Music and Health Science Research Collaboratory, University of Toronto, Toronto, ON, Canada.
School of Music, Belmont University, Nashville, TN, USA.
J Music Ther. 2024 May 16;61(2):168-192. doi: 10.1093/jmt/thad029.
The 2019 coronavirus disease pandemic influenced music therapists to migrate services to online platforms, though some lost clinical hours during the pandemic when telehealth was not a viable option. This survey study aimed to ascertain factors that helped music-based therapists to continue serving autistic clients over telehealth during the pandemic. We surveyed 193 accredited music therapists located mainly in Canada and the US. In addition to gathering data on general perceptions of telehealth music therapy and Neurologic Music Therapy (NMT), one-way ANOVAs were applied to determine differences in percent-change loss of clinical hours for music therapists: (1) working in different employment settings; (2) serving children, youth, adults, or a mixture of ages; and (3) practicing NMT or not. The general perception of telehealth music therapy was positive, and NMTs believed that the clear protocols and transformation design model were helpful to them in adapting services to telehealth. There were no significant differences in percent-change of clinical hours among music therapists in different employment settings or serving different client age groups. Music therapists who said they practiced within the NMT treatment model lost a significantly lower percentage of clinical hours with autistic clients than those who did not practice NMT. Possible reasons for this result and the need for further research are discussed.
2019 年冠状病毒病大流行促使音乐治疗师将服务转移到在线平台上，尽管在远程医疗不可行的情况下，他们在大流行期间失去了一些临床工作时间。这项调查研究旨在确定帮助音乐治疗师在大流行期间通过远程医疗继续为自闭症患者提供服务的因素。我们调查了主要位于加拿大和美国的 193 名认证音乐治疗师。除了收集关于远程医疗音乐治疗和神经音乐治疗（NMT）的一般看法的数据外，我们还应用单向方差分析来确定音乐治疗师临床工作时间损失百分比的变化差异：（1）在不同的就业环境中工作；（2）服务于儿童、青少年、成年人或混合年龄段；（3）是否实践 NMT。对远程医疗音乐治疗的普遍看法是积极的，而 NMT 认为，明确的协议和转换设计模型有助于他们将服务适应远程医疗。在不同的就业环境或服务不同年龄组的客户的音乐治疗师中，临床工作时间损失的百分比没有显著差异。与不实践 NMT 的音乐治疗师相比，那些表示自己在 NMT 治疗模式内实践的音乐治疗师与自闭症患者一起失去的临床工作时间百分比明显较低。讨论了这种结果的可能原因和进一步研究的必要性。
