Improvised music to support Intensive Interaction for children with complex needs: A feasibility study of brief adjunctive music therapy

IF 0.7 Q4 REHABILITATION British Journal of Music Therapy Pub Date : 2021-07-05 DOI:10.1177/13594575211028038
J. Strange
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Abstract

This study investigates Triadic Support of Interaction by Improvisation, an application of music therapy as a brief adjunctive therapy for children with complex needs who are receiving Intensive Interaction. A small randomised controlled trial measured changes in child-support worker interaction between the 4th and the 12th of 12 weekly sessions of Intensive Interaction. In each of two special schools, a control group of four children with complex needs received Intensive Interaction only and an experimental group of four children additionally received improvised music in sessions 5 through 8. Experienced Speech and Language Therapists made blind assessments from video recordings of sessions 4 and 12 using an adaptation of an instrument developed by a National Health Service learning disability service for tracking progress in Intensive Interaction. The experimental group at one research site showed significantly enhanced interaction (p = 0.02). This offers provisional proof of concept, provided environmental factors identified as impacting results at the other site can be resolved in future studies.
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即兴音乐支持复杂需求儿童的强化互动:简短辅助音乐疗法的可行性研究
本研究调查了即兴互动的三元支持,这是音乐疗法作为一种简短的辅助疗法在接受强化互动的有复杂需求的儿童中的应用。一项小型随机对照试验测量了每周12次强化互动中第4次和第12次儿童保育员互动的变化。在两所特殊学校中的每一所,一个由四名有复杂需求的儿童组成的对照组只接受强化互动,另一个由四人组成的实验组在第5至第8课时接受即兴音乐。经验丰富的言语和语言治疗师根据第4节和第12节的视频记录,使用国家卫生服务学习障碍服务机构开发的一种仪器进行了盲评估,该仪器用于跟踪强化互动的进展。在一个研究地点的实验组显示出显著增强的相互作用(p = 0.02)。这提供了概念的临时证明,前提是在未来的研究中可以解决在其他地点被确定为影响结果的环境因素。
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