Cited by 108Music Therapy and HealthStroke Rehabilitation and RecoveryArt Therapy and Mental Health

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‘Stroke a Chord’: The effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke

Tamplin, Jeanette, Baker, Felicity A., Jones, Bronwen, Way, Anneliis, Lee, Stuart·2013·Neurorehabilitation

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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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“Three studies defined the applied interventions as music therapy, although no music therapists were involved [46,57,58,82].”
The experiences and perceptions of stroke survivors engaging in a virtual choir during COVID-19: a thematic analysis
Seckam, A. M., & Hallingberg, B. (2021) · British Journal of Neuroscience Nursing · doi:10.12968/bjnn.2021.17.sup5.s18 · Cited by 6
"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
“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).”
Background
Systematic Review: Singing-Based Interventions to Improve Physical Functions Related to Aging Voice in Older Adults
Yuen, C. W.-N., & Ma, E. (2024) · Journal of Speech Language and Hearing Research · doi:10.1044/2024_jslhr-23-00641 · Cited by 5
Systematic review and meta-analysis reveal positive therapeutic effects of music in brain damage rehabilitation
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
Addressing the Global Crisis of Social Connection: Singers As Positively Energizing Leaders Who Create Belonging in Our Communities
Forbes, M. (2024) · Voice and Speech Review · doi:10.1080/23268263.2024.2368961 · Cited by 5
“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.”
Background
Acceptability, feasibility and preliminary efficacy of the Peer-led Hub-and-Spoke Community Aphasia Group program
Rose, 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
“…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 &…”
Chorus for Community Integration and Recovery for Men with Psychiatric Disabilities in a Supportive Housing Community
Lee, O. E., Pantas, S., & Coyle, C. (2016) · Smith College Studies in Social Work · doi:10.1080/00377317.2016.1191813 · Cited by 4
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
“…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
“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 4
“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).”
BackgroundMethod
A systematic scoping review of measures used to evaluate treatment-induced changes in depression, anxiety, and chronic stress in people with post-stroke aphasia
Duhigg, 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 3
“(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].)”
The role of an inpatient aphasia‐friendly choir for people with post‐stroke communication impairment from the perspective of the multidisciplinary team: An exploratory study
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
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
“, 1974), social belonging (Ansdell, 2002; Tamplin et al., 2013; Tarrant et al., 2021) and improving the quality of life.”
BackgroundInfluential
Longer‐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
Systematic review and meta-analysis reveal positive therapeutic effects of music in brain damage rehabilitationPreprint
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
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
Musik und Gesang im Alter
Bernatzky, G., Hesse, H.-P., & Kreutz, G. (2017) · Springer eBooks · doi:10.1007/978-3-662-53101-3_7 · Cited by 1
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
“Participating in group music settings, including group music therapy, can benefit social wellbeing (Tamplin et al., 2013, 2014; Tarr et al., 2015).”
Koristlerin görüşlerine göre amatör koroda görev almanın yaşam doyumları üzerindeki etkisi (Tokat halk eğitim korosu örneği)
Geboloğlu, B. (2025) · Online Journal of Music Sciences · doi:10.31811/ojomus.1579994 · Cited by 1
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
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
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Baker, F. A. (2013) · Psychomusicology Music Mind and Brain · doi:10.1037/pmu0000006 · Cited by 1
Untitled work
(2020) · UCL Discovery (University College London) · Cited by 1
How can music therapy support family relationships for people living in a long-term care facility with neuro-disabilities, when regular visits can be challenging?
Auer, K. (2019) · doi:10.26686/wgtn.17136524.v1 · Cited by 1
“Tamplin found similar results in her study and how participants expressed increase in confidence (Tamplin et al., 2013).”
ResultInfluential
Les 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)
Examining whether choir participation improves functional communication in aphasia requires further study
Kim, E. S. (2018) · Evidence-Based Communication Assessment and Intervention · doi:10.1080/17489539.2018.1505234
How can music therapy support family relationships for people living in a long-term care facility with neuro-disabilities, when regular visits can be challenging?
Auer, K. (2019) · doi:10.26686/wgtn.17136524
Benefícios da Musicoterapia no tratamento da afasia motora
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Terapia melódica para reabilitação da comunicação na afasia
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Finding Movement After a Stroke: A Case Study
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O canto como uma alternativa para a manutenção da saúde física e mental em tempos de distanciamento social
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Music for Stroke Rehabilitation
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Benefits of Community Singing for Cancer Patients, Survivors, and Caregivers
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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)
ORCID: Tamplin, Jeanette
Baker, Felicity A.
Lee, Stuart
Venue: Neurorehabilitation
Publisher: SAGE Publications
Published: 2013-07-29
Volume: 32
Issue: 4
Pages: 929-941
ISSN: 1053-8135 (ISSN-L)
1878-6448
DOI: 10.3233/nre-130916
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 › Psychology › Clinical Psychology › 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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‘Stroke a Chord’: The effect of singing in a community choir on mood and social engagement for people living with aphasia following a stroke

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