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However, CMC are often excluded because some specialist services may not accommodate cognitively impaired and nonverbal children and are generally only available within metropolitan areas (large hospitals\/cities). Many CMC are at home and cannot access such interventions. This study examined the feasibility and acceptability of a home-based, remote music therapy (RemoteMT) intervention for cognitively impaired CMC receiving palliative or complex care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>One-group pre-\/post-intervention study design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>\n                      Seventeen CMC receiving palliative\/complex care and their parents (\n                      <jats:italic toggle=\"yes\">N =<\/jats:italic>\n                      17 dyads) participated in the study. All study activities took place in participant homes in the United States.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>Parents completed measures at T1 pre- (baseline) and T2 post-intervention (six weeks post-baseline) to assess CMC outcomes of physical stress and sleep disturbance; parent outcomes of anxiety, sleep disturbance, and perceived stress; and family outcomes of family adaptability and cohesion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Results demonstrated improved child, parent, and family outcomes (e.g.,\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.027 for child physical stress,\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.095 for family cohesion,\n                      <jats:italic toggle=\"yes\">p =<\/jats:italic>\n                      0.105) and feasible recruitment, data collection and intervention delivery.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RemoteMT was a feasible and acceptable intervention for cognitively impaired CMC and their parents. Results indicate strong promise for benefits to child and parent outcomes. Full-scale efficacy testing is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261441211","type":"journal-article","created":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T04:06:28Z","timestamp":1776139588000},"page":"921-930","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility and Acceptability of Remote Music Therapy for Cognitively Impaired Children Receiving Palliative\/Complex Care and Their Families"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3488-5869","authenticated-orcid":false,"given":"Terrah Foster","family":"Akard","sequence":"first","affiliation":[{"name":"Vanderbilt University, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary S.","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Vanderbilt University, Nashville, Tennessee, USA."},{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Jo","family":"Gilmer","sequence":"additional","affiliation":[{"name":"Vanderbilt University, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam","family":"Lense","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracy","family":"Hills","sequence":"additional","affiliation":[{"name":"Vanderbilt University Medical Center, Nashville, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Verna","family":"Hendricks-Ferguson","sequence":"additional","affiliation":[{"name":"Saint Louis University, St. Louis, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/hpeds.2020-0180"},{"key":"e_1_3_3_3_1","unstructured":"2.American Academy of Pediatrics. 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