ORCID Profile
0000-0001-5038-9374
Current Organisations
University of Sydney
,
Temple University Boyer College of Music and Dance
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Publisher: International Association for Music and Medicine
Date: 23-04-2021
Publisher: Springer International Publishing
Date: 2017
Publisher: Oxford University Press (OUP)
Date: 2008
DOI: 10.1093/MTP/26.1.38
Publisher: Oxford University Press (OUP)
Date: 2023
DOI: 10.1093/JMT/THAC019
Abstract: A significant component of care for infants with bronchopulmonary dysplasia (BPD) is providing an optimal environment for supporting neurodevelopment and growth. Interventions that support the behavioral and physiologic stability of this population may play an important role in improving overall outcomes. Contingent singing is a music intervention that allows the caregiver to tailor certain musical elements, such as rhythm and tempo, to match behavioral and physiologic cues and support the infant in achieving optimal stabilization. A randomized crossover design was used to study the effect of contingent singing on the behavioral state and physiologic measures compared to standard care practices in the neonatal intensive care unit (NICU). Data were collected on a s le of 37 infants diagnosed with BPD. There were no significant differences in the physiologic measures or behavioral states of infants in the contingent singing sessions compared to control sessions. Parents and staff reported favorable views of music therapy in the NICU, and there were no adverse responses from infants during contingent singing. Further research is needed to determine the effectiveness of this intervention on the physiologic stability of infants with BPD.
Publisher: MDPI AG
Date: 04-03-2021
Abstract: This study examined the effect of a brief psycho-educational program, Time Together, on maternal self-efficacy, mother-infant bonding, and mood/anxiety for community-based mothers. This program centered on maternal voice, timing of interplay, and recognition of infant cues. A convergent parallel mixed-methods design included quantitative measures: the Karitane Parenting Confidence Scale, the Mother-Infant Bonding Scale, Edinburgh Postnatal Depression Scale and State & Trait Anxiety Inventory, and a sequential qualitative analysis to elaborate on the quantitative findings. Significant changes on the Karitane Parenting Confidence Scale were found. Qualitative analysis of the participant interviews and reflective diaries from the two weeks following the psycho-educational program confirmed that participation enhanced mothers’ ability to understand their infant, to soothe their infant when distressed, to play and to establish an effective bedtime routine. This feasibility study indicated that this is a promising approach to improve early mother-infant interaction and maternal self-efficacy.
Publisher: Frontiers Media SA
Date: 03-09-2015
Publisher: Elsevier BV
Date: 06-2014
Publisher: Informa UK Limited
Date: 02-01-2014
Publisher: Oxford University Press
Date: 07-07-2011
Publisher: Informa UK Limited
Date: 07-2013
DOI: 10.3109/17518423.2013.778910
Abstract: The primary aim of this case study was to explore the behavioural changes of a paediatric patient in post-traumatic amnesia (PTA) during a music therapy session. A secondary objective was to measure the effect of the music therapy intervention on agitation. Video data from pre, during and post-music therapy sessions were collected and analysed using video micro-analysis and the Agitated Behaviour Scale. The participant displayed four discrete categories of behaviours: Neutral, Acceptance, Recruitment and Rejection. Further analysis revealed brief but consistent and repeated periods of awareness and responsiveness to the live singing of familiar songs, which were classified as Islands of Awareness. Song offered an Environment of Potential to maximise these periods of emerging consciousness. The quantitative data analysis yielded inconclusive results in determining if music therapy was effective in reducing agitation during and immediately post the music therapy sessions. The process of micro-analysis illuminated four discrete participant behaviours not apparent in the immediate clinical setting. The results of this case suggest that the use of familiar song as a music therapy intervention may harness early patient responsiveness to foster cognitive rehabilitation in the early acute phase post-TBI.
Publisher: Informa UK Limited
Date: 2013
Publisher: Oxford University Press (OUP)
Date: 09-2013
DOI: 10.1093/JMT/50.3.150
Publisher: Oxford University Press
Date: 09-06-2015
DOI: 10.1093/OXFORDHB/9780199639755.013.23
Abstract: This chapter describes the ways in which music therapy can be provided to preterm infants or full-term who require medical care for complex issues that require hospitalization after birth. The history of Newborn Music Therapy research includes the application of music to change pain, non-nutritive sucking, feeding, with kangaroo care, and in developmental care. The modalities include recorded music and singing, and live singing and gentle instrument playing. Underpinning the application of music in the Neonatal Intensive Care Unit (NICU) are considerations of the ambient sound levels of the NICU, the age of the infant, the physical context, timing of session. The significance of the parents’ experience in family-centerd music therapy in hospital is highlighted, as is the pivotal role of the music therapist to stimulate and facilitate music as part of healthy infant development.
Publisher: Oxford University Press (OUP)
Date: 2018
DOI: 10.1093/JMT/THX018
Abstract: This article reports on a project at the Royal Children's Hospital Melbourne in which the music therapy team synthesized their practice and related theories to propose a new conceptual framework for music therapy in their acute pediatric setting. The impetus for the project was the realization that in the process of producing key statements about the non-musical benefits of music therapy, the cost was often the suppression of information about the patient's unique musical potential as the major (mediating) pathway from referral reason, to music therapy, and to effective outcomes. The purpose of the project was to articulate how this team of clinicians conceive of the patient's musical self as the major theoretical pathway for music therapy in an evidence-based acute medical setting. The clinicians' shared reflexive process across six months involved robust directed discussion, annotation of shared reading, and documentation of all engagement in words and diagrams. The outcome was a consensus framework including three constructs: the place of music in the life of the infant, child, and young people, Culture and Context, and Musical Manifestations. The constructs were tested in a clinical audit, and found to be robustly inclusive. In addition to the conceptual framework, this project serves to demonstrate a process by which clinical teams may reflect on their in idual practice and theory together to create a consensus stance for the overall service they provide in the one setting.
Publisher: Elsevier BV
Date: 05-2014
Publisher: Informa UK Limited
Date: 30-10-2023
Publisher: Oxford University Press (OUP)
Date: 19-11-2017
DOI: 10.1093/MTP/MIV039
Publisher: International Association for Music and Medicine
Date: 23-04-2012
Publisher: Oxford University Press (OUP)
Date: 04-04-2017
DOI: 10.1093/MTP/MIX004
Publisher: Wiley
Date: 03-2011
DOI: 10.1111/J.1651-2227.2011.02171.X
Abstract: Music is increasingly being used in neonatal intensive care units to aid neurodevelopmental care. The aim of this pilot study was to examine the possible effects of music on quiet sleep (QS) in neurologically healthy newborns. Twenty newborns ≥32 weeks' gestational age admitted to the neonatal intensive care unit at The Royal Children's Hospital in Melbourne for specialist consultation were randomly assigned to experimental or control groups. Ten subjects were exposed to music (Music for Dreaming, (Sound Impressions, Pty. Ltd.) using a CD player (50-55 decibel A). Amplitude-integrated EEG was recorded on the BrainZ Monitor (BRM2, Version 8.0, Natus). Background pattern, presence and quality of sleep-wake cycles (SWC) were assessed before and after exposure to music. All 20 subjects showed continuous background patterns with developing SWC. Whereas no subject in the control group showed differences in their QS and eight patients in the intervention group showed lower minimum litudes of their QS after music exposure. Also, the length of QS and interval between QS epochs became progressively longer in all ten subjects of the intervention group. We report a trend to more mature SWC in subjects who were exposed to music when compared to controls suggesting that there might be a small effect of music on quiet sleep in newborns.
Publisher: Intellect
Date: 12-2018
Abstract: The capacity for organizations to articulate key components of their programmes is pivotal in establishing and maintaining support from funding bodies and participating communities. This study sought to understand how music programme practitioners situate their programmes in the ‘music, health and well-being sector’. Practitioners and managers of two Australian music programmes for at risk children were interviewed about their understanding of the programmes for themselves, and how this understanding was communicated to participating communities and funding sources. The initial findings indicate that the two programmes operate within distinctly different theoretical frameworks – one based on a development and well-being theoretical framework, and the other in a sociological paradigm focused on the lived experience of music making. This distinction is important as it highlights the unique contributions of the two programmes to the wider ‘community music programmes’ sector.
Publisher: Wiley
Date: 04-2016
DOI: 10.1111/JPC.13084
Abstract: The purpose of this study is to characterise ambient sound levels of paediatric and neonatal intensive care units in an old and new hospital according to current standards. The sound environment was surveyed for 24-h data collection periods (n = 80) in the Neonatal and Paediatric Intensive Care Units (NICUs and PICUs) and Special Care Nursery of the old and new Royal Children's Hospital Melbourne. The ambient sound environment was characterised as the proportion of time the ongoing ambient sound met standard benchmarks, the mean 5-s sound levels and the number and duration of noise events. In the old hospital, none of the data collection periods in the NICU and PICU met the standard benchmark for ongoing ambient sound, while only 5 of the 22 data collection periods in the new hospital met the recommended level. There was no change in proportion of time at recommended Leq between the old and the new Special Care Nursery. There was strong evidence for a difference in the mean number of events >65 dBA (Lmax ) in the old and new hospital (rate ratio = 0.82, 95% confidence interval: 0.73 to 0.92, P = 0.001). The NICU and PICU were above 50 dBA in 75% of all data collection periods, with ventilatory equipment associated with higher ongoing ambient sound levels. The ongoing ambient sound suggests that the background sound environment of the new hospital is not different to the old hospital. However, there may be a reduction in the number of noise events.
Publisher: Wiley
Date: 15-06-2012
DOI: 10.1002/IMHJ.21346
Abstract: Infants seek contingent, companionable interactions with others. Infants in a Neonatal Intensive Care Unit (NICU), while receiving care that optimizes their chances of survival, often do not have the kind of interactions that are optimal for their social development. Live music therapy (MT) with infants is an intervention that aims for contingent, social interaction between therapist and infant. This study, with a limited numbers of infants, examined the effectiveness of an MT intervention in the NICU at The Royal Children's Hospital Melbourne. Two groups of late pre-term and full-term infants were recruited to the study one was given MT and the other was not. A healthy group of infants not given MT served as an additional control. The effect of MT was indexed using two measures reflecting infant social engagement: the Neurobehavioral Assessment of the Preterm Infant (NAPI) and the Alarm Distress Baby Scale (ADBB). Results suggest that the MT intervention used at The Royal Children's Hospital Melbourne supports infants' neurobehavioral development. In particular, hospitalized infants who received MT were better able to maintain self-regulation during social interaction with an adult, were less irritable and cried less, and were more positive in their response to adult handling, when compared with infants who did not receive the intervention. These are important prerequisites for social interaction and development. Further and larger scale research using MT with this population is indicated.
Location: United States of America
No related grants have been discovered for Helen Shoemark.