[논문]Development and Evaluation of a Hospice and Palliative Care Music Therapy Education Program

Kim, Eun Jung; Lee, Eun Jeong; Lee, Chung-Woo; Choi, Youn Seon

doi:10.14475/kjhpc.2020.23.1.17

Development and Evaluation of a Hospice and Palliative Care Music Therapy Education Program 원문보기

한국호스피스·완화의료학회지 = Korean journal of hospice and palliative care, v.23 no.1, 2020년, pp.17 - 26

Kim, Eun Jung (Hospice & Palliative Care Center, Korea University Guro Hospital) , Lee, Eun Jeong (Hospice & Palliative Care Center, Korea University Guro Hospital) , Lee, Chung-Woo (Department of Family Medicine, Korea University Guro Hospital) , Choi, Youn Seon (Department of Family Medicine, Korea University Guro Hospital)

Abstract ▼ AI-Helper

Purpose: This study was conducted to develop a hospice music therapist training program and to evaluate its effects. Methods: The educational program consisted of training on the theory of hospice and the theory and practice of hospice music therapy. The course lasted for 4 weeks, with 8 hours of training per week, and 33 music therapists completed the course. In order to assess the effectiveness of the course, participants' knowledge and confidence regarding hospice music therapy and readiness for hospice music therapy before and after education were measured. The statistical analysis was done using SPSS version 18.0 and the paired t-test was used to assess the effectiveness of the program. Results: The trainees showed significant improvements in knowledge (P<0.001) and confidence (P<0.001) in all areas of this course, as well as in readiness for hospice music therapy (P<0.001). Participants' satisfaction with the lectures was assessed using a 5-point Likert scale. The average score for all lecture areas exceeded 4 (yes), and the satisfaction level was mostly high. Students were most satisfied with the lectures on music therapy theory, followed in order by those on music therapy practice and hospice theory. Conclusion: This hospice music therapist training program is considered to be suitable because of its positive educational effects and the high satisfaction of participants with the lectures. In order to provide high-quality music therapy services to patients and their families, this training course should be regularly offered to cultivate competent music therapists, and the content of the education should be standardized and applied in various clinical settings.

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문제 정의

The subjects of this study were music therapists who completed the professional hospice music therapist training course. Eligibility was limited to individuals who currently worked as music therapists in hospice institutions, therapists with past hospice work experience, or those who had completed the standard education with future plans to work as hospice specialists.
Second, the evaluation of the course was only based on self-assessments. The ultimate objective of this course was to train professional hospice music therapists with a deep understanding of hospice care and music therapy intervention skills. The interventional skills of hospice music therapists need to be assessed from the external perspective of the patient and institutions.

제안 방법

Satisfaction surveys were administered after each of the 19 lectures. Consequently, the participants in the training course completed the pre-test questionnaire before the first lecture in the first week and the post-test questionnaire after the last lecture in the fourth week. Responses from all 33 participants were collected for the prepost surveys, but the number of respondents for each of the satisfaction surveys varied due to differences in the attendance rate.
First, appropriate existing tools for measuring the effects of education and the competency of music therapists were collected. From these tools, the components that were suitable for the training course were extracted and then revised to develop a draft of the measurement tool. The draft was then reviewed twice by a multidisciplinary team consisting of a doctor, nurse, social worker, and music therapist to produce the final measurement tool.
In the design phase, it was determined that the objective of the education program would be to foster a better understanding of hospice care and to train professional hospice music therapists with proper interventional skills. To achieve this objective, the course program was then developed with reference to the standard educational program and the HPMT certification program from the United States, which were analyzed in the previous phase.
In the satisfaction surveys for each of the 19 lectures, the 11 components of the course evaluation form from the standard hospice education were used unaltered, but the original 4-point scale was modified to a 5-point scale. In the reliability analysis, Cronbach’s α was 0.
Second, multiple educational modalities were used in the course, including lectures, discussions, role-playing, practice, and supervision. There is a limited extent to which clinical practice can be incorporated into theory-based courses, and for these purposes, practice-focused, case-based, and debate-based education is more efficient than lecture-based training (21).
Lectures on the management of therapy sessions and case studies were given by professionals such as social workers and music therapists with at least 2 years of work experience. The course included 19 lectures that lasted for a total of 32 hours, was administered in a 4-week period (8 hours a week), and was completed by 33 music therapists.
From these tools, the components that were suitable for the training course were extracted and then revised to develop a draft of the measurement tool. The draft was then reviewed twice by a multidisciplinary team consisting of a doctor, nurse, social worker, and music therapist to produce the final measurement tool. Details on the finalized measurement tool and its credibility are presented below.
The education program for the professional hospice music therapist training course was developed using the ADDIE system for instructional program design, which includes analysis, design, development, implementation, and evaluation phases.
, Chicago, IL, USA). The general characteristics of the participants were analyzed using descriptive statistics. The paired t-test was utilized to examine the educational effects of the training course, and P-values＜0.
The purpose of this study was to determine the educational effects and satisfaction rates of the curriculum by analyzing the evaluation results of the music therapists who participated in the Professional Hospice Music Therapist Training Program, and to provide basic necessary data for future hospice music therapist educational programs.
05, confirming normality. Therefore, this study used parametric statistical tests for the analysis.
This study used a single-group pre-post experiment design to compare the results of surveys conducted before and after the professional hospice music therapist training course.
In the design phase, it was determined that the objective of the education program would be to foster a better understanding of hospice care and to train professional hospice music therapists with proper interventional skills. To achieve this objective, the course program was then developed with reference to the standard educational program and the HPMT certification program from the United States, which were analyzed in the previous phase. Then, a hospice music therapy protocol with proven effectiveness was added to the course development process (8).
To prepare basic data for future reference in hospice music therapist training, this study evaluated participants’ experiences in a professional hospice music therapist training course.

대상 데이터

Eligibility was limited to individuals who currently worked as music therapists in hospice institutions, therapists with past hospice work experience, or those who had completed the standard education with future plans to work as hospice specialists. The program lasted for 4 weeks, with 8 hours of training per week, and 33 music therapists were included in the study.
Third, the lecturers included professionals from various fields, such as doctors, nurses, social workers, spiritual caregivers, psychological counselors, and music therapists. The diversity of the perspectives presented by these professionals likely contributed to the students’ improved understanding of the multidisciplinary approach.

데이터처리

The general characteristics of the participants were analyzed using descriptive statistics. The paired t-test was utilized to examine the educational effects of the training course, and P-values＜0.05 were considered to indicate statistical significance.

성능/효과

First, the duration of the training was insufficient compared to the intended curriculum range. The course covered hospice and music therapy training in only 32 hours, including orientation and completion, corresponding to only one-third of the 96-hour HPMT curriculum in the United States and half of the 60-hour standard hospice course.
When the open-ended questions were analyzed, it was found that the course led to an improved understanding of hospice and recognition of the characteristics of hospice music therapy compared to general music therapy. This result is consistent with a study by Choi and Kwon (20) regarding the positive effect of hospice palliative care programs on participants’ understanding of hospice and attitudes towards providing care for end-of-life-patients.

참고문헌 (23)

c2019 Status and statistics [Internet] Hospice and Palliative Care Goyang Available from: http://hospice.cancer.go.kr/pain/stat.do?.menu_no=634&brd_mgrno= cited 2019 Dec 02
c2019 The 1st comprehensive plan of hospice care and life-sustaining treatment (2019~2023) [Internet] Ministry of Health and Welfare Sejong Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?.PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=349863 cited 2019 Dec 02
c1997-2019 Regulation for Criteria for Providing Reimbursed Services in the National Health Insurance [Internet] Korea Ministry of Government Legislation Sejong Available from: http://www.law.go.kr/lsInfoP.do?.lsiSeq=211133&efYd=20191101 cited 2019 Dec 02
Yoon MY 2014 A study on the present condition of qualification procedures of music therapist in Korea and the comparison with qualification procedures in other countries [master's thesis] Sungshin Women's Univ. Seoul Korean
Lee CH 2017 Study on policy for activating music therapy as complementary and alternative medicine [master's thesis] Chung-Ang Univ. Seoul Korean
Baek YH 2019 Experience of growth through difficulties among music therapists who work in hospice and palliative care [master's thesis] Ewha Woman Univ. Seoul Korean
Hilliard RE 2004 A post-hoc analysis of music therapy services for residents in nursing homes receiving hospice care J Music Ther 41 266 81 10.1093/jmt/41.4.266 15762834

상세보기
Kim EJ 2016 Development and verification of music therapy protocol for terminal cancer patients in hospice care [dissertation] Hansei Univ. Seoul Korean
Kim EJ 2018 Hospice music therapy in Korea Korean J Hosp Palliat Care 21 109 14 10.14475/kjhpc.2018.21.4.109

원문보기 상세보기
Amy C 2011 The effect of live music vs. taped music on pain and comfort in palliative care Korean J Music Ther 13 105 21 10.21330/kjmt.2011.13.1.105

상세보기
Lee EH Choi SE 2012 The effects of music therapy by self-selected music listening on terminal cancer patients' affect and stress by pain level Korean J Hosp Palliat Care 15 77 87 10.14475/kjhpc.2012.15.2.77
Kim TR The necessity and direction of training professional therapists Korean Association Music Ther 2012 1 3
Kwon SH Yang SK Park MH Choe SO 2008 Assessment for the needs to develop hospice training program for nurses Korean J Hosp Palliat Care 11 147 55
Nam EJ 2019 Direction of quality improvement of hospice and palliative care The 3rd Hospice symposium 2019 Oct 16 Seoul, Korea Korean Society for Hospice and Palliative Care
Cohen J 1988 Statistical power analysis for the behavioral sciences Statistical power analysis for the behavioral sciences 2nd ed Erlbaum Hillsdale, NJ
c2019 Hospice and Palliative Care Music Therapy Institute [Internet] The Center for Music Therapy in End of Life Care Florida Available from: http://www.hospicemusictherapy.org/about/course-descriptions/hospice-palliative-care cited 2019 Dec 28
c2019 Standard curriculum of hospice and palliative care education [Internet] Hospice and Palliative Care Goyang Available from: http://hospice.cancer.go.kr/education/educationIntro.do cited 2020 Jan 25
Kim EJ Choi YS Kim WC Kim KS 2016 The current status of music therapy centered on 54 hospice and palliative care settings designated by the ministry of health and welfare in 2014 J Music Human Behavior 13 19 40 10.21187/jmhb.2016.13.1.019

원문보기 상세보기
Kang JA Yoo YS Park JN Kim WC Nam EJ Koh SJ 2008 The effects of the pilot program in standard curriculum of hospice and palliative care education Korean J Hosp Palliat Care 11 206 12
Choi GH Kwon SH 2018 The effects of the hospice and palliative care education program for caregivers Korean J Hosp Palliat Care 21 33 9 10.14475/kjhpc.2018.21.1.33

원문보기 상세보기
Kim SH Choi YS Shin SW Chong MK Lee SN Lee SW 2006 Development of education program for physicians based on the 2004 hospice palliative model project for terminal cancer Korean J Hosp Palliat Care 9 67 76
Hilliard RE 2005 Hospice and palliative care music therapy: a guide to program development and clinical care Hospice and palliative care music therapy: a guide to program development and clinical care Jeffrey Books Cherry Hill, NJ
Choi ES Yoo YS Kim HS Lee SW 2006 Curriculum development for hospice and palliative care nurses Korean J Hosp Palliat Care 9 77 85

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