국내 리듬 중재 연구의중재 구성 및 논거에 대한 고찰 = Review of Studies Using a Rhythm Task Intervention and the Rationale for its Formulation

다국어 초록 (Multilingual Abstract)

With the recent emphasis on evidence-based research and practice, the field of music therapy has called for rigorous reviews of the scientific data and for therapeutic rationales for research procedures. The purpose of this study was to review studies that used a rhythm task as a therapy intervention in terms of whether they provided a rationale for the components related to the intervention. The components included activity rationale, music rationale, intervention validity, intervention format (individual or group), intervention development (contour), duration, and intervention provider. A total of 41 studies were selected: 22 studies were implemented by music therapists and 19 by professionals in other related fields. In terms of seven assessment categories, only 10 studies were found to report more than four items which are related to a rationale of interventions. The 10 studies identified were further examined to determine if their intervention rationale differed depending on whether the study included a researcher-formulated intervention or an existing music therapy protocol. Of the 10 studies, six used a researcher-formulated rhythm intervention, and four used an existing music therapy protocol. Those studies that used an existing music therapy protocol also provided a clear rationale for music selection, whereas those that used a researcher-formulated rhythm task tended to provide an activity rationale. The results of this study suggest that researchers need to be clearer about their interventions and provide an evidence-based rationale for why and how they use a rhythm task.

국문 초록 (Abstract)

최근 근거중심의 연구와 실제가 강조되면서 중재 연구들이 보다 엄격한 논거를 토대로 수행되고 있다. 이에 본 연구에서는 국내 리듬 과제를 사용한 중재 연구의 특성과 치료 목표별 리듬 과제를 고찰한 후 중재 구성 및 논거를 분석하였다. 선정 기준에 부합한 총 41편의 논문을 대상으로 7개의 중재 항목 및 논거 제시 수준을 분석하였다. 분석 결과 중재제공자 전문성과 중재 구성틀, 중재 기간, 중재 형태, 중재 절차, 활동 및 음악에 대한 논거 제시 수준이 전반적으로 낮았다. 총 7개 중재 관련 항목 중 4개 이상 항목에 논거를 제시한 연구는 10편이었으며 이들을 대상으로 논거에 대한 추가 분석을 수행하였다. 10편 모두 중재제공자, 중재 구성틀, 활동 논거 및 음악 논거를 제시하였으나 중재 유형(개별 또는 집단)과 구성된 중재 기간에 대한 논거는 동일한 수준으로 제시되지 않았다. 또한 리듬 중재 유형에 따른 논거 수준을 살펴본 결과, 기존의 프로토콜을 활용한 4편의 연구는 활동 논거와 음악 논거가 명료하게 제시된 반면 연구자가 구성한 중재를 활용한 6편의 연구는 음악 논거보다는 활동 논거를 중점적으로 제시하였다. 본 연구 결과는 음악치료가 근거 중심의 학문으로 발전하기 위해서는 연구자들이 중재 항목의 타당성과 중재 구성에 대한 논거를 더욱 충실히 제시할 필요가 있음을 보여준다.

참고문헌 (Reference)

1 박소연, "특수교육 음악치료 연구의 국내 동향 분석-2002년부터 2011년까지의 전문 학술지를 중심으로-" 국립특수교육원 19 (19): 97-117, 2012

2 김영실, "조현병 환자 대상음악중재에 대한 체계적 고찰" 한국음악치료교육학회 12 (12): 37-60, 2015

3 원종례, "장애 유아를 위한 음악활동 중재 연구 동향 분석 -2000～2007년까지의 국내 실험연구를 중심으로-" 한국유아특수교육학회 8 (8): 93-115, 2008

4 배익렬, "음악중재가 아동 및 청소년의 불안에 미치는 효과에 대한 메타분석" 대한스트레스학회 25 (25): 86-92, 2017

5 정성희, "신경계 질환자 대상의 국내 음악중재연구에 대한 체계적 문헌고찰" 기초간호학회 15 (15): 65-73, 2013

6 최다인, "국내･외 의료 환경 내 가족 참여음악 중재 연구 고찰" 한국음악치료교육학회 14 (14): 17-39, 2017

7 조현아, "국내 음악치료 전문 학술지 연구 현황 분석" 한국음악치료교육학회 10 (10): 55-77, 2013

8 이예빛나, "건강한 노화를 위한 음악활용 : 국내·외 연구 고찰" 한국콘텐츠학회 16 (16): 335-346, 2016

9 Burns, D. S., "Theoretical rationale for music selection in oncology intervention research:An integrative review" 49 (49): 7-22, 2012

10 Fujii, S., "The role of rhythm in speech and language rehabilitation: The SEP hypothesis" 8 : 1-10, 2014

11 Weller, C. M., "The role of music therapy in physical rehabilitation : A systematic literature review" 20 (20): 43-61, 2011

12 Clark, I. N., "The modulating effects of music listening on health-related exercise and physical activity in adults: A systematic review and narrative synthesis" 25 (25): 76-104, 2016

13 Baxter, H. T., "The individualized music therapy assessment profile (IMTAP)" Jessica Kingsley Publishers 2007

14 Ho, P., "The impact of group drumming on social-emotional behavior in low-income children" 2011 (2011): 1-16, 2011

15 Evans, D., "The effectiveness of music as an intervention for hospital patients : A systematic review" 37 (37): 8-18, 2002

16 Booth, A., "Systematic approaches to a successful literature review" Sage Publications 2016

17 Davis, J. A., "Synchronized time-keeping is key to healthy mood regulation" 43 (43): 1307-1308, 2016

18 Thaut, M. H., "Rhythmic auditory stimulation in rehabilitation of movement disorders: A review of current research" 27 (27): 263-269, 2010

19 Wittwer, J. E., "Rhythmic auditory cueing to improve walking in patients with neurological conditions other than Parkinson’s disease: What is the evidence?" 35 (35): 164-176, 2013

20 Yoo. G. E., "Rhythmic auditory cueing in motor rehabilitation for stroke patients: Systematic review and meta-analysis" 53 (53): 149-177, 2016

21 Petrovsky, D., "Review of the effect of music interventions on symptoms of anxiety and depression in older adults with mild dementia" 27 (27): 1661-1670, 2015

22 Robb, S. L., "Reporting guidelines for music-based interventions" 16 (16): 342-352, 2011

23 Shannon, K., "Neurologic music therapy: A scientific paradigm for clinical practice" 2 (2): 78-84, 2010

24 Gfeller, K., "Music-based training for pediatric CI recipients: A systematic analysis of published studies" 133 : S50-S56, 2016

25 Chen, X. J., "Music therapy for improving mental health problems of offenders in correctional settings: Systematic review and meta-analysis" 12 (12): 209-228, 2016

26 McConnell, T., "Music therapy for end-of-life care: An updated systematic review" 30 (30): 877-833, 2016

27 Bradt, J., "Music therapy for acquired brain injury" 2010 (2010): CD006787-, 2010

28 Magee, W. L., "Music interventions for acquired brain injury" 2017 (2017): CD006787-, 2017

29 Hurkmans, J., "Music in the treatment of neurological language and speech disorders: A systematic review" 26 (26): 1-19, 2012

30 Williams, K. E., "Moving to the beat : Using music, rhythm, and movement to enhance self-regulation in early childhood classrooms" 50 (50): 85-100, 2018

31 Peterson, S. J., "Middle range theories: Application to nursing research" Lippincott Williams & Wilkins 2009

32 Pothoulaki, M., "Methodological issues in music interventions in oncology settings: A systematic literature review" 33 (33): 446-455, 2006

33 LaGasse, A. B., "Influence of an external rhythm on oral motor control in children and adults" 50 (50): 6-24, 2013

34 Davidson, K. W., "Evidence-based behavioral medicine: What is it and how do we achieve it?" 26 (26): 161-171, 2003

35 Gold, C., "Effects of music therapy for children and adolescents with psychopathology: A meta-analysis" 45 (45): 1054-1063, 2004

36 Toyomura, A., "Effect of external auditory pacing on the neural activity of stuttering speakers" 57 (57): 1507-1516, 2011

37 Bernardi, L., "Dynamic interactions between musical, cardiovascular, and cerebral rhythms in humans" 119 (119): 3171-3180, 2009

38 Zhang, Y., "Does music therapy enhance behavioral and cognitive function in elderly dementia patients? A systematic review and meta-analysis" 35 (35): 1-11, 2017

39 Sidani, S., "Design, evaluation, and translation of nursing interventions" Wiley-Blackwell 2011

40 Cason, N., "Bridging music and speech rhythm: Rhythmic priming and audio-motor training affect speech perception" 155 : 43-50, 2015

41 Biasutti, M., "Assessing a cognitive music training for older participants: A randomised controlled trial" 33 (33): 271-278, 2018

42 유가을, "Analysis of Social Communication Measurement in the Music Therapy Intervention Literature for Children With Autism Spectrum Disorder" 한국음악치료교육학회 13 (13): 61-87, 2016

43 Leman, M., "Activating and relaxing music entrains the speed of beat synchronized walking" 8 (8): e67932-, 2013

44 Moore, K. S., "A systematic review of the neural effect of music on emotion regulation:Implications for music therapy practice" 50 (50): 198-242, 2013

45 Yinger, O. S., "A systematic review of music-based interventions for procedural support" 52 (52): 1-77, 2015

46 Robb, S. L., "A review of music-based intervention reporting in pediatrics" 14 (14): 490-501, 2009