Cole Lauren Patricia, Henechowicz Tara Lynn, Kang Kyurim, Pranjić Marija, Richard Nicole Marie, Tian Gloria L J, Hurt-Thaut Corene
Music and Health Science Research Collaboratory, Faculty of Music, University of Toronto, Toronto, ON, Canada.
Front Neurosci. 2021 Apr 8;15:648489. doi: 10.3389/fnins.2021.648489. eCollection 2021.
This cross-sectional survey investigated the transition of Neurologic Music Therapy (NMT) services from in-person (pre-COVID-19) to telehealth (since COVID-19) to (1) determine whether the use of an NMT paradigm contributes to the successful transition of therapy services to telehealth, (2) identify which NMT domains and techniques are transferable from in-person to telehealth, (3) identify whether there are differences in the transition of NMT services across different employment settings, and (4) evaluate the potential benefits and challenges of telehealth NMT. An online survey comprised of 49 closed and open-ended questions was distributed by the Academy of Neurologic Music Therapy to 2,778 NMT affiliates worldwide. The survey sought information on demographics, telehealth perceptions, technology, assessment, clinical practice, safety, and caregiver involvement. Quantitative and qualitative analyses were applied. Eighty-one participants answered the survey and the 69 who completed the survey in its entirety were included in the analysis. Results indicated that the frequency of NMT technique usage had no impact on the overall number of clinical hours retained over telehealth. Correlation analysis revealed an association between more frequent NMT usage and perceived likelihood of using telehealth in the future (i.e., once COVID-19 is no longer a major threat), as well as with fewer group sessions lost over telehealth. All NMT domains transferred to telehealth, although within the sensorimotor domain, fewer therapists implemented rhythmic auditory stimulation for telehealth sessions compared to in-person. Overall, NMTs had fewer hours for telehealth compared to in-person regardless of employment setting. Technological challenges were notable drawbacks, while major benefits included the ability to continue providing NMT when in-person sessions were not possible, increased accessibility for remote clients, and positive outcomes related to increased caregiver involvement. Based on the results, our recommendations for implementing telehealth in Neurologic Music Therapy include integrating telehealth into routine care, mitigating safety concerns, identifying those who could benefit most from remote delivery, involving caregivers, and developing/sharing resources for telehealth NMT.
这项横断面调查研究了神经音乐疗法（NMT）服务从面对面（新冠疫情前）到远程医疗（自新冠疫情以来）的转变，以（1）确定使用NMT范式是否有助于治疗服务成功过渡到远程医疗，（2）确定哪些NMT领域和技术可从面对面治疗转移到远程医疗，（3）确定不同就业环境下NMT服务的转变是否存在差异，以及（4）评估远程医疗NMT的潜在益处和挑战。神经音乐疗法学会向全球2778名NMT附属机构分发了一份由49个封闭式和开放式问题组成的在线调查问卷。该调查旨在收集有关人口统计学、对远程医疗的看法、技术、评估、临床实践、安全性以及护理人员参与情况的信息。采用了定量和定性分析方法。81名参与者回答了调查问卷，其中69名完整完成调查问卷的参与者被纳入分析。结果表明，NMT技术的使用频率对通过远程医疗保留的临床总时长没有影响。相关性分析显示，更频繁地使用NMT与未来使用远程医疗的感知可能性（即一旦新冠疫情不再构成重大威胁）以及通过远程医疗减少的团体治疗课程数量之间存在关联。所有NMT领域都转移到了远程医疗中，尽管在感觉运动领域内，与面对面治疗相比，为远程医疗课程实施节奏听觉刺激的治疗师较少。总体而言，无论就业环境如何，与面对面治疗相比，NMT用于远程医疗的时长较少。技术挑战是明显的缺点，而主要益处包括在无法进行面对面治疗时能够继续提供NMT、增加远程客户的可及性以及与护理人员参与度提高相关的积极结果。基于这些结果，我们对在神经音乐疗法中实施远程医疗的建议包括将远程医疗纳入常规护理、减轻安全担忧、确定那些最能从远程服务中受益的人群、让护理人员参与以及开发/共享远程医疗NMT资源。
