Acquired Brain Injury (Including Stroke), Caregivers
Conditions
Keywords
music therapy, dyad intervention, nature-based
Brief summary
The goal of this pilot study is to determine the initial impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature & music-based program facilitated by occupational therapy and music therapy. The main questions it aims to answer are: * Primary Question: What is the impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature & music-based program facilitated by occupational therapy and music therapy? * Secondary Question: What is the feasibility of a four-session nature & music-based wellness program for clients with acquired brain injury and care partner dyads? * Attendance * Satisfaction * Accessibility * Carryover of Strategies Participants will complete self-reported surveys before and after completing 4 sessions of a nature & music-based program facilitated by occupational therapy and music therapy.
Interventions
BEHAVIORALNature in Harmony
* Session 1- Duquesne University -120 minutes- Building Rapport: Psychoeducation on Music \& Nature * Session 2 - Duquesne University - 90 minutes - Using the Senses for Wellness * Session 3 - Duquesne University - 90 minutes - Connections \& Community * Session 4 - Frick Park Environmental Center - 4 Hours including Lunch - Self Care Immersion in Nature Retreat
Sponsors
Duquesne University
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* All participants must be above the age of 18 to participate. * Able to communicate in English * A person with an ABI can include persons with a diagnosis of traumatic brain injury, stroke, aneurysm, brain infection, and/or brain cancer. * A care partner is broadly defined as a social support person who has been identified as a family member or friend of the person with the acquired brain injury. * Capacity for consent - Person must be their own medical power of attorney * Capacity for Self-Reflection (have a score of 23/35 on the MOCA or have a 5/6 on the Design Memory Test sub test of Cognition and Language Quick Test)
Exclusion criteria
* Self-reported severe-to profound hearing loss with the use of hearing aid(s) * Cannot communicate in English * Have a diagnosis of a progressive neurological disorder, such as Amyotrophic lateral sclerosis, Parkinson's disease, Dementia, Multiple Sclerosis * Have a severe aphasia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| EUROHIS-QOL 8-item index | First session to end of program approximately 4 weeks. | EUROHIS-QOL 8 is a standardized assessment of general quality of life that assesses four domains of QOL: physical, psychological, social, and environmental. This assessment has been validated for persons with traumatic brain injury (Balalla et al., 2019). This is 5-point scale from "not at all" to "completely." A high total point value indicates a better quality of life rating. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Connor-Davidson Resilience Scale | First session to end of program approximately 4 weeks. | The 10-item Connor-Davidson Resilience Scale will be administered as a secondary outcome to determine if any impacts are seen after this brief program because of participation. This measure has been used with persons post-traumatic brain injury, stroke, and caregivers. Rating scale goes from 0-4 with higher total scores indicating better resilence. |
| Dyadic Relationship Scale | First day to end of program approximately 4 weeks | The 10-item Dyadic Relationship Scale will be administered as a secondary outcome to examine any changes in both positive and negative interactions between individuals with ABI and their care partners after this program (Sebern \& Whitlatch, 2007). This is a four point scale with a higher score indicating more negative dyad experiences. |
| Client Satisfaction Questionnaire (CSQ-8) | Last session, approximately 4 weeks after first session | This measure uses eight questions on a four point Likert-scale strongly agree to strongly disagree to assess participants' overall satisfaction with the program with a maximum score of 32 (Attkisson \& Greenfield, 2004). The average score for the group on the CSQ-8 is at least 24. |
| Attendance | Every week for 4 weeks. | Session attendance will be tracked at every session throughout the program as either present "1" or absent "0". Participants who attend all sessions will have a total of 4. |
| Accessibility of the strategies | Every week of the program for four weeks. | 4-point Likert scale survey will be used to document participants' interest in using the covered strategies in the sessions. Items will not be totaled and scales vary by question. |
| Carryover of the strategies | Weekly journal entries for weeks 2,3, and 4. | A self-reported journal includes date, the name of the activity, length, and personnels will be provided for documenting the carryover activities outside of the session time. |
Countries
United States
Outcome results
None listed