German Center for Music Therapy Research

Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Research Network: E. Hutter, M. Grapp, H. Argstatter, P. K. Plinkert 14 th International Conference on Cochlear Implants and Other Implantable Auditory Technologies Toronto 2016 German Center for Music Therapy Research, Heidelberg University Hospital for Ear, Nose, and Throat, Heidelberg

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 2 German Center for Music Therapy Research Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Objectives: Evaluating effects of music therapy on perception of musical parameters and subjective sound quality Additional effects? à Detection of prosody in speech à Subjective self-concept à Psychophysiological arousal during hearing task

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 3 Contents of Music Therapy Module Therapy goal Variability of voice and speech Improving speech comprehension and production especially on emotional speech prosody The diverse components of music Training the perception of discrete musical components such as pitch, rhythm and timbre Playfully used components of speech Improving speech comprehension by means of spontaneous and easy manipulation of verbal contents and gradually reducing lip reading Speech in diverse hearing surroundings Training the selective hearing of linguistic contents and information e.g. when combining musical and linguistic features Complex hearing Improving the selective filtering of important stimuli within complex auditory surroundings

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 4 Methods Subjective sound quality (HISQUI) Subjective self-concept (MSCS) Musical tests (pitch, timbre) Detection of prosody in speech Psychophysiological arousal (skin conductance level, pulse rate) during hearing task

Design Therapy group (n = 10): 10 sessions of therapy Implantation Initial Activation of Speech Processor Diagnostic assessments: Questionnaires Musical tests Psychophysiological assessments Care as usual Waiting goup (n = 10): Care as usual Diagnostic assessments: Questionnaires Musical tests Psychophysiological assessments Period of deafness (years) Time elapsed: IA diagn. 1 (days) Time elapsed: diagn. 1 diagn. 2 (days) Therapy group (M [SD]) 10.0 (11.84) 101.7 (158.3) 113.3 (19.5) 40% Waiting group (M[SD]) 4.70 (5.53) 129.6 (122.6) 104.2 (10.6) 40% t-test 1.28-0.44 1.30 p-value.22.67.21 Musical activity (percentage) Control group n = 25 Musical tests Psychophysiological assessments 12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 5

Study sample Unilaterally implanted, postlingually deafened adult CI users (n= 20) Normal hearing persons (n = 25) CI-users Gender male n = 6 female n = 14 Age (M [SD]) 53.5 (9.21) Control group male n = 13 female n = 12 53.3 (10.23) t-test -0.99 p-value.92 12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 6

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 7 Results Subjective sound quality (HISQUI) Ques4onnaire of subjec4ve sound quality CI * pre - post 5 4 3 2 1 0 therapy group HISQUI wai4ng group pre post

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 8 Results 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 60% * Musical and prosodic tests: percentage of correct responses (CI only) 94% 95% 87% 87% 78% 80% 80% * 70% 65% 62% 63% 38% 34% 33% pitch discrimination timbre identification speech prosody identification therapy group therapy group waiting group waiting group control group

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 9 Results 10 9 8 7 6 5 4 3 2 1 0 Pitch discrimination (semitones) * 9.4 8.3 6.2 6.4 5.5 7.4 5.8 6.5 5.8 4.2 4.4 5.3 3.6 3.5 2.9 3.1 2.7 2.9 3.0 3.3 3.4 2.2 2.8 2.1 2.4 2.3 1.8 therapy group waiting group therapy group waiting group therapy group waiting group low pitch range medium pitch range high pitch range bilateral bilateral unilateral unilateral control group

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 10 Results Multidimensional Self-Concept Scale (MSCS) MSCS (M [SD]) pre MSCS (M [SD]) post t-test p-value therapy group waiting group t-test p-value 161.9 (26.02) 167.8 (18,32) -1.12.29 150.2 (19.89) 149.9 (29.59) 0.05.97 1.13 1.63.27.12

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 11 Results Psychophysiological measures during relaxation and reaction tasks Control Group Skin conductance level Skin cnductance reaction Pulse frequency Relaxation (MW [SD]) Reaction task dots (MW [SD]) 1.94 (1.38) 2.16 (1.39) 1.95 (0.98) Reaction task tones (MW [SD]) -.0033 (.0146) -.0012 (.0059) -.0055 (.0113) 66.16 (12.10) 67.64 (11.86) 68.60 (12.89) CI-Users Skin conductance level Skin conductance reaction Pulse frequency Relaxation (MW [SD]) Reaction task dots (MW [SD]) 1.59 (1.04) 1.73 (1.07) 1.72 (1.09) Reaction task tones (MW [SD]) -.0064 (.0087) -.0023 (.0073) -.0039 (.0091) 68.45 (8.81) 71.40 (10.31) 70.35 (8.88)

12.05.2016 Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 12 Conclusions Improvements in music perception (pitch, timbre), prosody detection and subjective sound quality Further effects in subjective self-concept and psychophysiological arousal during hearing task need to be proved

German Center for Music Therapy Research H 12.05.2016 Thank you for your attention! Effects of music therapy for adult CI users on the perception of music, prosody in speech, subjective self-concept and psychophysiological arousal Slide: 13