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Shifting the Focus to Teachers: A New Approach for Music Therapists Working in Schools 将焦点转移到教师身上:音乐治疗师在学校工作的新方法
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-27 DOI: 10.1093/mtp/miac020
Megan E. Steele, K. Mcferran, A. Crooke
This paper presents a new approach for music therapists in schools wishing to support the work of teachers. This music therapy approach is underpinned by theoretical resources drawn from community music therapy and a critical inclusive approach to education. Illustrative examples of the first authors’ music therapy practice as part of a teacher professional learning program, Music for Classroom Wellbeing, are offered. Two practice principles, “focus on the teacher” and “enable sharing,” are presented to provide a framework for music therapists striving to support teachers. Following these principles may allow teachers to grow their musicality, teaching, and self-care practices. This paper concludes with implications of reframing the focus of music therapy practice with teachers for other music therapists working in the current performance-driven schooling system.
本文为希望支持教师工作的学校音乐治疗师提供了一种新的方法。这种音乐治疗方法的基础是来自社区音乐治疗的理论资源和一种关键的包容性教育方法。第一作者的音乐治疗实践作为教师专业学习计划的一部分,音乐为课堂健康,提供了说教性的例子。两个实践原则,“关注教师”和“允许分享”,提出了一个框架,为音乐治疗师努力支持教师。遵循这些原则可以让教师提高他们的音乐才能、教学能力和自我照顾能力。本文总结了与教师一起重构音乐治疗实践的重点对在当前以表演为导向的学校系统中工作的其他音乐治疗师的启示。
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引用次数: 0
Music-Assisted Reminiscence Therapy with Older Adults: Feasibility, Acceptability, and Outcomes 音乐辅助的老年人回忆疗法:可行性、可接受性和结果
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-27 DOI: 10.1093/mtp/miac021
Romy Engelbrecht, S. Bhar, J. Ciorciari
Reminiscence therapy (RT) is often used in music therapy; however, it remains unclear how music can be integrated within this therapy. This pilot study aimed to contrast the user experience and acceptability of RT with and without music. Eight older adults experiencing symptoms of anxiety and/or depression were randomly allocated to a single session of either verbal RT (VRT) or music-assisted RT (MRT). Pre- and post-measures of affect (Positive and Negative Affect Scale) and memory (Memory Experience Questionnaire, Short Form) were administered to compare VRT and MRT, followed by a brief semi-structured interview to understand the participants’ experiences and level of satisfaction. Interviews were qualitatively analyzed using an inductive coding approach. Two MRT protocols were also delivered to examine different ways of embedding music into RT and compared using qualitative interview data. Participants reported that VRT and MRT were equally acceptable and well tolerated. All participants completed the VRT or MRT session. Participants were able to identify a song to listen to in both MRT protocols and found both acceptable. A pre–post pattern of improvement was observed for affect following VRT, and particularly MRT, suggesting both as promising interventions. The high treatment fidelity achieved in this study indicates that the interventions can be successfully implemented with this population. MRT resulted in higher scores on memory experience characteristics, such as vividness, coherence, and accessibility, and, therefore, may provide changes above and beyond VRT for older people experiencing psychological distress, suggesting that large-scale clinical trials are warranted.
回忆疗法(RT)常用于音乐治疗;然而,目前尚不清楚音乐如何与这种疗法相结合。这项初步研究的目的是对比用户体验和接受RT有和没有音乐。8名出现焦虑和/或抑郁症状的老年人被随机分配到口头RT (VRT)或音乐辅助RT (MRT)的单次会话中。研究人员对被试进行了情绪(积极和消极情绪量表)和记忆(记忆体验问卷,简短形式)的前后测量,以比较VRT和MRT,随后进行了简短的半结构化访谈,以了解被试的体验和满意度。使用归纳编码方法对访谈进行定性分析。我们还提供了两种MRT协议,以检验将音乐嵌入RT的不同方式,并使用定性访谈数据进行比较。参与者报告VRT和MRT同样可接受且耐受性良好。所有参与者都完成了VRT或MRT测试。参与者能够在两种MRT协议中识别出要听的歌曲,并发现两者都是可以接受的。在VRT,特别是MRT后,观察到一种改善的前后模式,表明两者都是有希望的干预措施。本研究中获得的高治疗保真度表明干预措施可以成功地在这一人群中实施。MRT在记忆体验特征(如生动性、连贯性和可及性)上得分更高,因此,可能为经历心理困扰的老年人提供高于VRT的改变,这表明大规模的临床试验是有必要的。
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引用次数: 1
Beat Synchronization and Reading: The Feasibility of Music and Video Game Trainings 节奏同步与阅读:音乐与电子游戏训练的可行性
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-27 DOI: 10.1093/mtp/miac016
Yu-ling Chen, D. Khoo
The prevalence of reading disabilities ranges from 5% to 12%, making it important to support reading programs. More specifically, children with reading disabilities show difficulties in beat synchronization that requires fine audio-motor synchrony. This synchrony, which demonstrates temporal processing skills, is linked to reading development. The purpose of the present study was to establish the feasibility of 2 music training programs for reading through practicing beat synchronization and to explore the preliminary efficacy of these programs for third graders identified as having reading challenges. Two participants attended the rhythmic music exercise group where they performed musical tasks set to a metronome beat. Two other participants attended the video game playing group where they played Donkey Konga. Each group attended a 30-minute session twice a week for 4 weeks. The Gray Oral Reading Test Fifth Edition (GORT-5) was used to assess reading ability. Selected subtests from the Comprehensive Test of Phonological Awareness Second Edition (CTOPP-2) were used to assess phonological processing. Feasibility data indicated that both programs were successfully implemented and well received by the participants. While preliminary-efficacy analysis demonstrated positive trends in the reading and phonological awareness tests for the rhythmic music exercise group and mixed results for the video game playing group, a large, controlled pilot study is needed to determine the effects of these training programs. Music therapists may potentially apply the proposed rhythmic music exercises to address reading-related goals.
阅读障碍的患病率从5%到12%不等,因此支持阅读项目很重要。更具体地说,有阅读障碍的儿童在节拍同步方面表现出困难,这需要精细的音频-运动同步。这种同步性展示了时间处理技能,与阅读发展有关。本研究的目的是通过练习节拍同步来确定两个音乐阅读训练项目的可行性,并探索这些项目对被确定为有阅读挑战的三年级学生的初步效果。两名参与者参加了节奏音乐练习组,在那里他们按照节拍器节拍进行音乐任务。另外两名参与者参加了电子游戏小组,在那里他们玩了《金刚驴》。每个小组每周参加两次30分钟的会议,为期4周。灰色口语阅读测试第五版(GORT-5)用于评估阅读能力。从语音意识综合测试第二版(CTOPP-2)中选择的子测验被用来评估语音处理。可行性数据表明,这两个项目都得到了成功实施,并受到了参与者的好评。虽然初步疗效分析表明,节奏音乐锻炼组的阅读和语音意识测试呈积极趋势,电子游戏组的结果喜忧参半,但需要进行大规模的对照试点研究来确定这些训练项目的效果。音乐治疗师可能会将所提出的有节奏的音乐练习应用于与阅读相关的目标。
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引用次数: 0
Quality Improvement Evaluation of a Veterans’ Palliative Care Telehealth Music Therapy Program 退伍军人临终关怀远程医疗音乐治疗项目的质量改善评价
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-27 DOI: 10.1093/mtp/miac017
Shelly R Zeiser
Music therapy is an important psychosocial aspect of hospice and palliative care programs to address pain, grief, and anxiety. The COVID-19 pandemic introduced new challenges to psychosocial therapies in palliative care, including the inability of families to be at the bedside of seriously ill patients, and the need to provide services remotely through video technology. Due to this sudden shift in service delivery, music therapists adapted without research evidence or evaluation of service quality. This evidence-based quality improvement (QI) evaluation examined the program effectiveness of music therapy telehealth services at one Veterans Affairs Medical Center (VAMC) for patients in palliative care, their family members, and VAMC staff during this time of societal grief, anxiety, and isolation. Evaluation metrics included patient (n = 39), staff (n = 27), and family member (n = 3) responses to QI surveys, and analysis of journal entries from key stakeholders (i.e., music therapist, nurse case manager, palliative care physician). We conducted a content analysis of QI surveys and completed the first and second cycle coding of journal entries. Results from the QI survey indicated that music therapy telehealth provided affective and interpersonal benefits, and increased compliance with other therapies. Reflections from key stakeholders included clinical recommendations for service implementation and descriptions of the influence of the telehealth modality on the therapeutic relationship. Findings suggested that music therapy telehealth services can provide psychosocial support for veterans, families, and staff in palliative care. QI research may be utilized to provide helpful ongoing feedback regarding clinical effectiveness.
音乐治疗是一个重要的社会心理方面的临终关怀和姑息治疗方案,以解决疼痛,悲伤和焦虑。2019冠状病毒病大流行给姑息治疗中的社会心理疗法带来了新的挑战,包括家属无法陪伴在重病患者的床边,以及需要通过视频技术远程提供服务。由于服务提供的突然转变,音乐治疗师在没有研究证据或服务质量评估的情况下适应了。这项基于证据的质量改进(QI)评估检查了一家退伍军人事务医疗中心(VAMC)为姑息治疗患者、他们的家庭成员和VAMC工作人员在这段社会悲伤、焦虑和孤立时期的音乐治疗远程医疗服务的项目有效性。评估指标包括患者(n = 39)、工作人员(n = 27)和家庭成员(n = 3)对QI调查的回应,以及主要利益相关者(即音乐治疗师、护士病例管理员、姑息治疗医师)的日志条目分析。我们对QI调查进行了内容分析,并完成了日记账分录的第一和第二周期编码。QI调查的结果表明,音乐治疗远程医疗提供了情感和人际关系方面的好处,并增加了对其他治疗的依从性。主要利益攸关方的意见包括对服务实施的临床建议和对远程保健模式对治疗关系的影响的描述。研究结果表明,音乐治疗远程医疗服务可以为退伍军人、家属和姑息治疗工作人员提供心理社会支持。QI研究可用于提供有关临床疗效的有益持续反馈。
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引用次数: 0
Using Music to Address Trauma with Refugees: A Systematic Review and Recommendations 用音乐治疗难民创伤:系统回顾和建议
IF 1.2 Q4 REHABILITATION Pub Date : 2022-06-15 DOI: 10.1093/mtp/miac013
Gabriella Bernard, Abbey L. Dvorak
Refugees experience trauma and are more vulnerable than the general population to experiencing mental health conditions. Music may be used to support and enhance the lives of refugees. The purpose of this systematic review was to summarize and describe the uses of music to address trauma for individuals who are refugees. The research questions included (a) What are the characteristics of studies using music to address trauma for people who are refugees? and (b) What are the outcomes of these studies, and how are these outcomes measured? The researchers gathered available literature from PsycInfo, ERIC, Sociological Abstracts, PubMed, Music Index, and Directory of Open Access Journals (DOAJ). Databases were searched using “music” AND “refugee.” Search filters aimed to select articles that were peer-reviewed and published quantitative, qualitative, or mixed-methods studies. Of the 1,318 studies first identified, 11 met the criteria for inclusion. Studies included qualitative and quantitative approaches; the most common research design was case study. The majority of participants were adult refugees from a variety of countries, with approximately a third of the studies conducted in Australia. The majority of interventionists identified as music therapists. Treatment length varied from several days to 18 months, typically occurring once or twice weekly. Music interventions included a combination of methods, with receptive and recreative most common. Outcomes included improvements in behavioral and psychological functioning, with a variety of measurement tools used. Implications and recommendations for music therapy clinical practice are discussed.
难民经历创伤,比一般人更容易出现精神健康问题。音乐可以用来支持和改善难民的生活。这个系统回顾的目的是总结和描述音乐的用途,以解决创伤的个人难民。研究问题包括(a)利用音乐解决难民创伤的研究的特点是什么?(b)这些研究的结果是什么,这些结果是如何衡量的?研究人员从PsycInfo、ERIC、社会学文摘、PubMed、音乐索引和开放获取期刊目录(DOAJ)中收集了可用的文献。他们用“音乐”和“难民”搜索数据库。搜索过滤器的目的是选择同行评议和发表的定量、定性或混合方法研究的文章。在首次确定的1318项研究中,有11项符合纳入标准。研究包括定性和定量方法;最常见的研究设计是案例研究。大多数参与者是来自不同国家的成年难民,大约三分之一的研究在澳大利亚进行。大多数干预主义者被认为是音乐治疗师。治疗时间从几天到18个月不等,通常每周一次或两次。音乐干预包括多种方法的组合,其中最常见的是接受性和娱乐性。结果包括行为和心理功能的改善,使用了各种测量工具。讨论了音乐治疗临床实践的意义和建议。
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引用次数: 1
Perceptions of Self-Determination in Music Therapy for Individuals Diagnosed with Intellectual Disabilities: A Survey of Music Therapists 音乐治疗对智障人士自我决定的认知:一项音乐治疗师的调查
IF 1.2 Q4 REHABILITATION Pub Date : 2022-04-29 DOI: 10.1093/mtp/miac004
Katelyn Beebe
Individuals diagnosed with intellectual and developmental disabilities (I/DD) experience positive outcomes and desire to participate in decisions regarding various aspects of their lives but are often less likely to access this right than their peers without a diagnosis. These individuals may be able to increase their proficiency in self-determination through practice, but it is unclear the extent to which they may be involved in healthcare-related decisions, specifically while participating in music therapy. Through a survey of board-certified music therapists currently serving individuals diagnosed with I/DD, in this study, the author sought to identify aspects of self-determination being incorporated into music therapy treatment with individuals diagnosed with I/DD and to determine the extent to which self-determination is emphasized. Results of this study indicated elements perceived by music therapists to be essential to self-determination, benefits associated with access to self-determination, methods of incorporating self-determination into music therapy sessions, relationships between work experience, attitudes about self-determination, and the frequency of self-determination being incorporated into sessions. Based on the results of this study, future research could explore potential implications of music therapists’ educational background and work setting on self-determination and should include perspectives from service users.
被诊断为智力和发育障碍(I/DD)的个体经历了积极的结果,并渴望参与有关其生活各个方面的决策,但与未被诊断的同龄人相比,他们往往更不可能获得这一权利。这些人可能能够通过练习提高他们对自我决定的熟练程度,但目前尚不清楚他们在多大程度上参与了与医疗保健相关的决策,特别是在参与音乐治疗时。通过对目前为I/DD患者服务的认证音乐治疗师的调查,在这项研究中,作者试图确定自我决定的各个方面被纳入I/DD患者的音乐治疗中,并确定自我决定在多大程度上被强调。本研究的结果表明,音乐治疗师认为对自我决定至关重要的因素,与获得自我决定相关的好处,将自我决定纳入音乐治疗课程的方法,工作经验之间的关系,对自我决定的态度,以及将自我决定纳入课程的频率。基于本研究的结果,未来的研究可以探索音乐治疗师的教育背景和工作环境对自我决定的潜在影响,并应包括服务使用者的观点。
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引用次数: 0
Undergraduate Music Therapy Research Methods Pedagogy: A Pilot Project 本科音乐治疗研究方法教学法:一个试点项目
IF 1.2 Q4 REHABILITATION Pub Date : 2022-04-22 DOI: 10.1093/mtp/miac006
Adrienne K Flight, R. F. Cruz
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引用次数: 0
Associations between Music Therapy, Pain and Heart Rate for Children Receiving Palliative Care 接受姑息治疗的儿童音乐治疗、疼痛和心率之间的关系
IF 1.2 Q4 REHABILITATION Pub Date : 2022-04-22 DOI: 10.1093/mtp/miac003
A. Delaney, A. Herbert, Natalie K. Bradford, Anne Bernard
Music therapy (MT) is a widely used non-pharmacological intervention in pediatric health care, an integral part of pediatric palliative care (PPC). Yet, there is a lack of evidence of efficacy, and best practices are not well established. The nature and extent of physiologic impacts of MT in PPC have not previously been reported. This study explores how MT contributes to psycho-physiological changes in children receiving palliative care. We used a convergent mixed-methods feasibility study with a pre–post design. MT sessions were delivered to children (0–18 years), who were registered with a statewide Pediatric Palliative Care Service. Pre–post measures of pain and heart rate were collected using validated and objective measures and analyzed using mixed-model analysis. Analysis of 36 MT sessions demonstrated a statistically significant reduction in pain scores and heart rate after MT sessions. Post measures of pain measured with Face, Legs, Activity, Cry, Consolability scale (FLACC scale) scores were −1.57 (95% confidence interval [CI] −2.31 to −0.83) and by Likert pain scale −2.03 (95% CI −2.79 to −1.27). Heart rate reduced by a mean of −7.6 beats per minute (95% CI −10.74 to −3.37). Five parents participated in semi-structured interviews. Following thematic analysis, two major themes emerged: (1) MT has a positive impact on physiological symptoms and (2) MT enhances the opportunity to experience joy. Results demonstrate the feasibility of study components and may inform future research design for a larger study. This research contributes to the limited evidence about non-pharmacological interventions enhancing the quality of life for children receiving PPC.
音乐治疗(MT)是一种广泛应用于儿科卫生保健的非药物干预手段,是儿科姑息治疗(PPC)的重要组成部分。然而,缺乏有效性的证据,最佳做法也没有得到很好的确立。MT在PPC中的生理影响的性质和程度以前没有报道过。本研究探讨MT对接受姑息治疗儿童的心理生理变化的影响。我们使用了一种融合混合方法的可行性研究,并进行了前后设计。MT课程提供给在全州儿童姑息治疗服务中心注册的儿童(0-18岁)。使用经过验证的客观测量方法收集疼痛和心率的前后测量数据,并使用混合模型分析进行分析。对36次MT治疗的分析表明,MT治疗后疼痛评分和心率在统计学上有显著降低。用面部、腿部、活动、哭泣、安慰量表(FLACC量表)测量的疼痛后测量值为- 1.57(95%可信区间[CI] - 2.31至- 0.83),用李克特疼痛量表测量的疼痛后测量值为- 2.03 (95% CI - 2.79至- 1.27)。心率平均每分钟降低- 7.6次(95% CI - 10.74 - 3.37)。5位家长参加了半结构化访谈。根据主题分析,出现了两个主要主题:(1)MT对生理症状有积极影响;(2)MT增加了体验快乐的机会。结果证明了研究组成部分的可行性,并可能为未来更大规模研究的研究设计提供信息。本研究对非药物干预提高接受PPC儿童生活质量的有限证据做出了贡献。
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引用次数: 2
Trauma and expressive arts therapy: Brain, body & imagination in the healing process 创伤与表达艺术治疗:治疗过程中的大脑、身体与想象
IF 1.2 Q4 REHABILITATION Pub Date : 2022-04-18 DOI: 10.1093/mtp/miac008
A. Heiderscheit
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引用次数: 6
Music Therapy for Hospitalized Antepartum Patients: A Mixed Methods Study 音乐治疗对住院产前患者的影响:一项混合方法研究
IF 1.2 Q4 REHABILITATION Pub Date : 2022-04-01 DOI: 10.1093/mtp/miab022
Johanna Horn, Jaimee Robinson, Marie Tolliver, A. Gollenberg, Anthony Meadows
This study reports the benefits of individual music therapy with 5 mothers hospitalized due to complications related to their pregnancies. These five expectant mothers, hospitalized for a range of reasons, participated in 1 to 5 music therapy sessions focused primarily on their emotional well-being. An analysis of data from the Antepartum Bedrest Emotional Impact Inventory revealed significant changes (p = .0006) in the emotional health of these expectant mothers after their music therapy sessions. Concomitant analysis of post-session questionnaires suggested four primary types of emotional benefit: (1) improved connections to family, (2) normalization of the hospital experience, (3) emotional relief, and (4) new resources to manage the hospital experience. These benefits are described within the context of the music therapy sessions along with a discussion of practical challenges that arose while implementing music therapy in this hospital environment.
本研究报告了5位因怀孕并发症住院的母亲进行个人音乐治疗的好处。这五位准妈妈,因各种原因住院,参加了1到5次音乐治疗,主要关注她们的情绪健康。对产前卧床情绪影响量表数据的分析显示,这些准妈妈在音乐治疗后的情绪健康发生了显著变化(p = .0006)。同时,对会后问卷的分析显示了四种主要的情绪益处:(1)改善了与家庭的联系;(2)医院体验的正常化;(3)情绪缓解;(4)管理医院体验的新资源。这些好处是在音乐治疗课程的背景下描述的,同时讨论了在医院环境中实施音乐治疗时出现的实际挑战。
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引用次数: 2
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Music Therapy Perspectives
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