scholarly journals The Use of Improvisation in a Student’s Music Therapy Practice with Older Adults in a Residential Setting

2021 ◽  
Author(s):  
◽  
Luke Stothart

<p>As shown in the research literature, improvisation is a less common approach to music therapy practice than the use of familiar songs or group singing when working with elderly people in residential settings. This research explores the ways in which improvisation in music therapy could benefit elderly participants in a residential setting. A secondary analytic process was conducted involving a careful analysis of existing clinical data by the student music therapy researcher. Data was analysed using thematic analysis. The findings consisted of three core themes which captured the ways in which improvisation was included in music therapy sessions: these were improvisational approaches described as anchoring, reflecting and dialogue. These core themes were strongly influenced by writings on improvisation method by the late Tony Wigram. Results showed improvisation has potential in its use among older adults in a residential facility. Conclusions could be used to help other elderly residential facilities that are willing to implement similar models of practice.</p>

2021 ◽  
Author(s):  
◽  
Luke Stothart

<p>As shown in the research literature, improvisation is a less common approach to music therapy practice than the use of familiar songs or group singing when working with elderly people in residential settings. This research explores the ways in which improvisation in music therapy could benefit elderly participants in a residential setting. A secondary analytic process was conducted involving a careful analysis of existing clinical data by the student music therapy researcher. Data was analysed using thematic analysis. The findings consisted of three core themes which captured the ways in which improvisation was included in music therapy sessions: these were improvisational approaches described as anchoring, reflecting and dialogue. These core themes were strongly influenced by writings on improvisation method by the late Tony Wigram. Results showed improvisation has potential in its use among older adults in a residential facility. Conclusions could be used to help other elderly residential facilities that are willing to implement similar models of practice.</p>


2021 ◽  
Author(s):  
◽  
Theodore Sekeris

<p>Music therapy research is predominantly focused on the sounds and words that occur in sessions. The role and place of silence within usual practice is not so well covered in research literature. In this research, I used an auto-ethnographic approach and thematic analysis to try and understand how I perceive the silences in my own individual music therapy sessions with learners at a high school. This approach allowed me to connect with my own personal experience with silence, as it is a highly subjective and context dependent phenomena and tool. I perceived silence in nine major themes. Findings suggest I tend to ‘observe’ the learners when silences occur, for a variety of reasons, and this seems to contrast with my previous understanding of my therapeutic approach. Specifically, I found that I am more behaviourally focussed than I realised before I began my research journey, particularly in the way that I write and recall events in the therapy room. The research process enabled me to find out more about my personal relationship with silence, and to some degree a personal truth about myself.</p>


2021 ◽  
Author(s):  
◽  
Theodore Sekeris

<p>Music therapy research is predominantly focused on the sounds and words that occur in sessions. The role and place of silence within usual practice is not so well covered in research literature. In this research, I used an auto-ethnographic approach and thematic analysis to try and understand how I perceive the silences in my own individual music therapy sessions with learners at a high school. This approach allowed me to connect with my own personal experience with silence, as it is a highly subjective and context dependent phenomena and tool. I perceived silence in nine major themes. Findings suggest I tend to ‘observe’ the learners when silences occur, for a variety of reasons, and this seems to contrast with my previous understanding of my therapeutic approach. Specifically, I found that I am more behaviourally focussed than I realised before I began my research journey, particularly in the way that I write and recall events in the therapy room. The research process enabled me to find out more about my personal relationship with silence, and to some degree a personal truth about myself.</p>


Author(s):  
Lindsey Wilhelm ◽  
Kyle Wilhelm

Abstract In response to the COVID-19 pandemic, many music therapists in the United States turned to telehealth music therapy sessions as a strategy to continue services with older adults. However, the nature and perception of telehealth music therapy services for this age group are unknown. The purpose of this study was to describe music therapy telehealth practices with older adults in the United States including information related to session implementation, strengths and challenges, and adaptations to clinical practice. Of the 110 participants in the United States who responded to the survey (25.2% response rate), 69 reported implementing telehealth music therapy services with older adults and responded to a 32-item survey. Quantitative and qualitative analyses were conducted. Results indicated that while all participants had provided telehealth music therapy for no more than 6 months, their experiences with telehealth varied. Based on participant responses, telehealth session structure, strengths, challenges, and implemented changes are presented. Overall, 48% of music therapists reported that they planned to continue telehealth music therapy with older adults once pandemic restrictions are lifted. Further study on the quality, suitability, and acceptability of telehealth services with older adults is recommended.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Lars Ole Bonde

In August 2013, the Centre for Music and Health published its first anthology in English - ‘Musical Life Stories’. In the Anthology, 17 authors from 6 countries present their research on the influence of music in a lifelong health perspective. A unique feature of the book is a collection of “personal narratives” by the authors. 13 of the authors wrote a short, free-form narrative about the influence of music on their own identity and health from a life span perspective. This article describes a thematic analysis of the 13 narratives. I investigated the question “Do these music therapy/music psychology researchers use music for their own health in different ways than lay people?” The themes identified are related to the international research literature on music and identity, as well as being considered in relation to the author’s study of health themes in the musical autobiographies of music therapy students at Aalborg University (DK). The analysis reveals that the researchers’ appreciation and appropriation of music’s affordances are basically the same as those reported by music therapy students and lay people.


Author(s):  
Spencer W. Liebel ◽  
Lawrence H. Sweet

Cardiovascular disease (CVD) affects approximately 44 million American adults older than age 60 years and remains the leading cause of death in the United States, with approximately 610,000 each year. With improved survival from acute cardiac events, older adults are often faced with the prospect of living with CVD, which causes significant psychological, social, and economic hardship. The various disease processes that constitute CVD also exert a deleterious effect on neurocognitive functioning. Although existing knowledge of neurocognitive functioning in CVD and its subtypes is substantial, a review of these findings by CVD type and neurocognitive domain does not exist, despite the potential impact of this information for patients, health care providers, and clinical researchers. This chapter provides a resource for clinicians and researchers on the epidemiology, mechanisms, and neurocognitive effects of CVDs. This chapter includes a discussion of neurocognitive consequences of CVD subtypes by neuropsychological domain and recommendations for assessment. Overall, the CVD subtypes that have the most findings available on specific neurocognitive domains are heart failure, hypertension, and atrial fibrillation. Despite a large discrepancy between the number of available studies across CVD subtypes, existing literature on neurocognitive effects by domain is consistent with the literature on the neurocognitive sequelae of unspecified CVD. Specifically, the research literature suggests that cognitive processing speed, attention, executive functioning, and memory are the domains most frequently affected. Given the prevalence of CVDs, neuropsychological assessment of older adults should include instruments that allow consideration of these potential neurocognitive consequences of CVD.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 930-930
Author(s):  
Tara Rose ◽  
Elyse Manzo ◽  
Katherine Erickson ◽  
Joshua Valenzuela

Abstract Music interventions and music therapy have become more common globally as nonpharmacological treatment options for memory loss, pain management, reduction of behavioral and psychological symptoms, and increased quality of life. Knowledge of multiethnic interventions is important when creating evidence-based programs within culturally diverse countries, such as the U.S. The purpose of this systematic review is to analyze music interventions for older adults across the globe to better understand emerging best practices. A review of all trials registered at clinicaltrials.gov and registries in the WHO Registry Network containing the key words “music therapy” were included, regardless of intervention type. Of the 627 studies generated, 449 met the eligibility criteria, with 11% enrolling only older adults and 89% enrolling older adults along with other age groups. Studies were conducted in 6 continents, 48 countries (23% in the U.S.), and in 23 languages. Music interventions for specific medical conditions (64%) or medical procedures (24%) were the primary foci in studies. While studies crossed multiple continents, less than 2% referenced ethnicity or culture in the study details. Detailed data on intervention types, demographics, measures, settings, and methodology will be presented. Results suggest that best practices in music therapy are being developed world-wide for the multitude of health challenges faced by older adults and demonstrate the diversity of music interventions in both medical and community settings. Information from this review can be used to improve the implementation of music intervention programs and may be particularly beneficial in countries with diverse multicultural populations.


2021 ◽  
pp. 073346482110125
Author(s):  
Haley B. Gallo ◽  
Lia W. Marshall ◽  
Lené Levy-Storms ◽  
Kathleen H. Wilber ◽  
Anastasia Loukaitou-Sideris

Mobility and technology can facilitate in-person and virtual social participation to help reduce social isolation, but issues exist regarding older adults’ access, feasibility, and motivation to use various forms of mobility and technology. This qualitative study explores how a diverse group of low-income, urban-living older adults use mobility and technology for social participation. We conducted six focus groups ( N = 48), two each in English, Spanish, and Korean at a Los Angeles senior center. Three major themes emerged from thematic analysis: using technology for mobility; links between mobility and social participation; and technology-mediated social participation. Cost, perceived safety, (dis)ability, and support from family and friends were related to mobility and technology use. This study demonstrates the range of mobility and technology uses among older adults and associated barriers. The findings can help establish a pre-COVID-19 baseline on how to make mobility and technology more accessible for older adults at risk of isolation.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 234-235
Author(s):  
Esha Chakravarty ◽  
Indrani Chakravarty ◽  
Ipsito Chakravarty ◽  
Prasenjit Bhattacharjee

Abstract Loss of balance and risk of falls is a major problem in older persons. Literature shows increasing use of yoga practices and dance therapy across Indian oldage homes and day care centres to improve balance and reduce risk of falls in older persons. Aim of this study is to evaluate the effects of dance therapy with focus on therapeutic movements derived from Indian classical dances on balance and risk of falls in older adults of Day Care Centres in Calcutta Metropolitan Institute of Gerontology, under Ministry of Social Justice and Empowerment, Govt. of India. Total of 24 older adults across 2 day care centres participated in the study attending dance therapy sessions for 3 months. All of them self reported problems of balance and repeated falls alongwith difficulties in performing Activities of Daily Living. Twenty one of them were females and 3 males. The mean age of the participants was 75.5 years. Limits of Stabililty (LOS) was used to measure balance and pre tests and post tests were performed. Results showed that the Limits of Stability were significantly higher (17.5%) in older persons after participating in the dance therapy sessions. This study supports that dance therapy using movements derived from Indian classical dance forms can support older persons to function with reduced risk of falls, improved balance, safely carry out mobility tasks and perform better Activities of Daily Living . Further studies can show how dance therapy can facilitate healthy ageing and influence State policies on healthy ageing.


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