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Who does what and why? Exploring the Music, Health and Wellbeing Continuum: a Role-Agent model 谁做什么,为什么?探索音乐、健康和幸福的连续体:一个角色-代理模型
Pub Date : 2023-07-28 DOI: 10.47513/mmd.v15i3.930
Alison E Short, Jennifer Macritchie
Confusion frequently exists around the various uses of music for health and wellbeing, and the roles of different agents using music for health benefits. This confusion is often based on a lack of definition and understanding of the many different applications and how they can fit together with training and experience. Our Music, Health and Wellbeing Continuum Model has been collaboratively developed at Western Sydney University, Australia, to incorporate the many uses of music for health benefits across a broad spectrum of roles, agents and applications. This ranges from environmental and personal through to community, health practitioners and qualified music therapists. This article outlines and identifies the many different roles within this Continuum, providing examples and evidence of how this conceptual framework can contribute to and support everyday practice around the uses of music and music therapy to improve health and wellbeing for clients and patients. We extend this into systematic feedback from Key Informants with discussions of applications and a further Annexe to delineate the potential multiple roles of each individual. Consequently, we propose that our entire Model contributes to increased understanding of the many roles and agents using music for health and wellbeing benefits in our community.
关于音乐对健康和幸福的各种用途,以及使用音乐对健康有益的不同代理人的作用,经常存在混淆。这种混淆通常是基于缺乏对许多不同应用程序的定义和理解,以及它们如何与培训和经验相结合。我们的音乐、健康和幸福连续模型是在澳大利亚西悉尼大学合作开发的,它将音乐在广泛的角色、代理和应用中对健康有益的许多用途结合起来。这包括从环境和个人到社区,健康从业者和合格的音乐治疗师。本文概述并确定了这个连续体中的许多不同角色,并提供了示例和证据,说明这个概念框架如何有助于和支持围绕音乐和音乐治疗的日常实践,以改善客户和患者的健康和福祉。我们将其扩展为来自关键线人的系统反馈,包括对申请的讨论和进一步的附件,以描述每个人的潜在多重角色。因此,我们建议我们的整个模型有助于增加对我们社区中使用音乐促进健康和福祉的许多角色和代理人的理解。
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引用次数: 1
Music Therapy and Massage Therapy Co-Treatment in Home-Based Pediatric Palliative Care: A Case Study 音乐疗法与按摩疗法在家庭儿科姑息治疗中的联合治疗:个案研究
Pub Date : 2023-07-28 DOI: 10.47513/mmd.v15i3.912
Jessica Bogacik, Brigid Pargeon, Amanda Sonk, A. Economos, Samantha Engle, Ben Reader
With increasing recognition of the benefits of complementary therapies, they are being more widely applied in many healthcare settings. This includes pediatric palliative care, wherein patients have a unique set of needs, best addressed through a family-centered interdisciplinary model. Music therapy and massage therapy fit well within this model. These authors contend the benefits of these therapies are enhanced when combined in co-treatment, as outlined in this case presentation of one pediatric palliative care patient, initially treated separately, and then in co-treatment by music and massage therapies. Perceived benefits of the co-treatment included enhanced quality of life through symptom management, engagement in a meaningful activity, and family support, as well as promotion of a defined therapy space, and increased opportunities for social interaction. Further research is needed to build a generalizable, evidence-based body of knowledge to support this type of co-treatment. 
随着人们越来越认识到补充疗法的好处,它们在许多医疗保健环境中得到了更广泛的应用。这包括儿科姑息治疗,其中患者有一套独特的需求,最好通过以家庭为中心的跨学科模式来解决。音乐疗法和按摩疗法很适合这种模式。这些作者认为,当联合治疗时,这些疗法的益处会得到增强,正如本病例所述,一名儿科姑息治疗患者最初单独治疗,然后通过音乐和按摩疗法进行联合治疗。共同治疗的好处包括通过症状管理、参与有意义的活动和家庭支持提高生活质量,以及促进明确的治疗空间,增加社会互动的机会。需要进一步的研究来建立一个可推广的、以证据为基础的知识体系来支持这种类型的联合治疗。
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引用次数: 0
Effects of a Pilot Music Therapy Intervention on Motivation in Patients with Severe Hypercholesterolemia 音乐治疗干预对重度高胆固醇血症患者动机的影响
Pub Date : 2023-07-28 DOI: 10.47513/mmd.v15i3.890
Chris Wojdak, Janaki Nathan, G. Williams, Cameron Coykendall, Scott McIntosh, R. Bloch, K. Thevenet‐Morrison
Patients with an LDL-C ≥ 190mg/dL benefit from a healthy lifestyle and use of medications to lower their risk for cardiovascular disease (CVD) events. Change in autonomous motivation and perceived competence are viable targets for reducing CVD risk according to Self-Determination Theory. A pilot randomized controlled trial of music therapy for 31 very high LDL-C subjects found no between 1 or 2 session group different effects on motivation, LDL-C or non-HDL-C. Perceived competence for healthy lifestyle significantly increased (p<0.05), mean LDL-C decreased from 131 to 87 mg/dL (p<0.0005), and mean non-HDL-C decreased from 155 to 113 mg/dL (p=0.001) after music therapy in all participants. An increase in autonomous motivation for medication use predicted a  in the change in LDL-C (p<0.05).  Music therapy may enhance motivation for reducing CVD risk. Autonomous motivation for medication use and perceived competence for lifestyle change may be useful targets of future interventions for high cholesterol.
LDL-C≥190mg/dL的患者受益于健康的生活方式和使用药物来降低心血管疾病(CVD)事件的风险。根据自我决定理论,改变自主动机和感知能力是降低心血管疾病风险的可行目标。一项针对31名非常高LDL-C受试者的随机对照试验发现,1或2次音乐治疗组在动机、LDL-C或非hdl - c方面没有不同的效果。音乐治疗后,健康生活方式感知能力显著提高(p<0.05),平均LDL-C从131降至87 mg/dL (p<0.0005),平均非hdl - c从155降至113 mg/dL (p=0.001)。自主用药动机的增加预示着LDL-C的变化(p<0.05)。音乐疗法可以增强降低心血管疾病风险的动机。药物使用的自主动机和生活方式改变的感知能力可能是未来高胆固醇干预的有用目标。
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引用次数: 0
Culturally diverse music creation as a prototype for effective intercultural collaboration in health care 文化多样化的音乐创作是卫生保健领域有效的跨文化合作的原型
Pub Date : 2023-07-28 DOI: 10.47513/mmd.v15i3.862
Aaron J. Lightstone, J. Gray, Beverly B. Foster
In mid-2018, the authors[1] were contracted by the YYZ Foundation[2] to create a new collection of intercultural recordings designed to support palliative care patients and their caregivers. At the onset of this project, a commitment was made to not only create the musical recordings but also a pre-production and research process that would foster an equitable and meaningful intercultural collaboration. It is this process that will be explored in detail in this paper. The authors propose that this process could help to inspire further equitable and inclusive intercultural collaborative practices in both musical and non-musical settings such as health care as several aspects of this collaborative process may be useful for other initiatives that require cultural sensitivity and intercultural collaboration.    [1] Names have been redacted for the purposes of submission to the journal, names will be put back in for final published version. [2] Names have been redacted for the purposes of submission to the journal, names will be put back in for final published version.
2018年年中,YYZ基金会[2]与作者[1]签约,创建一个新的跨文化录音集,旨在为姑息治疗患者及其护理人员提供支持。在这个项目开始时,我们承诺不仅要制作音乐录音,还要进行前期制作和研究过程,以促进公平和有意义的跨文化合作。本文将对这一过程进行详细的探讨。作者提出,这一过程可以帮助激发在音乐和非音乐环境(如医疗保健)中进一步公平和包容的跨文化协作实践,因为这一协作过程的几个方面可能对需要文化敏感性和跨文化协作的其他举措有用。为了提交给期刊,名称已被编辑,名称将在最终发表版本中重新发布。为了提交给期刊,名称已被编辑,名称将在最终发表版本中重新发布。
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引用次数: 0
Effects of Receptive Music Therapy Combined with Virtual Reality on Prevalent Symptoms in Patients with Advanced Cancer. 接受性音乐治疗结合虚拟现实对晚期癌症患者普遍症状的影响
Pub Date : 2023-07-28 DOI: 10.47513/mmd.v15i3.906
Agustina Iturri
Music therapy has been shown to be effective in hospitalized patients, reducing the level of stress and anxiety, lowering tension, regulating breathing and relieving pain. However, despite the fact that there are many precedents of this type in palliative care, the quality of the evidence is low. The present research seeks to determine whether a single responsive music therapy intervention combined with virtual reality (RMT+VR) reduces prevalent symptoms and improves their overall well-being in hospitalized adult patients with advanced oncologic disease receiving palliative care. This is a prospective study of a randomized clinical trial with a control group. The main variables are pain, exhaustion, drowsiness, nausea, loss of appetite, dyspnea, depression, anxiety, sleep and well-being as well as heart rate. The duration of the study will be 48 hours. After signing the informed consent, patients will be randomized on the first day receiving RMT+VR, or no intervention at all. The variables will be measured on three occasions, before and after each condition, and 24 hours later.
音乐疗法已被证明对住院病人有效,可以减轻压力和焦虑,降低紧张程度,调节呼吸,缓解疼痛。然而,尽管在姑息治疗中有许多这种类型的先例,但证据的质量很低。本研究旨在确定单一反应性音乐治疗干预结合虚拟现实(RMT+VR)是否能减轻接受姑息治疗的晚期肿瘤住院成年患者的普遍症状并改善他们的整体幸福感。这是一项前瞻性研究,随机临床试验与对照组。主要的变量是疼痛、疲惫、困倦、恶心、食欲不振、呼吸困难、抑郁、焦虑、睡眠和健康以及心率。研究持续时间为48小时。签署知情同意书后,患者将在第一天随机接受RMT+VR,或不进行干预。这些变量将在三种情况下进行测量,分别是在每种情况之前和之后,以及24小时后。
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引用次数: 0
A comprehensive Music Based Approach for Chronic Pain in a 96 year old Female 96岁女性慢性疼痛的综合音乐治疗方法
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.919
Amy Clements-Cortés
The clinical report briefly highlights the significant issue of pain comorbid with dementia in older adults. Pain manifests in a variety of behaviours such as anxiety and agitation; and pharmaceuticals which are the principal treatment approach often do not fully eliminate or provide effective or complete pain management. Music based interventions (MBIs) and music therapy have been used with older adults as treatment options for pain and the behavioural and psychological symptoms (BPSD) of dementia for decades. Increasingly more researchers are writing about how caregivers can utilize MBIs including music therapy in a comprehensive treatment approach for those with dementia to manage BPSD symptoms including pain. This paper presents the case example of ‘Suyen’ to illuminate how MBIs and music therapy were included in a comprehensive music based approach for pain and overall wellness in an older adult with dementia and multiple health conditions.
临床报告简要地强调了疼痛与老年痴呆共病的重要问题。疼痛表现为各种行为,如焦虑和躁动;作为主要治疗方法的药物往往不能完全消除或提供有效或完整的疼痛管理。几十年来,基于音乐的干预(mbi)和音乐疗法一直被用于老年人的疼痛和痴呆症的行为和心理症状(BPSD)的治疗选择。越来越多的研究人员正在撰写关于护理人员如何利用包括音乐疗法在内的mbi作为痴呆症患者的综合治疗方法来控制包括疼痛在内的BPSD症状。本文提出了“Suyen”的案例,以阐明如何将mbi和音乐疗法纳入基于音乐的综合方法中,以治疗患有痴呆症和多种健康状况的老年人的疼痛和整体健康。
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引用次数: 0
“What do you need? And how can I help?” The role of music and music therapy in chronic pain “你需要什么?”我能帮什么忙?”音乐和音乐治疗在慢性疼痛中的作用
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.939
H. Moss, K. Fitzpatrick
In 2004, I (Hilary) started my first job as music therapist in a pain team at a large acute hospital in Dublin, Ireland. Working alongside a Consultant Anaesthetist, specialist physio-therapists, occupational therapists, and psychologists, I tentatively found my feet. I met people living with chronic pain, and so began a journey of research and practice led by the service user experience...
2004年,我(希拉里)开始了我的第一份工作,在爱尔兰都柏林一家大型急性医院的疼痛小组担任音乐治疗师。在麻醉师顾问、专业理疗师、职业理疗师和心理学家的帮助下,我暂时站稳了脚跟。我遇到了患有慢性疼痛的人,因此开始了一段以服务用户体验为主导的研究和实践之旅……
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引用次数: 0
The development of a music therapy pain assessment model 音乐治疗疼痛评估模型的建立
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.914
J. Loewy
  Pain is often defined by its symptomatology and etiology. Unrelieved pain can negatively impact every area of an individual’s life, including personal relationships, employment, and one’s involvement in social activities. Unrelieved pain may induce fear, anxiety, and depression. Disease management includes the evaluation of pain. Scoring levels of pain frequently is a required measurement listed prominently on the patient bedside flowchart. Evaluating pain is a required appraised and evaluated inquiry- the outcomes of which influences the most pertinent domains of health and healing. As recouperation and discharge planning are so often at the forefront of hospitalists’ thinking, at times the nuances of how pain is evaluated in the quest to find and extinguish associated influences may be lost in the shuffle of a desired immediacy for change. Subtleties that lead toward resulting exacerbations may result from clinician haste. This article presents an overview of the critical elements that are significant to address when considering music therapy applications for the treatment of pain in patients of all ages and diagnoses. 
疼痛通常由其症状和病因来定义。无法缓解的疼痛会对个人生活的各个方面产生负面影响,包括人际关系、就业和社会活动。无法缓解的疼痛可能引起恐惧、焦虑和抑郁。疾病管理包括疼痛评估。疼痛评分通常是一项必要的测量,列在病人床边流程图的显著位置。评估疼痛是一项必要的评估和评估调查——其结果影响着健康和治疗的最相关领域。由于恢复和出院计划经常是医院医生思考的前沿,有时在寻找和消除相关影响的过程中如何评估疼痛的细微差别可能会在期望立即改变的混乱中丢失。导致病情恶化的细微之处可能是由于临床医生的草率。本文概述了在考虑音乐疗法应用于治疗所有年龄和诊断的患者疼痛时,重要的关键因素。
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引用次数: 0
An agenda for excellence: the role of music therapy for people living with chronic pain 追求卓越的议程:音乐疗法对慢性疼痛患者的作用
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.925
H. Moss, K. Fitzpatrick, Patricia O'Shea, J. Loewy, C. Hussey, D. Harmon, S. Guétin, Lisa M. Gallagher, J. Corcoran, Amy Clements-Cortés, J. Bradt
Research on the role of music and music therapy conducted for several decades reflect a dearth of  literature on the health and well-being benefits of music-based and music therapy interventions for people living with chronic pain. To support advances of research on music therapy for chronic pain, the authors met regularly as members of a Special Interest Group on music, music therapy and chronic pain. The authors, from five different countries, representing the perspectives of music therapy, community music, pain medicine, and service user, discussed theoretical and methodological issues to be addressed in future studies. This article summarizes our collective thoughts in relation to priority questions for future research in music therapy and chronic pain, ethical challenges, research methods, practice techniques and future priority areas. The article sets an agenda for high quality research and practice for music therapy in the treatment and care of people living with chronic pain.  
几十年来,关于音乐和音乐治疗作用的研究反映了关于音乐和音乐治疗干预对慢性疼痛患者的健康和福祉益处的文献匮乏。为了支持音乐治疗慢性疼痛的研究进展,作者定期以音乐,音乐治疗和慢性疼痛特别兴趣小组成员的身份会面。来自五个不同国家的作者分别从音乐治疗、社区音乐、疼痛医学和服务使用者的角度,讨论了未来研究中需要解决的理论和方法问题。本文总结了我们对未来音乐治疗和慢性疼痛研究的优先问题、伦理挑战、研究方法、实践技术和未来优先领域的集体想法。本文为音乐疗法在慢性疼痛患者的治疗和护理方面的高质量研究和实践设定了议程。
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引用次数: 0
Music Therapy and Paediatric Chronic Pain: A Scoping Review 音乐治疗和儿童慢性疼痛:范围回顾
Pub Date : 2023-04-30 DOI: 10.47513/mmd.v15i2.909
Sarah Alley, Alison Sweeney, H. Moss
Chronic pain in the paediatric population is a complex and multi-faceted condition. Prevalent types of chronic pain reported in childhood include headaches, visceral pain and musculoskeletal pain. The purpose of this scoping review was to discover what is known from current literature about the effectiveness of music therapy used as a therapeutic intervention for children with chronic pain. The Arksey & O’Malley scoping review methodological framework and the guidance for conducting systematic scoping reviews provided by the Joanna Briggs Institute were followed to conduct this review. A total of five publications were included in this review. Texts discuss music therapy interventions and the current geographical locations where music therapy is incorporated into integrative medicine and rehabilitation programmes for paediatric chronic pain. All studies encourage further research within the area. Several gaps have been outlined that allude to further research of music therapy and/or music medicine for paediatric chronic pain internationally and the effectiveness of group music therapy as an intervention for the treatment paediatric chronic pain.  
慢性疼痛在儿科人群是一个复杂的和多方面的条件。据报道,儿童时期常见的慢性疼痛类型包括头痛、内脏疼痛和肌肉骨骼疼痛。本综述的目的是从目前的文献中发现音乐疗法作为儿童慢性疼痛的治疗干预的有效性。遵循Arksey & O 'Malley范围审查方法框架和乔安娜布里格斯研究所提供的进行系统范围审查的指南进行本审查。本综述共纳入了5篇出版物。文本讨论音乐治疗干预措施和当前的地理位置,其中音乐治疗被纳入儿科慢性疼痛的综合医学和康复方案。所有的研究都鼓励在该领域进行进一步的研究。本文概述了一些空白,暗示了国际上对儿童慢性疼痛的音乐治疗和/或音乐医学的进一步研究,以及团体音乐治疗作为治疗儿童慢性疼痛的干预措施的有效性。
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引用次数: 0
期刊
Music and medicine
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