In order to translate the evidence into action and address the barriers identified above, the COM-B model integrated with the behaviour-change wheel, will be applied (Michie et al., 2011). The steps to the implementation and evaluation of MT project are described in Appendix 2, whilst the barriers are addressed below.
Under the domain of capability, the first barrier is the psychological functioning of the patient. This includes the severity of the illness and the personal preferences of music that may affect the degree of engagement of the MT intervention. Therefore, this barrier can be addressed through the concepts of enablement and modelling. Prior to implementation, the musical therapist should schedule meetings with the patient to conduct surveys in genre …show more content…
This barrier can be targeted through education and persuasion strategies. Prior to project implementation, the formation of teams, identification of practice gap and the organisation’s acceptance of change have to be highlighted. Additionally, by providing feedback and education to key stakeholders in the various benefits of MT, it will highlight the achievements attained, promote awareness of the benefits and provide ongoing encouragement for the reinforcement of the behavioural change (Staus, Tetroe, & Graham, 2013).
Under the concept of opportunity, physical environmental barriers such as the lack of time due to competing priorities and ward confinements can impede success of MT. These issues can be addressed through environmental restructuring and enablement. Redeveloping time schedules of the ward with collaboration of clinical nurse consultants and the interdisciplinary team can help shared agendas to be emphasised. It can also help distribute the workload. Physical restrictions in attending the MT class can be overcome by having the program on the ward or providing a filmed version of the
Under the domain of capability, the first barrier is the psychological functioning of the patient. This includes the severity of the illness and the personal preferences of music that may affect the degree of engagement of the MT intervention. Therefore, this barrier can be addressed through the concepts of enablement and modelling. Prior to implementation, the musical therapist should schedule meetings with the patient to conduct surveys in genre …show more content…
This barrier can be targeted through education and persuasion strategies. Prior to project implementation, the formation of teams, identification of practice gap and the organisation’s acceptance of change have to be highlighted. Additionally, by providing feedback and education to key stakeholders in the various benefits of MT, it will highlight the achievements attained, promote awareness of the benefits and provide ongoing encouragement for the reinforcement of the behavioural change (Staus, Tetroe, & Graham, 2013).
Under the concept of opportunity, physical environmental barriers such as the lack of time due to competing priorities and ward confinements can impede success of MT. These issues can be addressed through environmental restructuring and enablement. Redeveloping time schedules of the ward with collaboration of clinical nurse consultants and the interdisciplinary team can help shared agendas to be emphasised. It can also help distribute the workload. Physical restrictions in attending the MT class can be overcome by having the program on the ward or providing a filmed version of the