Home-based music therapy - a systematic overview of settings and conditions for an innovative service in healthcare

<p>Abstract</p> <p>Background</p> <p>Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the therapeutic process and manage the special needs of patients after discharge from hospital. Music therapy has also moved into this field of healthcare service by providing home-based music therapy (HBMT) programs. This article reviews and summarizes the settings and conditions of HBMT for the first time.</p> <p>Methods</p> <p>The following databases were used to find articles on home-based music therapy: AMED, CAIRSS, EMBASE, MEDLINE, PsychINFO, and PSYNDEX. The search terms were "home-based music therapy" and "mobile music therapy". Included articles were analyzed with respect to participants as well as conditions and settings of HBMT. Furthermore, the date of publication, main outcomes, and the design and quality of the studies were investigated.</p> <p>Results</p> <p>A total of 20 international publications, 11 clinical studies and nine reports from practice, mainly from the United States (n = 8), were finally included in the qualitative synthesis. Six studies had a randomized controlled design and included a total of 507 patients. The vast majority of clients of HBMT are elderly patients living at home and people who need hospice and palliative care. Although settings were heterogeneous, music listening programs played a predominant role with the aim to reduce symptoms like depression and pain, or to improve quality of life and the relationship between patients and caregivers as primary endpoints.</p> <p>Conclusions</p> <p>We were able to show that HBMT is an innovative service for future healthcare delivery. It fits with the changing healthcare system and its conditions but also meets the therapeutic needs of the increasing number of elderly and severely impaired people. Apart from music therapists, patients and their families HBMT is also interesting as a blueprint for home based care for other groups of caregivers.</p

Oklahoma City Community Foundation 2016 Annual Report

Oklahoma City Community Foundation Annual Report 201

Technologies to support community-dwelling persons with dementia: a position paper on issues regarding development, usability, effectiveness and cost-effectiveness, deployment, and ethics

Background: With the expected increase in the numbers of persons with dementia, providing timely, adequate, and affordable care and support is challenging. Assistive and health technologies may be a valuable contribution in dementia care, but new challenges may emerge. Objective: The aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research. Methods: Reviews of literature and expert opinions were used in our study. Literature searches were conducted on usability, effectiveness and cost-effectiveness, and ethics using PubMed, Embase, CINAHL, and PsycINFO databases with no time limit. Selection criteria in our selected technology fields were reviews in English for community-dwelling persons with dementia. Regarding deployment issues, searches were done in Health Technology Assessment databases Results: According to our results, persons with dementia want to be included in the development of technologies; there is little research on the usability of assistive technologies; various benefits are reported but are mainly based on low-quality studies; barriers to deployment of technologies in dementia care were identified, and ethical issues were raised by researchers but often not studied. Many challenges remain such as including the target group more often in development, performing more high-quality studies on usability and effectiveness and cost-effectiveness, creating and having access to high-quality datasets on existing technologies to enable adequate deployment of technologies in dementia care, and ensuring that ethical issues are considered an important topic for researchers to include in their evaluation of assistive technologies. Conclusions: Based on these findings, various actions are recommended for development, usability, effectiveness and cost-effectiveness, deployment, and ethics of assistive and health technologies across Europe. These include avoiding replication of technology development that is unhelpful or ineffective and focusing on how technologies succeed in addressing individual needs of persons with dementia. Furthermore, it is suggested to include these recommendations in national and international calls for funding and assistive technology research programs. Finally, practitioners, policy makers, care insurers, and care providers should work together with technology enterprises and researchers to prepare strategies for the implementation of assistive technologies in different care settings. This may help future generations of persons with dementia to utilize available and affordable technologies and, ultimately, to benefit from them

Studies on Inequalities in Information Society. Proceedings of the Conference, Well-Being in the Information Society

Siirretty Doriast

Seeing the wood for the trees. Carer related research and knowledge: A scoping review

This NIHR-SSCR funded scoping review provides a comprehensive mapping of what is known about carers and caring, and aims to help inform policy, practice and research in relation to carers. The review was undertaken by searching 10 electronic bibliographic databases, supplemented by additional web searches to identify academic research, grey literature and wider knowledge. The analysis adopts a selective thematic approach covering: carer variables - the characteristics of different types of carer and different caring situations; types of care - the nature of needs of the cared for person and the features of the care situation; the impact of caring – resilience and coping, employment and health; and carer support and needs assessment. The final section highlights key messages identified from the review. It found that caring involves all sections and age groups of the population, with people are likely to experience one or more periods of caregiving over their lifetime. The uniqueness of each caring relationship is also highlighted. In relation to types of carers, knowledge about ‘hard to reach’ groups, such as BAME and LGBT carers, remains sparse. Older carers are also relatively invisible in policy and research terms. It found that much of the knowledge about carers identified in the review relates to their characteristics, their lived experience and the nature of their caregiving, with relatively less being known about the effectiveness of interventions to support them. The report concludes by offering suggestions for policy and practice. An appendix provides a bibliography of the 3,434 items identified in review, classified into 17 types of reference

Multimodal Technologies in Precision Education: Providing New Opportunities or Adding More Challenges?

Personalized or precision education (PE) considers the integration of multimodal technologies to tailor individuals’ learning experiences based on their preferences and needs. To identify the impact that emerging multimodal technologies have on personalized education, we reviewed recent implementations and applications of systems (e.g., MOOCs, serious games, artificial intelligence, learning management systems, mobile applications, augmented/virtual reality, classroom technologies) that integrate such features. Our findings revealed that PE techniques could leverage the instructional potential of educational platforms and tools by facilitating students’ knowledge acquisition and skill development. The added value of PE is also extended beyond the online digital learning context, as positive outcomes were also identified in blended/face-to-face learning scenarios, with multiple connections being discussed between the impact of PE on student efficacy, achievement, and well-being. In line with the recommendations and suggestions that supporters of PE make, we provide implications for research and practice as well as ground for policy formulation and reformation on how multimodal technologies can be integrated into the educational context.</p

Columbia Chronicle (03/19/2012)

Student newspaper from March 19, 2012 entitled The Columbia Chronicle. This issue is 44 pages and is listed as Volume 47, Number 25. Cover story: Love reinstates chairs Editor-in-Chief: Brianna Wellenhttps://digitalcommons.colum.edu/cadc_chronicle/1846/thumbnail.jp

A Comparative Analysis of the Mechanisms of Social Inclusion for Hard of Hearing People in Germany and in the Russian Federation

Inklusion von Menschen mit Behinderungen ist zu einem der vordringlichen Ziele der Sozialpolitik der Europäischen Union und in der Russischen Föderation geworden, u. a. aufgrund der zunehmenden Zahl von Ländern, die die UN-BRK1 ratifizierten, sowie Herausforderungen wegen, die eine "alternde" Gesellschaft verursacht. Jedoch werden Menschen mit Hörbehinderung und deren spezielle Bedürfnisse im Vergleich zu anderen, eher sichtbaren Behinderungen, oft übersehen. Das zentrale Anliegen der vorliegenden Untersuchung ist es, die Mechanismen und Ergebnisse der sozialen Inklusion schwerhöriger Menschen in Russland und Deutschland näher zu betrachten und zu vergleichen, sowie mit empirisch belegten Befunden zur Forschung über schwerhörige Personen beizutragen. Der Forschungstand hierzu ist in den Disability Studies noch sehr lückenhaft. Eine Analyse der Sozial- und Behindertenpolitik in beiden Ländern sowie ein Vergleich der rechtlichen und institutionellen Maßnahmen als auch der Chancen bildet den Rahmen für eine empirische Analyse (Fragebogen, Interviews mit schwerhörigen Personen, NGOs und Experten). Die Einschätzung der politischen Maßnahmen und der Infrastrukturen folgt den konzeptionellen und normativen Bewertungsmaßstäben der Disability Studies. Die vergleichende Analyse konzentriert sich auf den Zugang schwerhöriger Menschen zu Bildung und Arbeitsmarkt, zu Wiedereingliederung, Information und Kommunikation – Bereiche welche für Inklusion und Teilhabe entscheidend sind. Die empirischen Erhebungen enthalten explorative, nicht-repräsentative Fragebögen-Untersuchungen unter a) 190 jungen Befragten, 18-35 Jahre alt (davon 136 aus Deutschland; 150 aus Russland) b) 110 älteren Befragten, 65 bzw. 60 Jahre alt — abhängig vom betreffenden Land — und älter (43 aus Deutschland; 67 aus Russland) und Experten-Interviews mit Schlüsselpersonen zum Thema (Forscher, politische Entscheidungsträger, medizinische und pädagogische Experten, schwerhörige NGO-Aktivisten); darüber hinaus Leitfaden-Interviews mit schwerhörigen Personen (11 in Deutschland, 16 in Russland). Übereinstimmungen und Abweichungen in den nationalen politischen Richtlinien werden diskutiert, Beispiele von positiven Praktiken in medizinischer, ausbildungsbezogener und beruflicher Rehabilitation und potentielle politische Maßnahmen werden vorgeschlagen.Inclusion of people with disabilities has become one of the priorities of the social policy in the European Union and in the Russian Federation, in part, in connection with the increasing ratification of the UN CRPD worldwide and problems induced by the “ageing” society. However, people with hearing loss and their specific needs are often overlooked in comparison with more visible disabilities. The main purpose of this study is to look into and compare the mechanisms and results of social inclusion of hard of hearing people (HoH) in Russia and Germany and to contribute with empirically grounded findings to the research on hard of hearing people of which there is a lack in the disability research field. An analysis of the social and disability related policies in both countries and a comparison of the legal and institutional arrangements and opportunities provides the framework for the empirical analysis (questionnaire, interviews with HoH persons, NGOs and with experts). The appraisal of the policies and infrastructures is following the conceptual and normative benchmarks of the Disability studies. The comparative analysis is focused on access of HoH people to education and employment, to rehabilitation, information and communication – the fields critical to inclusion and participation. The empirical research comprises an explorative non-representative questionnaire survey with a) 190 young respondents aged 18-35 years (136 from Germany, 150 from Russia) b) 110 elderly respondents (65 or 60 years old and older; 43 from Germany, 67 from Russia), and expert interviews with the key persons in the field (researchers, political decision-makers, medical and educational professionals, hard of hearing NGO activists); furthermore, guided interviews with HoH people (N=11 in Germany, N=16 in Russia) were conducted. Commonalities and discrepancies in the national policy directions are discussed, examples of positive practices in medical, educational and professional rehabilitation and potential policy measures are suggested