TY - JOUR
T1 - Music Upper Limb Therapy–Integrated (MULT-I) supports a positive transformation in sense of self post stroke
T2 - a thematic analysis
AU - Palumbo, Anna
AU - Balagula, Caitlin
AU - Turry, Alan
AU - Aluru, Viswanath
AU - Raghavan, Preeti
N1 - Publisher Copyright:
© 2024 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2025
Y1 - 2025
N2 - Purpose: To understand how the experience of Music Upper Limb Therapy–Integrated (MULT-I) interconnects with the experience of stroke. Methods: Thematic analysis of semi-structured interviews and video-recorded MULT-I sessions from a larger mixed-methods study. Thirty adults with post-stroke hemiparesis completed pre-intervention interviews, of whom fifteen participated in MULT-I. Thirteen of the participants in MULT-I completed post-intervention interviews. Results: The experience of stroke was characterized by five themes: (1) sudden loss of functional abilities, (2) disrupted participation, (3) desire for independence, (4) emotional distress and the need for support, and (5) difficulty negotiating changes in sense of self. The experience of MULT-I was characterized by three themes: (1) MULT-I activated movement and empowered personal choice, (2) MULT-I created a safe place to process emotional distress and take on challenges, and (3) MULT-I fostered a sense of belonging and a positive transformation in sense of self. These themes combined create a framework which illustrates the process by which MULT-I addressed each challenge described by survivors of stroke, facilitating a positive transformation in sense of self. Conclusion: MULT-I promotes physical, emotional, and social wellbeing following a stroke. This integrated approach supports a positive transformation in sense of self. These findings have implications for improving psychosocial well-being post stroke.
AB - Purpose: To understand how the experience of Music Upper Limb Therapy–Integrated (MULT-I) interconnects with the experience of stroke. Methods: Thematic analysis of semi-structured interviews and video-recorded MULT-I sessions from a larger mixed-methods study. Thirty adults with post-stroke hemiparesis completed pre-intervention interviews, of whom fifteen participated in MULT-I. Thirteen of the participants in MULT-I completed post-intervention interviews. Results: The experience of stroke was characterized by five themes: (1) sudden loss of functional abilities, (2) disrupted participation, (3) desire for independence, (4) emotional distress and the need for support, and (5) difficulty negotiating changes in sense of self. The experience of MULT-I was characterized by three themes: (1) MULT-I activated movement and empowered personal choice, (2) MULT-I created a safe place to process emotional distress and take on challenges, and (3) MULT-I fostered a sense of belonging and a positive transformation in sense of self. These themes combined create a framework which illustrates the process by which MULT-I addressed each challenge described by survivors of stroke, facilitating a positive transformation in sense of self. Conclusion: MULT-I promotes physical, emotional, and social wellbeing following a stroke. This integrated approach supports a positive transformation in sense of self. These findings have implications for improving psychosocial well-being post stroke.
KW - Stroke
KW - experience
KW - music therapy
KW - self
KW - upper limb rehabilitation
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U2 - 10.1080/09638288.2024.2346240
DO - 10.1080/09638288.2024.2346240
M3 - Article
C2 - 38682830
AN - SCOPUS:85191886343
SN - 0963-8288
VL - 47
SP - 365
EP - 377
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 2
ER -