Melbourne Conservatorium of Music - Research Publications
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ItemLearning to use music as a resource: the experiences of people with dementia and their family care partners participating in a home-based skill-sharing music intervention: a HOMESIDE sub-study(FRONTIERS MEDIA SA, 2023-05-18)An increasing number of people with dementia receive informal care from family members to help them remain living in the community. Music therapy is particularly beneficial for supporting the wellbeing of people living with dementia. However, little is known about how music therapy might support people with dementia and their family care partners as dyads. This study explored the experiences of six dyads participating in a 12-week home-based skill-sharing music intervention facilitated by a music therapist. We examined their experiences during the intervention period and in the 3-6 months following. This study was conducted within a larger randomised control trial, HOMESIDE. Data was collected through video-recorded music-based interviews, participant diaries, and a semi-structured interview. Data was analysed using an abductive and relational-centred research approach in consideration of the Contextual Connection Model of Health Musicking for People Living with Dementia and Their Family Care Partners. The study found fifteen themes that describe dyads' supported experiences of sharing music in their homes. These were organised into three global themes: (1) experiences were shaped by complex influences; (2) a connected musical ecosystem; and (3) music was a resource for wellbeing. This study highlighted the important role of personalised facilitation and the therapeutic relationship as dyads learned to use music as a resource through a process of trial and error. The implications for skill-sharing, indirect music therapy and direct music therapy practice are discussed.
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ItemNo Preview Available"We've got a special connection": qualitative analysis of descriptions of change in the parent-child relationship by mothers of young children with autism spectrum disorder(GRIEG ACADEMY, 2015-01-02)Young children with autism spectrum disorder face many developmental challenges, most notably in the area of reciprocal social interactions with family and peers. Collaborating with the families of these children in therapy sessions is fast becoming best practice in many countries. This paper presents a qualitative analysis of semi-structured interviews with 11 mothers who participated in family-centred music therapy sessions along with their child. The interview questions focussed on changes to the nature of the parent–child relationship. Analysis of the interviews identified three aspects of positive change to the parent–child relationship, namely: the quality of the relationship; the parents’ perception of the child and the parents’ response to the child. The changes in the relationship with their child were valued and cherished by all of the mothers, and understanding the impact a family-centred approach might have on the nature of the parent–child relationship needs further exploration.
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ItemMusic Therapy and the NDIS: Understanding music therapy as a reasonable and necessary support service for people with disability(Australian Music Therapy Association, 2016)This document results from the findings of a small scoping study conducted to develop a better understanding of the needs, perspectives, and goals of all stakeholders in the provision of music-based services within the National Disability Insurance Scheme (NDIS). Interviews were conducted with 10 consenting participants (Registered Music Therapists, NDIS Plan Support Coordinators and a Parent of a Participant of the Scheme) with the content of these interviews forming the data used for analysis. With the study strongly highlighting a lack of community and sector understanding of music therapy, this document looks to stimulate discussion and solutions to broadening knowledge of the profession, particularly in relation to its existing implementation and future potential for people with disability under the NDIS, and as such is prepared on behalf of the Australian Music Therapy Association Inc. It is intended as a document of reference for the NDIA, Registered Music Therapists, Participants of the National Disability Insurance Scheme, their parents, carers and support workers.
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ItemWhose choice? Exploring multiple perspectives on music therapy access under the National Disability Insurance Scheme(Australian Music Therapy Association, 2018)The National Disability Insurance Scheme (NDIS) is a new national funding system for people with disabilities in Australia, which has been tested in some trial sites since 2013 and is now instigated across the Nation. Whilst music therapy and other music services are included on the list of recognised providers, inclusion of these services within individual case plans has been questioned at times by those with authority within NDIS trial sites. This research project aimed to build a collaborative relationship between the University of Melbourne, Australian Music Therapy Association (AMTA), and the National Disability Insurance Agency (NDIA) to better understand the needs and capacity for contribution of each organisation involved in the access of people to music therapy. To this end, interviews were conducted with three NDIA employees, five Registered Music Therapists (RMTs) who had experiences providing music therapy services as NDIS providers, and one parent of an eight-year old participant in the scheme who had accessed music therapy. Interpretative Phenomenological Analysis was used to identify gaps in knowledge and awareness between the different stakeholders. Fourteen emergent themes and three final themes revealed different perspectives on the matter, but all agreed that it is a significant time to promote music therapy and educate the NDIS planners, allied health professionals, the participants of the scheme and their families. In plain language:This research study investigates how different stakeholders perceived access to music therapy under the National Disability Insurance Scheme (NDIS) in the trial sites between 2013 and 2015. Nine people who had the lived experience of the matter such as NDIS planners, Registered Music Therapists (RMTs) and a parent of a boy with a disability were individually interviewed. Interpretative Phenomenological Analysis reveals that everyone believed that music therapy was not fully understood or received well by everyone, and RMTs need to take more active roles in educating and promoting music therapy to staff in the National Disability Insurance Agency (NDIA), allied health professionals, as well as parents of people with disabilities.
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ItemNo Preview AvailableProfessional Pathways for Musicians with Disability in Victoria, Australia(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2022-01-02)The work of disabled musicians has become the focus on of an increasingly large body of academic work; however, existing literature rarely provides details about the educational experiences of these musicians, or how disability impacted these experiences. This study interviewed eleven performing musicians living with disability in Australia to elucidate the barriers and enablers that they faced in their music educations and careers. We developed a ‘nested model’ based on a qualitative narrative analysis which identified barriers and enablers coming from ‘the musician’, ‘the self’, ‘other people’, and ‘the system’. We used this model to draw out further themes and counter-themes across the interviews to begin to illuminate the barriers. Each of our participants was able to identify numerous barriers to access, which they had experienced during their musical careers. Despite this, ten of our eleven participants continued to find ways to participate and express their creativity in musical activities, and they provided many practical suggestions for improving access. Future studies that seek perspectives from disabled music students, or those who are in the early stages of their careers, may provide further insights to better understand barriers and enablers.
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ItemNo Preview AvailableReflective Lullaby Writing with two mother--infant dyads who recently experienced an admission to a neonatal intensive care unit(GRIEG ACADEMY, 2023-05-27)Introduction: Having a premature baby is a complex experience for parents, especially where an admission to a Neonatal Intensive Care Unit (NICU) after birth is required. Regardless of length of admission, parents likely confront mixed emotions related to their concerns for their baby’s physical health and development, which are often still present in the months and years after their baby’s discharge. Supporting parents to emotionally process their experience presents unique challenges, and a deeper understanding of how to facilitate this process is needed. Method: The purpose of this research project was to explore parents’ experiences of engaging in individualised parent--infant music therapy in their home setting after their baby’s discharge from a NICU setting. Interviews were conducted with two mothers and descriptive phenomenology guided the immersive process of data analysis and explicating the prominent themes. Results: Four shared themes were identified. Songwriting was experienced as being distinctly therapeutic, and mothers described the value of intentionally creating lyrics which captured what they wanted to remember about their NICU and parenting journey. Both mothers valued reconnecting with aspects of their previous selves from before their NICU experience. Discussion: The composition of a personal song using therapeutic techniques offered mothers the opportunity to reflect on, and to begin to process their parenting experiences. Reflective Lullaby Writing is articulated as a novel approach to support post-NICU families. The findings of this pilot study will inform future studies in this area of practice which has not yet been well-established in the current discourse.
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ItemAvoiding conflict: What do adolescents with disordered eating say about their mothers in music therapy?(SAGE Publications, 2008-06-01)Music therapy is an integral part of the inpatient treatment programme for young women with disordered eating at the Royal Children's Hospital in Melbourne. As part of ongoing clinical audit activities, an investigation was undertaken to analyse retrospectively the lyrics of young women who had participated in the music therapy programme. The¬¬¬¬¬¬ purpose was to monitor and improve local clinical practice and clarify the specific contribution of music therapy to the diagnosis of anorexia nervosa. Results highlighted the role of mothers in the experiences of the young participants, with references to this relationship exceeding those to any other relationships. These findings are discussed in conjunction with an abandoned study where parental consent was not forthcoming for participation in a group music therapy research project. This article promotes a continuing awareness of the importance of the mother-daughter relationship in the treatment of eating disorders.
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ItemMusic Therapy with Bereaved Teenagers: A Mixed Methods Perspective(ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2010)Qualitative investigations have indicated that music therapy groups may be beneficial for bereaved teenagers. The existing relationship between young people and music serves as a platform for connectedness and emotional expression that is utilised within a therapeutic, support group format. This investigation confirms this suggestion through grounded theory analysis of focus group interviews. Changes in self-perception were not found as a result of participation, however practically significant results were found on adolescent coping. These cannot be generalized because of the small sample size. Grief specific tools are recommended for use in future investigations in order to capture the emotional impact of music therapy grief work with adolescents.
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ItemA critical interpretive synthesis of the most commonly used self-report measures in Australian mental health research(SAGE PUBLICATIONS LTD, 2016-10)OBJECTIVE: To critically examine the self-report measures most commonly used in Australian mental health research in the last 10 years. METHOD: A critical interpretive synthesis was conducted using seven outcome measures that were identified as most popular in 43 studies from three mental health journals. RESULTS: Results suggest that the amount and type of language used in outcome measures is important in both increasing the accuracy of the data collected and fostering positive experiences of data collection for participants. CONCLUSIONS: Results indicate that many of the measures most often used in Australian mental health research may not align with the current contemporary philosophy of mental health clinical practice in Australia.