Melbourne Conservatorium of Music - Research Publications

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    Older adults' music listening preferences to support physical activity following cardiac rehabilitation
    Clark, IN ; Baker, FA ; Taylor, NF ( 2016-01-01)
    Background: Music listening during exercise is thought to increase physiological arousal and enhance subjective experience, and may support physical activity participation among older adults with cardiac disease. However, little is known about how music preferences, or perceptions of music during exercise, inform clinical practice with this population. Objective: Identify predominant musical characteristics of preferred music selected by older adults, and explore participants' music listening experiences during walking-based exercise following cardiac rehabilitation. Methods: Twenty-seven participants aged 60 years and older (21 men, 6 women; mean age = 67.3 years) selected music to support walking over a 6-month intervention period, and participated in post-intervention interviews. In this two-phase study, we first identified predominant characteristics of participant-selected music using the Structural Model of Music Analysis. Second, we used inductive thematic analysis to explore participant experiences. Results: Predominant characteristics of participant-selected music included duple meter, consistent rhythm, major key, rounded melodic shape, legato articulation, predictable harmonies, variable volume, and episodes of tension with delayed resolution. There was no predominant tempo, with music selections ranging from slow through to medium and fast. Four themes emerged from thematic analysis of participant interviews: psycho-emotional responses, physical responses, influence on exercise behavior, and negative experiences. Conclusions: Findings are consistent with theory and research explaining influences from music listening on physiological arousal and subjective experience during exercise. Additionally, for older adults with cardiac disease, a holistic approach to music selection considering general well-being and adjustment issues, rather than just exercise performance, may improve long-term lifestyle changes and compliance with physical activity guidelines.
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    Older Adults' Music Listening Preferences to Support Physical Activity Following Cardiac Rehabilitation
    Clark, IN ; Baker, FA ; Taylor, NF (OXFORD UNIV PRESS INC, 2016)
    BACKGROUND: Music listening during exercise is thought to increase physiological arousal and enhance subjective experience, and may support physical activity participation among older adults with cardiac disease. However, little is known about how music preferences, or perceptions of music during exercise, inform clinical practice with this population. OBJECTIVE: Identify predominant musical characteristics of preferred music selected by older adults, and explore participants' music listening experiences during walking-based exercise following cardiac rehabilitation. METHODS: Twenty-seven participants aged 60 years and older (21 men, 6 women; mean age = 67.3 years) selected music to support walking over a 6-month intervention period, and participated in post-intervention interviews. In this two-phase study, we first identified predominant characteristics of participant-selected music using the Structural Model of Music Analysis. Second, we used inductive thematic analysis to explore participant experiences. RESULTS: Predominant characteristics of participant-selected music included duple meter, consistent rhythm, major key, rounded melodic shape, legato articulation, predictable harmonies, variable volume, and episodes of tension with delayed resolution. There was no predominant tempo, with music selections ranging from slow through to medium and fast. Four themes emerged from thematic analysis of participant interviews: psycho-emotional responses, physical responses, influence on exercise behavior, and negative experiences. CONCLUSIONS: Findings are consistent with theory and research explaining influences from music listening on physiological arousal and subjective experience during exercise. Additionally, for older adults with cardiac disease, a holistic approach to music selection considering general well-being and adjustment issues, rather than just exercise performance, may improve long-term lifestyle changes and compliance with physical activity guidelines.
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    Participant-selected music and physical activity in older adults following cardiac rehabilitation: a randomized controlled trial
    Clark, IN ; Baker, FA ; Peiris, CL ; Shoebridge, G ; Taylor, NF (SAGE PUBLICATIONS LTD, 2017-03)
    OBJECTIVE: To evaluate effects of participant-selected music on older adults' achievement of activity levels recommended in the physical activity guidelines following cardiac rehabilitation. DESIGN: A parallel group randomized controlled trial with measurements at Weeks 0, 6 and 26. SETTING: A multisite outpatient rehabilitation programme of a publicly funded metropolitan health service. SUBJECTS: Adults aged 60 years and older who had completed a cardiac rehabilitation programme. INTERVENTIONS: Experimental participants selected music to support walking with guidance from a music therapist. Control participants received usual care only. MAIN MEASURES: The primary outcome was the proportion of participants achieving activity levels recommended in physical activity guidelines. Secondary outcomes compared amounts of physical activity, exercise capacity, cardiac risk factors, and exercise self-efficacy. RESULTS: A total of 56 participants, mean age 68.2 years (SD = 6.5), were randomized to the experimental ( n = 28) and control groups ( n = 28). There were no differences between groups in proportions of participants achieving activity recommended in physical activity guidelines at Week 6 or 26. Secondary outcomes demonstrated between-group differences in male waist circumference at both measurements (Week 6 difference -2.0 cm, 95% CI -4.0 to 0; Week 26 difference -2.8 cm, 95% CI -5.4 to -0.1), and observed effect sizes favoured the experimental group for amounts of physical activity (d = 0.30), exercise capacity (d = 0.48), and blood pressure (d = -0.32). CONCLUSIONS: Participant-selected music did not increase the proportion of participants achieving recommended amounts of physical activity, but may have contributed to exercise-related benefits.
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    Musical memories: Connecting people with dementia and their caregivers through song.
    Clark, I ; Tamplin, J ; Lee, J ; Baker, F ; Mercadal-Brotons, M ; Clements-Cortes, A (World Federation of Music Therapy, 2017)
    Active music participation may offer benefits for people with dementia (PWD) and their family care givers (FCG) living in the community (Baird & Samson, 2015). For the PWD, this capacity to respond to music-making activities, such as singing, may facilitate reminiscence and successful social engagement (Vanstone & Cuddy, 2010). As a consequence, FCG may experience meaningful and satisfying connection with their loved one (Baker, Grocke & Pachana, 2012). Receptive music listening interventions may also assist with the management of challenging symptoms of dementia, such as agitation and anxiety, offering FCG strategies to use in the home.
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    Authors' roundtable: scientific writing, peer review, and publication across journals
    Bradt, J ; Baker, F ; Bergmann, T ; Bonde, LO ; Clark, I ; Gold, C ; Loewy, J ; McFerran, K ; Meadows, A ; Robb, S ; Vaillancourt, G ; Alexis, E (GRIEG ACADEMY, 2016)
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    The Brunel Music Rating Inventory-2 is a reliable and valid instrument for older cardiac rehabilitation patients selecting music for exercise
    Clark, IN ; Baker, FA ; Peiris, CL ; Shoebridge, G ; Taylor, NF (SAGE PUBLICATIONS INC, 2016-03)
    Music with motivating qualities might support exercise adherence in older adults with cardiac disease. The Brunel Music Rating Inventory-2 (BMRI-2), a 6-item scale with motivational quotients ranging from 6 to 42 developed to facilitate music selection for exercise, has been validated with young adults. However, the suitability of the BMRI-2 for older adults is unknown. We tested reliability (internal consistency, test-retest reliability, and measurement error) and validity (content and construct) of the BMRI-2 with older adults in cardiac rehabilitation. Eleven men and 9 women (M age = 71.6 years, SD = 8.9) selected two pieces of music and used the BMRI-2 to rate the motivational quality of these for a walking task. BMRI-2 ratings demonstrated high internal consistency. Test-retest reliability and levels of measurement error were acceptable. Content was evaluated as relevant and comprehensive. There was convergence with flow scales, and discrimination between music selections with differing motivational quotients ( p < .01). The BMRI-2 demonstrates acceptable psychometric properties for older adult cardiac rehabilitation patients.
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