Music Therapy Ethics "2.0": Preventing User Error in Technology

Bates, Debbie

doi:10.1093/mtp/miu030

Cited by 14 publications

(6 citation statements)

References 14 publications

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“…Just as music therapists offer assistance in coping with change, they must also demonstrate their own ability to cope with change. We concur with previous literature that telehealth will likely be embedded in the overall practice of healthcare and that healthcare workers must be proficient in using the medium (Bates, 2014;Hagland, 2020). Not only is it important to acknowledge a new standard of competence, but it is also worth discussing potential improvements to the capabilities that telehealth sessions can offer and the implications for future research.…”

Section: Personal Reflections and Improvementssupporting

confidence: 90%

Case Studies in Pediatric Music Therapy During COVID-19

Goicoechea

Lahue

2021

Music Therapy Perspectives

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The COVID-19 pandemic changed the lives of very nearly every person in the world. For the music therapy profession and those populations that can benefit from its application, the ramifications are no less palpable, though they have been changing on a day-today basis. During the initial phase of the pandemic, the expressive therapy team, including the music therapists at Primary Children’s Hospital in Salt Lake City, was directed to work remotely using virtual platforms to facilitate services. Several studies conducted both prior to the pandemic and since its arrival in the United States demonstrate the delivery of expressive therapies via remote, web-based platforms. However, there is a general lack of literature on the subject. This article brings forward 3 case examples in order to illustrate the methods of achieving goals and objectives in distanced music therapy: a 5-year-old girl needing a heart transplant, an 11-year-old girl requiring tri-weekly hemodialysis for end-stage renal disease, and 2 brothers whose sister died of rhabdomyosarcoma and who was treated at Primary Children’s Hospital. These case stories offer perspective on both the challenges and positive responses that occurred throughout the process, with a focus on the adaptation to virtual music therapy services during the COVID-19 pandemic.

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Section: Personal Reflections and Improvementssupporting

confidence: 90%

Case Studies in Pediatric Music Therapy During COVID-19

Goicoechea

Lahue

2021

Music Therapy Perspectives

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“…Through the work being done, it is becoming increasingly evident that creative arts therapies telehealth can yield similarly beneficial effects to in-person services by meeting patients in familiar environments such as their homes and communities. This ameliorates the need for travel to a medical centre and provides a degree of autonomy and control of the delivery, environment, and participation level in treatment [37]. This autonomy can promote adherence to treatment plans, enabling patients to integrate telehealth sessions into their daily routines and having the independence to seek treatment in their chosen environments.…”

Section: Discussionmentioning

confidence: 99%

Implementing music therapy through telehealth: considerations for military populations

Vaudreuil

Langston

Magee

et al. 2020

Disability and Rehabilitation: Assistive Technology

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Purpose: Telehealth provides psychotherapeutic interventions and psychoeducation for remote populations with limited access to in-person behavioural health and/or rehabilitation treatment. The United States Department of D efense and the Veterans Health Administration use telehealth to deliver primary care, medication management, and services including physical, occupational, and speech-language therapies for service members, veterans, and eligible dependents. While creative arts therapies are included in telehealth programming, the existing evidence base focuses on art therapy and dance/movement therapy, with a paucity of information on music therapy. Methods: Discussion of didactic and applied music experiences, clinical, ethical, and technological considerations, and research pertaining to music therapy telehealth addresses this gap through presentation of three case examples. These programmes highlight music therapy telehealth with military-connected populations on a continuum of clinical and community engagement: 1) collaboration between Berklee College of Music in Boston, MA and the Acoke Rural Development Initiative in Lira, Uganda; 2) the Semper Sound Cyber Health programme in San Diego, CA; and 3) the integration of music therapy telehealth into Creative ForcesV R , an initiative of the National Endowment for the Arts. Results: These examples illustrate that participants were found to positively respond to music therapy and community music engagement through telehealth, and reported decrease in pain, anxiety, and depression; they endorsed that telehealth was not a deterrent to continued music engagement, requested continued music therapy telehealth sessions, and recommended it to their peers. Conclusions: Knowledge gaps and evolving models of creative arts therapies telehealth for military-connected populations are elucidated, with emphasis on clinical and ethical considerations. ä IMPLICATIONS FOR REHABILITATION Music therapy intervention can be successfully adapted to accommodate remote facilitation. Music therapy telehealth has yielded positive participant responses including decrease in pain, anxiety, and depression. Telehealth facilitation is not a deterrent to continued music engagement. Distance delivery of music through digital platforms can support participants on a clinic to community continuum.

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“…MT scholars reported that MT can be delivered to older adults via telehealth (78, 79). Although MTT was already in existence (80,81), it was popularized out of necessity during the COVID-19 pandemic (82). Various MT authors have described MTT as a potential service delivery model (78,79).…”

Section: Rationale For Protocolized Music Tele-therapymentioning

confidence: 99%

A narrative review of music therapy for neuropsychiatric symptoms in Alzheimer’s disease and rationale for protocolized music teletherapy

Wang,

Cevasco-Trotter,

Silverman

et al. 2023

Front. Med.

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IntroductionAlzheimer’s Disease (AD) constitutes a major societal problem with devastating neuropsychiatric involvement in over 90% of those diagnosed. The large spectrum of AD neuropsychiatric symptoms leads to polypharmacological prescribing that, in turn, poses a major risk for increased side effects. Non-pharmacological interventions such as music therapy (MT) are therefore recommended as first-line treatments. The amalgamation of an aging population, long lifespan, and shortage of qualified music therapists limits access to MT services for AD.ObjectiveThe purpose of this paper is to provide a rationale for a protocolized music teletherapy (MTT) intervention to increase accessibility for MT as a psychosocial intervention for neuropsychiatric symptoms in people with AD by conducting a narrative review of the existing MT and AD literature.MethodsWe conducted a narrative review of MT and MTT publications indexed in PubMed and Google Scholar wherein authors used the Neuropsychiatric Inventory. We examined the impact of MT on neuropsychiatric symptoms of AD and identified MTT as a way to increase access to clinical services.ResultsMT can have positive impacts on neuropsychiatric symptoms in AD. However, we identified an ensuing need for protocolized MT interventions, access to services, and increased awareness. MTT is an option that can address these needs.DiscussionAlthough MT can have positive effects on neuropsychiatric symptoms and can be beneficial and safe for individuals with AD, the current approach to MT practice is enormously heterogeneous with studies demonstrating variable therapist qualifications, uses of music, therapy approaches, and clinical populations. Congruently, the existing literature indicates that MT has not been standardized with protocolized interventions, making it difficult for clinicians and researchers to objectively assess the evidence, and thus, prescribe MT interventions. The lack of MT standardization, coupled with a low number of music therapists relative to people with AD, result in a lack of awareness that hinders access to MT as a psychosocial treatment for neuropsychiatric symptoms in people with AD. We therefore propose that protocolized MTT interventions are needed to increase access to better address neuropsychiatric symptoms associated with AD.

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Music Therapy Ethics "2.0": Preventing User Error in Technology

Cited by 14 publications

References 14 publications

Case Studies in Pediatric Music Therapy During COVID-19

Case Studies in Pediatric Music Therapy During COVID-19

Implementing music therapy through telehealth: considerations for military populations

A narrative review of music therapy for neuropsychiatric symptoms in Alzheimer’s disease and rationale for protocolized music teletherapy

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