Medicine and Health Sciences Commons^™

Healthcare Access Barriers And Proposed Solutions For Limited English-Proficient (Lep) Latinx Patients In Southwest Michigan, Carmen Vinkemulder

Honors Theses

This research study explores the circumstances and experiences of LatinX patients with limited English proficiency (LEP) when seeking treatment in the healthcare system of Southwest Michigan, in addition to proposing solutions to better facilitate this population’s access. The terminology used in this research, LatinX, is an American English neologism used as a genderinclusive term used interchangeably with Latino/a and/or Hispanic. This research provides an overview of the current socio-political legislature and climate of the American healthcare system as it pertains to the LatinX population to spread awareness and identify the barriers existing in our current healthcare model. This study will …

The Role Of Music In The Trauma Narrative And “Storytelling”: Perspectives Of Clinicians, Taylorlyn N. Mehnert

Masters Theses

There is a lack of detailed literature describing how music is used for expressing and processing the trauma narrative. This study used a constructivist grounded theory approach through an anti-oppressive lens to explore the ways in which music therapists use music in exploring clients’ stories. The term “story” is used as opposed to “narrative” or “memory” to incorporate a broader definition of expression including non-verbal, musical, metaphorical, or any other method the client chooses. Eight board-certified music therapists (MT-BC) were interviewed regarding their use of music in the context of clients’ stories. Braun and Clarke’s reflexive thematic analysis was used …

The Neuroanatomical, Neurochemical, And Phenomenological Correlates Of Social Bonding, Empathy, And Flow In Music Improvisation, Edward A. Roth

Dissertations

The three studies in this dissertation explore the biological and phenomenological under-pinnings of music improvisation related to bonding, empathy, and flow. Musical improvisation is a multi-dimensional behavior encompassing motor, cognitive, affective, and often social domains, and as such, it is reasonable to consider that music improvisation shares many characteristics with other forms of non-musical extemporaneous behavior, such as carrying on a verbal dialogue. The primary aims of this three-study dissertation were to (1) determine the feasibility of the study designs and interdisciplinary methods; (2) examine potential differences in the neuroanatomical and neurophysiological correlates of improvisation between non-musicians and musicians; and …

The Effects Of Involvement In Religious Practices On Recovering Substance Users., Taylor Currier

Honors Theses

This paper reviews empirical studies focused on spirituality and its effects on those in the recovery process from substance abuse. This paper will look at qualitative studies as well as quantitative research to see which form has derived the best results on how spirituality has affected substance abuse recovery. Prolonged recovery is the goal for those that struggle with substance use. Behavior change is an important in sustaining sobriety with those dealing with addiction. It is predicted that those who engage in spiritual growth within their community have a higher likelihood of prolonged recovery than those that do not believe …

The Relationship Of An Ipad, A Video Magnifier, And Large Print Text With Oral Reading Outcomes For Children With Low Vision, Rosemary L. Nave Stawasz

Dissertations

Low vision may cause a decrease in visual performance and interfere with daily functioning, especially reading print or text materials. Reading standard text can be particularly challenging for students with low vision in an educational setting and can reduce oral reading rates. Students with low vision may use large print or low vision devices for reading. Limited evidence currently exists to compare oral reading outcomes across various reading media for children with low vision.

The purpose of this exploratory project was to examine oral reading rate, fluency, and comprehension among children with low vision when using an iPad, a video …

Stigma Mitigation Through Fine Arts, Kendall Owens

Honors Theses

Social stigma has plagued our society for centuries. It isolates groups of people based on erroneously defined characteristics causing stigmatized persons to be viewed as socially “abnormal”. This debarment from full social acceptance results in poor population health and well-being. Fine arts have been an integral component of society since the beginning of civilization; current and past research have found involvement in fine arts to improve health and well-being in many ways. In this project, relevant studies related to stigma, fine arts, and population health will be reviewed to support the argument that “fine arts combat and mitigate the …

The Use Of Neurologic Music Therapy And Rhythmic Auditory Stimulation As Treatment For Parkinson’S Disease, Shaima Shebrain

Honors Theses

Parkinson’s Disease (PD), a progressive, neurodegenerative disease, is common in people who are 50 years of age or older. It is characterized by the loss of function of the substantia nigra in producing dopamine, a neurotransmitter that allows for smooth and coordinated movement. Due to the lack of dopamine, an individual with PD experiences involuntary and stiff movements such as tremors, rigidity, bradykinesia, postural instability, and abnormal gait patterns along with other motor symptoms. Over the years, the motor symptoms that are associated with PD progressively worsen; thus, limiting the individual’s independency and ability to perform daily tasks. Those with …

The Effect Of Patterned Sensory Enhancement On Balance And Ambulation In Persons Diagnosed With Parkinson’S Disease, Brittany Barko

Masters Theses

One rehabilitation protocol effective in delaying the symptoms of Parkinson’s Disease (PD) is Lee Silverman Voice Training BIG (LSVT BIG), comprising pre-gait exercises and gait training. This study seeks to determine if combining Patterned Sensory Enhancement (PSE), a music therapy intervention, with LSVT BIG will improve quality of movement. During physical therapy sessions with three participants, a music therapist adapted the PSE stimuli to support each patient’s motor needs, which were then recorded on CD and sent with patients to exercise with at home. Results showed improved balance and ambulation comparing pre- and post- measures of the BERG balance scale …

A Survey Of Perceptions And Professional Boundaries Between Music Therapy And Speech-Language Pathology, Jennifer Rose Fromius

Masters Theses

The purpose of this study is to examine the relationship between music therapists and speech-language pathologists in order to gain a better understanding of professional boundaries within each profession, frequency of co-treatment between the two professions, and perceptions of referral in clinical practice. Data for this research were collected through two online questionnaires with parallel sets of questions, which were distributed to a sample of boardcertified music therapists (MT-BC) and speech-language pathologists (CCC-SLP). Quantitative and qualitative data collected from the survey (N= 283; n = 45 MT-BC, n = 238 CCC-SLP) are analyzed to determine if there are correlations and …

Diabetes Prevention Program: Exploring Spirituality And Spiritual Interventions On Outcomes, Sharon E. Plutko Long

Dissertations

Purpose

The purpose of this study is to explore a relationship between a modified Diabetes Prevention Program (DPP) for adults with pre-diabetes (pre-DM) or type-2 DM with variables of spirituality and religiosity (S/R) to illuminate the potential religion-health connection based in changes in participant weight, body mass index (BMI) and physical activity. A secondary purpose is identifying spiritual interventions used by faith-based DPP coaches in a group setting.

Methods

A mixed-methods study was conducted with 34 DPP participants and 11 DPP coaches who completed the core section (weeks 1-26) of DPP courses held in Macomb Country, Michigan. Independent variables are …

Recurring Ankle Injuries In Dancers, Alexis Jawny

Honors Theses

The purpose of this research, obtained from various Journals of Dance Medicine and Science, is to identify the cause of recurring ankle injuries in the dance community. Ankle injuries are the most common type of injury making up 50% of injuries in dancers. The main cause of recurring ankle injuries is improper diagnosing and then leading to the wrong treatment plan. The research focusses on how to prevent these improper diagnoses and what the dancer and specialty care professional (orthopedics, physical therapists, and rehabilitative medicine) can do to decrease the number of ankle injuries occurring and reoccurring in the dance …

The Neurochemistry Of Group Singing: Bonding And Oxytocin, Jason Keeler

Masters Theses

The purpose of this study was to examine the neurochemical correlates of group vocal improvisation and to determine the feasibility of the research methods. One group of four participants sang together in two conditions: pre-composed and improvised. Concentrations of plasma oxytocin and adrenocorticotropic hormone (ACTH) were measured before and after each singing condition to assess levels of hormones associated with social affiliation, engagement and arousal. Successful implementation of the methodology, including recruitment, data collection, and sample analysis, served as the primary outcome of this study. ACTH concentrations decreased in both conditions, and significantly so in the pre-composed singing condition. Mean …

Music Therapists Behind Locked Doors: The Role Of Trauma Exposure And Current Music Therapy Practices In Correctional And Forensic Psychiatry, Deanna K. Bush

Masters Theses

The purpose of this descriptive study was to explore the role trauma exposure has on the possible development of symptoms of Vicarious Traumatization (VT) in the lives of Board Certified Music Therapists employed in correctional and forensic settings. Research was conducted through completion of an electronic survey. Additionally, the researcher sought to identify current music therapy practices as well as differences between practicing in forensic settings and correctional settings. The participants involved in this study were Board Certified Music Therapists who work in forensic and correctional settings. Survey invitations were electronically sent to 133 prospective participants as listed on either …

Clinical Efficacy Of Music Therapy In Addiction Counseling: A Systematic Review, Marissa Renee Rinehart

Masters Theses

A previous systematic review study by Mays, Clark, and Gordon in 2008 reviewed music therapy research to look into the clinical efficacy of music therapy and addiction counseling. Their research concluded that the present literature contained few articles that had quantitative evidence and the music therapy that was presented was not an independent therapy for treatment for patients with substance abuse. This systematic review sought to research literature within the past six years that studied the effects of music therapy on clients who were dealing with substance abuse to review the progress of music therapy research since the 2008 article …

Preliteracy Skills Promoted In Children’S Spanish-Language Books, Katherine Marie Suter

Masters Theses

As of July 1, 2013, the latest census figures indicate that there are approximately 54 million Latinosliving in the U.S. (US Census Bureau, 2013). However, many Latino children still do not receive the services or resources they need to perform well academically. The primary aim of this research study is to determine if the books available to Spanish-speaking Latino¹ populations in two Michigan Counties contain features that might be used to facilitate beginning pre-literacy skills.

Children’s Spanish-language books from bookstores and public libraries were analyzed to determine the presence of features that might facilitate print awareness, phonological awareness, and …

A Comparison Study Of Diagnostic Outcomes Between The Music Therapy Assessment Tool For Awareness In Disorders Of Consciousness (Matadoc) And The Coma Recovery Scale-Revised (Crs-R), Caitlyn E. Bodine

Masters Theses

The purpose of this study was to explore preliminary external validation of a standardized music therapy assessment tool used in the detection of awareness with the DOC patient population with an external reference standard. Eight subjects were administered both the MATADOC and the CRS-R within five days of one another, and results were compared on the levels of overall diagnosis, analogous domain subscales, and intra-assessment relationships between individual domains and overall diagnosis. Results indicated a very strong level of agreement for overall diagnosis (r_s = .85, p < .01), very strong relationships between the auditory and visual components of the two assessments (r_s = .76, p < .05, and r_s = .81, p < .05, respectively), and a strong, but non-significant relationship between arousal scores on the two assessments (r …