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为自闭症谱系障碍患者提供的音乐治疗服务:临床实践与培训需求调查

Music therapy services for individuals with autism spectrum disorder: a survey of clinical practices and training needs.

作者信息

Kern Petra, Rivera Nicole R, Chandler Alie, Humpal Marcia

机构信息

Music Therapy Consulting, Santa Barbara, CA, Marylhurst University, Portland, OR, University of Louisville, KY.

North Central College, Naperville, IL.

出版信息

J Music Ther. 2013 Winter;50(4):274-303. doi: 10.1093/jmt/50.4.274. Epub 2013 Dec 1.

Abstract

BACKGROUND

Over the past decade, the definitions, diagnoses, prevalence rates, theories about the causes, evidence-based treatment options, and practice guidelines pertaining to Autism Spectrum Disorder (ASD) have undergone numerous changes. While several recent studies evaluate the effects of music therapy interventions for individuals with ASD, no current review reflects the latest music therapy practices and trends.

OBJECTIVES

The purpose of this study was to evaluate the status of music therapy practices for serving clients with ASD, the implementation of national ASD standards and guidelines, the awareness of recent developments, and training needs of music therapists.

METHOD

Professional members of the American Music Therapy Association who are working with individuals with ASD served as the sample for this national cross-sectional survey study (N = 328). A 45-item online questionnaire was designed and distributed through email and social media. Participants accessed the online survey through SurveyMonkey®.

RESULTS

Findings suggest music therapy practices and services for individuals with ASD have shifted and now reflect a slightly higher percentage of caseload, a broader age range of clients, and a trend to serve clients in home and community settings. Most therapeutic processes align with recommended practices for ASD and incorporate several of the recognized evidence-based practices. Less understood or recognized are inclusion practices and latest developments in the field of ASD.

CONCLUSIONS

Music therapists have a solid understanding of providing services for individuals with ASD, but would benefit from advanced online training and improved information dissemination to stay current with the rapidly changing aspects pertinent to this population.

摘要

背景

在过去十年中,自闭症谱系障碍(ASD)的定义、诊断、患病率、病因理论、循证治疗方案以及实践指南都经历了诸多变化。虽然最近有几项研究评估了音乐治疗干预对ASD患者的影响,但目前尚无综述反映最新的音乐治疗实践和趋势。

目的

本研究旨在评估为ASD患者提供服务的音乐治疗实践状况、国家ASD标准和指南的实施情况、对最新进展的认知以及音乐治疗师的培训需求。

方法

以与ASD患者合作的美国音乐治疗协会专业会员作为这项全国横断面调查研究的样本(N = 328)。设计了一份包含45个条目的在线问卷,并通过电子邮件和社交媒体进行分发。参与者通过SurveyMonkey®访问在线调查。

结果

研究结果表明,针对ASD患者的音乐治疗实践和服务已经发生了转变,现在反映出病例量的百分比略有上升、服务对象的年龄范围更广,以及在家庭和社区环境中为患者提供服务的趋势。大多数治疗过程与ASD的推荐实践相一致,并纳入了一些公认的循证实践。对ASD领域的融合实践和最新进展的理解或认知较少。

结论

音乐治疗师对为ASD患者提供服务有扎实的理解,但将受益于先进的在线培训和改进的信息传播,以跟上与该人群相关的快速变化的方面。

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