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Description
Cerebral palsy (CP) is a non-progressive neurologic disorder characterized by motor pathway damage prior to functional development. Damage to the central nervous system impairs motor functioning, including control of motor movement, loss of coordination, and loss of purposeful posture in individuals with cerebral palsy. This creates abnormal walking gait, impaired balance, and loss of muscle control. Current research shows positive results in studying the use of rhythmic music and walking gait for individuals with neurologic disorders. However, most research focuses on neurologic disorders acquired later in life, such as post-stroke patients and individuals with Parkinson's disease and traumatic brain injuries. The current study addresses the impact of rhythmic music on walking gait for an individual with cerebral palsy. Research addresses whether the use of rhythmic music impacts: (a) endurance (laps, distance traversed, and steps taken) (b) cadence (steps per minute), (c) velocity (distance over time), (d) emotional responsiveness (positive or negative affect), and (e) motivation. The current study is a single subject, mixed method design under randomized treatment conditions. The subject is a 25-year-old female diagnosed with spastic diplegic cerebral palsy. The subject participated in a five-week study, three times a week for one hour each session. Assessment was conducted during the first session. The following 14 sessions included gait training either under treatment (the use of recorded rhythmic music accompanied by audible drum beat) or control (no music) randomly assigned prior to the beginning of the study. Data were collected through video recordings, subject and researcher journals, and emotional responsiveness surveys. Data were analyzed for treatment versus control conditions. Analysis of both quantitative and qualitative data indicated that rhythmic music does impact walking gait for individuals with cerebral palsy. When compared to control conditions, the treatment conditions showed an increase in endurance, cadence, and velocity, and improvement in affect and motivation.
ContributorsTindal, Sevrina (Author) / Crowe, Barbara (Thesis advisor) / Rio, Robin (Committee member) / Stauffer, Sandra (Committee member) / Arizona State University (Publisher)
Created2011
Description
This mixed methods research study explores the experiences of Board Certified music therapists who completed a university-affiliated (UA) internship as part of their education and clinical training in music therapy. The majority of music therapy students complete a national roster (NR) internship as the final stage in clinical training. Limited data and research is available on the UA internship model. This research seeks to uncover themes identified by former university-affiliated interns regarding: (1) on-site internship supervision; (2) university support and supervision during internship; and (3) self-identified perceptions of professional preparedness following internship completion. The quantitative data was useful in creating a profile of interns interviewed. The qualitative data provided a context for understanding responses and experiences. Fourteen Board Certified music therapists were interviewed (N=14) and asked to reflect on their experiences during their university-affiliated internship. Commonalities discovered among former university-affiliated interns included: (1) the desire for peer supervision opportunities in internship; (2) an overall perception of being professionally prepared to sit for the Board Certification exam following internship; (3) a sense of readiness to enter the professional world after internship; and (4) a current or future desire to supervise university-affiliated interns.
ContributorsEubanks, Kymla (Author) / Rio, Robin (Thesis advisor) / Crowe, Barbara (Committee member) / Sullivan, Jill (Committee member) / Arizona State University (Publisher)
Created2013
Description
There is a lack of music therapy services for college students who have problems with depression and/or anxiety. Even among universities and colleges that offer music therapy degrees, there are no known programs offering music therapy to the institution's students. Female college students are particularly vulnerable to depression and anxiety symptoms compared to their male counterparts. Many students who experience mental health problems do not receive treatment, because of lack of knowledge, lack of services, or refusal of treatment. Music therapy is proposed as a reliable and valid complement or even an alternative to traditional counseling and pharmacotherapy because of the appeal of music to young women and the potential for a music therapy group to help isolated students form supportive networks. The present study recruited 14 female university students to participate in a randomized controlled trial of short-term group music therapy to address symptoms of depression and anxiety. The students were randomly divided into either the treatment group or the control group. Over 4 weeks, each group completed surveys related to depression and anxiety. Results indicate that the treatment group's depression and anxiety scores gradually decreased over the span of the treatment protocol. The control group showed either maintenance or slight worsening of depression and anxiety scores. Although none of the results were statistically significant, the general trend indicates that group music therapy was beneficial for the students. A qualitative analysis was also conducted for the treatment group. Common themes were financial concerns, relationship problems, loneliness, and time management/academic stress. All participants indicated that they benefited from the sessions. The group progressed in its cohesion and the participants bonded to the extent that they formed a supportive network which lasted beyond the end of the protocol. The results of this study are by no means conclusive, but do indicate that colleges with music therapy degree programs should consider adding music therapy services for their general student bodies.
ContributorsAshton, Barbara (Author) / Crowe, Barbara J. (Thesis advisor) / Rio, Robin (Committee member) / Davis, Mary (Committee member) / Arizona State University (Publisher)
Created2013
Description
The purpose of this research study provided observational techniques and Applied Behavior Analysis (ABA) prompts and fading procedures to analyze music therapist-child interaction for child with autism spectrum disorder. Impaired social interaction is the primary symptom of a child with autism spectrum disorder. However, social interaction exists everywhere and throughout human life. Therefore, to improve interaction is the primary and significant goal in music therapy treatment for a child with autism spectrum disorder. The music therapist designs a series of music therapy activity interventions in order to create a therapeutic environment, based on a child's interests and favorite activities. Additionally, the music therapist utilizes the music to build the quality of relationship and interaction with child and support child practicing interaction with the therapist. Then music therapist utilizes the process of interaction to improve child's social interaction. Once the child achieves at desired behavior, he/she has ability to apply the music therapy techniques independently in the real world situations, such as family and schools that the child has learned throughout the process of interaction with therapist. The participants were three children with autism spectrum disorder and two certified music therapists (MT-BC). The researcher calculated the number of prompts and cues which the therapists provided, and the number of appropriate responses by each child in each activity intervention. Then the researcher utilized Applied Behavior Analysis (ABA), prompt and fading procedure in order to analyze the progress of therapist-child interactions during the sessions. The result showed that the children had improvement in the interactions with their therapist.
ContributorsLiao, Yin-chun (Author) / Crowe, Barbara J. (Thesis advisor) / Rio, Robin (Committee member) / Dishion, Thomas J. (Committee member) / Arizona State University (Publisher)
Created2013
Description
The purpose of this research project is to explore which musical mode, major and minor, is more effective to motivate children with Asperger's syndrome. To determine the more effective mode, the researcher has conducted experiments with seven students, two female and five male, with Asperger's syndrome on motivation for participation. Simple dance movements were used as a method of measurement for their motivation. The subjects' task was copying the researcher's simple dance with music, in major or minor mode, or with no music. There were three conditions, no music, major music, and minor music. However, the first dance of the experiments that had no music condition was not measured as it was a pre-test. All of the subjects followed the dance movements three times. The second and third dances of the experiments that were major or minor music conditions were used to determine which musical mode is more effective. To determine subjects' motivation from major and minor music, there were three areas of measurement; competency (level of execution) of movements, facial expression, and concentration on the dance for each experiment. All of the experiments were video-recorded for the evaluation. As a tool of measurement, a seven-point Likert scale was used. In addition, there were three evaluators: a professional music therapist, MT-BC; an undergraduate music therapy student at ASU; and a music education student of master's degree at ASU. In the evaluation on the measurements, the scores of the major music condition were slightly higher than the scores of the minor music condition in all three areas; competency of movements, facial expression, and concentration on the dance. However, the differences of the results in all three areas were not statistically significant.
ContributorsYun, Yeo Kwang (Author) / Crowe, Barbara (Thesis advisor) / Rio, Robin (Committee member) / Stauffer, Sandra (Committee member) / Arizona State University (Publisher)
Created2013
Description
ABSTRACT Two qualitative studies described the effects of parent's participation in the music therapy session on parent-child interaction during home-based musical experiences learned in music therapy session. Home-based musical play was based on two current programs: Sing & Grow (Abad & Williams, 2007; Nicolson, 2008 Abad, 2011; Williams, et al; 2012) and Musical Connection Programme(Warren & Nugent, 2010). The researcher utilized the core elements of these programs, such as session structures and parenting strategies for improving parent-child interaction during music therapy interventions. Several questions emerged as a result of these case studies as follows 1) does parent's participation affect parent-child interaction during music therapy interventions 2) does musical parenting strategies promote parent-child interaction while practicing musical play at home 3) does parent's interaction increase when they practice parental strategies listed on parent's self-check list. Music therapy session was provided once per week during an eight week period. The participants were referred by Arizona State University (ASU) music therapy clinic. Sessions took place either in the ASU music therapy treatment room or the participant's home. There were four participants- one diagnosed with Down syndrome and the other with Autism Spectrum Disorder (ASD) and two parents or caregivers (each subject was counted as one participant). The parent/caregiver filled out the parental self-checklist 3-4 times per week and the survey after the end of the program. The case study materials were gathered through with parent/caregiver. The case studies revealed that all of the parents responded that the parent's participation in music therapy helped to improve their interactions with their child. Furthermore, all parents became more responsive in interacting with their child through musical play, such as sing-a-long and movements. Second, musical parenting strategies encouraged parent-child interaction when practicing musical play at home. Third, the parent's self-checklist was shown to be effective material for increasing positive parent-child interaction. The self-checklist reminded the parents to practice using strategies in order to promote interaction with their child. Overall, it was found that the parent's participation in home-based musical play increased parent-child interaction and the musical parenting strategies enhanced parent-child interaction.
ContributorsChoi, Yoon Kyoung (Author) / Crowe, Barbara J. (Thesis advisor) / Rio, Robin (Committee member) / Sullivan, Jill (Committee member) / Arizona State University (Publisher)
Created2013
Description
This descriptive research study explored practicing Board-Certified Music Therapists' engagement in self-care as needed from the impact of stress and burnout, as well as perceptions of the music therapy profession and professional association. An online survey was completed by 829 practicing board certified music therapists. Mean scores and percentages of nominal variables were generated from an independent sample. ANOVA was used to compare mean scores of dependent variables with independent variables of two or more categories. Open-ended responses generated extensive qualitative data about stress/burnout, job satisfaction, motivation, and self-care. Those who are not currently members of AMTA reported affordability as the primary reason for not being members. Despite some negative perceptions about the profession and professional association, a significant number of music therapists expressed a passion for what they do. Music therapists appear to have a solid grasp on professional responsibilities and ethics. Although respondents reported an overall high level of job satisfaction, a substantial number agreed that they have considered leaving the profession. Low salary was the most commonly acknowledged reason, followed by the continued need to "sell" music therapy, burnout, stress, limited work opportunities, and workplace politics. Respondents identified healthy diet and rest as primary activities of self-care, followed by recreation/leisure time with loved ones, exercise, hobbies, and prayer. Music therapists reportedly continue to feel motivated and inspired in the profession predominantly because of the gratification/satisfaction of the results of their work, followed by engagement in self-care, loving the work regardless of income, attending conferences and symposiums, diversification among various populations, and keeping professional life separate from personal life. ANOVA results indicated that job satisfaction and engagement in self-care likely increase with age; job satisfaction is higher among married music therapists, those with children, and those with more than 30 years in practice; and those with no children and those with a master's or doctorate degree were more likely to engage in self-care. A variety of implications and recommendations are explored.
ContributorsMurillo, Julie Hoffer (Author) / Crowe, Barbara J. (Thesis advisor) / Rio, Robin (Committee member) / Tobias, Evan (Committee member) / Arizona State University (Publisher)
Created2013
Description
ABSTRACT
Music therapy is a highly effective treatment when used in the care of persons with dementia (PWD) and singing in particular is found to be calming and pleasurable to PWD. Seniorsing.net is a music-based application for use in memory care that provides a fun and interactive sing along activity for PWD. Developed by a music therapist, the application is designed to engage the user in singing along with recorded song performances while lyrics are displayed on the device screen. Seniorsing.net is accessible on any mobile device and is intended to provide a positive musical experience for PWD, whether listening or singing along. This study was conducted to test the design aspects of the application for use with PWD and their caregivers. Eighteen dyads of participants/caregivers were recruited from the senior community. Participants were observed interacting with seniorsing.net by the music therapist to provide an understanding of the usability of seniorsing.net and to collect information on the responses of PWD to seniorsing.net. Caregivers were given the opportunity to evaluate seniorsing.net via survey. The parameters that were measured included visual clarity and appeal, audibility, clarity of directions and usability by PWD and their caregivers. Observations of participants showed positive interactions with the application. Over 64% of participants independently engaged in singing with the application and over 50% of participants were able to activate features of the application with minimal assistance. Caregiver feedback was also positive. Most caregivers strongly agreed or agreed to the effectiveness of the design and its ease of use with PWD. 100% of caregivers found the song performances to be appropriate and comfortable to follow and sing. Caregivers gave suggestions for improvement of seniorsing.net, such as including more song choices and having more written directions on some of the screens. In conclusion, seniorsing.net was found to be enjoyable and easy to use by PWD and their caregivers.
Keywords: Dementia, Music Therapy, Singing, Technology
Music therapy is a highly effective treatment when used in the care of persons with dementia (PWD) and singing in particular is found to be calming and pleasurable to PWD. Seniorsing.net is a music-based application for use in memory care that provides a fun and interactive sing along activity for PWD. Developed by a music therapist, the application is designed to engage the user in singing along with recorded song performances while lyrics are displayed on the device screen. Seniorsing.net is accessible on any mobile device and is intended to provide a positive musical experience for PWD, whether listening or singing along. This study was conducted to test the design aspects of the application for use with PWD and their caregivers. Eighteen dyads of participants/caregivers were recruited from the senior community. Participants were observed interacting with seniorsing.net by the music therapist to provide an understanding of the usability of seniorsing.net and to collect information on the responses of PWD to seniorsing.net. Caregivers were given the opportunity to evaluate seniorsing.net via survey. The parameters that were measured included visual clarity and appeal, audibility, clarity of directions and usability by PWD and their caregivers. Observations of participants showed positive interactions with the application. Over 64% of participants independently engaged in singing with the application and over 50% of participants were able to activate features of the application with minimal assistance. Caregiver feedback was also positive. Most caregivers strongly agreed or agreed to the effectiveness of the design and its ease of use with PWD. 100% of caregivers found the song performances to be appropriate and comfortable to follow and sing. Caregivers gave suggestions for improvement of seniorsing.net, such as including more song choices and having more written directions on some of the screens. In conclusion, seniorsing.net was found to be enjoyable and easy to use by PWD and their caregivers.
Keywords: Dementia, Music Therapy, Singing, Technology
ContributorsFranklin, Danielle (Author) / Rio, Robin (Thesis advisor) / Crowe, Barbara (Committee member) / Suzuki, Kotoka (Committee member) / Arizona State University (Publisher)
Created2015
Description
The bereaved and those who have experienced trauma have received support through music therapy. However, there has been no research on the effectiveness of music therapy as a therapeutic intervention for those who have experienced the loss of a loved one by suicide. While every loss presents its own challenges, those who experience a suicide loss may need extra support to process the traumatic nature of the death. This study aims to explore the current research on grief and trauma to determine what information can be applied to the care of those who have experienced a suicide loss. The present study is a group case study of survivors of suicide who have experienced a loss within the last 3 years. Participants received weekly music therapy sessions for four weeks. All participants completed the Inventory of Traumatic Grief, prior to and at the conclusion of the music therapy sessions, and the pre and post test scores were compared. Additionally qualitative data was collected throughout the sessions, indicating any common themes that emerged throughout the sessions and the participants’ reactions to the interventions, as well as in a short questionnaire following the four sessions.
ContributorsEdmonds, Alexis Elaine (Author) / Rio, Robin (Thesis advisor) / Crowe, Barbara (Committee member) / Humphreys, Jere (Committee member) / Arizona State University (Publisher)
Created2016
Description
Music therapy literature provides evidence that the use of music is very effective in improving daily living skills for people with Autism Spectrum Disorder (ASD) all over the world. However, each country may have and use their preferred music therapy approaches and interventions for clients with ASD because of cultural differences although music therapy comes from the same origin.
The aim of this research was to discover the cultural differences between American and Korean parents of children with ASD by comparing two countries in various categories, such as care systems, benefits and challenges in raising children with ASD, and therapeutic approaches in music therapy and other therapies used for these children.
The data that was gathered from the survey consisted of 4 participant groups: American parents, Korean parents, American music therapists, and Korean music therapists. This study examined the differences and similarities in the parental perspectives of children with ASD and music therapy treatment practices for individuals with ASD between two countries through the survey methods, integrating quantitative (closed-ended) and qualitative (open-ended) survey questions.
The results of the findings indicated that there were several kinds of cultural differences in treating children with ASD, such as care systems, benefits and challenges in raising their children, and therapies used for children with ASD between American and Korean children. Overall, Korean parent participants reported experiencing fewer benefits than American parent participants in the question concerning country-level benefits. Statistically speaking, the study could not find any significant differences in using therapies for children with ASD as well as music therapy treatment practices between America and Korea. However, the study found that there were some differences in the music therapy approaches and preferred music therapy interventions for ASD-diagnosed children which were summarized in responses from parents and therapists. The primary difference noticed that American music therapists preferred behavioral and neurologic techniques, while Korean music therapists preferred behavioral and Nordoff-Robbins techniques.
Because of some of the study limitations, the results may not be generalizable. In future research, many more participants need to be engaged with a narrow range of conditions.
The aim of this research was to discover the cultural differences between American and Korean parents of children with ASD by comparing two countries in various categories, such as care systems, benefits and challenges in raising children with ASD, and therapeutic approaches in music therapy and other therapies used for these children.
The data that was gathered from the survey consisted of 4 participant groups: American parents, Korean parents, American music therapists, and Korean music therapists. This study examined the differences and similarities in the parental perspectives of children with ASD and music therapy treatment practices for individuals with ASD between two countries through the survey methods, integrating quantitative (closed-ended) and qualitative (open-ended) survey questions.
The results of the findings indicated that there were several kinds of cultural differences in treating children with ASD, such as care systems, benefits and challenges in raising their children, and therapies used for children with ASD between American and Korean children. Overall, Korean parent participants reported experiencing fewer benefits than American parent participants in the question concerning country-level benefits. Statistically speaking, the study could not find any significant differences in using therapies for children with ASD as well as music therapy treatment practices between America and Korea. However, the study found that there were some differences in the music therapy approaches and preferred music therapy interventions for ASD-diagnosed children which were summarized in responses from parents and therapists. The primary difference noticed that American music therapists preferred behavioral and neurologic techniques, while Korean music therapists preferred behavioral and Nordoff-Robbins techniques.
Because of some of the study limitations, the results may not be generalizable. In future research, many more participants need to be engaged with a narrow range of conditions.
ContributorsBae, Ji Ye (Author) / Rio, Robin (Thesis advisor) / Crowe, Barbara (Committee member) / Sullivan, Jill (Committee member) / Arizona State University (Publisher)
Created2016