Melbourne Conservatorium of Music - Research Publications
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ItemFields of resonance from group therapeutic songwriting for people living with dementia and their family caregivers(European Music Therapy Confederation, 2019)People living with dementia (PwD) and their family caregivers (FCG) often experience relationship stressors, social isolation and stigma. Therapeutic group songwriting (TGS) has been used to address these issues for groups involving either FCG or PwD, but not with groups of PwD/FCG dyads participating together. TGS for PwD/FCG dyads may encourage united expression with others in similar situations, leading to mental stimulation and achievement for individuals, meaningful shared experiences for dyads, and positive social opportunities. A randomised controlled trial is being conducted to compare social connectedness, relationship quality, quality of life, depression, and caregiver burden for 60 PwD/FCG dyads randomised to either 6 x 1-hour weekly TGS sessions (experimental) or waitlist control (University Ethics Approval: 1851252.2). Outcome measures will be collected at weeks 0, 7 and 13 following recruitment and the experimental group will also contribute video, interview, and song lyric data. The project is currently in the data collection phase. However, we anticipate several potential fields of resonance from this research, including feelings of personal success and confidence for both PwD and FCG, relationship satisfaction and togetherness for dyads, and empathic friendships. In addition, we anticipate songs portraying the lived experience of dementia may increase public awareness and understanding. This presentation will describe how theories and songwriting approaches were adapted to meet the unique needs of PwD and FCGs attending sessions together. We will also explore tensions arising from the outcome-based research design and expectations of research funding bodies with the values of community music therapy underpinning the research.
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ItemMusic interventions for acquired brain injury: Findings from an updated Cochrane review(The Australasian Society for the Study of Brain Impairment, 2017-06-01)Background and aims: This Cochrane review update examined the effects of music interventions and standard care versus standard care alone or standard care combined with other therapies for adults with non- degenerative acquired brain injury (ABI). Primary outcomes were gait and upper extremity function. Secondary outcomes were communication, cognition, mood and emotions, social skills, pain, behavioral outcomes, activities of daily living, and adverse events. Method: We searched electronic databases, dissertation and specialist music databases, and hand-searched grey literature. All randomised controlled and controlled clinical trials with quasi-randomised or systematic methods of treatment allocation were included, in any language, published and unpublished. Results: We included 29 trials with 775 participants. Meta- analyses indicated that music interventions may improve gait velocity, stride length (affected side), gait cadence, stride symmetry, general gait, and timing of upper extremity function. Using a rhythmic auditory stimulus embedded in music may lead to greater improvements in gait velocity than using rhythmic auditory stimulus without music e.g. metronome. Interventions delivered by a credentialed music therapist generated greater improvements than interventions delivered by other professionals. Music interventions may also improve quality of life and overall communication with beneficial effects in naming and repetition. Conclusions: Rhythm-based interventions remain important for movement rehabilitation in ABI. Future research should examine music intervention effects on cognition. Measures used for mood outcomes require greater uniformity and improved reporting. Across all domains, improved agreement on the core outcomes examined will enable more comprehensive meta-analyses and more accurate evaluation of the effectiveness of music interventions.
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ItemMusical memories: Connecting people with dementia and their caregivers through song.(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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ItemSupporting Healthy Ageing and Management of Age Related Disease in Australia(World Federation of Music Therapy, 2017)As the global population ages, more people are experiencing the privilege of growing old. By 2050, estimates suggest that over 2 billion people will be aged 60 years or over (WHO, 2016). Current buzz terms, including healthy ageing and active ageing, are used to describe the notion of optimal health, independent life participation and security required for high quality of life through the full course of life. In Australia, 2 major policies support principles of healthy ageing (AIHW, 2017): 1) Preventative health, promotes healthy lifestyle choices, such as physical activity participation; 2) Living longer better, has a strong focus on supporting people with dementia (PWD) and their family caregivers (FCG). This presentation will discuss recent music therapy research in Australia targeted to address these policies.