• Login
    View Item 
    •   Home
    • Theses and Dissertations
    • Theses and Dissertations
    • View Item
    •   Home
    • Theses and Dissertations
    • Theses and Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of TUScholarShareCommunitiesDateAuthorsTitlesSubjectsGenresThis CollectionDateAuthorsTitlesSubjectsGenres

    My Account

    LoginRegister

    Help

    AboutPeoplePoliciesHelp for DepositorsData DepositFAQs

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Music Therapy to Facilitate Relationship Completion for Patients and Families at the End of Life: A Mixed Methods Study

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Hsieh_temple_0225E_14829.pdf
    Embargo:
    2024-05-11
    Size:
    5.867Mb
    Format:
    PDF
    Download
    Genre
    Thesis/Dissertation
    Date
    2022
    Author
    Hsieh, Fu-Nien
    Advisor
    Shoemark, Helen
    Committee member
    Magee, Wendy
    Zanders, Michael L.
    Reynolds, Alison M.
    Department
    Music Therapy
    Subject
    Music therapy
    Hospice care
    Mixed methods research
    Palliative care
    Relationship completion
    Song intervention
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/7776
    
    Metadata
    Show full item record
    DOI
    http://dx.doi.org/10.34944/dspace/7748
    Abstract
    Under the influence of Confucianism, Taiwanese people have always emphasized family values as an essential culture. The concept of relationship completion (Byock, 1996) was embodied as the core belief for end-of-life care in Taiwan, known as the Four Expressions in Life: Love, Gratitude, Forgiveness, and Farewell. The palliative care team in Taiwan advocates the Four Expressions in Life to help patients at the end of life strengthen bonds with their families. However, the traditional and conservative culture in Taiwan often impedes relationship completion. The purpose of this study was to examine the effects of music therapy to facilitate relationship completion for patients at the end of life and their families, and to understand the perceptions of patients at the end of life and families about their relationship completion during music therapy. This study took a further step in exploring how the perceptions of patients at the end of life, and their families about their relationship completion during music therapy helped to explain the effects of music therapy intervention.This study employed a convergent mixed methods design in which qualitative and quantitative data were collected in parallel stages, analyzed separately, and then the findings were merged. For the quantitative phase, a convenience sample of 34 patients at end-of-life care at a large teaching hospital in southern Taiwan and 36 of their family members were recruited in a single music therapy intervention with a one-group pretest-posttest design. Measures included the “Life Completion” subscales of the Quality of Life at the End of Life (QUAL–E) survey and a single-item global QoL indicator for patients as well as the QUAL-E (Fam) survey and a question of Overall Quality of Life for family members. In the qualitative phase, a nested sample of five patients and nine family members completed the semi-structured interviews about their experiences of the music therapy sessions. There were significant differences (p<.001) between the pre and post session scores for the Life Completion subscale of the QUAL-E and between pre-post scores for the global QoL Indicator for patient participants. The results also showed a significant difference (p<.001) in the scores for the Completion subscale of the QUAL-E (family) and a significant difference (p<.001) in the scores for Overall Quality of Life for families from before music therapy session to after music therapy session. Four themes emerged from the qualitative results: music therapy provides the opportunity for exploration, music therapy provides the opportunity for connection, music therapy provides the opportunity for expression, and music therapy provides the opportunity for healing. The integrated findings suggested that music therapy facilitated relationship completion and improved quality of life for both patients and their families. The use of songs in music psychotherapy had a significant contribution to relationship completion. Song interventions can accommodate a patient's physical weakness and life-limiting obstacles at the very end of life to achieve the ultimate goal to improve quality of life, by assisting relationship completion. The results suggested that the transformative level of music therapy within a single session for end-of-life care in Taiwan is both feasible and culturally acceptable.
    ADA compliance
    For Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
    Collections
    Theses and Dissertations

    entitlement

     
    DSpace software (copyright © 2002 - 2022)  DuraSpace
    Temple University Libraries | 1900 N. 13th Street | Philadelphia, PA 19122
    (215) 204-8212 | scholarshare@temple.edu
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.