Adult Cochlear Implant Recipients' Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon.
Identifieur interne : 000635 ( Main/Exploration ); précédent : 000634; suivant : 000636Adult Cochlear Implant Recipients' Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon.
Auteurs : Kate Gfeller [États-Unis] ; Virginia Driscoll [États-Unis] ; Adam Schwalje [États-Unis]Source :
- Frontiers in neuroscience [ 1662-4548 ] ; 2019.
Abstract
Background
Cochlear implants (CIs), which have been designed primarily to support spoken communication of persons with severe to profound hearing loss, are highly effective in supporting speech perception in quiet listening conditions. CI users as a group achieve significantly poorer perception and appraisal of music, and speech perception is compromised when background music is present, though outcomes vary considerably across recipients. A number of factors have been identified that contribute to variable music listening experiences, but many questions remain, particularly regarding experiences in everyday life from the perspective of CI users.
Purpose
The purpose of this study was twofold: The first aim was to explore the perspectives of adult CI recipients regarding two experiences with music in everyday life: purposeful music listening and background music that competes with spoken conversation. The second aim was to develop a framework of everyday music experiences based upon CI perspectives that could inform future rehabilitative practices and research initiatives.
Methods
Qualitative and patient-engaged research methodologies were used to emphasize the perspectives of the CI users. Participants included 40 experienced adult CI users ranging in age from 19 to 81 enrolled in 13 CI centers. Participants completed on-line semi-structured open-ended questionnaires regarding purposeful music listening and background music in conjunction with spoken communication. Responses were analyzed using an iterative inductive coding process consistent with grounded theory methodology. The interrelated themes that emerged from the data were then organized into a model synthesizing components from models on music response and self-management for persons with chronic health conditions.
Outcomes
Data analyses informed the development of a Dynamic Problem Solving Model for Management of Music Listening Environments adapted from Hill-Briggs (2003) Problem Solving Model of Chronic Illness Self-Management. Key findings were: (1) Music listening is a dynamic, multifaceted experience; satisfactory listening depended upon optimal combinations of factors; (2) Music listening is effortful, but the extent of satisfaction is influenced by expectations and self-management of the situation; (3) CI users have limited access to resources for optimizing music experiences. Many CI users would consider rehabilitation, but level of commitment and priorities differ across CI users.
DOI: 10.3389/fnins.2019.01229
PubMed: 31824240
PubMed Central: PMC6882382
Affiliations:
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Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA</wicri:regionArea><placeName><region type="state">Iowa</region></placeName></affiliation></author></analytic><series><title level="j">Frontiers in neuroscience</title><idno type="ISSN">1662-4548</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>Background</b></p><p>Cochlear implants (CIs), which have been designed primarily to support spoken communication of persons with severe to profound hearing loss, are highly effective in supporting speech perception in quiet listening conditions. CI users as a group achieve significantly poorer perception and appraisal of music, and speech perception is compromised when background music is present, though outcomes vary considerably across recipients. A number of factors have been identified that contribute to variable music listening experiences, but many questions remain, particularly regarding experiences in everyday life from the perspective of CI users.</p></div><div type="abstract" xml:lang="en"><p><b>Purpose</b></p><p>The purpose of this study was twofold: The first aim was to explore the perspectives of adult CI recipients regarding two experiences with music in everyday life: purposeful music listening and background music that competes with spoken conversation. The second aim was to develop a framework of everyday music experiences based upon CI perspectives that could inform future rehabilitative practices and research initiatives.</p></div><div type="abstract" xml:lang="en"><p><b>Methods</b></p><p>Qualitative and patient-engaged research methodologies were used to emphasize the perspectives of the CI users. Participants included 40 experienced adult CI users ranging in age from 19 to 81 enrolled in 13 CI centers. Participants completed on-line semi-structured open-ended questionnaires regarding purposeful music listening and background music in conjunction with spoken communication. Responses were analyzed using an iterative inductive coding process consistent with grounded theory methodology. The interrelated themes that emerged from the data were then organized into a model synthesizing components from models on music response and self-management for persons with chronic health conditions.</p></div><div type="abstract" xml:lang="en"><p><b>Outcomes</b></p><p>Data analyses informed the development of a Dynamic Problem Solving Model for Management of Music Listening Environments adapted from Hill-Briggs (2003) Problem Solving Model of Chronic Illness Self-Management. Key findings were: (1) Music listening is a dynamic, multifaceted experience; satisfactory listening depended upon optimal combinations of factors; (2) Music listening is effortful, but the extent of satisfaction is influenced by expectations and self-management of the situation; (3) CI users have limited access to resources for optimizing music experiences. Many CI users would consider rehabilitation, but level of commitment and priorities differ across CI users.</p></div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">31824240</PMID><DateRevised><Year>2020</Year><Month>10</Month><Day>01</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1662-4548</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><PubDate><Year>2019</Year></PubDate></JournalIssue><Title>Frontiers in neuroscience</Title><ISOAbbreviation>Front Neurosci</ISOAbbreviation></Journal><ArticleTitle>Adult Cochlear Implant Recipients' Perspectives on Experiences With Music in Everyday Life: A Multifaceted and Dynamic Phenomenon.</ArticleTitle><Pagination><MedlinePgn>1229</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fnins.2019.01229</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Cochlear implants (CIs), which have been designed primarily to support spoken communication of persons with severe to profound hearing loss, are highly effective in supporting speech perception in quiet listening conditions. CI users as a group achieve significantly poorer perception and appraisal of music, and speech perception is compromised when background music is present, though outcomes vary considerably across recipients. A number of factors have been identified that contribute to variable music listening experiences, but many questions remain, particularly regarding experiences in everyday life from the perspective of CI users.</AbstractText><AbstractText Label="Purpose" NlmCategory="UNASSIGNED">The purpose of this study was twofold: The first aim was to explore the perspectives of adult CI recipients regarding two experiences with music in everyday life: purposeful music listening and background music that competes with spoken conversation. The second aim was to develop a framework of everyday music experiences based upon CI perspectives that could inform future rehabilitative practices and research initiatives.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">Qualitative and patient-engaged research methodologies were used to emphasize the perspectives of the CI users. Participants included 40 experienced adult CI users ranging in age from 19 to 81 enrolled in 13 CI centers. Participants completed on-line semi-structured open-ended questionnaires regarding purposeful music listening and background music in conjunction with spoken communication. Responses were analyzed using an iterative inductive coding process consistent with grounded theory methodology. The interrelated themes that emerged from the data were then organized into a model synthesizing components from models on music response and self-management for persons with chronic health conditions.</AbstractText><AbstractText Label="Outcomes" NlmCategory="UNASSIGNED">Data analyses informed the development of a Dynamic Problem Solving Model for Management of Music Listening Environments adapted from Hill-Briggs (2003) Problem Solving Model of Chronic Illness Self-Management. Key findings were: (1) Music listening is a dynamic, multifaceted experience; satisfactory listening depended upon optimal combinations of factors; (2) Music listening is effortful, but the extent of satisfaction is influenced by expectations and self-management of the situation; (3) CI users have limited access to resources for optimizing music experiences. Many CI users would consider rehabilitation, but level of commitment and priorities differ across CI users.</AbstractText><CopyrightInformation>Copyright © 2019 Gfeller, Driscoll and Schwalje.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gfeller</LastName><ForeName>Kate</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>School of Music, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Communication Sciences and Disorders, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Driscoll</LastName><ForeName>Virginia</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>School of Music, College of Liberal Arts and Sciences, The University of Iowa, Iowa City, IA, United States.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Schwalje</LastName><ForeName>Adam</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Iowa Cochlear Implant Clinical Research Center, Department of Otolaryngology, The University of Iowa Hospitals and Clinics, Iowa City, IA, United States.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate 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Kate" sort="Gfeller, Kate" uniqKey="Gfeller K" first="Kate" last="Gfeller">Kate Gfeller</name><name sortKey="Gfeller, Kate" sort="Gfeller, Kate" uniqKey="Gfeller K" first="Kate" last="Gfeller">Kate Gfeller</name><name sortKey="Schwalje, Adam" sort="Schwalje, Adam" uniqKey="Schwalje A" first="Adam" last="Schwalje">Adam Schwalje</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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