Abstract

Objectives: Short-stay residents of nursing homes experience high rates of mental health (MH) distress compared to community dwelling counterparts, yet MH interventions are difficult to implement and sustain. We modified a music therapy framework to Effective Music in Psychotherapy. Using the modified model, we integrated music listening into MH group intervention and evaluated MH outcomes. This pilot study reports the development and evaluation of the Mental Health and Music Group for short-stay nursing homes residents.

Method: The group was developed and refined to be non-sequential and non-cumulative, specific to the needs of short-stay nursing home residents. Pre-/post-session ratings examined affect, quality of life, and pain. Leaders monitored engagement across and between sessions. Qualitative interviews were conducted with a selection of attendees.

Results: Findings indicated decreases in irritation and worry, and increases in mood, energy, and self-as-a-whole from pre- to post-session. There were no changes in pain, perception of physical health or life-as-a-whole, energetic, sad, or happy affect, or differences in engagement. Qualitative interviews demonstrated benefits of group modality and music to group cohesion and highlighted the relevance of music for mental health outcomes.

Conclusion: The Mental Health and Music group was designed around a framework of Effective Music in Psychotherapy, for short-stay nursing home settings, and demonstrated promising results. Future research can solidify the interventions generalizeability to medical and rehabilitation settings addressing the specific population needs and preferences.

Supplemental data for this article is available online at https://doi.org/10.1080/13607863.2021.1935463 .

摘要

目标：与社区居民相比，疗养院的短期居民遭受心理健康 (MH) 困扰的比率较高，但 MH 干预措施难以实施和维持。我们将音乐治疗框架修改为心理治疗中的有效音乐。使用修改后的模型，我们将音乐聆听纳入 MH 组干预并评估 MH 结果。这项试点研究报告了心理健康和音乐小组针对短期疗养院居民的发展和评估。

方法：该小组被开发和细化为非连续和非累积的，专门针对短期疗养院居民的需求。会前/会后评级检查了影响、生活质量和疼痛。领导者监控会议期间和会议之间的参与度。对选定的参与者进行了定性访谈。

结果：研究结果表明，从会前到会后，烦躁和担忧减少，情绪、精力和整体自我有所增加。疼痛、对身体健康或整体生活的感知、精力充沛、悲伤或快乐的情感或参与度方面没有变化。定性访谈证明了团体模式和音乐对团体凝聚力的好处，并强调了音乐与心理健康结果的相关性。

结论：心理健康和音乐小组是围绕心理治疗中的有效音乐框架设计的，适用于短期疗养院环境，并取得了可喜的成果。未来的研究可以巩固干预措施对医疗和康复环境的普遍适用性，以解决特定人群的需求和偏好。

本文的补充数据可在 https://doi.org/10.1080/13607863.2021.1935463 在线获取。