Melbourne Conservatorium of Music - Research Publications
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ItemThe dynamics of musical participation(SAGE Publications, 2021)In this paper we argue that our comprehension of musical participation—the complex network of interactive dynamics involved in collaborative musical experience—can benefit from an analysis inspired by the existing frameworks of dynamical systems theory and coordination dynamics. These approaches can offer novel theoretical tools to help music researchers describe a number of central aspects of joint musical experience in greater detail, such as prediction, adaptivity, social cohesion, reciprocity, and reward. While most musicians involved in collective forms of musicking already have some familiarity with these terms and their associated experiences, we currently lack an analytical vocabulary to approach them in a more targeted way. To fill this gap, we adopt insights from these frameworks to suggest that musical participation may be advantageously characterized as an open, non-equilibrium, dynamical system. In particular, we suggest that research informed by dynamical systems theory might stimulate new interdisciplinary scholarship at the crossroads of musicology, psychology, philosophy, and cognitive (neuro)science, pointing toward new understandings of the core features of musical participation.
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ItemNo Preview AvailableMusic interventions for dementia and depression in elderly care (MIDDEL): The Australian part of an international cluster randomised controlled trial(Wiley, 2021-12-01)BACKGROUND: Dementia and depression are highly prevalent, comorbid conditions in older adults residing in care homes and are associated with individual distress and associated challenges for care staff. Music-based interventions are widely used and potentially effective nonpharmacological interventions, due to the relative preservation of the ability of people with dementia to respond to music even with disease progression. However, there is a lack of large-scale studies evaluating the effectiveness of music-based interventions in dementia care. Music Interventions for Dementia and Depression in the Elderly (MIDDEL) is the first large-scale international cluster-randomised controlled trial to investigate the effectiveness of small group music therapy (GMT), recreational choir singing (RCS) and their combination on levels of depression in residents with dementia. The trial is currently being conducted across six countries, and this presentation will outline the study outcomes from the Australian arm of the trial. METHOD: Between June 2018 and November 2019, 20 care home units were randomised to music interventions (GMT, RCS, GMT and RCS) or standard care delivered over 6 months. The primary outcome was level of depression as measured by the Montgomery-Asberg Depression Rating Scale (MADRS). Secondary outcomes included neuropsychiatric symptoms, quality of life, care staff burden and adverse events collected at baseline, 3-months, 6-months and 12-months post-randomisation. Outcomes were analysed as intention-to-treat, per-protocol, and with exploratory predictor analyses. RESULTS: 318 participants (215 female; 103 male) aged 65 years or more with diagnoses of dementia and at least mild depressive symptoms (as defined by score of 8 or above on MADRS) residing in care homes were recruited. In addition, 131 care staff (108 female; 23 male) answered questions regarding perceived care burden to search for potential ripple effects of the music interventions. We will present the main findings of the study including the predictive effects of clinical characteristics on efficacy. CONCLUSION: The presentation will include discussion of contextual factors and conditions that support efficacy, and clinical implications for safety and quality of life for people with dementia living in care homes.
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ItemNo Preview AvailableHOMESIDE-A home-based family caregiver-delivered music and reading intervention for people living with dementia: A randomised controlled trial.(Wiley, 2021-12)BACKGROUND: Pharmacological interventions to address behavioural and psychological symptoms of dementia (BPSD) can have undesirable side effects, therefore non-pharmacological approaches to managing symptoms may be preferable. Past studies show that music therapy can reduce BPSD, and other studies have explored how formal caregivers use music in their caring roles. However, no studies have examined the effects on BPSD of music interventions delivered by informal caregivers (CGs) in the home setting. Our project addresses the need for improved informal care by training cohabiting family CGs to implement music interventions that target BPSD, and the quality of life (QoL) and well-being of people with dementia and CGs. METHODS: An international three-arm parallel-group randomised controlled trial has so far randomised 130 of the target 495 dyads from Australia, Germany, UK, Poland and Norway. Dyads are randomised equally to standard care (SC), a home-based music programme plus SC, or a home-based reading programme plus SC for 12 weeks. The primary outcome is BPSD of people with dementia (measured using the Neuropsychiatric Inventory-Questionnaire). Secondary outcomes examine relationship quality between CG and people with dementia, depression, resilience, competence, QoL for CG and QoL for people with dementia. Outcomes are collected at baseline, at the end of the 12-week intervention and at 6 months post randomisation. Resource Utilisation in Dementia captures economic data across the life of the intervention and at 6-month follow-up. Our presentation will briefly outline the study protocol and describe the caregiver training protocol and interventions in detail with video footage illustrating how the intervention looks in practice.
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ItemBy myself but not alone: Agency, creativity, and extended musical historicity(Routledge, 2022-11)In this paper we offer a preliminary framework that highlights the relational nature of solo music-making, and its associated capacity to influence the constellation of habits and experiences one develops through acts of musicking. To do so, we introduce the notion of extended musical historicity and suggest that when novice and expert performers engage in individual musical practices, they often rely on an extended sense of agency which permeates their musical experience and shapes their creative outcomes. To support this view, we report on an exploratory, qualitative study conducted with novice and expert musicians. This was designed to elicit a range of responses, beliefs, experiences and meanings concerning the main categories of agency and creativity. Our data provide rich descriptions of solitary musical practices by both novice and expert performers, and reveal ways in which these experiences involve social contingencies that appear to generate or transform creative musical activity. We argue that recognition of the interactive components of individual musicking may shed new light on the cognition of solo and joint music performance, and should inspire the development of novel conceptual and empirical tools for future research and theory.
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ItemNo Preview AvailableEudaimonia and Music Learning(Frontiers in Psychology; Frontiers in Education; Frontiers in Cultural Psychology, 2021-08-18)
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ItemThe MT-VR Solution: A Novel Telehealth Approach to Delivering Online Group Singing Therapy for People with Quadriplegia(World Federation of Music Therapy, 2020)People living with quadriplegia are disproportionately rurally and regionally located, at high risk for social isolation, and face numerous barriers to accessing music therapy (MT). They also face significant risk of illness due to paralysis of the primary breathing muscles. Face-to-face group singing therapy can improve breathing, voice, mood, and social connectedness for people with quadriplegia (Tamplin et al 2013). Online delivery of group singing interventions may be a viable solution to improve access, however latency is a significant barrier to synchronous music performance over the Internet. Our research group has been working to find an acceptable solution to this issue, with implications for MT practise more widely due to the current high demand for telehealth MT solutions due to COVID-19.
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ItemPush and Pull: Creative Practice and Creating Technologies(Birmingham Centre for Media and Cultural Research, 2020)The lures of technologically enhanced performance are numerous but present challenges. This paper discusses the interplay of creative practice and embodied technology design as I experienced it through the co-development and construction of a set of data-gloves for use in performance. The project grew from the desire to engage with technology in an intuitive and visually exciting way. Using an embodied technology to interact with the voice radically changed my experience when performing. It led to feeling immersed in the sound and performance in contrast to disconcerted (with sampling) or nonplussed (with effects pedals). The gloves encouraged specificity in performance techniques and the use of movement cues. Audio manipulation via embodied interactive technology was startlingly empowering. The gloves connected to Ableton via MAX/MSP. MAX/MSP monitored the movement of flex sensors and buttons and communicated this by Musical Interface Digital Instrument (MIDI) to Ableton. Data triggered samples and audio effects in Ableton that affected the audio output of two microphones. Making, evaluating, troubleshooting, and curating sonic effects led to the creation of the piece, Tāwhirimātea (Rose 2018a), the adaptation of Te Karanga (Rose 2018b), and use in These Would Be Other (Burke & Mann 2019). This is an ongoing project, which will build upon the initial iteration discussed in this paper, to explore using embodied interactive technology to manipulate, alter and spatialise sound in surround sound and Ambisonic environments. There is further work to be explored within the design and technical capabilities of these gloves, including how it changes the user experience and what effects the types of interactions have on composition and performative outcomes.
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ItemMusic therapy responds to societal challenges – Music therapy for geriatric care(University of Applied Sciences Würzburg-Schweinfurt, 2021)Music Therapy in the care of older adults, in dementia care and for families with people with special needs is located in the comprehensive field of music-therapy- and interdisciplinary research. Conference proceedings present and discuss current developments and evaluations of music therapy interventions in PhD-research projects, furthermore outcomes on quality of relationship of caregivers, relevant brain research on music and emotion, musical entrainment and social brain in music therapy and for people living with dementia, relevant health technology assessment models in Germany and UK, and sociological research on homebased family caregivers of researchers and research centers of FHWS, Germany, Australia, Switzerland and UK.
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ItemHope for in-person human connection in a virtual music therapy world(GRIEG ACADEMY, 2021-10-20)
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ItemNo Preview AvailableExploring Shared Musical Experiences in Dementia Care: A Worked Example of a Qualitative Systematic Review and Thematic Synthesis(SAGE PUBLICATIONS INC, 2022-09)Qualitative systematic reviews, or qualitative evidence syntheses (QES), are increasingly used in health settings to guide the development of practice and policy. Thematic synthesis is one of the most well-developed approaches used for QES, however there are limited worked examples describing how to apply the steps of analysis in the literature. This paper describes the processes and decisions undertaken in a qualitative systematic review and thematic synthesis from the perspective of a novice researcher. The described review aimed to explore the shared musical experiences of people living with dementia and their family care partners across a range of settings. We found that shared musical activities fostered experiences of connection and wellbeing for people living with dementia and their family care partners. This was demonstrated with moderate-high confidence through six themes, and our findings informed the development of the Contextual Connection Model of Health Musicking. In presenting a worked example of our review, this paper introduces a systematic approach to coding and discusses the complexities of developing and reporting on analytical themes. We identify the need for a specific thematic synthesis reporting tool, and the need to embed reflexive practices into QES tools more broadly.