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Research into increasing resilience in children with autism through music therapy: Statistical analysis of video data 通过音乐治疗提高自闭症儿童恢复力的研究:视频数据的统计分析
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-25 DOI: 10.1080/08098131.2022.2044893
Laura Blauth, A. Oldfield
ABSTRACT Introduction This article describes a retrospective research evaluation of data generated within the international music therapy trial TIME-A. In this retrospective evaluation, the main objective was to investigate the effects of individual music therapy sessions on resilience in young children with autism spectrum disorder (ASD). Method Video excerpts of individual music therapy sessions over a period of five months with 13 children between the ages of four and six with ASD were analysed. Six children received weekly music therapy sessions and seven children received music therapy sessions three times a week. An improvisational music therapy model was used. Short sections of music therapy session videos were selected for microanalysis. A five-second time sampling method was used. For every five-second interval, observed behaviour indicative of resilience was documented using video annotation software. Generalised Linear Mixed Models (GLMM) were chosen for the statistical analysis. Results Out of the 11 response variables, seven yielded a significant p-value in the full-null model comparison. Intrapersonal protective resilience factors, such as the ability to express emotions, awareness of others and goal-directed behaviour were strengthened by music therapy. In addition, treatment intensity had a significant effect on one variable and verbal ability a significant effect on four variables. Discussion Results suggest that music therapy enhances the likelihood of resilience in young children with ASD. The importance of increasing resilience for children with ASD rather than reducing symptoms is emphasised. GLMM models of statistical analysis are recommended for future music therapy research.
本文描述了对国际音乐治疗试验TIME-A中产生的数据的回顾性研究评估。在这项回顾性评估中,主要目的是研究个体音乐治疗对自闭症谱系障碍(ASD)幼儿心理弹性的影响。方法对13名4 ~ 6岁自闭症儿童进行为期5个月的音乐治疗视频进行分析。6名儿童每周接受一次音乐治疗,7名儿童每周接受三次音乐治疗。采用即兴音乐治疗模型。选择音乐治疗视频的短片段进行微量分析。采用5秒时间采样法。每隔5秒,使用视频注释软件记录显示恢复力的观察行为。采用广义线性混合模型(GLMM)进行统计分析。在11个响应变量中,有7个在全零模型比较中产生显著的p值。个人保护弹性因素,如表达情绪的能力、对他人的认识和目标导向的行为,都通过音乐疗法得到加强。此外,治疗强度对一个变量有显著影响,语言能力对四个变量有显著影响。结果表明,音乐疗法提高了自闭症儿童恢复能力的可能性。强调提高自闭症儿童的适应能力而不是减轻症状的重要性。统计分析的GLMM模型被推荐用于未来的音乐治疗研究。
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引用次数: 3
Ethical thinking in music therapy. Second edition 音乐治疗中的伦理思考。第二版
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-24 DOI: 10.1080/08098131.2022.2053874
Laurel Young
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引用次数: 0
Music therapy for children on the autism spectrum: Improved social interaction observed by multiple informants across different social contexts 音乐疗法对自闭症儿童的影响:不同社会背景下多名被调查者观察到的社会互动的改善
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-22 DOI: 10.1080/08098131.2022.2046628
Mathieu Pater, M. Spreen, T. Yperen
ABSTRACT Introduction In a previously published multiple case study in which 10 children on the autism spectrum were offered the “Papageno Music Therapy Program” (PMTP), a favorable development was found with regard to social interaction. As an extension of our previous study, we investigate if the progress can also be observed in a larger group, and whether these developments are generalized to other situations. Method A non-experimental, pre-post measurement, multiple-informant design was used to monitor the development of these children in different social contexts. The observers were therapists, parents, family members and teachers. Forty children were observed over a 20-week period. Results The study shows an improvement in the social interaction of children on the autism spectrum and supports the findings of our previous 10 children multiple case study. The agreement between the different informants was high. The Reliable Change Index (RCI), which examined the results at an individual level, confirmed a positive improvement for more than 32 participants (RCI > 1.96). All the informants saw progress, so it seemed that the development was also generalized to other situations. Conclusion This study confirmed earlier research into the effects of PMTP on this group: Improvements in social interaction were visible during the course of the therapy. Informants observed this improvement not only within, but also outside the therapeutic setting. Overall, there were sufficient indications for PMTP having a positive effect on social behavior that warrant further evaluation through a controlled study.
摘要简介在之前发表的一项多案例研究中,10名自闭症谱系儿童接受了“帕帕吉诺音乐治疗计划”(PMTP),发现他们在社交方面有了良好的发展。作为我们之前研究的延伸,我们调查了是否也可以在更大的群体中观察到进展,以及这些发展是否被推广到其他情况。方法采用非实验性、前后测量、多信息者的设计来监测这些儿童在不同社会背景下的发展。观察者包括治疗师、家长、家庭成员和老师。对40名儿童进行了为期20周的观察。结果该研究显示自闭症谱系儿童的社交互动有所改善,并支持我们之前10名儿童的多案例研究结果。不同的告密者之间的一致性很高。可靠变化指数(RCI)在个人层面上检查了结果,证实了超过32名参与者的积极改善(RCI>1.96)。所有信息提供者都看到了进展,因此似乎这种发展也被推广到了其他情况。结论本研究证实了早期关于PMTP对该组患者影响的研究:在治疗过程中,社交互动明显改善。知情者不仅在治疗环境内,而且在治疗环境外都观察到了这种改善。总的来说,有足够的迹象表明PMTP对社会行为有积极影响,值得通过对照研究进行进一步评估。
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引用次数: 2
Clinical teletraining in music therapy: Two educators’ perspectives 音乐治疗的临床远程培训:两个教育者的观点
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-18 DOI: 10.1080/08098131.2022.2049352
Lori F Gooding, Jessica Rushing
ABSTRACT Introduction The coronavirus pandemic began to spread in the United States in March of 2020. Concerns about the virus prompted widespread restrictions at higher education institutions, which resulted in a sudden shift to remote learning. Though music therapy education integrated online components prior to the pandemic, few courses were mostly or completely online. Consequently, the unexpected transition to remote learning presented challenges for both music therapy faculty and students. Among these challenges was the impact of the pandemic on clinical training, as pandemic restrictions limited in-person contact and prompted music therapists to shift to telepractice. These changes in service delivery also prompted changes in clinical training, leaving some music therapy faculty to simultaneously learn, teach, and supervise telepractice. However, many music therapy educators had little experience with telepractice, and information was limited on teletraining and supervision. Method In this article, we present two case examples of music therapy training/supervision practices in the United States. We outline how we developed these practices for individual and group-based clinical teletraining for pre-intern music therapy students. Results Included are strategies related to technology, music interventions, and pre-internship supervision, along with the frameworks that supported our decisions as we developed the teletraining and supervision models. Discussion The information presented in these case examples highlights the need for effective teletraining and supervision strategies to help students acquire music therapy competencies remotely. We hope the lessons we learned will help others generate innovative ideas and methods for remote learning, particularly in relation to clinical training.
摘要简介冠状病毒大流行于2020年3月开始在美国传播。对病毒的担忧促使高等教育机构普遍采取限制措施,导致突然转向远程学习。尽管音乐治疗教育在疫情之前集成了在线内容,但很少有课程大部分或完全在线。因此,向远程学习的意外转变给音乐治疗教师和学生带来了挑战。这些挑战包括疫情对临床培训的影响,因为疫情限制限制了面对面的接触,并促使音乐治疗师转向远程实践。这些服务提供的变化也促使临床培训的变化,让一些音乐治疗教师同时学习、教学和监督远程实践。然而,许多音乐治疗教育工作者对远程实践的经验很少,对远程训练和监督的信息也很有限。方法在本文中,我们列举了两个在美国进行音乐治疗培训/监督实践的案例。我们概述了我们是如何为实习前音乐治疗学生开发基于个人和团体的临床远程培训的这些实践的。结果包括与技术、音乐干预和实习前监督相关的策略,以及在我们开发远程培训和监督模型时支持我们决策的框架。讨论这些案例中提供的信息强调了有效的远程培训和监督策略的必要性,以帮助学生远程获得音乐治疗能力。我们希望我们学到的教训将帮助其他人产生远程学习的创新想法和方法,特别是在临床培训方面。
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引用次数: 3
The research pipeline 研究渠道
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-15 DOI: 10.1080/08098131.2022.2036393
J. Bradt
Developing, piloting, evaluating, reporting and implementing a complex intervention can be a lengthy process. All of the stages are important, and too strong a focus on the main evaluation, to the neglect of adequate development and piloting work, or proper consideration of the practical issues of implementation, will result in weaker interventions, that are harder to evaluate, less likely to be implemented and less likely to be worth implementing. (Craig et al., 2021, p. 4)
制定、试行、评估、报告和实施复杂的干预措施可能是一个漫长的过程。所有阶段都很重要,过于注重主要评估,而忽视充分的发展和试点工作,或适当考虑执行的实际问题,将导致干预措施较弱,更难评估,不太可能执行,也不太可能值得执行。(Craig等人,2021,第4页)
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引用次数: 1
Upcoming events 活动预告
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-03-15 DOI: 10.1080/08098131.2022.2030915
POSTPONED: 10th Nordic Music Therapy Congress Title/theme: Music Therapy – Adapting Approaches for Health Place: Helsinki, Finland Time: Postponed to April 28-30, 2022 Organisers: Helsinki University Hospital, Child Psychiatry, University of Helsinki, Finnish Society for Music Therapy, and University of Jyväskylä, Finland Web: https://www.jyu.fi/hytk/fi/laitokset/mutku/en/research/confer ences/10-nordic-music-therapy-conference
推迟:第十届北欧音乐治疗大会标题/主题:音乐治疗-适应健康方法地点:芬兰赫尔辛基时间:推迟至2022年4月28日至30日组织者:赫尔辛基大学医院,儿童精神病学,赫尔辛基大学,芬兰音乐治疗学会和芬兰Jyväskylä大学Web: https://www.jyu.fi/hytk/fi/laitokset/mutku/en/research/confer ences/10-nordic-music-therapy-conference
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引用次数: 0
Collective experiences in medical music therapy teams during COVID-19 新冠肺炎期间医疗音乐治疗团队的集体经验
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-27 DOI: 10.1080/08098131.2022.2040578
H. Shoemark, Debbie Bates, Elizabeth Collier, Ann Hannan, Elizabeth Harman, J. Kennelly, D. Knott, Amy Thomas, Amy P. Troyano
ABSTRACT Introduction During the COVID-19 pandemic music therapy managers in hospitals were responsible for supporting their teams through relentless planning and implementation of change, including working virtually and in–person. The Creative Arts Therapies Managers’ Network was established as a group of eight music therapy managers to formulate and appraise thinking and generate and refine meaningful constructs to sustain their own capacities as managers. Method Weekly meetings for the period April to July 2020 were recorded, transcribed and analyzed to generate themes that reflected these managers’ early pandemic experiences. Results Each manager used these themes as a basis for reflection to write stories that represented their lived experiences in that period. Discussion These stories are discussed using theoretical constructs which inform them, including aspects of identity, moral dilemmas, relentless uncertainty, and resilience in response to uncertainty. These stories and underpinning considerations illuminate previously unexplored experiences of music therapy managers in hospitals.
摘要简介在新冠肺炎大流行期间,医院的音乐治疗经理负责通过不懈的计划和实施变革来支持他们的团队,包括虚拟和亲自工作。创意艺术治疗管理者网络由八名音乐治疗管理者组成,旨在制定和评估思维,产生和完善有意义的结构,以维持他们作为管理者的能力。方法对2020年4月至7月期间的每周会议进行记录、转录和分析,以产生反映这些管理人员早期疫情经历的主题。结果每位管理者都以这些主题作为反思的基础,写下了代表他们在那个时期生活经历的故事。讨论这些故事是使用为它们提供信息的理论结构来讨论的,包括身份、道德困境、无情的不确定性和应对不确定性的韧性。这些故事和基本考虑阐明了医院音乐治疗经理以前未探索的经历。
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引用次数: 1
A theoretical framework for the use of music therapy in the treatment of selective mutism in young children: Multiple case study research 音乐疗法治疗幼儿选择性缄默症的理论框架:多案例研究
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-25 DOI: 10.1080/08098131.2022.2028886
Kate Jones, H. Odell-Miller
ABSTRACT Introduction Selective mutism (SM) is an anxiety disorder that affects some children when they begin school. If left untreated the long-term impact can include complex, debilitating mental health conditions. The usual presentation is lack of speech in the education setting, contrasting with confident speech at home. Prevalence is estimated at 0.7% but can be three times higher for children who are immigrant second language learners. There is some evidence to suggest that music therapy is helpful but a deeper understanding is needed. This study aims to develop a new theoretical framework for the use of music therapy for young children with SM. Method The paper reports on multiple case study research of music therapy for six children with SM aged 3–5. Template analysis combining inductive and deductive enquiry is used to revise and develop the framework. Results The six case studies describe contrasting paths into speech. Four key domains – Approach; Therapeutic Process; Interconnected Elements of Music Therapy; Context – were necessary to clinical practice across cases, and are presented in detail in the final theoretical framework. Music therapists bring many useful skills, with musical communication established as an empowering tool for alleviating SM. Discussion The framework provides the theoretical basis for comprehensive guidance for music therapy with young children with SM. An open, flexible, multi-modal approach, integrating teamwork and considering transdisciplinary practice, is indicated. The need for SM training for music therapists and the potential role of music therapy on the care pathway for SM is demonstrated.
选择性缄默症(SM)是一种焦虑症,影响着一些刚开始上学的孩子。如果不及时治疗,长期影响可能包括复杂的、使人衰弱的心理健康状况。通常的演讲是在教育环境中缺乏演讲,而在家里则充满自信。患病率估计为0.7%,但移民第二语言学习者的儿童患病率可能高出三倍。有一些证据表明音乐疗法是有帮助的,但还需要更深入的理解。本研究旨在为音乐治疗幼儿SM提供一个新的理论框架。方法对6名3-5岁SM儿童进行音乐治疗的多案例研究。将归纳和演绎探究相结合的模板分析用于修订和发展框架。结果六个案例研究描述了进入言语的对比路径。四个关键领域——方法;治疗过程;音乐治疗的相互关联的元素;背景——是跨病例临床实践所必需的,并在最终的理论框架中详细介绍。音乐治疗师带来了许多有用的技能,音乐交流被视为缓解SM的一种赋权工具。讨论该框架为SM幼儿音乐治疗的全面指导提供了理论基础。提出了一种开放、灵活、多模式的方法,将团队合作和跨学科实践相结合。证明了对音乐治疗师进行SM培训的必要性以及音乐治疗在SM护理途径中的潜在作用。
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引用次数: 2
Rhythmic exercises as tools for rehabilitation following cerebellar stroke: A case study integrating music therapy and physiotherapy techniques 节奏训练作为小脑卒中后康复的工具:一项结合音乐治疗和物理治疗技术的案例研究
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-17 DOI: 10.1080/08098131.2022.2026452
Jaana Ruotsalainen, Emily Carlson, Jaakko Erkkilä
ABSTRACT Introduction This article explores the use of music and multisensory stimuli in the construction of compensatory neural networks for motoric functioning in a patient recovering from cerebellar strokes (CS). This study aimed to address the real-world clinical concern of patients having a passive role in therapy, by arousing the client’s interest and self-motivation in rehabilitation. Method The article presents a case study of a CS survivor, using data derived from rehabilitation sessions combining music therapy techniques with physiotherapy techniques to improve the fluency and accuracy of his motor performance. Qualitative and quantitative data are used to identify, describe, and evaluate the key elements of tasks used in the ten therapy sessions. Therapy focused particularly on facilitating the CS survivor to produce his own exact and fluent movement and generate his own vocal cues via rhythmic reciting and chanting. Results The CS survivor achieved his therapy goals, and the therapist was able to facilitate the CS survivor’s increased motivation and ability to perform movements that were goal-directed, repetitive, functional, and progressive in complexity. Discussion Results support the need for further research on multisensory, rhythmical exercises within physiotherapy and music therapy work with stroke patients and others with neurological disorders. The use of self-generated vocal cues would be a particularly interesting focus for further research. Results are discussed in the context of current music therapy research and theory.
摘要简介本文探讨了音乐和多感官刺激在构建小脑卒中(CS)康复患者运动功能的补偿神经网络中的应用。本研究旨在通过激发客户对康复的兴趣和自我激励,解决患者在治疗中处于被动地位的现实临床问题。方法对一名CS幸存者进行个案研究,利用康复过程中获得的数据,结合音乐治疗技术和物理治疗技术,提高其运动表现的流畅性和准确性。定性和定量数据用于识别、描述和评估十次治疗中使用的任务的关键要素。治疗的重点是帮助CS幸存者通过有节奏的背诵和吟唱来产生自己准确流畅的动作,并产生自己的声音提示。结果CS幸存者实现了他的治疗目标,治疗师能够促进CS幸存者增强动机和能力,进行目标导向、重复、功能性和复杂性渐进的运动。讨论结果支持对中风患者和其他神经系统疾病患者的物理治疗和音乐治疗中的多感觉、有节奏的锻炼进行进一步研究的必要性。自我生成的声音线索的使用将是进一步研究的一个特别有趣的焦点。结果是在当前音乐治疗研究和理论的背景下进行讨论的。
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引用次数: 0
Music therapy in a multicultural context: A handbook for music therapy students and professionals 多元文化背景下的音乐治疗:音乐治疗学生和专业人士的手册
IF 1.6 4区 医学 Q2 REHABILITATION Pub Date : 2022-02-15 DOI: 10.1080/08098131.2022.2033817
Ming Yuan Low
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引用次数: 0
期刊
Nordic Journal of Music Therapy
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