Pain management is an international issue and the subject of numerous recommendations. Pain is defined by the International Association for the Study of Pain (IASP) as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage". Whether chronic or acute, pain must be evaluated and managed from a multidisciplinary viewpoint, including both medical and non-medical therapeutic approaches. Patients must also be taught about therapies, so as to help them understand that medical and non-medical therapies are complementary to one another and inseparable in terms of the overall pain management process.
The "Music Therapy and Pain" training course allows healthcare professionals to acquire the necessary skills for using and evaluating the technique of 'U sequence' music therapy within the context of managing pain. This training will enable them to analyse their own professional practices within the framework of pain management and its associated emotional components, as well as to reflect on the evaluation of pain development in patients, and to acquire the necessary skills for introducing the technique of 'U sequence' music therapy into their professional practices via experiential workshops.
- Be familiar with the official written rules and regulations regarding the management of pain (acute pain, chronic pain, lumbago, etc.) and the associated emotional components (anxiety, depression, behavioural problems and social difficulties)
- Be able to understand the issues surrounding multidisciplinary, and notably non-medical, pain management within the context of the fight against pain and its associated components
- Be able to integrate 'U sequence' music therapy into their professional practices
- Be able to evaluate and adapt their pain management processes through an evolving, multidisciplinary approach
- Redefine the concepts and terms used in relation to pain and anxiety, as well as their mechanisms and their consequences from a scientific, behavioural and social point of view
- Analyse existing professional practices and integrate the music therapy technique in the treatment of individuals
- Define and target relevant tools for evaluation, adapted to the music therapy technique and to the patients
- Carry out analyses on collected data (drawn from clinical observations and evaluations) and know how to present findings within a multidisciplinary group
- Be familiar with 'U sequence' music therapy – related concerns, how it works, and its desired objectives – and be able to put the technique into practice
Based on practical learning, our teaching approach is both active and interactive.
The proposed methods for face-to-face training allow participants to acquire the necessary skills for applying the music therapy technique, whilst encouraging reflection and development in terms of their current professional practices.
The teaching approach is based on :
- The critical and constructive analysis of existing professional practices, the definition of objectives and of points for improvement in these methods, and a post-training follow-up focused on actions and results obtained
- Practical workshops allowing participants to experiment with the 'U sequence' music therapy technique within the group and amongst patients, in order to see the link between theory and practice
Theoretical, technical and methodological contributions, to be used notably during the practical workshops and simulations, in order to answer questions or problems raised by participants relating to pain and anxiety management through the use of music therapy in an institutional context.
Additionally, and in order that each participant might become involved and engaged in the training process, the instructor will make sure to :
- Create an atmosphere of trust and well-being within the group, so as to facilitate spontaneous exchange
- Take note of each participant's skills and expectations
- Encourage a dynamic which favours enquiry and further investigation: individually, with the instructor, between participants, and within the multidisciplinary working group
Throughout the training programme, the instructor will regularly summarise the theoretical points addressed, and will provide participants with concrete tools and points of reference when putting the theory into practice.
Teaching Supports and Methods
Teaching Supports and Methods
- Interactive presentations
- Presentations delivered by participants
- The analysis of situations experienced by participants
- The study of key texts and official recommendations
- Demonstrations of the 'U sequence' music therapy technique and of its adaptation within specific institutional contexts
- Moments for reflection and analysis in sub-groups
- Definition of possible actions
- Practical simulations
- Hands-on workshops
- Reflections and discussions within the group
Each participant will be given a teaching file. This file will reiterate the key contents covered during the training course and will include :
- Key texts and official recommendations
- Substantive articles relating to the subjects discussed
- A technical user guide for the introduction of the 'U sequence' music therapy technique
- A bibliography
Notes taken and specific teaching documents will help to form a complete teaching file.
Evaluation and training review
Evaluation of acquired knowledge
If necessary, the training instructor will readapt the theoretical materials and exercises proposed in reaction to the results of previous exercises and participants' remarks during discussions.
Throughout the training programme, participants will be invited to comment on the questions posed by the training instructor.
The training instructor will supervise, analyse and offer advice during the practical workshops.
A questionnaire for evaluating the knowledge acquired during the training programme will be offered at the end of the programme, based on the tasks completed and the theoretical bases covered over the two day period (Appendix 4).
The participants will individually answer a questionnaire evaluating the training course (Appendix 2).
The training instructor will highlight key points in the proceedings of the training course.
After completion of the training course, the training instructor will send a written review highlighting the different topics covered during the course and the actions required for the development of the 'U sequence' music therapy technique within the health care establishment.
Follow-up and results of the training course
After the training course, the instructor will contact a representative from the group (chosen during the training period) once every three months in order to review the development of the 'U sequence' music therapy technique and to determine performance indicators to introduce in relation to the training programme objectives. After each follow-up meeting, a written report will be sent to the institution manager.
The "Music Therapy and Pain" training course has been approved by a scientific board, comprising of :
- Président : Prof. Jacques Touchon
- Head of the Neurology Service, Head of the Faculty of Medicine, Montpellier Centre Hospitalier Régional et Universitaire
- Prof. Christian Hérisson
- Head of the Central Service for Functional Rehabilitation, Montpellier Centre Hospitalier Régional et Universitaire
- Prof. Henri Michel
- Honorary professor in Hepato-gastro-enterology, Montpellier Centre Hospitalier Régional et Universitaire
- Dr Luc Brun
- Head of the Pain Evaluation and Treatment Unit, New Caledonia Centre Hospitalier Territorial
- Dr Patrick Giniès
- Head of the Pain Evaluation and Treatment Centre, Montpellier Centre Hospitalier Régional et Universitaire
- Dr Bernard Graber-Duvernay
- Former head of the Rheumatology Service, Hôpital Reine Hortense (Aix-les-Bains)
- Dr Marie-Christine Picot
- Department for Medical Information, Montpellier Centre Hospitalier Régional et Universitaire
- Mme Patricia Cimerman
- Research clinic nurse, and Public Assistant for the Hospitals of Paris (APHP), Centre National de Ressources et de lutte contre la Douleur and Hôpital Trousseau