Browsing by Subject "Music therapy"

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    Effects of cognitive-behavioral music therapy on fatigue with patients on a blood and marrow transplantation unit: a convergent parallel mixed methods effectiveness study
    (2013-09) Fredenburg, Hilary A.
    Cancer-related fatigue (CRF) is an under-treated condition frequently experienced by cancer patients that can negatively affect wellbeing both during hospitalization and after hospital discharge. The purpose of this mixed methods effectiveness study was to determine if and how cognitive-behavioral music therapy (CBMT) can reduce fatigue of hospitalized patients on an adult Blood and Marrow Transplant (BMT) unit. The researchers measured the effects of CBMT on five aspects of participants' fatigue using a convergent parallel mixed methods design. Participants (N = 11) were randomly assigned to experimental or wait-list control conditions and completed the Multidimensional Fatigue Inventory (Smets, Garssen, Bonke, & Haes, 1995) at pre- and posttest. Experimental participants also completed a semi-structured interview before hospital discharge. Quantitative results indicated no significant between-group differences concerning fatigue. However, experimental participants tended to have decreases in mean fatigue scores from pre- to posttest while control participants had increases in mean fatigue scores from pre- to posttest. Qualitative data tended to support quantitative data and indicated that CBMT a) influenced fatigue cognitively by increasing motivation and self-efficacy, b) influenced fatigue affectively by promoting relaxation and restful states, and c) represented a meaningful, unique, and holistic service for hospitalized BMT patients. It seems that CBMT sessions may be an effective intervention concerning various aspects of fatigue for hospitalized BMT patients. Due to the small sample size, quantitative results should be interpreted with caution. Limitations of the study, implications for clinical practice, and suggestions for future research are provided.
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    Generating Evidence for Perceptions, Knowledge, Beliefs, and Use of Music, Aromatherapy and Guided Imagery in Critical Care Settings
    (2019-05) Meghani, Naheed
    This dissertation begins with two integrative reviews of literature constituting the current evidence on the use of music, aromatherapy and guided imagery for the symptom management of pain, insomnia and anxiety in critically ill patients. The first integrative review of literature examines the use of music therapy for the management of anxiety, pain, and insomnia in critical care. Following this, the dissertation proceeds with an examination of the evidence of aromatherapy and guided imagery in improving the signs and symptoms of anxiety, pain, and insomnia in critical care. The results of these integrative reviews offer evidence-based insights of the use of these three therapies in critical care. The dissertation also includes a brief background of the development of Tracy et al.’s survey from 2003, which was used in a national survey of critical care nurses on the attitudes, knowledge and use of complementary therapies. Since then no other surveys have been conducted in the United States, thus contemporary perceptions, use and knowledge of critical care nurses regarding complementary therapies are virtually unknown in this area. This dissertation concludes with results of a study examining the perceptions, knowledge, beliefs and use of complementary therapies of critical care nurses from multiple intensive care units within a single tertiary care hospital. The survey was administered twice 4-6 weeks apart, generating the consistency of responses data of the survey measures. For the cohesiveness of this dissertation, the results presented focus on the domains of perceptions, knowledge, beliefs, and use related to the three primary therapies of interest: Music therapy, aromatherapy and guided imagery. Further, the consistency of responses data for these three therapies are evaluated pertinent to eight items/measures related to the domains of perceptions, knowledge, beliefs, and use of these three therapies. Finally, the implications of this body of work related to practice, education and research are presented.
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    Physiological and psychological effects of listening to nursery rhymes
    (2020-12) Soufineyestani, Mahsa
    Music has been known as a powerful tool that changes human moods and inducesemotional responses. The purpose of this study is to monitor changes in healthy individuals' physiological and psychological responses to listening to nursery rhymes in three different scenarios: the songs were played by a professional musician, a robot called Pepper, and finally a boombox. These scenarios are plates in actively engaged or passive modes. To measure arousal response, individuals were exposed to the nursery rhymes, and an electrodermal activity (EDA) wristband was used to track changes in their physiological factors: heart rate variability and skin conductance. Electroencephalography (EEG) headset can measure Brain wave activity which is the psychological response to music. EEG signals of healthy individuals were captured before, during, and after listening to the nursery rhymes using a 14-channels EEG headset. Two self-report questionnaires were designed to investigate individuals' psychological responses after listening to the rhymes. Ledalab and Kubios, Matlab toolboxes, were used to separate EDA data into its phasic and tonic components and extract non-linear, time and frequency-domain data from HRV data, respectively. Discrete wavelet transform (DWT) was applied on the EEG data to separate brain wave sub-bands. To understand how human brain activity changes, statistical features such as average, standard deviation and energy, and entropy of wavelet for alpha and beta waves are extracted. Furthermore, SPSS software was used for all statistical analyses in order to make the correlation coeffcient between each pair of scenarios and between each pair of participants in each scenario was made. After analyzing individuals' sensors data and their responses to the questionnaires, no statistically significant results were found that correlated all participants' physiological and psychological changes. However, inconsistent trends such as increases in heart rates, decreases in skin conductance, and reporting feelings such as lively, alert, happy, cheerful, calm and relaxed were observed for some participants. Also the results indicated a direct relationship between human responses to the human and a robot player, while there was not any relation between boombox and robot or human players.