智力障碍者积极音乐制作和休活动:一个集群随机试点研究
Gerianne J J Smeets1, Karin M Volkers1, Erik J A Scherder2
1Philadelphia Care Foundation, PO box 1255, 3800 BG Amersfoort, the Netherlands.
Research in developmental disabilities
|October 12, 2023
概括
休活动干预措施有望改善智力障碍 (ID) 成人的内化行为和抑制控制. 在这项试点研究中,音乐干预并没有产生同样的显著结果.
科学领域:
- 心理学 心理学 心理学
- 神经科学是一个神经科学.
- 康复科学 康复科学 康复科学
背景情况:
- 包括音乐在内的休活动与智力障碍 (ID) 患者的福祉和社会技能有所改善有关.
- 以前的研究表明,积极的音乐制作对一般人群的自尊和执行功能有积极的影响.
- 音乐和休活动干预对ID成年人的执行功能和行为所带来的具体益处需要进一步调查.
研究的目的:
- 评估音乐和休活动对智障成年人的福祉,自尊,社会接受,具有挑战性的行为和执行功能的影响.
- 为了比较音乐小组干预与休活动小组干预的有效性.
- 评估抑制控制,认知灵活性和视觉工作记忆的变化.
主要方法:
- 一个试点集群随机对照试验涉及29名在住所设施中居住的ID成年人.
- 参与者被随机分配到音乐组干预或休活动组干预中.
- 干预包括16个每周一小时的会议,在基线,干预后和11周后续使用线性混合模型进行评估.
主要成果:
- 休活动小组干预显示,与音乐小组干预干预后立即进行的干预相比,在内化行为和抑制控制方面取得了更大的改善.
- 休活动的这些积极影响在实施干预的两个设施中,只有在一个设施中显著.
- 对于其他测量结果,如福祉,自尊,社会接受或其他执行功能组件,没有观察到显著差异.
结论:
- 休活动小组干预似乎是一个有希望的方法来增强内化行为和抑制控制在轻度ID的年轻成年人.
- 这些发现表明,定制的休活动可能比音乐干预更有效,在这个人群中改善特定的认知和行为.
- 为优化音乐干预和为ID成年人提供休活动小组干预提供了建议.
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