Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Validation of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness With the Coma Recovery Scale-Revised (2023) |
Auteurs : | Wendy L. Magee ; Ajit Narayanan ; Rebecca O'Connor ; Fiona Haughey ; Erin Wegener ; Bernice H.L. Chu ; Mark Delargy ; Dee Gray ; Alika D. Seu ; Richard J. Siegert ; Rosanne J. Tyas ; Kudret C. Yelden ; Caroline Schnakers |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 104, n° 7, 2023) |
Article en page(s) : | p. 1107-1114 |
Note générale : | https://doi.org/10.1016/j.apmr.2023.03.010 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Conscience immédiate ; Évaluation de résultat (soins) ; Lésions encéphaliques ; Musique ; Réadaptation ; Troubles de la conscience |
Résumé : | Objective To examine (1) the concurrent validity of the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC) with the criterion standard Coma Recovery Scale-Revised (CRS-R) for outcomes of awareness in patients with prolonged disorders of consciousness (PDoC), (2) the relationship between MATADOC items and CRS-R function subscales in similar domains, and (3) determine if items/function subscales measure different constructs. Design A prospective multicentric blinded study with repeated concurrent measures. Setting Three inpatient rehabilitation units. Participants Convenience sample of 74 adults with PDoC (N=74). Main Outcome Measures The MATADOC protocol elicits behavioral responsiveness using live music in 5 tasks. A total score ranges 0-10 scoring behaviors across 14-items. The CRS-R uses a language-based protocol and scores observed responses ranging from 0-23 in 6 function subscales. Both measures were delivered at 4 concurrent time points over 2 weeks. Results Fair (?=0.238, P=.006) ranging to moderate (?=0.419, P<.001 significant agreement was found between crs-r and matadoc diagnostic outcomes. fair-borderline moderate for overall outcomes across all categories p=".001)." there measures motor scores visual .001 but no item subscale assessing auditory responsiveness. exploratory factor analysis of items showed factors suggesting that measure the same underlying latent variable in different ways could complement each other diagnosis intervention purposes. this supported by scale which increased reliability when scales are used together rather than separately. conclusions unlike music-based localization complexity response categorizes these behaviors as conscious reflexive. may supplement having a particular role interdisciplinary programming providing more robust assessment responsiveness because using nonverbal musical stimuli.> |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999323001752 |