Author : Olivia Swedberg Yinger
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (859 download)
Book Synopsis Music Therapy as Procedural Support for Young Children Undergoing Immunizations by : Olivia Swedberg Yinger
Download or read book Music Therapy as Procedural Support for Young Children Undergoing Immunizations written by Olivia Swedberg Yinger and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: ABSTRACT: Children undergoing medical procedures frequently experience severe distress, which may be ameliorated through procedural support music therapy. Parent and nurse behaviors have been noted to influence child behaviors during medical procedures, yet no prior studies were found which examined the impact of procedural support music therapy on caregiver behaviors. The purpose of the present study was to examine the effects of a live, cognitive-behavioral music therapy intervention on the distress and coping behaviors of young children undergoing immunization, as well as the behaviors of parents and nurses. Participants were children between the ages of 48 and 72 months (N = 58) who underwent immunizations, as well as their parents and the nurses who administered the immunizations. Each parent completed a demographic inventory describing their child's previous medical experiences. The researcher classified children as “high distress” or “low distress” based on parents' responses to the demographic inventory. Parent/child dyads were then randomly assigned to receive music therapy (n = 29) or standard care (n = 29) during their immunization, with an equal number of high distress (n = 10) and low distress (n = 19) children assigned to each condition. Afterward, each parent rated their child's distress compared to previous medical experiences and rated the level of pain their child experienced on a scale from 0 to 10. All procedures were videotaped. Research assistants created transcripts from the videotapes of procedures. Trained observers watched the videos and labeled each child and adult behavior using the categories of the Child-Adult Medical Procedure Interaction Scale-Revised (CAMPIS-R). Child behaviors were classified as coping, distress, or neutral. Parent and nurse behaviors were classified as coping-promoting, distress-promoting, or neutral. Rates and proportions of child and adult behaviors were calculated. A series of Mann Whitney U tests revealed that, compared to children in the control group, children in the music therapy group showed significantly higher rates and proportions of coping behaviors during the preparation phase of the immunization (prior to the first needle injection) and during the procedure phase, p