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Music Therapy Interventions for Resi...

Zambonini, Juan Pedro,

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Music Therapy Interventions for Resilience and Hope in Adolescents With Psychiatric Emergencies: A Non-Randomized Feasibility Trial = = Intervenciones Musicoterapeuticas para la Resiliencia y la Esperanza en Adolescentes con Emergencias Psiquiatricas: una Prueba de Factibilidad no Randomizada /

Record Type:	Electronic resources : Monograph/item
Title/Author:	Music Therapy Interventions for Resilience and Hope in Adolescents With Psychiatric Emergencies: A Non-Randomized Feasibility Trial =/ Juan Pedro Zambonini.
Reminder of title:	Intervenciones Musicoterapeuticas para la Resiliencia y la Esperanza en Adolescentes con Emergencias Psiquiatricas: una Prueba de Factibilidad no Randomizada /
Author:	Zambonini, Juan Pedro,
Description:	1 electronic resource (205 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 86-03, Section: B.
Contained By:	Dissertations Abstracts International86-03B.
Subject:	Health sciences. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=31301190
ISBN:	9798384069652

Music Therapy Interventions for Resilience and Hope in Adolescents With Psychiatric Emergencies: A Non-Randomized Feasibility Trial = = Intervenciones Musicoterapeuticas para la Resiliencia y la Esperanza en Adolescentes con Emergencias Psiquiatricas: una Prueba de Factibilidad no Randomizada /
Zambonini, Juan Pedro,

Music Therapy Interventions for Resilience and Hope in Adolescents With Psychiatric Emergencies: A Non-Randomized Feasibility Trial =Intervenciones Musicoterapeuticas para la Resiliencia y la Esperanza en Adolescentes con Emergencias Psiquiatricas: una Prueba de Factibilidad no Randomizada /Juan Pedro Zambonini. - 1 electronic resource (205 pages)

Source: Dissertations Abstracts International, Volume: 86-03, Section: B.

This study assessed the feasibility of a music therapy intervention protocol for adolescents in an Emergency Department Extended Care Unit (EDECU) of the Children's Hospital of Philadelphia. This theory-based protocol was designed using the theories of resilience and hope. The study (N=14) was implemented in two phases (Phase 1 n=4; Phase 2 n=10). Data was collected using semi-structured interviews with participants, review of Electronic Medical Record (EMR) notes, descriptive statistics and statistical analyses for stress, Heart Rate Variability. The intervention protocol demonstrated a high degree of feasibility and acceptability. Participants found it engaging, helpful, with minimal burden, and in alignment with their values. Additionally, the protocol was deemed ethical, and participants understood its value. Limited efficacy results revealed statistically significant reductions in stress and improvements in hope. While resilience did not achieve a statistically significant effect, elements of resilience such as competence, connection, character, contribution, coping, and control were highlighted in participants' experiences as plausible mediating pathways for its effect. The emphasis of the protocol on dignity and autonomy aligned with person-centered approaches to healthcare. The protocol was found to be implementable, with high participant responsiveness and study completion rates. Preliminary evidence indicated that stress reduction and increased hope could be achieved in two sessions. The findings also emphasized choice control and witnessing as essential components for meaningful therapeutic engagement. Additional constructs to explain the feasibility of the protocol included the concept of self-worth promoted by nurturing the participant's life drive and safely closing the cycle between emotional awareness and self-expression for adolescents experiencing psychiatric emergencies.

English

ISBN: 9798384069652Subjects--Topical Terms:

3168359
Health sciences.
Subjects--Index Terms:

Dignity-based approaches

Music Therapy Interventions for Resilience and Hope in Adolescents With Psychiatric Emergencies: A Non-Randomized Feasibility Trial = = Intervenciones Musicoterapeuticas para la Resiliencia y la Esperanza en Adolescentes con Emergencias Psiquiatricas: una Prueba de Factibilidad no Randomizada /
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520 $a This study assessed the feasibility of a music therapy intervention protocol for adolescents in an Emergency Department Extended Care Unit (EDECU) of the Children's Hospital of Philadelphia. This theory-based protocol was designed using the theories of resilience and hope. The study (N=14) was implemented in two phases (Phase 1 n=4; Phase 2 n=10). Data was collected using semi-structured interviews with participants, review of Electronic Medical Record (EMR) notes, descriptive statistics and statistical analyses for stress, Heart Rate Variability. The intervention protocol demonstrated a high degree of feasibility and acceptability. Participants found it engaging, helpful, with minimal burden, and in alignment with their values. Additionally, the protocol was deemed ethical, and participants understood its value. Limited efficacy results revealed statistically significant reductions in stress and improvements in hope. While resilience did not achieve a statistically significant effect, elements of resilience such as competence, connection, character, contribution, coping, and control were highlighted in participants' experiences as plausible mediating pathways for its effect. The emphasis of the protocol on dignity and autonomy aligned with person-centered approaches to healthcare. The protocol was found to be implementable, with high participant responsiveness and study completion rates. Preliminary evidence indicated that stress reduction and increased hope could be achieved in two sessions. The findings also emphasized choice control and witnessing as essential components for meaningful therapeutic engagement. Additional constructs to explain the feasibility of the protocol included the concept of self-worth promoted by nurturing the participant's life drive and safely closing the cycle between emotional awareness and self-expression for adolescents experiencing psychiatric emergencies.
520 $a Este estudio evaluo la factibilidad de un protocolo de intervencion musicoterapeutica para adolescentes que asisten a la Unidad de Cuidados Extendidos del Departamento de Emergencias (EDECU) del Hospital de Ninos de Filadelfia. Este protocolo se diseno utilizando las teorias de la resiliencia y la esperanza. El estudio (n=14) se implemento en dos fases (Fase 1 n=4; Fase 2 n=10). Los datos se recolectaron mediante entrevistas semiestructuradas con los participantes, revision de los informes de las historias clinicas, estadisticas descriptivas y analisis parametrico y no parametrico del estres y la variabilidad de la frecuencia cardiaca (HRV). El protocolo de intervencion demostro un alto grado de factibilidad y aceptabilidad. Los participantes lo consideraron atractivo, util, con una carga minima y acorde con sus valores. Ademas, el protocolo cumplio con los requerimientos eticos y los participantes comprendieron su valor. Los resultados de eficacia limitada revelaron reducciones estadisticamente significativas del estres y mejoras en la esperanza. Aunque la resiliencia no alcanzo un efecto estadisticamente significativo, los elementos de resiliencia como la competencia, la conexion, el caracter, el sentido contribucion, los mecanismos de afrontamiento y el control se destacaron en la experiencia de los participantes como una posible via para alcanzar los objetivos de la intervencion. El protocolo hizo hincapie en la dignidad y la autonomia como constructos alineados con los enfoques de la atencion centrada en el sujeto. Se comprobo que el protocolo se podia aplicar y se hallo una alta receptividad por parte de los participantes al igual que en las tasas de finalizacion del estudio. Las pruebas preliminares indicaron que la reduccion del estres y el aumento de la esperanza podian lograrse en dos sesiones. Los resultados tambien destacaron el control y la posibilidad de ser presenciados en su devenir por un Otro como componentes esenciales para un compromiso terapeutico significativo. Otros constructos que explican la factibilidad del protocolo incluyen el concepto de autoestima promovido por el fomento de la pulsion de vida de los participantes y el cierre del ciclo entre la conciencia emocional y la autoexpresion para los adolescentes que enfrentan emergencias psiquiatricas.
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