Creative Forces-NEA Military Healing Arts Network, National Endowment for the Arts, Washington, DC, USA.
Physical Medicine and Rehabilitation, Malcom Randall VA Hospital, Gainesville, FL, USA.
Disabil Rehabil Assist Technol. 2022 Feb;17(2):201-210. doi: 10.1080/17483107.2020.1775312. Epub 2020 Jul 1.
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 Défense 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.
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 Forces®, an initiative of the National Endowment for the Arts.
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.
Knowledge gaps and evolving models of creative arts therapies telehealth for military-connected populations are elucidated, with emphasis on clinical and ethical considerations.IMPLICATIONS FOR REHABILITATIONMusic 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.
远程医疗为那些难以获得面对面行为健康和/或康复治疗的人群提供心理治疗干预和心理教育。美国国防部和退伍军人健康管理局使用远程医疗为现役军人、退伍军人及其符合条件的家属提供初级保健、药物管理以及包括物理治疗、职业治疗和言语治疗在内的服务。虽然创意艺术疗法已纳入远程医疗项目，但现有证据基础主要集中在艺术治疗和舞蹈/运动治疗上，音乐治疗的信息相对较少。
通过介绍三个案例示例，讨论了音乐治疗远程医疗的教学和应用音乐体验、临床、伦理和技术考虑因素以及研究，以填补这一空白。这些项目突出了与军人相关的人群在临床和社区参与的连续体中使用音乐治疗远程医疗：1）马萨诸塞州波士顿的伯克利音乐学院与乌干达利拉的 Acoke 农村发展倡议之间的合作；2）加利福尼亚州圣地亚哥的 Semper Sound Cyber Health 计划；3）将音乐治疗远程医疗整合到国家艺术基金会的创意力量倡议中。
这些示例表明，参与者通过远程医疗对音乐治疗和社区音乐参与表现出积极的反应，并报告疼痛、焦虑和抑郁减轻；他们表示远程医疗不会阻碍他们继续进行音乐参与，要求继续进行音乐治疗远程治疗，并向他们的同龄人推荐这种治疗方式。
阐明了与军人相关的人群的创意艺术疗法远程医疗的知识差距和不断发展的模式，重点是临床和伦理考虑。
音乐治疗干预可以成功适应远程促进。音乐治疗远程医疗得到了参与者的积极响应，包括疼痛、焦虑和抑郁的减轻。远程医疗促进因素不会阻碍他们继续进行音乐参与。通过数字平台远程传递音乐可以支持参与者在诊所到社区的连续体上。
