‘Stroke a chord’: the effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke
Abstract
BACKGROUND: Communication deficits resulting from aphasia can negatively impact stroke survivors' relationships and social participation. Despite their difficulties, singing is accessible and enjoyable for many people with aphasia. OBJECTIVES: To explore the effects of group singing for people with aphasia. METHODS: A community choir was established and facilitated by a neurologic music therapist. Mood (General Health Questionnaire-12; Visual Analogue Mood Scale), communication, cognition and global functioning (Stroke Impact Scale-3) and social functioning (Sense of Belonging Instrument) were measured before, and at 12-weeks and 20-weeks after joining the choir. Three choir members and five caregivers also completed semi-structured interviews about their experience of the choir. RESULTS: Baselines measures were collected for 13 participants with aphasia. Prior to joining the choir, participants had higher levels of negative mood symptoms and poorer subjective sense of belonging compared to Australian general population samples. Results from the GHQ-12 suggested a trend towards reduction of psychological distress after participating in the choir. Thematic analysis of the interviews revealed five common themes: increased confidence, peer support, enhanced mood, increased motivation, and changes to communication. CONCLUSION: The strength of findings was limited by the number of participants and lack of a control group, however clear benefits of choir participation were demonstrated. Preliminary findings were encouraging and warrant further rigorous investigation.
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Singing has been shown to increase positive affect and choir members often report a 'lift' in mood after singing.
“Moreover, singing has been shown to increase positive affect and choir members often report a ‘lift’ in mood after singing [27,28,51–53].”
From The ice-breaker effect: Singing mediates fast social bonding (2015) · cites this paper as [51]
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Lafiatoglou, P., Ellis‐Hill, C., Gouva, M., Ploumis, A., & Mantzoukas, S. (2021) · Journal of Advanced Nursing · doi:10.1111/jan.15016 · Cited by 8 · see citing works
“…therapy and expressive writing, can improve mood, self-esteem, physical performance, and their expressive abilities, (re)creating older individuals’ social identity and leading to a greater sense of well-being (Howie et al., 2004; Kongkasuwan et al., 2016; Lo et al., 2018; Tamplin et al., 2013).”
BackgroundBehaghel, E., & Zumbansen, A. (2022) · Healthcare · doi:10.3390/healthcare10061010 · Cited by 8 · see citing works
“This form of singing practice is worth exploring further in acquired communication disorders because it opens up the possibility of benefiting not only from the effects of singing, but also from the positive social effects of participating in a group [32,42].”
BackgroundEdmonds, L. A., & Morgan, J. (2022) · American Journal of Speech-Language Pathology · doi:10.1044/2022_ajslp-21-00308 · Cited by 8 · see citing works
Behavioral interventions for poststroke aphasia
Cherney, L. R., & Carpenter, J. (2022) · Handbook of clinical neurology · doi:10.1016/b978-0-12-823384-9.00010-4 · Cited by 9 · see citing works
McGlashan, H. L., Thompson, K. M., Lam, M., Cruwys, T., Walter, Z. C., Beadle, E. J., & Haslam, C. (2025) · Neuropsychology Review · doi:10.1007/s11065-025-09670-w · Cited by 9 · see citing works
“…et al., 2018; Tham et al., 2023), social support (Appleton et al., 2011; Blake et al., 2024; Cassel et al., 2024; Cuberos-Urbano et al., 2018; Donnelly et al., 2017; Gurr, 2009), and group fit or belonging (Ellis-Hill et al., 2019; Raghavan et al., 2016; Tamplin et al., 2013) made to outcomes.”
The use of music as an arts-based method in migrant health research: a scoping review protocol
Garry, F., Tighe, S. M., MacFarlane, A. E., & Phelan, H. (2020) · HRB Open Research · doi:10.12688/hrbopenres.13121.1 · Cited by 8 · see citing works
“…et al., 2010; Raglio et al., 2017; Tamplin et al., 2013), other acquired brain injuries (Baker et al., 2018; Baker et al., 2019; Roddy et al., 2018; Tamplin et al., 2013), Parkinson’s Disease Page 3 of 12 (Barnish et al., 2016; Di Benedetto et al., 2009; Evans et al., 2012; Han et al., 2018;…”
BackgroundTherapeutic groups run for community-dwelling people with acquired brain injury: a scoping review
Kotzur, C., Patterson, F., Harrington, R., Went, S., & Froude, E. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2283099 · Cited by 6 · see citing works
“Other groups which reported larger group sizes included leisure groups such as choir singing [84], sport exploration [70] and yoga [50].”
Cruickshank, A., Brooks, E. D., Sperling, C., Nelson, M. L. A., & Singh, H. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-11043-7 · Cited by 6 · see citing works
“Community stroke services have been found to support stroke recovery by enhancing the individual’s social connections [24], reducing psychosocial distress [25, 26] and improving physical functioning [27].”
BackgroundPfeiffer, C. F., Magee, W. L., Fülöp, R., Nace, T., Castro, C., Iturri, A., Franceschi, J., Echauri, G., Gassull, L., & Russo, M. J. (2024) · NeuroSci · doi:10.3390/neurosci5040041 · Cited by 6 · see citing works
“Three studies defined the applied interventions as music therapy, although no music therapists were involved [46,57,58,82].”
Seckam, A. M., & Hallingberg, B. (2021) · British Journal of Neuroscience Nursing · doi:10.12968/bjnn.2021.17.sup5.s18 · Cited by 6 · see citing works
"My Voice is who I am" - Vocal Improvisation Group Work with Healthy Community-Dwelling Older Adults
Riabzev, A., Dassa, A., & Bodner, E. (2022) · Voices A World Forum for Music Therapy · doi:10.15845/voices.v22i1.3125 · Cited by 6 · see citing works
“It was demonstrated that older adults who participate in choirs report an improvement in their health, report fewer visits to the doctor's office, and show a reduction in the consumption of over-the-counter drugs (Cohen et al., 2007; Tamplin et al., 2013).”
BackgroundYuen, C. W.-N., & Ma, E. (2024) · Journal of Speech Language and Hearing Research · doi:10.1044/2024_jslhr-23-00641 · Cited by 5 · see citing works
Navarro, L., Mallah, N. E. Z., Pardo-Seco, J., Gómez‐Carballa, A., Pischedda, S., Nowak, W., Segura, E., Rodríguez‐Fornells, A., Martinón‐Torres, F., & Salas, A. (2026) · Frontiers in Integrative Neuroscience · doi:10.3389/fnint.2026.1720473 · Cited by 4 · see citing works
Forbes, M. (2024) · Voice and Speech Review · doi:10.1080/23268263.2024.2368961 · Cited by 5 · see citing works
“A broad range of people can benefit from the social engagement offered by group singing, including disadvantaged adults with mental health conditions (G. A. Dingle et al. 2013), stroke sufferers (Tamplin et al. 2013), and Parkinson’s caregivers (Forbes 2021b), to name but a few.”
BackgroundRose, M. L., Wilcox, C., Attard, M. C., Pierce, J. E., Shiggins, C., Lanyon, L., Wong, D. K., Fenner, P., & Carragher, M. (2024) · Aphasiology · doi:10.1080/02687038.2024.2410766 · Cited by 4 · see citing works
“…outcomes amongst stroke survivors with and without aphasia (Beesley et al., 2011; Cherney et al., 2011; Lanyon et al., 2013; Levin et al., 2007; Tamplin et al., 2013), yet these domains have been found to be lacking in Australian aphasia group programs led by speech pathologists (M. L. Rose &…”
Lee, O. E., Pantas, S., & Coyle, C. (2016) · Smith College Studies in Social Work · doi:10.1080/00377317.2016.1191813 · Cited by 4 · see citing works
Singing Together: A Practice‐Based Study of a Community‐Based Choir for Neurodiverse Adults
Kennedy, J. R., Jozwiak, R., Chavez, S., & LaGasse, A. B. (2025) · Journal of Applied Research in Intellectual Disabilities · doi:10.1111/jar.70117 · Cited by 3 · see citing works
“…help with speech and well-being goals in individuals with Parkinson's disease (Azekawa and LaGasse 2018; Fogg-Rogers et al. 2016; Good et al. 2023), improved mood and peer support for adults with aphasia (Tamplin et al. 2013), and improved well-being for adults with mild dementia (Lee et al. 2022).”
Quality of Life for People who Sing
Thompson, J. D., Talmage, A., Jenkins, B., & Purdy, S. C. (2022) · Voices A World Forum for Music Therapy · doi:10.15845/voices.v22i2.3185 · Cited by 3 · see citing works
“Similar positive findings and recommendations for more rigorous methodologies were found in research exploring singing interventions for people with stroke (Hurkmans et al., 2012; Tamplin et al., 2013) and Parkinson’s (Di Benedetto et al.”
BackgroundResult“Difficult but Good”: enjoying accessible digital creativity
Roper, A., Barnard, R., Cruice, M. N., Marshall, J., Mulholland, A., Neate, T., & Wilson, S. (2023) · Aphasiology · doi:10.1080/02687038.2022.2160624 · Cited by 3 · see citing works
“In the last decade, choral singing has emerged as a new contributor to aphasia rehabilitation, with anticipated benefits for functional communication, language, participation, and quality of life (Raglio et al., 2015; Tamplin et al., 2013; Tarrant et al., 2021; Zumbansen et al., 2017).”
BackgroundMethodDuhigg, C. C., David, J., Arenas, R. M., Quinn, D. K., Hubbard, H. I., Smith, T. B., & Richardson, J. D. (2025) · Aphasiology · doi:10.1080/02687038.2025.2467234 · Cited by 2 · see citing works
“(Note: Significance tests were not conducted by the three studies that used the GHQ-12 [Hilari et al., 2021; Northcott et al., 2021; Tamplin et al., 2013], nor by one study that used the WEMWBS [Northcott et al., 2021].)”
Goodhew, E., Mayr, R., Earing, K., & Seckam, A. M. (2025) · International Journal of Language & Communication Disorders · doi:10.1111/1460-6984.13143 · Cited by 2 · see citing works
Hungarian Aphasia Choir Coping Online During the COVID-19 Pandemic
Fekete, Z., & Eckhardt, F. (2022) · Voices A World Forum for Music Therapy · doi:10.15845/voices.v22i1.3337 · Cited by 2 · see citing works
“, 1974), social belonging (Ansdell, 2002; Tamplin et al., 2013; Tarrant et al., 2021) and improving the quality of life.”
BackgroundInfluentialLonger‐Term Support for Survivors of Stroke and Their Carers
Redfern, J., Gordon, C., & Cadilhac, D. A.-M. (2019) · Wiley eBooks · doi:10.1002/9781119581161.ch14 · Cited by 2 · see citing works
Navarro, L., Mallah, N. E. Z., Pardo-Seco, J., Gómez‐Carballa, A., Pischedda, S., Nowak, W., Segura, E., Rodríguez‐Fornells, A., Martinón‐Torres, F., & Salas, A. (2025) · medRxiv · doi:10.1101/2025.07.29.25332404 · Cited by 2 · see citing works
Training‐Induced Neural Enhancement of Novel Song Learning in Chronic Aphasia: EEG Study
Oksanen, E., Pentikäinen, E., Pitkäniemi, A., Siponkoski, S., Laitinen, S., Särkämö, E., Sihvonen, A. J., Makkonen, T., Kauramäki, J., & Särkämö, T. (2025) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.70087 · Cited by 1 · see citing works
Bernatzky, G., Hesse, H.-P., & Kreutz, G. (2017) · Springer eBooks · doi:10.1007/978-3-662-53101-3_7 · Cited by 1 · see citing works
Group rehabilitation in Parkinson’s disease: A case study combining music and physiotherapy
Ruotsalainen, J., Carlson, E. J., & Erkkilä, J. (2025) · Nordic Journal of Music Therapy · doi:10.1080/08098131.2024.2445819 · Cited by 1 · see citing works
“Participating in group music settings, including group music therapy, can benefit social wellbeing (Tamplin et al., 2013, 2014; Tarr et al., 2015).”
Geboloğlu, B. (2025) · Online Journal of Music Sciences · doi:10.31811/ojomus.1579994 · Cited by 1 · see citing works
Approaches to psychocorrection of cognitive disorders in people who have suffered ischemic stroke
Дроздова, І. (2025) · Psychosomatic Medicine and General Practice · doi:10.26766/pmgp.v10i2.611 · Cited by 1 · see citing works
Music in the Retiring Life: A Review of Evaluation Methods and Potential Factors
Mao, M., Blackwell, A. F., & Good, D. A. (2015) · Lecture notes in computer science · doi:10.1007/978-3-319-20892-3_8 · Cited by 1 · see citing works
Review of Music, Health, and Well-being.
Baker, F. A. (2013) · Psychomusicology Music Mind and Brain · doi:10.1037/pmu0000006 · Cited by 1 · see citing works
(2020) · UCL Discovery (University College London) · Cited by 1 · see citing works
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“Tamplin found similar results in her study and how participants expressed increase in confidence (Tamplin et al., 2013).”
ResultInfluentialLes bénéfices du chant dans la réadaptation de l’aphasie
Zumbansen, A. (2014) · doi:10.71781/29931
Do you hear the people sing? : the impact of a community choir in a forensic setting
Robertson, J. W. (2015) · Queen Margaret University eTheses Repository
The Effect of Therapeutic Vocal Training on Vocal Quality and Depression of Elderly Stroke Patients
허고은, & 문소영 (2016) · Korean Journal of Music Therapy · doi:10.21330/kjmt.2016.18.2.139
Women's Chant Group: Singing from our Souls
Adeyo, T. (2017) · Arizona State University Library Digital Repository (Arizona State University)
Kim, E. S. (2018) · Evidence-Based Communication Assessment and Intervention · doi:10.1080/17489539.2018.1505234
Benefícios da Musicoterapia no tratamento da afasia motora
de Azevedo, G. L. R., Ferreira, M. D. M., & Moura, R. D. C. D. R. (2021) · Revista Neurociências · doi:10.34024/rnc.2021.v29.11566
Terapia melódica para reabilitação da comunicação na afasia
de Lima, G. B. D. S. (2018) · doi:10.26512/2009.07.tcc.22421
Terapia melódica para reabilitação da comunicação na afasia
de Lima, G. B. D. S. (2018) · doi:10.26512/2018.tcc.22421
Finding Movement After a Stroke: A Case Study
Christenbury, K. R. (2020) · Journal of the Association for Music and Imagery · doi:10.59451/jami.63147
Jaber, M. D. S. (2021) · Percepta - Revista de Cognição Musical · doi:10.34018/2318-891x.9(1)27-37
Music for Stroke Rehabilitation
Palumbo, A., Kim, S. J., & Raghavan, P. (2023) · Current clinical neurology · doi:10.1007/978-3-031-47092-9_3
Benefits of Community Singing for Cancer Patients, Survivors, and Caregivers
Clements-Cortés, A., & Yip, J. (2024) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780197612460.013.13
- Authors
- Tamplin, J., Baker, F. A., Jones, B., Way, A., & Lee, S.
- Affiliations
- The University of Melbourne (AU)
- Yooralla, Melbourne, VIC, Australia
- The Royal Melbourne Hospital (AU)
- Monash Alfred Psychiatry Research centre (AU)
- Venue
- Neurorehabilitation
- Publisher
- SAGE Publications
- Published
- 2013-07-29
- Volume
- 32
- Issue
- 4
- Pages
- 929-941
- ISSN
- 1053-8135 (ISSN-L)
- 1878-6448
- OpenAlex
- W1618805985
- Semantic Scholar
- 63892e3b27bc04adca0468647c64cac81d17f5db
- Cited by
- 108
- References
- 41
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 9 · 2023: 7 · 2022: 10 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 11 · 2017: 12 · 2016: 9 · 2015: 8 · 2014: 3 · 2013: 1
- FWCI
- 10.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neurorehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Minerva Access (University of Melbourne) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Music Therapy and Health
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Social Sciences › Arts and Humanities › Conservation › Art Therapy and Mental Health
- Keywords
- aphasia, stroke, community choirs, group singing, mood, psychological distress, social engagement, sense of belonging, social participation (health and rehabilitation), communication, peer support, neurologic music therapy, stroke survivors, caregivers
- MeSH terms
- Adult, Affect, Aged, Aged, 80 and over, Aphasia, Female, Humans, Male, Middle Aged, Music Therapy, Residence Characteristics, Social Behavior, Speech Therapy, Stroke, Singing
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