, can help to bridge the generation gap - not just for the
               participants, but also for those persons exposed to such groups” (<xref
                  ref-type="bibr" rid="DJMM2001">Darrow et al., 2001, p. 49</xref>). Cusicanqui and
               Salmon (<xref ref-type="bibr" rid="CS2005">2005</xref>) studied a joint group of
               residential seniors and elementary school children attending a dropout-prevention
               program. Both age groups benefited from the relationships formed, particularly
               through a reduction in feelings of isolation and improved feelings of being involved
               in the community. Joy was experienced by singing together. Similarly, Belgrave (<xref
                  ref-type="bibr" rid="B2012">2012</xref>) found that older adults valued
               interactions from a music-based intergenerational community program reporting that
               the combination of being in contact with the younger generation, the quality of the
               interactions, and the duration of the program provided an occasion to develop
               friendships among people of various ages. The researchers concluded that, “ …
               interactions assist individuals from multiple generations to see that there are
               similarities among all generations” (<xref ref-type="bibr" rid="B2012">Belgrave,
                  2012, p. 8</xref>).<italic> </italic>Similarly Conway and Hodgman (<xref
                  ref-type="bibr" rid="CH2008">2008</xref>) examined and described the experiences
               of college and community choir members in a collaborative intergenerational
               performance project finding that participants developed a greater level of respect
               for each other through their mutual experiences of singing together.</p>
            <p/>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Community Music Therapy</title>
            <p>Community music therapy (CoMT) appears well suited to theoretically frame
               intergenerational singing groups because of its ability to bridge groups of
               individuals with various interests and needs (<xref ref-type="bibr" rid="SA2012"
                  >Stige &amp; Aarø, 2012</xref>). According to Stige (<xref ref-type="bibr"
                  rid="S2003">2003</xref>),</p>
            <disp-quote>
               <p>Community Music Therapy as an area of professional practice is situated health
                  musicking in a community, as a planned process of collaboration between client and
                  therapist with a specific focus upon promotion of sociocultural and communal
                  change through a participatory approach where music as ecology of performed
                  relationships is used in non-clinical and inclusive settings. (p. 254)</p>
            </disp-quote>
            <p>CoMT therefore encompasses diverse perspectives, practices, and approaches, even
               being described as “an anti-model that encourages therapists to resist one-size fits
               all-anywhere models (of any kind), and instead to follow where the needs of the
               clients, contexts and music leads” (<xref ref-type="bibr" rid="A2004">Ansdell, 2004,
                  p. 21</xref>).</p>
            <p>The importance of paying attention to wider cultural contexts and meanings of music
               is emphasized within the approach defined as CoMT (<xref ref-type="bibr" rid="A2004"
                  >Ansdell, 2004</xref>; <xref ref-type="bibr" rid="PA2004">Pavlicevic and Ansdell,
                  2004</xref>; <xref ref-type="bibr" rid="R2004">Rudd, 2004</xref>; <xref
                  ref-type="bibr" rid="SA2012">Stige and Aarø, 2012</xref>) and by other authors
                  (<xref ref-type="bibr" rid="D2007">Daykin, 2007</xref>), especially when involving
               public performance (<xref ref-type="bibr" rid="R2004">Ruud, 2004</xref>). Ansdell
               recommended that music therapists explore specific questions pertaining to their
               identities and roles, sites and boundaries, aims and means, and assumptions and
               attitudes in order to orient their CoMT practice. Stige and Aarø (<xref
                  ref-type="bibr" rid="SA2012">2012</xref>) suggested “the main focus is
                  <italic>promotion of health</italic> and <italic>prevention of problems</italic>
               rather than curative interventions” (p. 23) which makes the “therapy” terminology not
               necessarily accurate. Elefant (<xref ref-type="bibr" rid="E2010">2010</xref>)
               studied the merging of two choirs, one comprised of adults with several physical
               handicaps and the other of individuals with intellectual disabilities. The
               participatory action research process helped empower group members, building
               self-esteem and self-determination, and “tapping into their strengths which resulted
               in mutual collaboration” (p. 206). Stige (<xref ref-type="bibr" rid="S2010"
                  >2010</xref>) also described CoMT work with a senior choir who had been together
               for more than two decades. Participants saw themselves as healthy despite many having
               difficulties associated with age, experience of loss (e.g., loss of cognitive
               functioning, memory challenges, loss of mobility/physical capacity, bereavement, and
               reduction of their social networks). Stige concluded that the choir encouraged
               “mutual care as each person’s interest for the other’s weal and woe is particularly
               relevant for a senior choir where the singers have sustained a strong interest for
               music despite their aging condition” (p. 274).</p>
            <p>Although the current literature on community, intergeneration and singing
               demonstrates benefits in social, psychological, and physical domains, specific
               research on community music therapy singing groups with non-clinical populations is
               still limited (<xref ref-type="bibr" rid="C2015">Curtis, 2015</xref>). Music
               therapists have skills and competencies to expand CoMT approaches to various groups
               that could improve the global health and well-being of individuals in a cultural and
               social context. The current study contributes to this expansion by focusing on
               intergenerational singing groups.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Methodology</title>
         <p>The chosen methodology of this study was a qualitative phenomenological participatory
            inquiry that sought to involve and capture the essence of the participants’ experiences.
            Three music therapy graduate students took the role of participant co-researchers.
            Singing group participants had an active role in contributing with song choices
            throughout the project. The co-researchers worked together to develop the sessions based
            on the pre-interviews and their weekly observations of participants. They contributed to
            every step of the research process of literature review, recruitment, group preparation,
            data collection and analysis, etc. The project was guided by the research question: What
            is the experience of participating in an intergenerational community music therapy
            singing group?</p>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Participants</title>
            <p>In this study, the singing group has been defined as ‘a group of people meeting to
               develop community connections through music and singing’. Participants were 13 adult
               women of various ages who met at an affiliated university’s community art studio, for
               10 weekly hour and a half long group singing sessions. Seven participants including
               the co-researchers were in their 20s and 30s and the remaining six women and primary
               researcher were in their late 50s and 60s. Participants were recruited from specific
               neighbourhood high schools, senior citizens’ and choir organizations, where bilingual
               recruitment advertisements were disseminated in poster form, as well as through
               email. Participants came from English-speaking and French-speaking Canada, and
               Francophone Europe. Six identified English as their primary language while seven
               primarily spoke French but most could communicate functionally in both languages.
               Some participants interrupted their attendance: three participants returned to their
               country of origin and three participants left due to health issues. The group started
               with 13 participants as one person cancelled her participation. The project
               progressed with a core group of approximately four to six participants remaining
               until the end of the program.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Procedures</title>
            <p>The research has the approval of the University Human Research Ethics Committee
               (UHREC). All participants gave informed consent to be involved in the research. They
               were also provided with a list of counselling resources at the beginning of the
               research in case they had the desire to seek counselling confidentially outside of
               group session times.</p>
            <p>An initial 1-hour pre-group interview explored their musical experiences and
               preferences, group singing background, and expectations for the group. Later, a
               post-group interview included questions regarding the participants’ personal
               reflections, experiences, and the potential impact of the group on future involvement
               in their own community once the project was completed.</p>
            <p>During the first group session, co-researchers and participants introduced
               themselves, the research purposes and procedures were explained, and questions were
               answered. Each group started with the primary researcher and three co-researchers
               arriving early to set up the recording equipment, keyboard, and seating, and to
               review the program for the day. Participants came in gradually and were welcomed
               while a co-researcher played background piano to create a comfortable atmosphere.
               Light refreshments were provided because the group took place in late afternoon,
               following work for some participants. One of the co-researchers conducted a vocal and
               physical warm-up while another accompanied on the keyboard. The facilitated deep
               breathing exercises created a calm, grounded, trusting, and motivated atmosphere. The
               primary researcher and co-researchers alternately led a welcome song, in various
               languages, with keyboard accompaniment. Lyrics were presented on a board. Each
               participant had their own song book compiled from a list of their favourite
               repertoire. New songs were added to the binder from suggestions made during weekly
               discussions. Some participants asked to be given the musical scores, which they
               received as sheet music by email.</p>
            <p>During the sessions, participants were offered musical guidance and encouragement
               whenever needed to help them feel at ease with each other. The co-researchers used
               their music therapy skills to facilitate the group and create a safe space. They were
               available to offer any necessary emotional support in case participants felt
               discomfort as a result of unexpected emotional responses to the music or lyrics,
               self-consciousness in relation to singing with others, or self-consciousness in
               relation to participant self-perception of vocal abilities and so on. Participants
               were encouraged to participate at a level they felt comfortable with, so that an
               atmosphere of trust, openness, and safety was established. Strategies were put in
               place for two participants who had previously acquired hearing loss, such as choosing
               a seating location that maximized their ability to hear. The majority of participants
               were sensitive to loud sounds and had developed strategies in order to avoid
               them.</p>
            <p>Approximately 6-8 songs from English, French, Spanish, and Hebrew repertoire were
               sung each week, mostly in unison, sometimes harmonized or in canon. Some songs were
               repeated from week to week, while one or two new songs were introduced every session.
               The midway break provided an opportunity for participants to socialize with each
               other. The group often ended with a canon or the singing of an uplifting closing
               song, while standing and moving to the music. Following the session, the
               co-researchers gathered to share observations and to plan for the next session.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Data Collection</title>
            <p>Data from pre and post interviews were audio recorded and the group singing sessions
               were audio-video recorded. A session observation grid was designed to examine time,
               situation, occurrences, and interpretations for each group session. Literature was
               also used as a data source.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Data Analysis</title>
            <p>Interviews were transcribed and translated from French to English as needed, by the
               primary researcher. Video recordings were reviewed and coded separately by two
               co-researchers who then met to collaboratively compile them. All electronic data were
               safely stored on a password protected computer. Data were analysed using Neuman’s
                  (<xref ref-type="bibr" rid="N2011">2011</xref>) coding system, involving a
               process of open, axial, and selective coding, to determine the main themes in
               interviews and written observations of videos. Open codes were condensed,
               categorized, and thematically analyzed into axial codes. Selectively coded literature
               categories were determined from the axially coded data.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Findings</title>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Musical Interests and Expectations of Singing Group Members</title>
            <p>The pre-group individual interviews demonstrated that the primary motivation for
               participants to take part in an intergenerational singing group was the love of
               singing. Some were looking for a choir. Ten had singing experience while three had
               never experienced group singing. Themes such as, “the joy of singing, beauty,
               harmony, the pleasure of music, learning music through a group, meeting people,
               connecting with other cultures and ages, being part of a group, staying young, self-
               accomplishment, and activity as a retired person,” were<italic> </italic>mentioned at
               the beginning of the project<italic>.</italic>
            </p>
            <p>The participants had experience singing in settings such as church, temple, school,
               the community, and during music therapy training, in a wide range of jazz, popular,
               gospel, classical, sacred, and religious styles. One participant, who had never been
               part of a choir, was told not to sing when she was younger because of the way her
               voice was perceived, a memory that was still vivid.</p>
            <p>Of the 13 group members, eight had a musical background and had trained on a primary
               musical instrument. Some of them had performed in public with an ensemble, orchestra,
               congregation, rock band, school band, or choir. Some participants expressed that they
               liked to sing with the radio, during musical family gatherings, with children, or
               karaoke style in their home, at a bar, or at a community centre. The majority of the
               participants mentioned that they had attended musical events in the community, such
               as concerts (popular, classical, rock, jazz, etc.) and festivals, with a few
               participants stating that they had had a more active attendance in the past than at
               the time of the study. The high cost of concerts was mentioned as a barrier to
               participating in these types of cultural activities.</p>
            <p>Although most participants liked “all types of music,” all had several preferred
               styles of music. Individuals’ least preferred style/genre of music was sometimes in
               conflict with other participants’ preferred style/genre. This was taken into account
               when selecting songs for the group. Languages of preferred music differed with an
               equal division of French and English songs, as well as some songs sung in Hebrew and
               Spanish.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Previous Community Involvement</title>
            <p>Ten out of the thirteen women had been members of organizations, community projects,
               teams/clubs, and volunteering/leisure. Organizations included a community women’s
               centre, a children’s show organization, an artistic intergenerational association,
               and a social justice organization. Community projects included an international
               community project with children and international environmental projects. Involvement
               in teams and clubs included participation in musical theatre, sporting events,
               outdoor clubs, collective kitchens, and a community art studio. Lastly,
               volunteering/leisure community participation included volunteering at a theatre,
               singing in a long term care programme, and working on audio books.</p>
            <p>Some of the women reported engaging in community activities that involved music.
               Moreover, some reported having had positive experiences while singing with other
               generations, for instance in high schools, as teenagers, during karaoke at a
               community center, at community centers, in choirs, and among family. One person
               reported that it was “wonderful, we formed friendships with other generations, forgot
               the age, and saw who the person was, felt a real support.”</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Connecting through Singing</title>
            <p>The data from session observations showed that initially participants seemed a little
               anxious, expressing nervousness, laughter, smiling, shyness, and apprehension. One
               person confessed in the interview that “the first meeting in a large group is more
               intimidating” and similarly for another participant, she felt “easily emotional, shy,
               and ashamed” as she did not like receiving too much attention. One woman, who
               suggested she is timid, expressed that she tried to sing “well” at the beginning and
               to adapt to the repertoire and tonality. She gained more confidence with time and
               added that it was a place for self-care. Others went through a similar process of
               adjustment.</p>
            <p>People became increasingly relaxed and open as the group progressed. The warm-up
               appeared to be a new experience for many, but their observed body language indicated
               that they began to relax throughout the process. Some members felt a need to
               transition slowly into the group context, while others welcomed the social
               interaction right away and felt at ease quickly. Participants gradually shared their
               thoughts with the group more spontaneously. It was as if the act of learning
               something new together facilitated social interactions, and people’s personalities
               came out more naturally. Humour was often used as a way to relieve the tension.
               Sitting in a circle made participants more aware of each other, and made their
               interactions more personal, responsive, relational, and invested than they might be
               in a traditional choir.</p>
            <p>Dependence on lyrics seemed to decrease over time and coincided with an increase in
               confidence and vocal projection. Vocal sections seemed to create small pockets of
               connection between two or three group members. A sense of unity amongst each small
               grouping developed; each group seemed to see other groups as a small unit as well,
               rather than as individuals.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Impact of Songs</title>
            <p>One of the songs, “Hallelujah” by Leonard Cohen, had a unifying and calming nature,
               which stimulated an exchange of knowledge and ideas that originated from members’
               life experiences outside of the group, and which felt like a demonstration of
               community building from the outside-in. Calming feelings and rocking motions were
               observed in session recordings, as well as soft and blended voices. Many members
               seemed to feel comforted by the music. There was a sense of stability created by the
               voices and it seemed that the participants all felt quite safe.</p>
            <p>A song that brought spontaneity and joy was “Oh Happy Day”; the group danced and
               moved to the song, cheering, clapping, and interacting. Participants were observed
               putting down their song binders and looking towards the leader and each other
               instead. The focal point for members shifted from internal to external and allowed
               for the possibility of more group cohesion. Participants started to know each other
               and to share more about themselves. The concentration level in a smaller group led to
               powerful music making. There was laughter sometimes at the challenge of keeping
               together musically. Participants became more musically cohesive with spontaneous
               harmonies and organic musical moments.</p>
            <p>Other songs increased energy level, such as songs by The Beatles. Participants
               appeared comfortable with the lyrics and melody, especially during the chorus, and
               they were seen taking the opportunity to make non-verbal connections. Music seemed to
               act as a container for normal interaction. The division of the group into two singing
               parts may have created a situation where interaction between participants was
               unavoidable and therefore facilitated. Energy and willingness to learn was felt from
               all participants, perhaps fostering feelings of unity because everyone was learning a
               new song together.</p>
            <p>A sense of personal and group accomplishment; pride and pleasure resonated amongst
               the participants. The use of the keyboard seemed to have become a part of the group.
               One woman disclosed to everyone that this was the first time she sang in front of
               other people. This sharing gave the song new meaning for this group in particular by
               creating an association to the song through a fellow group member.</p>
            <p>Some musical choices were more successful than others for participants, who sang
               either more freely or with more hesitation depending on the song. There was more
               connection observed through smiling, visual exchanges, body movements, and body
               percussion when songs were more challenging to sing. In parallel, there were more
               musical and vocal connections (feelings of oneness in the music) when the song felt
               easier for the group.</p>
            <p>According to one co-researcher, “Human connections appeared and were enhanced by the
               containment of music – imitation of dance moments from many participants – their
               sense or need to create unity or to be unified in their songs.” Participants’ singing
               voices also became louder and stronger, especially within the context of singing in
               canon. While singing in cannon, everyone sang the same part, in unison for the first
               round and had staggered timing in subsequent rounds; participants could feel secure
               in finding a part they could sing comfortably. When learning multiple parts of a
               song, a high level of group investment and interest were perceived. During the last
               two sessions participants seemed unified and able to bear the silence while together
               (not an easy task) and to focus together on the breath.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Session Structure and Ambiance</title>
            <p>The post singing group interviews brought rich and diverse comments from the
               participants and co-researchers. The structure of the singing group felt free and
               pleasurable to participants. The warm-ups that helped “break the ice” before singing
               were appreciated. Some participants mentioned that the co-researchers had different
               ways of teaching songs, which helped them to engage with the group in various ways.
               They felt it brought a new: “energy of learning”<italic> </italic>and
                  that<italic> </italic>“it was special to see students spread [their] wings.” One
               woman shared that on a physical level, she increased her singing skills and her
               breathing had improved. Similarly, one participant felt that all senses were involved
               through the arts. The presence of the co-researchers was appreciated and one
               participant remarked approvingly about how they were “smiling, warm, participating,
               passionate, natural” and how they created connections with participants. They were
               like a “trio” who created a welcoming space.</p>
            <p>The approach and environment were meaningful for participants, as they felt a sense
               of flexibility, simplicity, conviviality, and that they were being listened to by the
                  co-researchers<italic>. </italic>They described the community art studio, with its
               walls decorated with artwork and beautiful atmosphere, as a relational space for
               mutual aid, gathering, and discussion; it felt like a fitting place and context to
               hold a singing group. Furthermore, the set-up of a circle around the piano was also
               inviting for participants. The sense of undemanding atmosphere was mentioned by a few
               participants as contributing to the pleasure of the group, which they experienced
               through sharing together in an atmosphere of friendship. Participants named enjoyable
               positive group elements: “mix of cultures, ages, the inclusion, the freedom, the
               ambiance, the pleasure, and a time for joy.” Another participant mentioned that the
               cross-age group factors, each person’s background, the decrease in apprehension from
               the group, and the guidance to “just do whatever and enjoy” brought about a feeling
               of freedom.</p>
            <p>Participants shared that the group was a place to experiment, create, and be part of
               a “community” through the singing group. One participant felt a desire to share with
               others and said the breaks were a good opportunity to exchange resources and to
               develop their network. One person discovered people who were “ … pro-active, very
               human, friendly … ”; there were people similar to her, so this person felt safe
               within the group. Another participant said that the group was a confirmation for her
               that these types of experiences have an effect, and another stated that “ … singing
               brings community, sharing songs and voices … ,”while another participant added, “ …
               how simple to create community.” Also, the sense of community created cohesion and
               the development of new ongoing relationships as participants could “make new friends,
               gathering after the group end…exchanging phone numbers.” Some members felt that they
               had become more at ease with meeting people in other contexts outside of the
               group.</p>
            <p>Other comments referred to the pleasure felt by retired women upon seeing each other,
               feeling spiritually “in the present moment” and not taking themselves too seriously.
               Comments arose such as, “I went back to laughing and singing freely,” and “It felt
               enriching and the group helped me to come out of isolation and create new
               relationships.” Some mentioned feelings of accomplishment. One participant added that
               the group helped with healing and increasing self-confidence as well as psychological
               and physical recovery. Although the group seemed homogeneous, one participant
               indicated that the social dynamics were still impacted by different personalities,
               cultures, and languages.</p>
            <p>Most participants stated they would repeat the experience of participating in a
               singing group in this type of setting, which provided more freedom in learning and
               styles compared to a traditional choir, especially in classical choirs that are more
               “controlled.” One stated, “I would do with pleasure this type of group again which
               allowed me to have a nice moment in music, while meeting people from diverse horizons
               and daily lives” and “I love to give back, I am happy to share, I liked the energy of
               the younger participants.”</p>
            <p>In terms of sustainability, the length of the project felt too short to affect the
               broader community, and the decreased attendance influenced motivation. People
               expressed that they wished to continue the group after the research was completed, as
               it was like “ … creating a community within the community.” Some participants felt
               that their experiences in the group would serve them in their own communities. For
               instance, one woman participated in a women’s group that composed songs together and
               saw opportunities open up due to her experience in the singing group.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Language</title>
            <p>Language was an ongoing point of reference for everyone, as they could all relate to
               having cross-language experiences, from one perspective or another, and they were
               able to join together in laughter about this subject. Participants sounded
               comfortable singing in their own language and sounded unified despite different
               languages being sung simultaneously sometimes. The co-researchers helped make
               participants feel more comfortable by clarifying lyrics and language issues that
               arose. The group seemed concerned with the lyrics and the melody, with more
               complicated songs leading to more division and less togetherness at some moments.
               Some participants appreciated the mixture of languages. They mentioned it was
               interesting and positive to be able to sing in different languages even if they did
               not understand the full meaning. Others found it challenging to follow in another
               language or were less attracted by other languages. Singing lyrics, canons, and
               melodies felt agreeable for participants although it was challenging for others who
               were unfamiliar with the songs. As some of the songs were repeated from week to week
               for a certain period of time, one participant mentioned that at times it would have
               been nice to have had less repetition.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Personal Experiences in Music Participation</title>
            <p>The group “opened up possibilities” and “gave a sense of mastery.” The experience of
               the music itself brought about both positive and challenging reactions. The discovery
               of new repertoire, the sharing of each person’s songs and their relationship to that
               particular song were viewed as positive outcomes. Music invited people to sing more,
               to disconnect from daily worries, and to be in the pleasure of the moment. One person
               mentioned that “singing with groups is something most powerful.”</p>
            <p>Another person mentioned that the “ … voice is intimate and we are sharing it with
               others. We are accepting of the other person and know more about the person after
               sharing some songs.” One woman mentioned that it is, “easier with music to give a
               sense of safety: we are all there at the same moment, doing the same thing with
               various stakes; feeling of belonging, having various ages; looking forward to see the
               results of this research.” Beautiful musical moments moved some of the women.</p>
            <p>Some songs were difficult to sing and some people would have preferred to have only
               listened to them. One participant started the project unsure about her ability to
               participate because of insecurity regarding her voice and pulmonary difficulties. She
               experienced some physical pain due to a health condition that did however improve
               with time.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Group Termination</title>
            <p>The group had developed enough trust and cohesion to engage an improvisation within a
               song during the last session. There were some underlying feelings of uncertainty, but
               participants were pleasantly surprised. Perhaps the improvisation and the last-day
               effect had opened up some more musical playfulness. There was a moment when people
               looked up, in a beautiful section with soft harmonies, feeling safe in some repeated
               lyrics, looking at each other to collectively communicate when the ending was
               coming.</p>
            <p>The group ended with participants sharing what they gained from the group, such as
               self-confidence, inclusivity, and freedom. They commented that the venue was amazing,
               comfortable, creative, and a safe space. Some participants expressed the desire to
               replicate the group in their own home community.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Participants’ Feedback</title>
            <p>The group members reported positive outcomes overall, but they also talked about
               aspects that they disliked and areas for improvement. As mentioned previously, the
               choice of songs and languages was at times challenging for some participants. In
               addition, one participant felt a separation sometimes between participants who had
               music background, in her words, the “music experts,” and other participants who did
               not. Some said they learned better by ear, from hearing the songs, especially because
               they did not necessarily know musical vocabulary.</p>
            <p>One participant felt that the social aspect was missing at times. For instance, when
               she arrived at the group and during breaks she did not always feel welcome while the
               co-researchers were preparing for the group. A few participants were disappointed
               that the size of the group diminished with time, and suggested that it might have
               been because of the winter, that the music was too challenging, or that they were
               intimidated to sing.</p>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Discussion</title>
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Community Music Therapy</title>
            <p>“The connection between music and community is the simple fact that music creates
               community” (<xref ref-type="bibr" rid="PA2004">Pavlicevic &amp; Ansdell, 2004, p.
                  28</xref>). This CoMT project, involving women from different generations and
               backgrounds, investigated the building of community through music therapy. It
               provided an opportunity to witness CoMT in action and is the beginning of an
               initiative that could be developed further.</p>
            <p>According to Stige (<xref ref-type="bibr" rid="S2003">2003</xref>), CoMT can be
               described as the “promotion of sociocultural and communal change through a
               participatory approach where music as ecology of performed relationships is used in
               non-clinical and inclusive settings” (p. 454). The goals for our particular group
               were to explore how a singing group could help develop community engagement and
               create a sense of belonging and personal accomplishment amongst various generations.
               Friendship can develop with people of various ages upon gaining a sense of equality
               as a co-researcher reported. The intergenerational experience between younger adults
               such as the co-researchers and the older participants is supported by research that
               shows the positive outcomes of working intergenerationally (<xref ref-type="bibr"
                  rid="B2012">Belgrave, 2012</xref>; <xref ref-type="bibr" rid="BHONZC2013">Beynon
                  et al., 2013</xref>).</p>
            <p>All our actions were guided by CoMT principles, such as the cultural and social
               context of the project, democracy, openness, and promotion of well-being. We wanted
               to create a musical space that would foster social interactions and exchanges and
               ensure each individual’s successful participation. Participants who decided to embark
               with the singing group did not know each other initially, yet in a very short time
               were able to develop early phases of community building. This project therefore
               differs slightly from some CoMT groups seen in the literature that have worked
               together and known each other for a longer period (<xref ref-type="bibr" rid="E2010"
                  >Elefant, 2010</xref>; <xref ref-type="bibr" rid="S2010">Stige, 2010</xref>).
               However, Stige and Aarø (<xref ref-type="bibr" rid="SA2012">2012</xref>) described
               CoMT projects as “collaborative endeavors whereby a range of agents get together
               (usually for a limited time period) with the aim of establishing new practices and
               inducing social change to the benefit of a location or group of people” (p. 205).</p>
            <p>The timeline for this research was short-term. A longer project may have helped
               integrate further participants, and elaborate on and expand the singing group’s
               impact to the broader community.</p>
            <p>There were no public performances, which is not necessarily an essential condition
               for CoMT but is often associated with it. However, participants shared with one
               another their own song preferences and lived experience, and so we can say this work
               is performative in a sense. CoMT often involves a high level of involvement from
               participants, which was only partially accomplished here because of the short
               timeline of this project. With a long term CoMT group, there could be more
               opportunities to draw strengths from participants and develop leadership and
               individual initiatives.</p>
            <p>Another challenge was the decreasing attendance level. This phenomenon was not
               investigated further as per the research consent form that stipulated that
               participants were free to leave the group without questions asked. Some participants
               volunteered the information that they had health issues and others went back to their
               country of origin having finished their studies. Future projects could consider more
               than 15 participants, to minimise the impact of drop outs.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>The Benefits of Singing Together</title>
            <p>Participants referred to enjoyable, positive community benefits: “mix of cultures,
               ages, the inclusion, the freedom, the ambiance, the pleasure, and a time for joy.”
               Social benefits such as developing new relationships and sharing one’s own musical
               network were observed (<xref ref-type="bibr" rid="BD2003">Bailey &amp; Davidson,
                  2003,</xref>, <xref ref-type="bibr" rid="BD2007">2007</xref>; <xref
                  ref-type="bibr" rid="CH2001">Clift &amp; Hancox, 2001</xref>; <xref
                  ref-type="bibr" rid="CS2005">Cusicanqui &amp; Salmon, 2005</xref>; <xref
                  ref-type="bibr" rid="LS2012">Li &amp; Southcott, 2012</xref>). Similarly to
               Young’s (<xref ref-type="bibr" rid="Y2009">2009</xref>) study with adults living
               with cancer, participants enjoyed singing in “a safe and accepting environment…
               [they] discovered and explored [their] own unique voices” (p. 20). Vocalization and
               breathing exercises increased self-awareness. Musical participation also contributed
               to the beginnings of extra-musical community building. It was an opportunity to
               socialize, as people exchanged personal information, discussed music, and related on
               non-musical material. The warm-up at the beginning of the group generated more full
               body movement from everyone and showed how the act of singing together is an embodied
               experience, which brought physical benefits (<xref ref-type="bibr" rid="P1999"
                  >Parker, 1999</xref>; <xref ref-type="bibr" rid="SBK2002">Stacy, Brittain, &amp;
                  Kerr, 2002</xref>; <xref ref-type="bibr" rid="Y2009">Young, 2009</xref>). The
               voice is a very intimate instrument, so it was necessary to facilitate the creation
               of a safe space, to allow participants to contribute to the group without judgement
               and at their own pace.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Sharing our Musical Inheritance</title>
            <p>The group provided a wide range of favourite songs from different social groups,
               geographic origins, languages, and generations. This diversity had both positive and
               challenging implications. Participants were introduced to new songs; however, some
               found them challenging to sing due to language barriers. The co-researchers were able
               to bring in additional songs that were more accessible. On the other hand, one of the
               goals of the group was to allow participants to share their own lived experience, so
               a balance between familiar songs and new songs had to be offered. <xref
                  ref-type="bibr" rid="TLLFRP2013">Talmage et al. (2013)</xref> reported that
               musical preferences might be challenging when working with a mixed age group; the
               music therapist can invite and support the group to venture into other styles. Young
                  (<xref ref-type="bibr" rid="Y2009">2009</xref>) also reported the importance of
               taking group members’ cultural backgrounds into account and having them participate
               in music selections so that they could share messages and emotional content through
               their music choices. In the current project, some used music as a container for
               social interaction – such as for dancing or clapping together – and less as music for
               the sake of music. Music seemed to encapsulate the togetherness of the moment and
               supported the dancing. In some sessions, the level of energy felt high. The
               experience of togetherness in the music is interesting to witness in a group that did
               not know each other previously; it seems that music was a powerful means to connect,
               a phenomenon that DeNora (<xref ref-type="bibr" rid="DN2002">2002</xref>)
               qualified as <italic>social glue</italic>.</p>
            <p>The bilingual context with both Francophones and Anglophones brought about some
               social identity discussions that emerged playfully and with various opinions
               asserted. Participants living in this city are used to this kind of interaction.
               There were some communication issues and misinterpretations amongst participants,
               co-researchers, and the primary researcher at times, possibly due to differences in
               individual identities such as language, region of origin, life experience, etc. Stige
                  (<xref ref-type="bibr" rid="S2010">2010</xref>) suggested tension and conflict
               could be by-products of collaboration or related to issues pertaining to identity
               (e.g. language of songs). Participants mentioned the pros and cons of having
               unilingual and multilingual groups, and using familiar songs versus discovering new
               songs. Stige (<xref ref-type="bibr" rid="S2010">2010</xref>) documented a seniors’
               choir who alternated between new songs and known songs, songs that were harder and
               songs that came easily to participants, providing a suggested strategy for future
               CoMT singing groups.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Music Therapists’ Roles</title>
            <p>Music therapists are well situated to foster community building; they have developed
               specific musical and music therapy competencies to meet individuals where they are
               at, culturally and contextually. Like Stige (<xref ref-type="bibr" rid="S2010"
                  >2010</xref>), the session leaders (music therapy student co-researchers) began
               with physical and vocal exercises, which were helpful beyond the session as they
               assisted participants in maintaining “physical and vocal capacity” (p. 247). This
               warm-up ritual was not necessarily specific to music therapy, but it is a current
               practice used by general singing groups and choirs.</p>
            <p>Music therapists are skilled in observing and analyzing participants’ reactions and
               internal and external processes and responding appropriately. Music therapists also
               have the competence to address individuals’ needs from a holistic perspective. This
               is important in a context where physical, psychological, cognitive and social needs
               might arise. Promoting health and preventing problems is not necessarily exclusive to
               “therapy” but is nevertheless part of music therapists’ expertise. Stige and Aarø
                  (<xref ref-type="bibr" rid="SA2012">2012</xref>) reiterated that the terminology
               of “therapy” is not always reflective of health prevention and promotion.</p>
            <p>There are similarities between clinical singing groups conducted by music therapists
                  (<xref ref-type="bibr" rid="TLLFRP2013">Talmage et al., 2013</xref>; <xref
                  ref-type="bibr" rid="Y2009">Young, 2009</xref>) and non-clinical groups. <xref
                  ref-type="bibr" rid="TLLFRP2013">Talmage et al. (2013)</xref> designed a detailed
               choral singing therapy protocol for working with adults living with neurological
               conditions. This protocol includes foundational principles such as recommendations
               for vocal exercises and songs, guidelines for choir membership and the therapeutic
               process, qualities of music therapists and music, and leadership responsibilities.
               Young (<xref ref-type="bibr" rid="Y2009">2009</xref>) also developed guidelines
               for community-based singing groups. Specific recommendations included the possibility
               that the group might not be a “therapy” context in itself. Instead, “the healing
               processes are meant to occur through the musical and social experiences” (p. 21).
               Young (<xref ref-type="bibr" rid="Y2009">2009</xref>) suggested in order to lead a
               group of this nature, music therapists need knowledge of vocal techniques, song
               repertoire, group dynamics, and clinical populations.</p>
            <p>In our project, the co-researchers had some experience as leaders, music therapists,
               and musicians in previous groups and they demonstrated leadership by being in charge
               of warm-ups, teaching songs, and helping out with words, as well as during research
               meetings by contributing input and feedback to bring into sessions. They unanimously
               “loved co-leading.” As Young (<xref ref-type="bibr" rid="Y2009">2009</xref>)
               mentioned, “the facilitator is a leader but not a conductor and provides support
               through full participation in the musical experiences” (p. 22). <xref ref-type="bibr"
                  rid="TLLFRP2013">Talmage et al. (2013)</xref> stated, “When leading the group, the
               music therapist must balance individual and group needs, offer guidance and
               leadership, but also facilitate the members' ownership of the group” (p. 31). The
               co-researchers were music therapists trained to address individual and group needs
               and to foster leadership initiatives from participants. The group was supported
               through its phases of organic group development as participants began participating
               quietly with some hesitation, and gradually became more at ease with expressing
               themselves. Stige (<xref ref-type="bibr" rid="S2010">2010</xref>) also noted that
               the role of a music therapist in this setting included that of conductor, instructor,
               motivator, mediator, and manager. The method was one of being simultaneously
               directive and attentive to the needs of the moment, ensuring that the members felt
               heard.</p>
            <p>In the current study, using multiple music therapists as co-leaders led to both
               benefits and challenges. As mentioned previously, the co-researchers led the group
               interchangeably. One advantage of this decision was that in the absence of a
               particular co-leader, the group could still take place. Various styles and music
               skills also enriched the experience. The co-researchers brought a live energy to the
               singing and to the group dynamic. They were skilled at responding to the music, not
               just making music, and according to one co-researcher, this helped participants to
               engage more in musicking as a collective, rather than as an individual activity.</p>
            <p>On the other hand, it was challenging for the co-researchers to find the best
               leadership style for the singing group and for the research project itself. Although
               they enjoyed co-leading, the non-directive approach to leadership promoted by the
               primary researcher felt frustrating and awkward at times, as they were unsure of the
               expectations, and it was hard to determine whose responsibility it was to lead at
               certain moments. They also mentioned that doing research has technical requirements
               that could also be challenging. For instance they felt that the group could have been
               more effective with a longer duration. The repertoire was also demanding because of
               the diversity of preferences, lived experiences and languages of the
               participants.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Limitations</title>
            <p>The group could have represented further diversity. It was disappointing that
               recruitment did not reach teenagers from nearby schools and senior organizations,
               making the intergenerational age differentiation lower, with ages ranging from 20 to
               65. Although diverse amongst each other in various ways (i.e. language, country of
               birth, etc.), the group also consisted exclusively of women.</p>
            <p>The project was also less geographically focused than previously hoped. This project
               aimed to look at community development in a low-income neighbourhood of a large city;
               however, only a few participants were from this area, three participants were from
               Europe and were in Canada completing an internship, and other participants resided in
               other areas of the city. The co-researchers tried to take into considerations the
               broader “communities” within this new created group. Bridging with the Art Studio
               Community Center was a way to connect with the local area, as some participants came
               from that center.</p>
            <p>Working with a non-clinical population in a context of music therapy is an avenue
               that needs further research and attention in Canada. This research could expand and
               articulate a diversity of practices in CoMT.</p>
            <p>We cannot generalize findings from the project and assert that the broader community
               benefited from the project. However, individuals may have brought what they gained
               from the group back to their own community. Short-term follow up was not pursued, for
               example in the case where someone missed a session or stopped coming. The primary
               researcher respected the research consent form stating that there would be no
               questions asked, to diminish any pressure or coercion to participate to the research.
               No long-term follow-up concerning community building was done after the sessions
               except the post-group interviews. The group duration may have been too short to
               witness advanced community building outside of the singing group. Unfortunately,
               funding did not allow pursuing the project further at that time. A future research
               project could gather more data on the longitudinal effect of the group and examine
               how the project influenced the participants’ community engagement and life over time.
               The decrease in attendance, as mentioned earlier, was also a limitation to witnessing
               more community building.</p>
            <p>Another limitation was that the primary researcher conducted pre and post group
               interviews for logistical reasons. This fact might have influenced responses from
               participants and co-researchers, who might have felt the need to give the “right”
               answer in order to please the primary researcher, and therefore did not express
               feelings of dissatisfaction.</p>
         </sec>
         <!-- sec lvl 3 end -->
         <!-- sec lvl 3 begin -->
         <sec>
            <title>Further Considerations and Research</title>
            <p>In essence, an intergenerational singing group in the community setting must stay
               simple, inclusive, flexible, joyful, and pleasurable, for the benefits of all. Future
               research could focus on the dynamics of leading and co-leading sessions, the specific
               impact of repertoire, and psychosocial impacts on attendance. We noted some
               challenges with attendance, musical choices, and collaborative leadership. Further
               research could examine the following questions:</p>
            <list list-type="bullet">
               <list-item>
                  <p>How do we attract participants to a CoMT project;</p>
               </list-item>
               <list-item>
                  <p>How do we optimize the integration of different musical choices in order to
                     make the group accessible and inclusive; and</p>
               </list-item>
               <list-item>
                  <p>What type of co-leadership is the most suitable for this type of group?</p>
               </list-item>
            </list>
         </sec>
         <!-- sec lvl 3 end -->
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Conclusion</title>
         <p>We created a community music therapy project that offered participants the opportunity
            to share their identities through music and community. The work was based on principles
            targeted by CoMT pioneers such as social-democracy, inclusion, individual and group
            expression, and community outreach (<xref ref-type="bibr" rid="A2002">Ansdell,
               2002</xref>; <xref ref-type="bibr" rid="PA2004">Pavlicevic &amp; Ansdell,
            2004</xref>; <xref ref-type="bibr" rid="R2004">Ruud, 2004</xref>; <xref ref-type="bibr"
               rid="S2003">Stige, 2003</xref>; <xref ref-type="bibr" rid="SA2012">Stige &amp; Aarø,
               2012</xref>; <xref ref-type="bibr" rid="SAEP2010">Stige, Ansdell, Elefant, &amp;
               Pavlicevic, 2010</xref>). There are many potential research projects that could help
            expand the benefits of CoMT singing groups and bring forward individual and community
            strengths with non-clinical populations or with specific social groups. Research is
            still limited and “empirical grounding and theory development are vital factors
            influencing Community music therapy practice. Practice evolves locally, informed by
            values, local knowledge, and social-musical processes” (<xref ref-type="bibr"
               rid="SA2012">Stige &amp; Aarø, 2012, p. 235</xref>). As Daykin (<xref ref-type="bibr"
               rid="D2007">2007</xref>) mentioned, “The benefits of the arts are constructed
            across a broad continuum that has, at one end, individual health and wellbeing and, at
            the other, social and cultural impacts… social wellbeing is addressed through community
            participation, to which the arts can contribute” (p. 84). It is the authors’ hope that
            more CoMT research initiatives will emerge in Canada and abroad, given the multiple
            benefits of group singing.</p>
      </sec>
      <!-- sec lvl 2 end -->
      <!-- sec lvl 2 begin -->
      <sec>
         <title>Authors’ notes</title>
         <p>We would like to thank our participants who generously agreed to be part of the research
            and in doing so have made an important contribution to the field. We extend our thanks
            to Janis Timm Bottos, Associate Professor and art therapist, for her support and for
            lending us the art studio community center. We thank Concordia University for the
               grant<italic> Seed Funding (Individual) Program.</italic>
         </p>
      </sec>
      <!-- sec lvl 2 end -->
   </body>
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      </ref-list>
   </back>
</article>
