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Effectiveness of a Nurse-Led Songwriting Intervention on Quality of Life for Individuals with Chronic Pain
Abstract
Chronic pain affects 20% of the U.S. and global population. With the worsening opioid crisis there is a growing need for alternative therapies. Individuals with chronic pain often experience depression, stress, and poor quality of life. The Theory of Unpleasant Symptoms guided this prospective cohort design project in a pilot study (N = 13) examining the effectiveness of songwriting to improve quality of life in this population. A master’s prepared nurse and experienced songwriter administered 6 weekly songwriting sessions in an online chronic pain support group. Chronic pain (Graded Chronic Pain Scale-Revised & Pain Enjoyment General Activities subscale), depression (Patient Health Questionaire-9), stress (Perceived Stress Scale), and quality of life (World Health Organization Quality of Life-BREF) were measured before and after the intervention. The mean PEG score pre-intervention was 20.54 (SD 5.32) and post-intervention was 17.16 (SD 6.78), t (12) = 3.29 p \u3c .01. There was a statistically significant reduction in chronic pain from pre-intervention to post-intervention in PEG scores. The mean depression scores (PHQ-9) were unchanged from pre-intervention to post-intervention (8.85). Participants’ mean stress scores (PSS) decreased slightly from pre-intervention, 20.15 (SD 7.47) to post-intervention, 19.46 (SD 7.9). There was a statistically significant increase in the participants’ social health scores (WHOQOL-BREF) from pre-intervention 4.62 (SD 2.06) to post-intervention 7.9 (SD 2.47), t (12) = 9.54, p \u3c .001. As their social support increased, so did physical and psychological health in this pilot study. The 13 participants expressed positive feedback about being with others they could identify with and learning a new way to cope with chronic pain.
Keywords: chronic pain, music interventions, quality of life, songwritin
The Moving Target: Brazilian Pardo Identity and its Constitution of Racial Space
In the field of Critical Race Studies, Brazil continually proves to be a unique case with its diverse population, incredible nuanced racial classification system, and claim to “racial democracy” and transcending its history of racism and slavery. At the heart of these claims is a large pardo, or mixed race, population that is often characterized as the apex of Brazilianness and multiraciality. The mixed-race body is romanticized and the entire Brazilian populous is placed in a racialized “third space” beyond the recognized system of Black and white identities. How do pardo people conceptualize themselves in this idealized world of racial democracy? How do the systems of Brazil’s history and national identity formation impact the modern understanding of mixed identity? Where do mixed-race people fit in the spectrum of racialized space— if they even do? This project will examine the history of miscegenation, critical race theory, media discourse, and Brazilian census data to evaluate the space that pardo bodies take up in Brazil. Through analyzing and contextualizing these components with the experiences of pardo people, this work will put into focus the moving target that is mixed-race identity in Brazil. As a result, the study will contribute a new perspective of spatiality to mixed- race discourse as well as question our perceptions of racial identity and who it benefits
A Music Therapy Protocol for Pain Management in Individuals with Cerebral Palsy
The purpose of this project was to develop an individualized Management for Differing Types of Pain in Cerebral Palsy: Music Therapy Protocol on the use of music therapy for pain management and reduction with individuals with cerebral palsy. Most studies addressing pain and music therapy do not investigate the cerebral palsy population. Therefore, a synthesis of the current literature of pain and music therapy informed the development of this protocol. Many individuals in this population experience pain daily and research investigating pain management for this population is needed. The protocol developed outlines interventions to reduce pain specific to the cerebral palsy diagnosis based on a synthesis of the literature from different populations experiencing pain.
The sessions outline 30 minutes of music therapy interventions to alleviate specific types of pain for clients with cerebral palsy with reminders to music therapists to constantly assess for pain and discomfort within sessions. Along with the protocol, the music therapist developed five music tracks to accompany the interventions presented within the protocol. The music therapist developed a guided imagery backing track, heartbeat entrainment track, slow breathing music assisted relaxation track, vagus nerve stimulation backing track, and an alternative music engagement backing track. The music therapist synthesized all research found on specific musical elements that reduce pain and used these parameters when creating each track. Each music track can be manipulated within GarageBand to best fit the needs of each client
The Perceived Differences Between Male and Female Athletics
A study was done to examine how female athletes are perceived by athletes, coaches, and Athletic Trainers at D1, D2, D3, and NAIA universities. When observing the athletic community, research has shown female athletes receive minimal funding, misguided media coverage, and little to no acknowledgment in comparison to males. Participants: Participants consisted of 50 athletes, 6 coaches, and 1 Athletic Trainer who had been in their position at a D1, D2, D3, or NAIA university for at least six months. All participants were given the option at the end of the survey to participate in an interview, 4 agreed. Methods: A mixed-methods research study was done, consisting of a fifteen-question survey followed by an optional semi-structured interview. Data from the surveys were collected and analyzed using an independent samples t-test for each question within SPSS statistics, with significance being determined by a P value less than .05. Qualitative data from the interviews were analyzed with thematic methodology, and the number of participants was guided by data saturation. Results: Survey responses demonstrated that female athletes in the D1, D2, D3, and NAIA settings do not feel seen as equals to their male counterparts regarding overall support from their universities (t(5)=.364,
Help Me Help You: Impact of Outreach on Recruitment and Client Engagement
The purpose of this research is to determine how much outreach is too much outreach when recruiting students to Georgia College Graduate Programs. Within the College of Business and Technology we track inquiries and applicants as well as tracking the outreach that is conducted within the office. The outreach tracking, being updated weekly, is intended to watch for potential impact on our conversion rates. The process being researched is that we will find the point at which outreach increasing conversion rates might plateau, and if ever it were to go down due to “too much” outreach. We will be tracking inquiries from Fall 2022 semester through the beginning of Spring 2023 and conduct how much outreach (i.e., Emails sent, phone calls, cards mailed) it takes to move an inquiry to an applicant and if there is a point where there has been too much outreach and applicant numbers start to decline
Perspective of a male elementary music teacher- with Mr. David DeStefano
https://kb.gcsu.edu/cme_profdev/1025/thumbnail.jp
Luchas contra la matriz colonial del poder: la liminalidad del inmigrante en Axolotl de Julio Cortázar y Everything, Everywhere All at Once de Daniel Kwan y Daniel Scheinert.
Throughout this essay, immigrant liminality and its connection to Anibal Quijano’s colonial matrix of power is highlighted. Literature and film, such as Axolotl and Everything Everywhere All at Once, illustrate the impact of colonialism on immigrant liminality. Decolonization, anti-colonial thought and culture, can empower marginalized communities by recognizing the ongoing impacts of colonialism. Such representations acknowledge the state of limbo immigrants face, which is disconnected from the mainstream representation of the immigrant experience and the American Dream. By exploring liminality, these representations can help dismantle the colonial matrix of power that shapes how immigrants are perceived in the Western world
Revisiting the Energetics Hypothesis: Comparing the Spatial and Temproal Movement Patterns between Active Foraging Rat snakes (Pantherophis alleghaneinsis) and Ambush Foraging Rattlesnakes (Crotalus horridus)
Historically, predators have been classified into two categories based upon how they search for and acquire prey. Active foragers move through the environment in search of prey, while ambush foragers “sit-and-wait” in selected positions for prey to pass. This difference in energetic demands is expected to correlate with disparities in the time species allocate to various behaviors. According to this energetics hypothesis, ambush foragers should exhibit reduced movement and space use relative to co-occurring active foragers. Snakes represent traditionally overlooked model organisms for exploring these associations, particularly the interplay between movement, foraging mode, and thermal preferences. Radio telemetry is the primary tool for measuring snake movement, however, coarse measures of activity hinder examination of movement patterns at finer temporal scales. This study capitalizes on recently validated procedures integrating radio telemetry and accelerometry for continuous monitoring of the spatial and temporal dimensions of movement behavior in snakes. We will carry out an improved test of the energetics hypothesis by exploring these associations in ambush-foraging Timber Rattlesnakes (Crotalus horridus) and active-foraging Rat Snakes (Pantherophis alleghaniensis). This project will provide a blue-print for future hypothesis-driven studies on movement behavior in small and secretive species using emerging animal-borne datalogging technologies