The music matrix: A qualitative participatory action research project to develop documentation for care home music therapy services

This article presents a small Participatory Action Research project involving music therapists working in a care home company, creating a documentation tool (The Music Matrix) that is fit for purpose. The project emerged out of a commonly held dissatisfaction with existing documentation among the Music Therapists in the care home company’s national team. The Music Matrix tool uses graphic notation to record observations of client participation, systematised into 10 dimensions of activity. The tool was developed in a cycle of practice and reflection between members of the music therapy team and stakeholders in the wider organisation. This was systematised in a three-stage trial process of profiling, peer review and thematic synthesis of feedback. Findings suggest that the tool was viewed to be useful in a number of aspects. First, it enabled insights for Music Therapists, in seeing patterns and recognising unacknowledged habits in their own practice. It helped show complex experience in an immediate graphic way. This was useful for reporting to stakeholders and was flexible in applying to numerous formats of practice. However, this flexibility also created a level of uncertainty for some research respondents, as the tool’s wide applicability does not have the appearance of objectivity afforded by other methods. Stakeholders saw applications beyond music therapy, particularly for non-musical care work and activities. Insights emerged regarding how Music Therapists can usefully meet the many demands that care documentation serves.