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Social Skill Training Based Musical Instrument Performance(SST-MIP) Program Improves Sociality of Children with Intellectual Disabilities

사회적 기술 훈련 기반 악기연주의 지적 장애 아동에 대한 사회성 개선 효과

  • Received : 2024.01.07
  • Accepted : 2024.02.19
  • Published : 2024.03.31

Abstract

Background: There is a need for the development of non-verbal music therapy programs to enhance the social skills of children with intellectual disabilities who face challenges in verbal communication. Objective: The purpose of this study is to propose a music therapy program aimed at improving the social skills of children with intellectual disabilities and to evaluate its clinical effectiveness. Method: This study designed a Social Skills Training based Musical Instrument performance (SST-MIP) intervention program that integrates existing musical instrument performance and social skills in music therapy and targeted children with intellectual disabilities. Clinical effectiveness was evaluated. A total of 51 participants were randomly assigned to either the experimental group (29 participants) or the control group (22 participants). The experimental group participated in the SST-MIP intervention program once a week for 50 minutes over 32 weeks. The level of social skills of the participants was measured using the Social Skills Rating System (SSRS - teacher form, elementary level). Results: The average SSRS score of the experimental group increased by 109.2% from 10.7 to 22.4 (p <.001), while the control group showed a relatively modest increase of 30.7% from 11.3 to 14.7 (p <.05). After the SST-MIP intervention, the SSRS score of the experimental group was 57.2% higher than that of the control group, with significant improvements in specific areas of social skills: self-control (79.6%), assertion (56.8%), and cooperation (43.2%). Conclusion: The SST-MIP has been found to significantly enhance the social skills of children with intellectual disabilities. The proposed SST-MIP intervention is expected to be a useful tool for training social skills in children with intellectual disabilities who struggle with verbal communication.

배경: 언어적 소통이 어려운 지적장애 아동의 사회성 향상을 위한 비언어적 음악치료 프로그램 개발이 필요하다. 목적: 지적 장애 아동의 사회성을 개선하기 위한 음악 치료 프로그램을 제안하고 임상적인 효과를 평가하기 위함이다. 방법: 음악치료에서의 기존의 악기 연주와 사회적 기술을 통합하는 사회적 기술 훈련에 기반한 악기 연주(Social Skills Training based Musical Instrument performance: SST-MIP) 중재 프로그램을 고안하고 지적 장애 아동을 대상으로 임상적 효과를 평가했다. 총 51명의 연구대상자를 선정하고 무작위로 실험군 (29명)과 대조군(22명)에 배정했다. 실험군은 주 1회 50분 단위로 32주 동안 SST-MIP 중재 프로그램에 참여했다. 연구대상자의 사회적 기술 수준은 SSRS (Social Skills Rating System - teacher form, elementary level)를 사용하여 측정했다. 결과: 실험군의 SSRS의 평균 점수는 10.7점에서 22.4점으로 109.2% 증가한 반면 (p <.001), 대조군은 11.3점에서 14.7점으로 상대적으로 소폭 (30.7%) 상승(p <.05)한 것으로 나타났다. SST-MIP 중재 후 실험군의 SSRS 점수는 대조군에 비해 57.2% 높게 나타났으며, 사회적 기술의 세부 영역인 자기 통제 79.6%, 주장 56.8%, 협력 43.2% 순으로 상승률이 높았다. 결론: SST-MIP는 지적 장애 아동의 사회적 기술 향상에 큰 효과가 있는 것으로 확인되었으며, 제안된 SST-MIP는 언어적 소통이 어려운 지적 장애 아동의 사회적 기술 훈련에 유용한 도구가 될 수 있을 것으로 기대된다.

Keywords

Acknowledgement

이 논문은 2024학년도 제주대학교 교육·연구 및 학생지도비 지원에 의해서 연구되었음.

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