인간행동과 음악연구 (Journal of Music and Human Behavior)

  • 제18권1호
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  • Pages.29-62
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  • 2021
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  • 2288-2774(pISSN)
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  • 2799-9076(eISSN)
한국음악치료교육학회 (Korean Music Therapy Education Association)
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자폐스펙트럼장애 아동 대상 실시간 비대면 상호적 노래부르기 프로그램 실행 가능성: COVID-19에 따른 새로운 접근

Feasibility of Synchronous Videoconferencing Interactive Singing Program for Children With Autism Spectrum Disorder During COVID-19

  • 유가을 (이화여자대학교 대학원 음악치료학과) ;
  • 임주연 (이화여자대학교 대학원 음악치료학과) ;
  • 하은진 (이화여자대학교 대학원 음악치료학과)
  • Yoo, Ga Eul (Department of Music Therapy, Graduate School, Ewha Womans University) ;
  • Im, Ju Yeon (Department of Music Therapy, Graduate School, Ewha Womans University) ;
  • Ha, Eun Jin (Department of Music Therapy, Graduate School, Ewha Womans University)
  • 투고 : 2021.05.11
  • 심사 : 2021.05.20
  • 발행 : 2021.05.30
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초록

본 연구의 목적은 COVID-19 상황에서 자폐스펙트럼장애(ASD) 아동 대상 상호적 노래부르기 중심 실시간 비대면 프로그램의 실행 가능성을 검증하는 것이다. 이를 위해 총 4단계로 연구가 진행되었는데, 1단계에서는 선행 문헌 고찰을 통해 상호적 노래부르기 과제의 범위를 분석하였고, 분석된 과제를 토대로 2단계에서는 노래부르기 과제 및 반주 유형에 따라 실시간 온라인으로 송출되는 소리가 지각되는 수준이 다른지 비교하였다. 또한 3단계에서는 다양한 자원의 확장, 다양한 맥락에서의 언어/노래 자원 적용, 상호적 구조 안에서의 자발적 표현 시도의 단계로 프로그램을 구성하고 타당도를 검증하였다. 최종 구성된 프로그램은 4단계에서 평균 연령 9.3세의 ASD 아동 3명에게 30분씩 주 2회, 총 4회 동안 시행되었다. 회기가 지날수록 대상자들의 프로그램 참여 행동과 노래부르기 행동 모두 증가하였고, 보호자들은 프로그램의 적용 가능성에 긍정적으로 평가하였다. 다만, 참여 행동의 변화 양상이나 참여 유도를 위한 전략 등에 있어서는 대상자간 차이가 큰 것으로 나타났다. 이러한 결과는 실시간 비대면 상호적 노래부르기 프로그램이 ASD 아동에게 실행 가능함을 보여주지만, 비대면 환경에서 효과적으로 적용될 수 있는 과제와 음악의 유형, 보다 많은 치료적 혜택을 받을 수 있는 아동의 특성이 다를 수 있음도 시사하였다. 또한 이를 바탕으로 비대면 음악치료 프로그램 실행 방향과 고려사항에 대해 제안하였다.

This study aimed to investigate the feasibility of an interactive singing-based synchronous videoconferencing program for children with autism spectrum disorder (ASD). This study was conducted in four stages: analysis of interactive singing tasks in the literature for children with ASD, examination of differences in perception of sounds transmitted via synchronous videoconferencing platform depending on the type of singing tasks and accompaniment, construction of singing-based synchronous videoconferencing program and determination of its validity, and implementation of the constructed program with three children with ASD and confirmation of its feasibility. The results showed that different types of singing tasks and accompaniment affected perception of sounds transmitted online, which highlights the importance of considering such effects when designing synchronous videoconferencing music therapy programs. Also, increases in program engagement and singing behaviors were observed for all three participants, and their caregivers reported high levels of satisfaction with the program. The findings support the applicability of this intervention as a tele-music alternative during the COVID-19 pandemic. Clinical implications and suggestions are discussed.

키워드

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