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The effects of a media-based versus ...
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Selvarajah, Indra V.
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The effects of a media-based versus live song lyric analysis life review on levels of therapeutic exploration, on-task and participation of individuals with dementia.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
The effects of a media-based versus live song lyric analysis life review on levels of therapeutic exploration, on-task and participation of individuals with dementia./
作者:
Selvarajah, Indra V.
面頁冊數:
140 p.
附註:
Source: Dissertation Abstracts International, Volume: 75-06(E), Section: A.
Contained By:
Dissertation Abstracts International75-06A(E).
標題:
Music. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3612496
ISBN:
9781303740817
The effects of a media-based versus live song lyric analysis life review on levels of therapeutic exploration, on-task and participation of individuals with dementia.
Selvarajah, Indra V.
The effects of a media-based versus live song lyric analysis life review on levels of therapeutic exploration, on-task and participation of individuals with dementia.
- 140 p.
Source: Dissertation Abstracts International, Volume: 75-06(E), Section: A.
Thesis (Ph.D.)--The Florida State University, 2013.
The purpose of this dissertation was to examine the effects of a media-based versus live song lyric analysis life review intervention on levels of therapeutic exploration and on-task/ participation behaviors of individuals with mild to moderate dementia. A posttest only two independent group randomized control design with single-session intervention was employed in this study. Participants were 72 older adults (M = 32, F = 40) from a large nursing home community in the South Eastern part of the United States. Gender and dementia severity level were controlled across groups. Measurement of dementia severity level was obtained via the Mini-Mental State Examination (MMSE). The independent variables were 2 music stimulus conditions: (1) an iPad-based music therapy song lyric analysis and life review (experimental) condition; and (2) a "live" music therapy song lyric analysis and life review (control) condition. The 2 dependent variables were 2 areas of assessed behavior: (i) level of therapeutic exploration adapted from Hill's Exploration Stages (2007) [1 = no exploration stage (participant was silent or provided an unrelated/confused response); 2 = acceptance (participant indicated that (s)he felt, understood, supported and comfortable); 3 = awareness (participant demonstrated awareness of what was being asked/participant was cognitively aware or emotionally sentient of any problems/current life realities); 4 = expression (participant was actively exploring/expanding upon his/her thoughts or feelings); 5 = beyond exploration stages (participant's response demonstrated that (s)he had surpassed the 4 previous explorations stages)], and (ii) level of on-task and participation behaviors during the music and counseling portions of the intervention.
ISBN: 9781303740817Subjects--Topical Terms:
516178
Music.
The effects of a media-based versus live song lyric analysis life review on levels of therapeutic exploration, on-task and participation of individuals with dementia.
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Source: Dissertation Abstracts International, Volume: 75-06(E), Section: A.
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Adviser: Jayne M. Standley.
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Thesis (Ph.D.)--The Florida State University, 2013.
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The purpose of this dissertation was to examine the effects of a media-based versus live song lyric analysis life review intervention on levels of therapeutic exploration and on-task/ participation behaviors of individuals with mild to moderate dementia. A posttest only two independent group randomized control design with single-session intervention was employed in this study. Participants were 72 older adults (M = 32, F = 40) from a large nursing home community in the South Eastern part of the United States. Gender and dementia severity level were controlled across groups. Measurement of dementia severity level was obtained via the Mini-Mental State Examination (MMSE). The independent variables were 2 music stimulus conditions: (1) an iPad-based music therapy song lyric analysis and life review (experimental) condition; and (2) a "live" music therapy song lyric analysis and life review (control) condition. The 2 dependent variables were 2 areas of assessed behavior: (i) level of therapeutic exploration adapted from Hill's Exploration Stages (2007) [1 = no exploration stage (participant was silent or provided an unrelated/confused response); 2 = acceptance (participant indicated that (s)he felt, understood, supported and comfortable); 3 = awareness (participant demonstrated awareness of what was being asked/participant was cognitively aware or emotionally sentient of any problems/current life realities); 4 = expression (participant was actively exploring/expanding upon his/her thoughts or feelings); 5 = beyond exploration stages (participant's response demonstrated that (s)he had surpassed the 4 previous explorations stages)], and (ii) level of on-task and participation behaviors during the music and counseling portions of the intervention.
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Results of the levels of therapeutic exploration analysis found significant differences in participants' responses based on group (iPad or live), dementia level (mild or moderate), and gender (male or female). A significant interaction for levels of therapeutic exploration was discovered by dementia level and group. No significant interaction was found for the effects of gender by group, or for gender by group by dementia level on participants' levels of therapeutic exploration. Results of the mean exploration stage score analysis found significant differences for the effects of group and dementia level, but not gender. However, there were significant effects for both groups by dementia level, and gender by dementia level, on mean exploration stage scores. No significant difference was found for the effect of gender by group on mean exploration stage scores.
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Results of the levels of on-task/participation analysis discovered that females with mild to moderate dementia from the live group displayed the highest levels of on-task verbalization during music. Results comparing levels of on-task eye gaze among groups during music were also statistically significant. Results comparing levels of on-task verbalization among groups during counseling were statistically significant. Post-hoc analysis demonstrated that levels of on-task verbalization for the mild dementia iPad group ( M = 56.28%) were significantly different from the moderate dementia live group (M = 19.47%, p < .01), as well as the mild dementia live group (M = 33.19%, p < .01).
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The results of this dissertation demonstrate that both the iPad and "live" singing song lyric analysis life review interventions were able to functionally elicit verbal responses from older adults with mild to moderate dementia that reflected the various stages of exploration defined by Hill (2007) via a single session counseling intervention. Both interventions were also able engage older adults' participation during the music and counseling portions of the session. However, between the two, the iPad intervention was more effective. Based on these results, it appears that the iPad-based music therapy and counseling intervention introduced in this study has potential for development into an effective non-pharmacological intervention to cater specifically to the oft-neglected communication and counseling needs of older adults with mild to moderate dementia. (Abstract shortened by UMI.).
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