Social Networks in Music

To support their practice during their acquisition of expertise, musicians need to be part of a collective. Adopting a social network approach, a collective can be defined a social network consisting of network actors and relational ties (e.g., support for practice). Because the composition of and the support provided by network actors changes across time, research in music could benefit from a social network approach to identify the relevant network actors, their support for music practice, and changes in these networks. This dissertation focuses on popular music and provides insights into how music practice and the development of expertise is supported by network actors in a rather informal practice setting. The overall aim of this dissertation was to examine how social networks supported the practice of popular musicians during their acquisition of expertise. Therefore, three research questions were addressed: 1) How are networks that support the practice of popular musicians during different developmental phases of expertise composed? 2) How do network actors of popular musicians provide support for practice during different phases of expertise development? 3) How do networks supporting the practice of popular musicians change between different phases of expertise development? Three studies, subsequently published in peer-reviewed journals, were conducted to address these aims. Study 1 investigated differences in the composition of social network actors and how network actors supported the deliberate practice of expert and intermediate popular musicians during different phases of expertise development. Study 2 focussed more generally on the support by “persons in the shadow” (defined as peers, parents, and teachers) of expert, intermediate and amateur guitarists performing popular music. Study 3 investigated how networks of experts and intermediate popular musicians changed across different phases of expertise development. The results of the three studies revealed that band members and instrumental teachers were the main supporters of musicians’ (deliberate) practice during the acquisition of expertise. This extends prior research on deliberate practice by acknowledging that not only teachers, but also other network actors are supportive during the development of expertise in popular music. It was also found that the networks of expert popular musicians changed more between different timespans. In addition, in comparison to intermediate musicians, experts had more network actors available to support the different aspects of deliberate practice. Finally, this dissertation suggests directions for future research on expertise development, deliberate practice, and social networks in music and other domains

Data collection for mixed method approaches in social network analysis

The aim of this chapter is to support researchers with their data collection and to provide an overview of how mixed method approaches can be applied in social network analysis. This topic is seldom discussed in the literature, although the selection and combination of formats and instruments for data collection is demanding and complex. This chapter provides an overview how different methods can be combined and integrated to address relational research questions from both qualitative and quantitative perspectives. The pros and cons of combining different methods are illustrated with recent examples of social network research. Finally, a guideline is suggested to support researchers with their data collection in a mixed methods social networks research design.<br/

Use of Homeopathy in Pediatric Oncology in Germany

Homeopathy is a frequently used complementary and alternative medicine (CAM) treatment. We present results comparing responses of homeopathy users (HUs) and users of other forms of CAM (NHUs) in pediatric oncology (PO) in Germany. Differences between these two groups (usage, associated demographic characteristics, previous experience with CAM) are investigated. 186 (45.2%) of the 367 CAM users were exposed to homeopathy. The treatment duration amounted to a median of 601 days for HUs and 282 days for NHUs. Parents with p (127; 76.5%) also used homeopathy for their child's cancer. Nonmedical practitioners played a considerably greater role as source of information than did treating physician. In the majority HUs received their prescriptions from nonmedical practitioners (56%; 29.4% of NHUs). HUs communicate more frequently with their physicians about the CAM-use (77.7% versus 65.2%) and recommend CAM more often than NHUs (94% versus 85.6%). Homeopathy is the most frequently used CAM treatment in PO in Germany. HUs sustain treatment and therapies considerably longer than NHUs. Most families who had used homeopathy before their child was diagnosed with cancer also used homeopathy for the treatment of their child's cancer. Compared to other CAM treatments, patient satisfaction with homeopathy appears to be very high

Evaluation of an Integrative Care Program in Pediatric Oncology

Purpose: This article discusses the results of an evaluation of the one-year implementation period of an integrative care program at a pediatric oncology ward, which consists of integrative care treatments offered three times a week to the patients. The guiding questions are how the model was implemented, which factors have to be considered for successful implementation, and which factors showed to be obstacles during implementation. Methods: A mixed-methods approach was applied for data saturation. Qualitative data consist of participant observations and informal conversations during the implementation phase. All observational records were filed in the data program MAXQDA. For the quantitative data, all integrative care treatments applied on the intensive care unit were documented and subsequently filed in an Excel sheet. Both sets of data were analyzed for the evaluation. Results: Four main thematic clusters influenced the implementation: (1) the organization and structure of the intensive care unit; (2) mood and atmosphere; (3) feedback on treatment; and (4) time and experience. All factors are interlinked and cannot be looked at independently. Results of the quantitative data show that the most frequent used treatments were those with calming and relaxing effects, followed by treatments for stomachache, nausea, and obstipation. Conclusions: The implementation of an integrative model of care is a process that demands thorough understanding of the complex setting of the ward, ongoing adaptation to the structures and organization of the ward, and the integration of factors like feedback, time, atmosphere, and the mood of parents, patients, and nurses

Exploring change in networks supporting the deliberate practice of popular musicians

Popular musicians are embedded in dynamic networks supporting their expertise development across different phases. During these phases, network actors support different aspects of deliberate practice in which a musician needs to engage to become an expert. Research in the domain of music is scarce in terms of investigating the change in the supportive networks of deliberate practice over time. Semi-structured interviews with five expert and five intermediate popular musicians were used to explore changes in networks supporting the deliberate practice during their childhood, apprenticeship, and career phases. Egocentric network analysis revealed that networks supporting the deliberate practice of expert musicians are more dynamic and less stable when considering the different phases than the networks of intermediates. In addition, experts are supported by a larger number of network actors during the developmental phases. In both groups, the number of network actors decreased as the musicians progressed through the phases. This decrease was more precipitous between the childhood and apprenticeship phases. Overall, expertise development as a popular musician depends not only on deliberate practice but also on the diversity and change in an adaptive support network from childhood to adulthood

Defining Criteria for Guiding Cancer Patients to Find a Reputable Complementary Medicine Provider: Results of a Literature Review and a Consensus Procedure

Purpose: Even in cases of positive evidence for complementary medicine (CM) therapies, it is still difficult for cancer patients to identify reputable providers. The aim of this study was to develop and evaluate a criteria list to provide guidance to cancer patients seeking a reputable CM provider. Methods: The design combined a literature review, an expert consensus procedure (n=15) and an assessment from three stakeholder perspectives (patients (n=18), CM providers (n=26) and oncology physicians (n=20)). Results: A total of 30 existing CM criteria were extracted from the literature, and 12 more were added by the experts. The main challenge was to define criteria that could easily be applied by the patients. A final comprehensive list of 8 criteria guiding cancer patients to find a reputable CM provider was developed. Conclusion: Health professionals and cancer information services might find the criteria list helpful when aiming to strengthen patients' awareness of quality-related factors associated with CM providers. The criteria developed might be helpful when standards are established for quality assurance in CM in oncology

The effect of creative psychological interventions on psychological outcomes for adult cancer patients: a systematic review of randomised controlled trials

Objective This systematic review examined the effectiveness of creative psychological interventions (CPIs) for adult cancer patients. In particular, the findings of randomised controlled trials of art, drama, dance/movement and music therapies on psychological outcomes were examined. Methods The review yielded 10 original studies analysing data from a total of 488 patients. Data extraction and quality assessment were conducted by two independent reviewers. Results Four of the papers focused on the use of art therapy, three studies used music therapy, one paper utilised dance therapy, one study used dance/movement therapy and the remaining paper used creative arts therapies, which was a combination of different art-based therapy approaches. Eight papers focused solely on breast cancer patients, and the remaining studies included mixed cancer sites/stages. The studies reported improvements in anxiety and depression, quality of life, coping, stress, anger and mood. However, few physical benefits of CPIs were reported; there was no significant impact of a CPI on physical aspects of quality of life, vigour-activity or fatigue-inertia or physical functioning. One study was assessed as high quality, seven studies were assessed as satisfactory and two studies were assessed to be of poorer quality. Conclusions There is initial evidence that CPIs benefit adult cancer patients with respect to anxiety and depression, quality of life, coping, stress, anger and mood; there was no evidence to suggest that any one type of CPI was especially beneficial. However, more and better quality research needs to be conducted, particularly in the areas of drama and dance/movement therapies

Integrative medicine during the intensive phase of chemotherapy in pediatric oncology in Germany: a randomized controlled trial with 5-year follow up

Background: Integrative medicine is used frequently alongside chemotherapy treatment in pediatric oncology, but little is known about the influence on toxicity. This German, multi-center, open-label, randomized controlled trial assessed the effects of complementary treatments on toxicity related to intensive-phase chemotherapy treatment in children aged 1-18 with the primary outcome of the toxicity sum score. Secondary outcomes were chemotherapy-related toxicity, overall and event-free survival after 5 years in study patients. Methods: Intervention and control were given standard chemotherapy according to malignancy & tumor type. The intervention arm was provided with anthroposophic supportive treatment (AST); given as anthroposophic base medication (AMP), as a base medication for all patients and additional on-demand treatment tailored to the intervention malignancy groups. The control was given no AMP. The toxicity sum score (TSS) was assessed using NCI-CTC scales. Results: Data of 288 patients could be analyzed. Analysis did not reveal any statistically significant differences between the AST and the control group for the primary endpoint or the toxicity measures (secondary endpoints). Furthermore, groups did not differ significantly in the five-year overall and event-free survival follow up. Discussion: In this trial findings showed that AST was able to be safely administered in a clinical setting, although no beneficial effects of AST between group toxicity scores, overall or event-free survival were shown