Efecto de la musicoterapia sobre la ansiedad y el dolor en el paciente crítico politraumatizado

ObjectiveTo determine the effectiveness of music therapy on anxiety and pain in critical polytraumatised patients admitted to the resuscitation unit of a tertiary level hospital in Spain.Material and methodRandomised clinical trial conducted in a tertiary level hospital, from June 2016 to May 2018. The study sample was 60 patients, 30 belonging to the intervention group (IG), and 30 to the control group (CG). The IG were given a 30-minute music session and heart rate (HR) and blood pressure (BP) were measured. The VAS (Visual Analogue Scale) was applied for anxiety and pain before and after each session. The same measures and scales were applied in the CG who did not receive a music session. The music session comprised 3 parts: the first was standard music selected by music therapists; the second was personalised, chosen by the patient and the third was a new standard. The intervention took place in a booth with headphones.ResultsSignificant changes in anxiety levels (P < .01) were detected in the group of patients undergoing the intervention, measured with the VAS scale for anxiety, and pain levels (P < .01), measured with the VAS scale for pain. No significant differences were found in the physiological parameters of HR and BP.ConclusionThe use of music in critical polytraumatised patients reduces anxiety and pain levels, increasing the patient's well-being and improving the quality of care. Music therapy, therefore, is considered beneficial as a complementary measure in critical care units. It would be worthwhile to continue studies in this and other hospital areas.     

Instrumentalspiel-assoziierte muskuloskeletale Schmerzsyndrome bei professionellen Musikern

Background

Playing a musical instrument requires maximum performance of fine motor control. With its precise and fast movements musical performance often take place at the barrier of physiological capabilities. The resulting impact on the musculoskeletal system contributes to the development of playing-related musculoskeletal disorders (PRMD).

Study results

Meanwhile, various studies have investigated the prevalence and etiology of PRMD in professional orchestral musicians. It has been demonstrated that up to 89?% of professional orchestral musicians complain of PRMD during their carrier and approximately 40?% report chronic pain syndromes. Risk factors for PRMD are female gender as well as psychosocial and biomechanical factors. Players of string instruments involving the upper extremities are particularly affected. The present literature overview demonstrates a high necessity of substantiated therapy and prevention concepts.

     

Benefits of intraoperative music on orthopedic surgeries under spinal anesthesia: A randomized clinical trial

ObjectiveTo determine whether instrumental music influences the anxiety status and intraoperative sedative requirements of a patientDesignA single center, prospective, randomized controlled trialSettingPatients between 18 and 65 years, physical status of American Society of Anesthesiologists (ASA I or II) who underwent lower limb orthopedic surgery under spinal anesthesia.InterventionsPatients were assigned to one of two groups: (1) Music Group: patients hearing instrumental music through a headset during the entire procedure or (2) No Music Group: patients wearing headphones without musicMain outcome measuresBefore and after the procedure, the anxiety status of the patient was assessed using the State-Trait Anxiety Inventory, and intraoperative sedative drug consumption was quantified.ResultsA total of 107 patients were analyzed. A significant reduction in anxiety in the Music Group patients after surgery (p = 0.023) was found. Patients in this group also required less additional medication for intraoperative sedation (p = 0.004), and 88.9% of Music Group patients self-reported that music helped them remain calm during the procedure. Most patients in both groups agreed that music should be used during surgical procedures (98.2% and 94.3% in Music and No Music Groups, respectively)ConclusionsThis study showed that listening to instrumental music during lower limb orthopedic surgery caused a reduction in anxiety and sedative requirements. Patients also self-reported a positive music-related experience.     

Psychometric properties of the performing arts module of the Disabilities of the Arm,Shoulder, and Hand questionnaire

Abstract

Background: The Disabilities of the Arm, Shoulder, and Hand questionnaire (DASH) offers an optional performing arts module. The goal was to examine the psychometric properties of this module in musicians.

Methods: This study is a secondary analysis of a randomized controlled trial on the effectiveness of a biopsychosocial intervention to prevent or reduce playing-related disability in conservatory students. Baseline data were used to examine internal consistency and discriminative validity of the performing arts module of the DASH questionnaire. Construct validity was analyzed by hypotheses testing. The performing arts module outcomes were compared to scores from the general DASH questionnaire, pain disability index, Short-Form 36, playing-related musculoskeletal disorder (PRMD) intensity, and pain intensity.

Results: Questionnaires completed by 130 conservatory students were analyzed, 55% of the population was female. Median age was 20 years (IQR 4). The performing arts module showed good internal consistency (Cronbach’s alpha 0.893). Discriminative validity between students with and without PRMDs was good. Three out of six hypotheses were accepted, indicating moderate construct validity.

Conclusions: The performing arts module showed good internal consistency, good discriminative validity and moderate construct validity in a population of conservatory students.

• Implications for Rehabilitation

• Musicians suffer frequently from musculoskeletal disorders, mostly in the upper extremity.

• The Disabilities of the Arm, Shoulder, and Hand questionnaire is a well-known outcome measure, which also includes a performing arts module.

• This study is the first to explore psychometric properties of the performing arts module.

• The performing arts module of the Disabilities of the Arm, Shoulder, and Hand questionnaire showed good internal consistency, good discriminative validity, and moderate construct validity.

     

Effects of music intervention on sleep quality of older adults: A systematic review and meta-analysis

BackgroundMusic interventions have several benefits for sleep quality. However, the effects of music interventions on sleep quality in older adults are controversial.ObjectiveTo summarize and evaluate the efficacy of music interventions on sleep quality in older adults.MethodsThe Cochrane Library, Embase, PubMed, Web of Science and Chinese National Knowledge Infrastructure (CNKI) were systematically retrieved until June 2020, updated on March 13, 2021. Both experimental and quasi-experimental studies were included if they evaluated the efficacy of music interventions on sleep outcomes in older adults. The methodological quality was assessed by the Cochrane RoB 2.0 and ROBINS-I Tool. The random effects models and effect measure (MD) were adopted, and sensitivity analysis by omitting each study was conducted to explore the source of heterogeneity.ResultsA total of 489 participants from 9 studies met the inclusion criteria. 6 studies were included in meta-analysis and sensitivity analysis, and 3 studies were included in the qualitative analysis. Main concerns about risk of bias were lack of blinding participants and investigators, and confounding factors might exist in non-RCTs. The Post-hoc meta-analysis indicated that music interventions might have a positive effect on sleep quality [MD = −2.64, 95 % CI (−3.76, −1.53), p < 0.001; I² = 75.0 %]. Only one study evaluated adverse events and reported zero discomfort.ConclusionsThe results indicated that music interventions might be beneficial for improving sleep quality, especially in sleep latency, sleep duration, sleep efficiency and sleep of daytime dysfunction in elderly individuals.     

MUSIC INTERVENTIONS IN PEDIATRIC ONCOLOGY: Systematic review and meta-analysis

BackgroundPain is a disagreeable and distressing feeling that affects human beings in multi-dimensional ways. A number of non-pharmacological interventions have had varying degrees of success in treating cancer-related pain, such as breathing and relaxation techniques, and music therapy, which have been identified as beneficial therapies for alleviating pain and anxiety.ObjectiveIdentify the therapeutic effects of music interventions in psychological and physiological terms and on the quality of life of children undergoing cancer treatment.MethodSystematic review of effectiveness based on the methodology of the Joanna Briggs Institute.ResultsEleven articles were included with a total of 429 children, whose ages ranged from 0 to 18 years. The mean duration of the music intervention was 30.6 (±SD 9.8) min. In a combined estimate of five studies for pain and anxiety outcomes, there were benefits to using music when compared with the control group (SMD −1.05; CI 95 % −1.70 – 0.40 N = 453 I² = 90 %). A combined analysis of five studies to assess quality of life showed that the use of music was favorable when compared with the control (SMD -0.80; CI 95 % −1.17−0.43 N = 457= I² = 71 %).ConclusionAfter completing this review, it was determined that there is evidence to support the use of music to reduce pain and anxiety and improve the quality of life of children undergoing cancer treatment.     

Sensory and Sensorimotor Features in Violinists and Violists With Neck Pain

Objective

To investigate sensory and sensorimotor function in violin and viola players with and without neck pain.

Design

Prospective, cross-sectional study.

Setting

University laboratory.

Participants

Convenience sample of violin players with playing-related neck pain (n=22), violinists without neck pain (n=21), and healthy nonmusician comparison subjects (n=21).

Interventions

Not applicable.

Main Outcome Measures

Measures include thermal pain thresholds (cold and heat) and pressure pain thresholds (PPTs) over the cervical spine and over a remote region (tibialis anterior muscle). Motor performance tests including reaction times, speed of movement, accuracy, coordination, and tapping speed assessed with a special upper-limb test battery.

Results

Musicians with neck pain had significantly lower heat and elevated cold pain thresholds as well as lower PPTs over C5-6 (P<.01) and over the tibialis anterior (P<.05). Motor performance tests revealed no differences between the symptomatic and asymptomatic musicians and nonmusician comparison groups (P>.05).

Conclusions

Violin players with neck pain demonstrated signs of sensory impairment, suggesting that playing-related neck pain may be associated with augmented central pain processing consistent with findings in other neck pain groups. No differences were evident in the motor performance tests. Fine motor skills of violin players may be better assessed in the context of playing their musical instruments before definitive conclusions can be drawn about the presence or not of sensorimotor impairments in this group of musicians with playing-related neck pain.     

Musicians' health: Applying the ICF framework in research

Purpose. Injuries described as ‘playing-related’ in musicians have a prevalence rate of up to 87%. Nevertheless, healthcare consultation rates among this population remain low. Using the theoretical framework of the World Health Organization's International Classification of Functioning, Disability and Health (ICF), the author examined the musicians' health literature to determine potential causes for the shortcomings in the provision of evidence-based treatment for injured musicians.

Method. A review of the literature on musicians' health was performed from 1998 to December 2005. In total, 131 papers were reviewed.

Results. Much of the literature on musicians' health is related to the domain of Body Structure and Function within the ICF framework. However, even in these relatively well-defined areas, clinicians appear to agree that the ‘best treatment’ depends enormously on the interplay of biopsychosocial factors and on the musician's context. Underrepresented areas in the literature include Environmental Factors, Personal Factors, and the domain of Participation.

Conclusions. This review demonstrates a lack of research in some health and health-related domains in the musicians' health literature. The author suggests that these underrepresented areas within the ICF framework may explain shortcomings in the availability of effective, evidence-based treatment for musicians. The use of a framework to shape future research in this field is advocated.     

Comparison of the analgesic effect of oral sucrose and/or music in preterm neonates: A double-blind randomized clinical trial

ObjectiveTo compare the analgesic effects of sucrose, music, and their combination on venipuncture’s pain in preterm neonates.MethodologyA double-blinded randomized control trial conducted at a Neonatal Intensive Care Unit (NICU) affiliated to Tehran University of Medical Sciences (TUMS) in Tehran, Iran. One hundred and twenty preterm neonates were randomly allocated into three experimental (sucrose, music and combination of sucrose and music) and one control groups (n = 30 for each group). Two minutes before the venipuncture, 0.5 ml of oral 24% sucrose was provided for the sucrose and combination groups. The combination group additionally received lullaby music as same as the music group. The control group had headphones without playing music and received sterile water. Blinded assessment of the Premature Infant Pain Profile (PIPP) was performed before and during venipuncture, as well as 30 s and 10 min and 10 min after its completion.ResultsThe pain scores during venipuncture in the sucrose and combination groups were significantly lower than the control group (p = .003, p < .001, respectively) but not in the music group. Thirty seconds after the end of the venipuncture, the pain score in the three intervention groups was significantly lower than the control group (sucrose, music and, combination group, p < .001, p = .009, p < .001, respectively). Ten min after the venipuncture, there was no significant difference in pain scores among the four groups.ConclusionMusic could relief pain 30 s after the venipuncture completion but not during the venipuncture. A more prolonged period of playing music is recommended to evaluate the analgesic effects of music in preterm neonates in future studies.     

The effect of music therapy on anxiety and pain in patients undergoing prostate biopsy: A systematic review and meta-analysis

ObjectivesThis study aims to explore the effect of music therapy on pain, anxiety and physiologic parameters in patients undergoing prostate biopsy.Design and settingA systematic review and meta-analysis of randomized controlled trials.InterventionsFive databases were systematically searched. The included studies reported randomized controlled trials comparing the effects of music therapy and non-music therapy on pain, anxiety, and physiologic parameters in patients undergoing prostate biopsy. The random-effects meta-analyses were performed for data synthesis.Main outcome measuresThe primary outcome was pain; secondary outcomes included anxiety and physiologic parameters.ResultsWe analyzed seven eligible studies involving 662 males undergoing prostate biopsy. We synthesized the mean difference between music and control groups in different outcomes. Compared with control groups, music therapy reduced pain (visual analog scale score, mean difference [95% CI]: −0.92 [−1.68 to −0.17], P = 0.017, low quality) and anxiety (State-Trait Anxiety Inventory equivalent scale score, mean difference [95% CI]: −4.37 [−7.72 to −1.03], P = 0.010, low quality) after the prostate biopsy. In terms of the physiological parameters, music therapy only slightly reduced heart rate, but not blood pressure and respiratory rate after the prostate biopsy.ConclusionsLow quality of evidence showed that music therapy during prostate biopsy might reduce pain and anxiety. However, a good standard of music intervention was lacking. Cost-effective analyses are warranted to better delineate the value of music therapies for prostate biopsy.     

Musician health and safety: Preventing playing-related musculoskeletal disorders.

Musicians are exposed to high-risk musculoskeletal activities such as repetition, hours of exposure, and awkward postures when playing instruments. These activities may result in playing-related musculoskeletal disorders. Musicians often work part-time or seasonally or are self-employed. Thus, they may be uninsured or underinsured and may delay seeking care for these painful and potentially disabling conditions. Prevention of playing-related musculoskeletal disorders includes identification of both intrinsic (e.g., musician strength and flexibility) and extrinsic (e.g., musician posture while playing an instrument) factors involved in the interface between musicians and their instruments and the playing environment (e.g., rest breaks or hours of practice). Student occupational health nurse practitioners in this pilot project performed outreach and comprehensive screening and treatment for a small group of musicians diagnosed as having playing-related musculoskeletal disorders. Tendon and nerve gliding exercises were a key component of the treatment plan.     

The effects of music on the cardiac resuscitation education of nursing students

PurposeThe purpose of this study is to examine the effects of music on the appropriate performance of the rate and depth of chest compression for nursing students.MethodsThis randomized controlled study was conducted in the School of Nursing in Turkey between November 2014 and January 2015. The study’s participants were second-year nursing school students with no previous formal cardiac resuscitation training (n = 77). Participants were randomly assigned to one of two groups: an intervention group with music and a control group without music. During practical training, the intervention group performed chest compressions with music. The outcomes of this study were collected twice. The first evaluation was conducted one day after CPR education, and the second evaluation was conducted six weeks after the initial training.ResultsThe first evaluation shows that the participants in the intervention group had an average rate of 107.33 ± 7.29 chest compressions per minute, whereas the rate for the control group was 121.47 ± 12.91. The second evaluation shows that the rates of chest compression for the intervention and control groups were 106.24 ± 8.72 and 100.71 ± 9.54, respectively.ConclusionThe results of this study show that a musical piece enables students to remember the ideal rhythm for chest compression. Performing chest compression with music can easily be integrated into CPR education because it does not require additional technology and is cheap.     

Effects of music and music video interventions on sleep quality: A randomized controlled trial in adults with sleep disturbances

ObjectivesThe present study aimed to compare the effects of music and music video interventions on objective and subjective sleep quality in adults with sleep disturbances.DesignA randomized controlled trial was performed on 71 adults who were recruited from the outpatient department of a hospital with 1100 beds and randomly assigned to the control, music, and music video groups.InterventionsDuring the 4 test days (Days 2–5), for 30 min before nocturnal sleep, the music group listened to Buddhist music and the music video group watched Buddhist music videos. They were instructed to not listen/watch to the music/MV on the first night (pretest, Day 1) and the final night (Day 6). The control group received no intervention.Main outcome measuresSleep was assessed using a one-channel electroencephalography machine in their homes and self-reported questionnaires.ResultsThe music and music video interventions had no effect on any objective sleep parameters, as measured using electroencephalography. However, the music group had significantly longer subjective total sleep time than the music video group did (Wald χ² = 6.23, p = 0.04).ConclusionOur study results increase knowledge regarding music interventions for sleep quality in adults with sleep disturbances. This study suggested that more research is required to strengthen the scientific knowledge of the effects of music intervention on sleep quality in adults with sleep disturbances. (ISRCTN94971645)     

The effect of music on delirium,pain, sedation and anxiety in patients receiving mechanical ventilation in the intensive care unit

ObjectivesTo examine the effects of music for patients under mechanical ventilation support in the intensive care unit on their delirium, pain, sedation, and anxiety.Research methodology/designA single-blind, randomized, controlled trial.SettingThe study was conducted with delirium positive patients between August 2020 and September 2021 in the medical/surgical intensive care unit of a university hospital in Turkey.MethodsThe study sample was selected through a simple and stratified randomization method; patients who met the inclusion criteria were assigned to the music, noise reduction or control group. The data were collected by using a Confusion Assessment Method for the ICU (CAM-ICU), CAM-ICU-7, Critical Care Pain Observation Tool (CPOT), Richmond Agitation-Sedation Scale (RASS), Facial Anxiety Scale (FAS), PRE-DELIRIC model, and Glasgow Coma Scale (GCS). The interventions were repeated twice a day for five days.ResultsA total of 36 patients were included, with 12 patients in each group. Significant decreases were found in the severity of delirium and pain and the level of sedation and anxiety in the music compared to the other groups (p < 0.05). The number of patients with delirium and the number of days with mechanical ventilation was found to be significantly lower in the music group compared to the other groups (p < 0.05).ConclusionMusic intervention may be used as a nursing intervention to control delirium, pain, need for sedation and anxiety in intensive care unit patients. However, additional studies with larger sample is needed to validate findings.     

Art in Palliative Care

Abstract

Background

Music therapy, the scientific use of music interventions within a therapeutic relationship, has been shown to be a helpful adjunct in the management of pain in overseas centres. We report our local experience of providing music therapy for patients referred for pain in an acute hospital in Singapore in this case series.

Methodology

Over 1 year, patients with persistent pain while on standard medical treatment were referred for music therapy. Music therapy interventions were individualized to the patient's physical and mental condition, energy level, mood, prior music experiences, and cultural background. Assessments of pain before and after treatment were completed with tools appropriate to patient's ability.

Results

Of the 44 patients (M = 17, F = 27; aged 26–92 years) referred for music therapy, 37 accepted participation, 5 declined, and 2 were asleep. All 37 (100%) patients in this study appeared to show positive improvement after one session. Twenty-five (68%) patients verbally reported relief, five (13%) patients completed the body-colouring tool depicting pain relief, and nine (24%) reflected lowered scores on the observational pain–behaviour scale. The primary diagnoses for 26 (70.3%) of the patients were cancers, 9 (24%) had musculoskeletal conditions, and 2 (5%) were patients with advanced organ failures. Music therapy was also well received by caregivers where present.

Discussion and conclusion

The encouraging results suggest music therapy to be positive as an allied health adjunct to standard medical treatment for pain. Further studies are awaited to delineate the effect of music interventions, evaluate the generalizability of the results, and the cost-effectiveness of music therapy.     

Music intervention during daily weaning trials—A 6 day prospective randomized crossover trial

PurposeTo examine the effect of patient-selected music intervention during daily weaning trials for patients on prolonged mechanical ventilation.MethodsUsing a crossover repeated measures design, patients were randomized to music vs no music on the first intervention day. Provision of music was alternated for 6 days, resulting in 3 music and 3 no music days. During weaning trials on music days, data were obtained for 30 min prior to music listening and continued for 60 min while patients listened to selected music (total 90 min). On no music days, data were collected for 90 min. Outcome measures were heart rate (HR), respiratory rate (RR), oxygen saturation (SpO₂), blood pressure (BP), dyspnea and anxiety assessed with a visual analog scale (VAS-D, VAS-A) and weaning duration (mean h per day on music and non-music days).ResultsOf 31 patients randomized, 23 completed the 6-day intervention. When comparisons were made between the 3 music and 3 no music days, there were significant decreases in RR and VAS-D and a significant increase in daily weaning duration on music days (p < 0.05). A multivariate mixed-effects model analysis that included patients who completed ≥2 days of the intervention (n = 28) demonstrated significant decreases in HR, RR, VAS-A, and VAS-D and a significant increase in daily weaning duration on music days (p < 0.05).ConclusionsProviding patient selected music during daily weaning trials is a simple, low-cost, potentially beneficial intervention for patients on prolonged mechanical ventilation. Further study is indicated to test ability of this intervention to promote weaning success and benefits earlier in the weaning process.     

Development and psychometric evaluation of the Musculoskeletal Pain Intensity and Interference Questionnaire for professional orchestra Musicians

Many epidemiological surveys on playing-related musculoskeletal disorders (PRMDs) have been conducted on professional musicians, but none have evaluated or confirmed the psychometric properties of the self-report instruments that were used. The aim of the present study was to develop and validate a self-report instrument for professional orchestra musicians to measure musculoskeletal (MSK) pain and pain interference in terms of function and psychosocial constructs. 183 professional orchestra musicians in Scotland were eligible to participate in the study, of which 101 (55% response rate) took part. Development of the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM) involved the selection and modification of the most appropriate instruments measuring MSK pain, followed by psychometric evaluation of the new instrument. Face and content validity were ascertained by expert panels. 37 participants completed the questionnaire. The percentage of missing scores was very low (2.7%). Exploratory factor analysis revealed that the MPIIQM had a strong and stable two-factor structure, with nine retained items explaining 71.3% of the variance in the data set. “Pain intensity” and “pain interference” were the two emerging factors. High internal consistency was achieved for each subscale (Cronbach's alpha = 0.91). Substantial test–retest reliability for the pain intensity items (range 0.78–0.82), and moderate to substantial test–retest reliability for the pain interference items (range 0.56–0.76) were obtained. The MPIIQM is a valid and reliable self-report instrument for the measurement and evaluation of MSK pain and pain interference in a population of professional orchestra musicians.     

Functional Outcomes of a Community Occupation-Based Hand Therapy Class for Older Adults

Abstract

Aim: This mixed methods study examined the functional outcomes of an occupation-based educational program for older adults with hand and wrist pain. A pretest–posttest design was used to understand changes in occupational performance, hand function, pain, grip and pinch strength, dexterity. Method: Two groups of classes met once a week for one hour, for four consecutive weeks. A total of 18 participants attended both weekly classes. Each class addressed functional activities, symptom management, exercises, questions, and sharing. Class content was determined based on pre-assessments of the Canadian occupational performance measure (COPM), tests of grip and pinch strength, hand dexterity, and open-ended semi-structured interviews. Results: All participants reported improvements in function, and significant improvements in COPM performance and satisfaction. Additionally, reported levels of pain significantly decreased from pre- to posttest. Conclusion: This study demonstrated that a community occupation-based hand therapy program is effective in improving occupational performance for older adults.     

Psychosocial coping profiles after pain rehabilitation: associations with occupational performance and patient characteristics

Purpose The aims of the present study were to assess: (i) changes in coping by use of Multidimensional Pain Inventory profiles from baseline to follow-up, (ii) associations between Adaptive Coper (AC) profiles at follow-up and improvements in occupational performance (by Canadian Occupational Performance Measure COPM) and (iii) ability to predict AC profiles at follow-up by participants’ baseline characteristics. Method Data at baseline, discharge and follow-up from 525 participants in a pain rehabilitation program were analyzed with multivariate statistics. Results AC profiles increased and Dysfunctional (DYS) profiles decreased at follow-up. Clinically relevant improvements on COPM were associated with having an AC profile at follow-up. Being Nordic born, having longer education, an AC profile and higher baseline scores on satisfaction with performance predicted an AC profile at follow-up. Conclusions Pain rehabilitation seems to result in sustainable and favourable coping strategies at follow-up, and improved occupational performance is associated with favourable coping at follow-up. Outcomes need to be measured independently of improved coping strategies and improvements of participant’s individual goals such as difficulties to perform their most meaningful occupations. Patients at risk for unfavourable coping strategies may need modified interventions.

• Implications for Rehabilitation

• More participants reported a beneficial coping, MPI profile, in a long-term perspective after a pain rehabilitation program.

• Improvements on occupational performance prioritized as meaningful by each of the participants are related to adequate coping strategies at follow-up.

• The associations between improved occupational performance and beneficial coping profiles need to be better understood.

• Patients with worse initial occupational performance may need modified pain rehabilitation interventions to improve their coping strategies.

     

Assistive technology outcomes in post-secondary students with disabilities: the influence of diagnosis,gender, and class-level

This study investigated how outcomes of assistive technology (AT) services for college students with disabilities are influenced by diagnosis, gender and class-level (e.g., Freshman). Students’ pre- and post-intervention ratings of their performance and satisfaction of common academic tasks (using the Canadian Occupational Performance Measure, COPM) were analyzed, as well as students’ responses on a survey about AT service provision, use, and preferences. Data from 455 students revealed “learning disability” to be the most prevalent diagnosis (38%), similar numbers of females and males served, and Freshmen (23.1%) as the largest class-level seeking AT services. For COPM data, each two-way analysis of variance (ANOVA) (grouping variable?=?diagnosis) revealed that pre-post change scores significantly improved for the entire sample, and that students with a mood disorder experienced the greatest changes compared to other diagnoses. COPM scores significantly and similarly improved for females and males, and across class levels. AT Survey ratings about timeliness of services and independent AT use were significantly lower for students with mobility deficits/pain and neurological damage, respectively. Gender and class-level variables did not significantly impact AT Survey ratings. The study results reveal that features of a college student’s diagnosis may influence AT service outcomes, and student-perceptions of AT services ability to use AT.

• Implications for Rehabilitation

• College students who are Freshman and/or who have a learning disability are the most prevalent students referred for campus-based assistive technology services.

• While student ratings of academic task performance significantly increase across diagnostic groupings, these improvements were greatest for those with a mood disorder compared to other diagnostic groups.

• Service-providers should consider that features of certain diagnoses or disabilities may influence the student?s perception of AT service provision and their ability to use AT.

• A student's gender and class-level (e.g., Freshman) do not appear to influence the outcomes of AT services for college students with disabilities.