Accessibility of music experiences for individuals with age-related hearing loss

Wilhelm, Lindsey

doi:10.17077/etd.cskpu19x

Cited by 4 publications

(2 citation statements)

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“…Music and speech also interact through song lyrics (Collister and Huron, 2008). Hearing device users have particular difficulty understanding song lyrics if the SNR between sung lyrics and background accompaniment is too low (Gfeller et al, 2009; Wilhelm, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…Music is commonly paired with speech through song lyrics or as background to spoken conversations in social settings (Gfeller et al, 2009, 2012); on-going changes occur in the focus and function of the music (Sloboda, 2010). In some instances, the listener attempts to understand sung lyrics against a background accompaniment (Gfeller et al, 2009; Wilhelm, 2016). Sometimes music is ambient background sound; the listener’s primary task is to extract the conversation (Gfeller et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

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Adult Cochlear Implant Recipients’ Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon

2019

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BackgroundCochlear implants (CIs), which have been designed primarily to support spoken communication of persons with severe to profound hearing loss, are highly effective in supporting speech perception in quiet listening conditions. CI users as a group achieve significantly poorer perception and appraisal of music, and speech perception is compromised when background music is present, though outcomes vary considerably across recipients. A number of factors have been identified that contribute to variable music listening experiences, but many questions remain, particularly regarding experiences in everyday life from the perspective of CI users.PurposeThe purpose of this study was twofold: The first aim was to explore the perspectives of adult CI recipients regarding two experiences with music in everyday life: purposeful music listening and background music that competes with spoken conversation. The second aim was to develop a framework of everyday music experiences based upon CI perspectives that could inform future rehabilitative practices and research initiatives.MethodsQualitative and patient-engaged research methodologies were used to emphasize the perspectives of the CI users. Participants included 40 experienced adult CI users ranging in age from 19 to 81 enrolled in 13 CI centers. Participants completed on-line semi-structured open-ended questionnaires regarding purposeful music listening and background music in conjunction with spoken communication. Responses were analyzed using an iterative inductive coding process consistent with grounded theory methodology. The interrelated themes that emerged from the data were then organized into a model synthesizing components from models on music response and self-management for persons with chronic health conditions.OutcomesData analyses informed the development of a Dynamic Problem Solving Model for Management of Music Listening Environments adapted from Hill-Briggs (2003) Problem Solving Model of Chronic Illness Self-Management. Key findings were: (1) Music listening is a dynamic, multifaceted experience; satisfactory listening depended upon optimal combinations of factors; (2) Music listening is effortful, but the extent of satisfaction is influenced by expectations and self-management of the situation; (3) CI users have limited access to resources for optimizing music experiences. Many CI users would consider rehabilitation, but level of commitment and priorities differ across CI users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Adult Cochlear Implant Recipients’ Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon

2019

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Music Therapy Increases Social and Emotional Well-Being in Persons With Dementia: A Randomized Clinical Crossover Trial Comparing Singing to Verbal Discussion

Reschke-Hernández

Gfeller

Oleson

et al. 2023

Journal of Music Therapy

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The number of people living with Alzheimer’s disease and related dementias (ADRD) is growing proportional to our aging population. Although music-based interventions may offer meaningful support to these individuals, most music therapy research lacks well-matched comparison conditions and specific intervention focus, which limits evaluation of intervention effectiveness and possible mechanisms. Here, we report a randomized clinical crossover trial in which we examined the impact of a singing-based music therapy intervention on feelings, emotions, and social engagement in 32 care facility residents with ADRD (aged 65–97 years), relative to an analogous nonmusic condition (verbal discussion). Both conditions were informed by the Clinical Practice Model for Persons with Dementia and occurred in a small group format, three times per week for two weeks (six 25-minute sessions), with a two-week washout at crossover. We followed National Institutes of Health Behavior Change Consortium strategies to enhance methodological rigor. We predicted that music therapy would improve feelings, positive emotions, and social engagement, significantly more so than the comparison condition. We used a linear mixed model approach to analysis. In support of our hypotheses, the music therapy intervention yielded significant positive effects on feelings, emotions, and social engagement, particularly for those with moderate dementia. Our study contributes empirical support for the use of music therapy to improve psychosocial well-being in this population. Results also highlight the importance of considering patient characteristics in intervention design and offer practical implications for music selection and implementation within interventions for persons with ADRD.

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The Clinical Practice Model for Persons with Dementia: Application to Music Therapy

Reschke-Hernández

2021

Music Therapy Perspectives

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Currently, no drug can cure or effectively mitigate symptoms for the growing number of individuals who live with Alzheimer’s disease and related dementias. As they experience declines in memory, communication, and thinking—symptoms that undermine social initiative, autonomy, and well-being—these individuals become increasingly dependent on others. Evidence regarding the benefits of music therapy for persons with dementia is growing. Nonetheless, limitations in existing research have hindered knowledge regarding the use and appropriate application of music as a form of treatment with this population. This article describes the development of The Clinical Practice Model for Persons with Dementia, which provides a theoretical framework to inform evidence-based practice, illustrated here in application to music therapy. Specifically, the model is intended to prompt purposeful application of strategies documented within a broad literature base within 6 thematic areas (Cognition, Attention, Familiarity, Audibility, Structure, and Autonomy); facilitate clinical decision-making and intervention development, including music interventions; and encourage discourse regarding relationships between characteristics of the intervention, the therapist, the person with dementia, and their response to intervention. The model comprises a set of testable assumptions to provide direction for future research and to facilitate the description and investigation of mechanisms underlying behavioral interventions with this population. Although the model is likely to evolve as knowledge is gained, it offers a foundation for holistically considering an individual’s needs and strengths, guidance for applying music and nonmusic strategies in evidence-based practice, and direction for future research.

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Accessibility of music experiences for individuals with age-related hearing loss

Cited by 4 publications

References 0 publications

Adult Cochlear Implant Recipients’ Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon

Adult Cochlear Implant Recipients’ Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon

Music Therapy Increases Social and Emotional Well-Being in Persons With Dementia: A Randomized Clinical Crossover Trial Comparing Singing to Verbal Discussion

The Clinical Practice Model for Persons with Dementia: Application to Music Therapy

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