Age UK has launched a high profile campaign, challenging us to think aboutA how to love later life. Music-making offers a creative and cost-effective response to this challenge.
This view is articulated in our new book, Active Ageing with MusicA, through the voices of later-life community music-makers and supported by a wealth of evidence making a compelling case for the power of music in the lives of older adults. There are currently 10 million people in the UK aged over 65 and that number is forecast to double by 2050.
This extraordinary demographic transition, where we have seen a remarkable increase in the over-nineties, centenarians and even super-centenarians, is a triumph of public health policy and practice, yet also poses one of the major social challenges of the 21st century. As the Director of Age UK has stated, there is a pressing need for creative thinking about how we can help people make the most of a longer later life.
So, what might be so special about music-making in later life? One explanation relates to its holistic nature. In addition to influencing positive mental and physical health, music-making provides a context that promotes independence, personal development and self-expression alongside fellowship and intergenerational solidarity. As one music-maker (aged 80) is quoted: “Music benefits everybody, because of its beauty … It is an uplifting experience. I can’t imagine a life without music … It fulfils a need.” Yet, there is still much to be done before access to the full potential of musical participation might be a reality for our older citizens.
For example, apart from some very valuable practice and research with older people afflicted with dementia and some other age-related conditions, there has been little research that explores fully how music-making may be exploited within a range of community and institutional settings that reach the most vulnerable and frail of our older people. Furthermore, the evidence suggests that musical activities could act as a pathway to sustained or enhanced wellbeing. But provision must be of a high quality, responding to the diverse needs amongst older cohorts. To this end, there is a need for sustainable professional development and partnership working for musicians and other organisations with a stake in activities for older people. Age UK has laid down the challenge. As we prepare for old age and support our families, friends, and wider community members who have reached the Third and Fourth Ages, we need to find ways to ‘love later life’. Music-making does exactly this, with its potential to reach diverse groups amongst older people, supporting active ageing and touching individual lives in powerful ways.
We live in an ageing society. On current estimates the European population aged over 60 will continue to grow by about 2 million people a year over the next couple of decades and by 2060 over 65s will make up some 30% of the European population. Finding ways to minimise the resulting strain on pension and healthcare systems is a major long-term challenge for policy-makers.
But older adults can also be considered a resource to society so the idea of active ageing must be central in addressing demographic change. Active ageing means growing old in good health and as a full member of society: having the opportunity to continue to participate in paid or voluntary work, remaining independent in daily life and involved as citizens. Older people have much to contribute to society and in turn will enjoy a better quality of life if they are able to do so. The EU’s designation of 2012 as the European Year of Active Ageing and Solidarity between Generations underscores this point.
So, if the objective is to maintain the wellbeing of individuals as they age, what is the contribution that participation in learning can make? Research has been growing on this topic but has been skewed towards small scale qualitative studies which, while of much interest and value, are not readily generalisable. Our study “Learning and Wellbeing Trajectories Among Older Adults in England” (pdf) aimed to strengthen the evidence base by drawing on quantitative data.
Using data from the English Longitudinal Study of Ageing (ELSA), a large-scale, nationally-representative survey of older adults, we focused on people in their 50s and 60s, and related a measure of their wellbeing to participation in several types of learning.
The most striking finding was that it was consistently the non-vocational and relatively informal types of learning (such as music/arts groups and evening classes) which were associated with increases in wellbeing, rather than formal, more vocationally-oriented education and training courses.
Quantitative studies also have the advantage of yielding precise estimates of the magnitude of effects. As people grew older, their wellbeing gradually declined. But the measured impact of participation in (non-vocational) learning was at least sufficient to offset this gradual decline in wellbeing as people became older. Another way of expressing these results is that the boost to wellbeing delivered by engagement in learning was about one-quarter of the size of moving from the bottom to the middle of the wealth distribution. These estimates, then, show very clearly that learning participation has a useful role to play as a contributor to the wellbeing of older adults.
Of course, quantitative studies of this type do not tell us very much about the reasons why participation in non-vocational learning affected the wellbeing of older adults while vocational courses did not. But previous, qualitative evidence, can help to fill that gap. It seems plausible that vocational courses would only have benefits in the longer term and only when they led on to more satisfying work or promotion. Participation in non-vocational learning activities such as music or arts groups or evening classes, on the other hand, would be more likely to be undertaken because of their intrinsic enjoyment or possibly because of opportunities for getting out and socialising. These are important reasons for learning at older ages. Older adults often appreciated learning because it helped them to be receptive to new ideas, to improve understanding and maintain a positive outlook. Opportunities for increased social participation, for meeting up and studying with friends and the forming of new networks, were also important factors.
In general, it is not at all easy to think of policy instruments which can make an effective contribution to active ageing. If learning can play even a small part in contributing to good health and wellbeing, or helping people to live independent lives for longer, then providing relevant and interesting courses for older adults is a remarkably cheap and cost-effective intervention.
Despite the accumulating evidence of the benefits of learning for older adults in England, rates of participation in adult education have tended to decline in recent years. Some of this decline may be blamed on the recession – people having less money to spend on learning. But the decline has occurred primarily because of deliberate changes in adult education policy. Since 2004 – that is under both Labour and Conservative/Liberal governments – the policy has been to reduce the amount of money available for short courses and other unaccredited types of learning in order to concentate funding on longer-term, qualification-bearing courses aimed at 16-24 year olds.
It was no great surprise then, that when the Department for Business, Innovation and Skills recently, and rather belatedly, published the results of the 2010 National Adult Learning Survey (pdf) it showed some sharp declines in both non-formal learning (taught classes not leading to qualifications) and informal learning (involving self-study to improve knowledge). Indeed it was found that participation in learning had declined across almost all age groups with the exception of 16-19 year olds, with the decline being most noticeable among those aged 60 and over. This was a significant reversal of rising participation rates shown by earlier surveys.
Policies channelling public funds towards accredited and vocational learning carries the risk that other forms of learning, and any benefits which derive from them, will be neglected. Yet, in our ageing society, if adult learning can play a role in maintaining the health and wellbeing of older citizens then there must be a strong case for the state to invest in it.