A Tablet PC-Based Music-Making Program for Improving Executive Function of Adolescents With Intellectual Disabilities

지적장애 청소년의 집행기능 향상을 위한 태블릿 PC 기반 음악 만들기 활동

  • Received : 2015.04.11
  • Accepted : 2015.05.25
  • Published : 2015.05.30


This study examined the effects of a tablet PC-based music-making program on the executive function of adolescents with intellectual disabilities. Four adolescents with intellectual disabilities participated in this program. Each participant received 45-minute individual sessions twice a week for a total of 16 sessions. The music-making program was designed in the sequence of planning; learning table PC operations; exploring musical elements; making rhythm, melody, and lyrics; composing loop sections; and presentation of the completed music. The Stroop test, Children's Color Trails Test, and Digit Span and Letter-Number sequencing tests were measured at pretest, midtest, and posttest in order to examine changes in executive function. The participants showed increased scores on all three tests. The participants' attention span also increased and their attempts to correct errors during tasks occurred more frequently at posttest. This study supports the effects of the technology-based program on the executive function of adolescents with intellectual disabilities and presents its expanded applicability for adolescents who show low cognitive function and limited motivation for cognitive engagement.

본 연구는 태블릿 PC를 활용한 음악 만들기 프로그램이 지적장애 청소년의 집행기능 향상에 어떠한 효과를 나타내는지 알아보고자 실시되었다. 연구 대상은 지적장애 청소년 남학생 4명으로 세션은 주 2회씩 회기별 45분으로 진행하여 총 16회기 동안 개별 중재하였다. 음악 만들기 프로그램은 노래 구상 및 태블릿 PC 조작법 습득, 음악 요소 탐색, 리듬 멜로디 가사 반주 리듬 만들기, 루프 구간 설정 및 생성, 발표하기로 구성되었고 각각의 창작 과정은 난이도에 따라 단계별로 반복 진행되었다. 집행 기능 측정을 위해서 스트룹(Stroop)검사, 아동 색 선로 검사(CCTT), 작업기억지표의 하위검사인 숫자따라 외우기(DST)와 순차연결하기(LN) 검사를 사전 중간 사후에 실시한 결과 연구 결과 참여자들 모두 세 가지 검사에서 점수가 향상되었다. 비디오 촬영을 통한 행동 분석 결과, 주의 지속 시간이 증가하고 리듬과 멜로디 수행 시 나타나는 오류를 자발적으로 개선해 나갔으며 정보 범주화를 통해 정보의 활용과 응용이 가능해졌다. 이와 같은 결과는 태블릿 PC를 활용한 음악 만들기 프로그램이 지적장애 청소년의 집행 기능을 향상시키는 중재도구로 긍정적인 효과가 있음을 증명하였다. 더 나아가 기존에 지적장애 아동기에 집중되어있던 연구를 청소년기로 확장시켜, 인지기능 저하 및 인지적 과제 참여에 대한 동기가 낮은 다른 대상군에게도 확장 적용될 수 있음을 시사한다.



  1. An, S. H. (2014). A systematic review of single-subject design studies using music intervention for children with disabilities (Master's thesis). Retrieved from
  2. Anderson, P. (2002). Assessment and development of executive function(EF) during childhood. Child Neuropsychology, 8(2), 71-82.
  3. Bailey, R., Willner, P., & Dymond, S. (2011). A visual aid to decision-making for people with intellectual disabilities. Research in Developmental Disabilities, 32(1), 37-46.
  4. Baker, F., & Wigram, T. (2008). Songwriting: Methods, techniques and clinical applications for music (M. H. Choi, Trans.). Seoul: Hakjisa. (Original work published 2005).
  5. Benson, G., Abbeduto, L., Short, K., Nuccio, J. B., & Maas, F. (1993). Development of theory of mind in individuals with mental retardation. American Journal on Mental Retardation, 98(3), 427-433.
  6. Carlson, S. M. (2003). Executive function in context: Development, measurement, theory, and experience. Monographs of the Society for Research in Child Development, 68(3), 138-151.
  7. Choi, J. S., & Shin, J. S. (2011). The relationship, cognitive processing style and an analysis of error on the process of word problem solving in mathematics by student with intellectual disabilities. Journal of Mental Retardation, 13(2), 201-220.
  8. Choi, Y. J. (2000). Children's rights and youth rights. Korean Journal of Youth Studies, 7(2), 277-300.
  9. Chong, H. J. (2005). Music therapy: Understanding and application. Seoul: Ewha Womans University.
  10. Chu, Y. G., & Kim, E. Y. (2014). Trend to enhance working memory for children with intellectual disabilities. Journal of Intellectual Disabilities, 16(1), 85-104.
  11. Conners, F. A. (1990). Aptitude by treatment interaction in computer assisted word learning by mentally retarded students. American Journal on Mental Retardation, 94(4), 387-397.
  12. Davies, D. K., Stock, S. E., & Wehmeyer, M. L. (2002). Enhancing independent time management skills of individuals with mental retardation using a palmtop personal computer. Mental Retardation, 40(5), 358-365.<0358:EITMSO>2.0.CO;2
  13. Dege, F., Kubicek, C., & Schwarzer, G. (2011). Music lessons and intelligence: A relation mediated by executive functions. Music Perception, 29(2), 195-201.
  14. Dempster, F. N. (1992). The rise and fall of the inhibitory mechanism: Toward a unified theory of cognitive development and aging. Developmental Review, 12(1), 45-75.
  15. Drake, C., Jones, M. R., & Baruch, C. (2000). The development of rhythmic attending in auditory sequences: Attunement, referent, period, focal attending. Cognition, 77(3), 251-288.
  16. Edelson, R. J., & Johnson, G. (2003). Music makes math meaningful. Childhood Education, 80(2), 65-70.
  17. Gioia, G. A., Isquith, P. K., Kenworthy, L., & Barton, R. M. (2002). Profiles of everyday executive function in acquired and developmental disorders. Child Neuropsychology, 8(2), 121-137.
  18. Henry, L., & Winfield, J. (2010). Working memory and educational achievement in children with intellectual disabilities. Journal of Intellectual Disability Research, 54(4), 354-365.
  19. Kang, H. J., & Kim, Y. I. (2006). The effects of a visual perception training program on improving the attention behavior of students with mental retardation. The Journal of Special Children Education, 8(3), 213-232.
  20. Kang, H. S. (2014). Performance patterns in percussion improvisation of adolescents with behavior problems. Journal of Music and Human Behavior, 11(2), 1-17.
  21. Kilgour, A. R., Jakobson, L. S., & Cuddy, L. L. (2000). Music training and rate of presentation as mediators of text and song recall. Memory & Cognition, 28(5), 700-710.
  22. Kim. H. G., & Park, T. J. (2003). Korean norm for the difference between digits forward and digits backward. The Korean Journal of Clinical Psychology, 22(3), 599-613.
  23. Kim, H. J. (2007). Effects of cognitive strategy instruction on the mathematical problem solving participating act in solving the problem of students with mild disabilities. Journal of Special Education, 14(1), 143-165.
  24. Koo, H. J., & Shin, M. S. (2008). A standardization study of children's color trails test (CCTT). Journal of the Korean Academy of Child and Adolescent Psychiatry, 19(1), 28-37.
  25. McFerran, K. (2012). Adolescents, music and music therapy: Methods and techniques for clinicians, educators and students (M. H. Choi, I. S. Hong, & E. A. Jang Trans.). Seoul: KMTACA. (Original work published 2008).
  26. Min, C. S. (2002). The study on strategy of teaching-learning for curriculum Instruction and learning characteristic of mentally retarded child based on Gagne's information treatment process theory. Journal of Intellectual Disabilities, 4, 119-136.
  27. Oh, S. W. (2012). K-WISC-VI. The Korean Association Rehabilitation Psychology, 20, 109-150.
  28. Park, H. O., & Kim, J. H. (2011). The effect of self-determination training using visual aid on the executive functioning of students with intellectual disabilities. Journal of Intellectual Disabilities, 13(4), 163-178.
  29. Park, S. Y. (2012). The trends of music therapy research in special education: Using journals in Korea from 2002 to 2011. Journal of Special Education, 19(1), 97-117.
  30. Patterson, A. (2003). Music teachers and music therapists: Helping children together. Music Educators Journal, 89(4), 35-38.
  31. Seok, M. J. (2001). The effects of composing in a music class setting. Korean Journal of Research in Music Education, 20(1), 233-255.
  32. Shin, G. H. & Lee, S. H. (2013). The effects of self-management strategies using tablet PC on the independent performance of routine activities and class preparation behaviors of elementary students with intellectual disabilities. The Journal of Special Children Education, 15(3), 203-229.
  33. Sin, Y. O. (2005). Strategies for developing ecological curriculum for students with mental retardation (Doctoral dissertation). Retrieved from
  34. Song, C. W. (2009). Executive functional characteristics of learning disability children, attention deficit hyperactivity disorder children, and normal children (Doctoral dissertation). Retrieved from
  35. Song, C. W., & Byun, C. S. (2007). Current trends of research related to executive function. Journal of Emotional & Behavioral Disabilities, 23(1), 143-162.
  36. Van der Molen, M. J., Van Luit, J. E. H., Jongmans, M. J., & Van der Molen, M. W. (2007). Verbal working memory in children with mild intellectual disabilities. Journal of Intellectual Disability Research, 51(2), 162-169.
  37. Vanstone, A. D., & Cuddy, L. L. (2009). Musical memory in Alzheimer disease. Aging, Neuropsychology, and Cognition, 17(1), 108-128.