Music Therapy on Stress Reduction For University Students

Project Proposal

Music Therapy on Stress Reduction For University Students

Abstract

In Hong Kong, students have lots of homework and quizzes. In 2015-2016, there has a series of students suicide cases happen. This reflects the stress level of students are quite high. Students are need to relief stress. Music therapy is an effective way to relief stress and relax your mind during study.

Music therapy is accepted and common in foreign countries. However, music therapy is not common in Hong Kong. Also, the fees of music therapy session is too high for students. Although there has a lot of songs claimed to be relax, the songs has not verified or proved to be relaxed.

This project is to provide a music therapy platform to university students to relief stress and let university students know more about music therapy. In the project, the music is being analyzed before putting to the platform. The analysis is conducted through different analysis tool. Users can listen music and play music therapy activities through our platform and give feedback about the platform.

Acknowledgement

I would like to express my gratitude to my supervisor, Dr. Liu Yan. I want to show my deepest appreciation to Dr. Liu. Dr. Liu has guided me throughout the project and addressed every concern and problems that happens in the project. She gives me the clear direction of the project. During every meeting, she gives useful and insightful feedbacks and comments to help me improve my project. This project really makes me explore to a new area and enhance my research skills. I learn a lot in this project.

Also, I would like to thank you my project’s co-examiner, Wu Xiaoming for spending precious time to attend my presentation and give insightful opinions and suggestions on my project during the presentation.

Moreover, I would like to express my sincere appreciation to my 2nd assessor, Dr. Henry Chan/Dr. Korris Chung to spend valuable time in the presentation and give perceptive comments and suggestions on my project presentation.

Contents

Abstract

Acknowledgement

1. Introduction

1.1Background

1.2 Problem Statement

1.3 Objectives and Outcome

2. Literature Review

2.1What is Music Therapy?

2.2 What is stress?

2.3 Soft music helps reduce stress

2.4 Effect of music on stress

2.5 Effect of slow tempo music

2.6 Effect on music tempo manipulation

3. Implementation Approach

3.1 Analyze music

3.2 Build the website

3.3 Music Treatment

3.4 Questionnaires about the website

4. Music Selection

4.1 Objective

4.2 Music Analysis

5. System Design

5.1 Users Type

5.2 Functional Requirement

5.3 Preliminary System Design

5.4 Sequence Table

5.5 Hardware & Software Requirement

5.6 Programming Language

6. Implementation

6.1 User

6.2 Admin

7. System Testing

7.1 Unit testing – User System

7.2 Unit Testing-Admin System

7.3 Integration Testing

7.3 Browser Testing

8. Evaluations and discussion

9. Limitations

9.1 Professional

9.2   Limited mental problems are included

9.3 Limited Song Selection under Copyright Restriction

10. Further development

10.1 Add more songs

10.2 Include more problems

10.3 Develop Mobile Application

11. Summary

12. References

Appendix

Table of Figures

Figure 1. Drum Kit(left) and Electric Guitar(right) use in Hard Rock

Figure 2. Harp(left) and Flute(right) use in New Age music

Figure 3. Pop song Charlie Puth-One Call Away)

Figure 4. (Hard Rock)ACDC-Highway To Hell

Figure 5-New Age(Calming Sea)

Figure 6-Folk Music (Three Kites Cycling)

Figure 7- Instrumental Music (Piano Music)

Figure 8 – Song BPM Analysis Result

Figure 7- Air.mp3

Figure 8 Scarlet_Sails.mp3

Figure 9 User Case Diagram

Figure 10 -Database Diagram

Figure 11 System Diagram

Figure 12 Sequence Diagram for users

Figure 13 Sequence diagram for admin

Figure 14 Home Page

Figure 15 Music Improvisation

Figure 16 Drawing Panel

Figure 17 Puzzle

Figure 18 About Page

Figure 19 Assessment Page

Figure 20 Music Player Page

Figure 21 Music Player

Figure 22 Profile

Figure 23 Feedback Page

Figure 24 Register Page

Figure 25 View Music

Figure 26 Delete Music

Figure 27 Edit Music

Figure 28 Insert Music

Figure 29 View Feedback

Figure 30 Delete Feedback

Figure 31 Login

Figure 32 Question 3

Figure 33 Question 4

Figure 34 Question 5

Figure 35 Question 6

Figure 36 Question 7

Figure 37 Question 8

Figure 38 Question 9

Figure 39 Question 10

Figure 40 Question 11

 

List of Tables

Table 1 song table

Table 2 assessment table

Table 3 admin table

Table 4 user table

Table 5 response table

Table 6 Software Requirement

Table 7 Programming Language

Table 8 Music Player Component

Table 9 Test Case for Register Page

Table 10 Test Case for login (Correct)

Table 11 Test Case for login (Incorrect)

Table 12 Test Case for profile

Table 13 Test Case for changing password

Table 14 Test Case for account deletion

Table 15 Test Case for assessment

Table 16 Test Case for music player

Table 17 Test Case for feedback

Table 18 Test Case for view Music

Table 19 Test Case for music Insertion

Table 20 Test Case for music deletion

Table 21 Test Case for music edit

Table 22 Test Case for view feedback

Table 23 Test Case for delete account

Table 24 Test Case for view account

Table 25 Test Case for Integration Testing

Table 26 Browser Testing

1. Introduction

1.1Background

In 2015-2016, Hong Kong students consecutively committed suicide because of study pressure. Hong Kong students have tons of homework, exams and mid-terms. They may not find the ways to relief stress. During 2015-2016, 6 university students decided to end their life because of study pressure. Stress reduction for students is more imperative now. The stress from students are mainly from study. However, students with stress are tend to seek help online instead of finding social workers or calling hotlines.

In a survey about academic stress level and health outcomes among university students, using 230 college students from year 1 to year 3 in Hong Kong and mainland China. Participants are needed to answer the 23 items by rating each item in a 5-point Likert scale (1=never, 5=most of the time) to measure the five types of stressors that are frustrations, conflicts, pressures, changes and self-imposed stress. Hong Kong students (Stress score: 70.5) have significantly higher levels of stress than their mainland China students (Stress score: 67.5). This shows that the stress level of university students is high [9].

Music therapy has widely accepted as a mental therapy in different countries such as America, Australia, Canada and United Kingdom etc.  Many studies have proved the music therapy is an effective measure to alleviate pressure and done experiences to prove that music therapy can decrease in cortisol level and heart variability.

1.2 Problem Statement

Lack of knowledge in Music Therapy

Many Students do not know music therapy. There have only few students understand how music therapy can benefit them. Students are usually listen music in online platform such as YouTube, Spotify etc. When they are stress, they usually seek help online. This system can promote music therapy and relief their stress.

Music Therapy is expensive to students

Music therapy is usually held by music therapists. Each session costs £40 which is quite expensive to students. Also, music therapy is a long-term treatment that is about 10 sessions. Students are hard to afford the music therapy.

Current relaxing music in online platform is not proved to be relax

Although there has a lot of music in YouTube for relaxation, the effectiveness of the music is questionable. There has a lot of relax music videos in YouTube but they are not verified to be relaxing music.

1.3 Objectives and Outcome

The aim of this project is to propose the idea of online platform of stress reduction for university students by providing soft music. Soft music is defined as a kind of music that has slow tempo and approximately 60-70 beats per minute (bpm).This project target is university students who have pressure on study. The web-based platform includes self-assessment, music player for users to reduce their stress. Also, it can allow users to interact with social media. The system can let users listen relaxing music through internet anytime and free of charge.

2. Literature Review

2.1What is Music Therapy?

Music Therapy is the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program [1].Music therapy is recognized as an established allied health profession that uses music to facilitate therapeutic processes [2]. Music therapy is a research-based practice and profession in which music is used to actively support people as they strive to improve their health, functioning and wellbeing.

2.2 What is stress?

Stress is the feeling we have under pressure. The stresses exists when we think that we are overloaded and we may not cope with the pressures. Stress is currently defined as the non-specific response of the body to any demand for change by Hans Selye in 1936. Physically, stress will cause rising blood pressure, more rapid breathing, rising heart rate, weak immune system, tense muscles and insomnia. Psychologically, stress will make you feel insecure, sad, fatigue, restless, angry and depressed.

2.3 Soft music helps reduce stress

A journal states that “Listening to classical music increases heart rate variability, a measure of cardiac autonomic balance (in which increased levels reflect less stress and greater resilience), whereas listening to noise or rock music decreases heart rate variability (reflecting greater stress) [4].Another review indicates that listening to ‘relaxing music’ (generally considered to have slow tempo, low pitch, and no lyrics) has been shown to reduce stress and anxiety in healthy subjects [5]. The study shows that they found that sedative music contrasted with simulative music had a higher effect on decreasing tension and increasing relaxation. Moreover, listening to preferred music resulted in reduced tension compared to listening to unpreferred music, while there was no significant difference in relaxation level between listening to preferred and unpreferred music [6].

2.4 Effect of music on stress

Four studies evaluated the effect of music on patient stress by measuring various blood indicators. Cortisol was the most commonly measured stress indicator, and one study reported a significant reduction in blood Cortisol levels. Other stress indicators included blood glucose, prolactin, and catecholamine. One study reported a significant reduction in blood glucose [7].  The concentration of cortisol to relaxing music is lower than listening to nothing and the stress response of listening relaxing music is unchangeable and it indicates music can help to calm stress effectively [8]. Another study shows that all participants who experience new-age style music for 30 minutes, and played with a volume of 50 to 60 dB can reduce stimuli and more relaxed[12].

2.5 Effect of slow tempo music

A study shows that open-heart surgery patients who listened passively to experimenter-selected ‘soothing’ music (i.e., soft, relaxing, of 60 to 80 beats per minute, with a volume of 50–60 dB) for 30 minutes one day after surgery had higher levels of serum oxytocin compared to bed-rest alone [10]. The song’s rhythm begins with a beat of 60 beats per minute and then falls gradually to 50 beats per minute. Lyz Cooper, founder of the British Academy of Sound Therapy, believed that the heart rate slowly comes down to match the beat [11]. The two studies show that listening 60 bpm music has physically change and physically relax. A study also shows that slow tempo hastens the recovery of physical parameters like pulse rate and blood pressure[17].

2.6 Effect on music tempo manipulation

A research shows that tempo change and mood mediation are relatively affected. The research experiment shows that same pieces played at a faster or slower tempo will result in relaxed mood is better when playing slower piece [13]. Another study creates a study that six men and six women listen to one of two sound pattern conditions that are either increase or decrease in tempo. It shows that same music piece with decreasing tempo are consistently slower heart rate [14]. In a study, it shows that a single piece of music with two different version of tempo cause different blood pressure. The tension level tends to increase when the tempo increases while slowing down music tempo indicates rapidly decreasing levels of tension [15].

3. Implementation Approach

3.1 Analyze music

Music has different kind of music genres. In this project, relaxing music is the required music. Relaxing music is a kind of soft music which has slow tempo, low pitch, and no lyrics. The source of music will mainly come from YouTube. The method of music classification is to analyze bpm (beats per minute).BPM is used to measure the speed of music. The greater the bpm, the faster speed of the music. Also, the Also, the goal of this analysis is to obtain slow tempo music through analysis tool.

3.2 Build the website

After analysis, the music will be added to the website. Users can listen the music. However, repeated listening of music may lead to boredom and irritation because users can identify and predict sound and then users cannot benefit from the website. Therefore, there will have admin function that can change the pieces to prevent users lose interest on the music. Each music will last no less than 30 minutes. If original music exceeds the length and bpm, music will be adjusted. Also, there will have self-assessment about stress for users to know the stress level they are. Social media functions will be added in the website. Web programming languages such as HTML,PHP, JAVASCRIPT,JQUERY, CSS BOOTSTRAP and MYSQL are used in the website. A user-friendly and simple interface will be built.

3.3 Music Treatment

The aims of the music treatment is to relief stress to students.

First, music improvisation is designed for user to improvise and then through the process, they can relief the stress. Music improvisation is a common music therapy activity to calm down users’ mood and release tension. According to study, music improvisation is effective for reducing stress[16]. Drawing and playing puzzle that can relax stress will be also implemented. This music therapy activity will let user more comprehensive understanding more about music therapy and have activities to do while listening to music.

Second, the tempo manipulation treatment will be used as the tempo can affect the tension and heart rate. The above research shows that tension can be lower if the tempo is slower. Therefore, the higher the stress level is, the slower the tempo of the music it should be.

3.4 Questionnaires about the website

There will have evaluation form in the website. After building the website, users can give their rating and comments in the form. The form is use for improvement of the website. By collecting users’ feedback, the website can use the feedback to update the website. The comments will be recorded and used for user friendliness enhancement.

4. Music Selection

 4.1 Objective

The objective of song analysis is to filter the music before putting into the music player. The target of music selection is less than 120 beats per minute non-lyrical soft music. The volume level should be less than 80dB.The duration of the music will be no more than 30 minutes in length. The selection is first start from music genre, then bpm, and then spectrogram and waveform.

4.2 Music Analysis

The music analysis is to choose the slow tempo and low frequency music. The music selection will have three procedures. First, different music genre will be analyzed based on waveform and timbre to narrow down the selection process and increase efficiency. Second, 80 music samples are selected to go through the bpm analysis. Third, the spectrogram analysis will narrow down the music to 30. The whole process aims to provide high quality and most suitable music for users to listen.

   4.2.1 Timbre Analysis for music genre

The timbre of an instrument determines the middle part of the music. Different musical instruments can create different level of amplitude. For example, hard rock is constructed by electric guitar, bass guitar, drums etc. The attack of a hit on the drums is strong. The attack and decay of a plucked electric guitar string can create a large sound. With the combination of strong sound of musical instrument will create very loud and excited sound, in the waveform, the attack is throughout the whole song and the decay is very small proportion . Another example, new age music is constructed by piano, flute, harp and sounds of nature. The attack is much softer-sounding. The timbre of these kind of instruments are smooth and soft. The attack is given only a steady rise on the amplitude and the decay is throughout the whole song. Therefore, a smooth and soft timbre of the song selection is a must. In the below figure, the two figures show the drum kit and electric guitar. Another two figures show the flute and harp.

electric guitar        drumkit

Figure 1. Drum Kit(left) and Electric Guitar(right) use in Hard Rock

harp   flute

Figure 2. Harp(left) and Flute(right) use in New Age music

4.2.2  Analysis By Waveform for music genre

The songs can be analyzed by waveform. Waveform can be formed by showing signal such as wave moving. The waveform can be shown using Audacity. The waveform width is the time. The waveform height is the amplitude.

Case 1- Pop Song

onecallaway

Figure 3- Pop song(Charlie Puth-One Call Away)

The amplitude of the song is increasing from the beginning and stay in a high level until the end of the song . The wave, indicated in blue color almost covers the whole graph. The peak is in a high level. The decay or the ending of the song is ends in a sudden short way.

Case 2-Hard Rock Song

highwaytohell

Figure 4- (Hard Rock)ACDC-Highway To Hell

Compared to case 1, the amplitude of the song are much higher. The blue wave part has larger than case 1.The whole song is very intense and in a high energy level. The starting point of the music element is very high onset level after a constant low amplitude in the very beginning.

Case 3-New Age Music

calmingsea

Figure 5-New Age (Calming Sea)

Compared to the above cases, the amplitude of the song is much slower than the other songs. The energy level is very constant and stable. The rhythmic pattern is very repetitive. The whole song is in a non-intense level.

Case 4- Folk Music

Figure 6-Folk Music (Three Kites Cycling)

The folk music shows the low amplitude and low intense level. The music genre is soft .

Case 5- Instrumental Music

Figure 7- Instrumental Music (Piano Music)

The instrumental music is showing the piano music. The music is not intense and the music genre is soft.

 4.2.3 Analysis using bpm

Beats per minute is a measurement of the music tempo. The faster the tempo is, the higher the bpm is. The 50 pieces of music is analyzed from the software bpm counter. The cut-off line is in less than 98 bpm. It is based on basic Italian tempo marking. It defines slow tempo in less than 98 bpm. The following diagram extracts from BPM Counter:

Figure 8 – Song BPM Analysis Result

The bpm analysis result shows that the range of 80 samples of music is from 86.40 to 163.64 bpm. The difference is quite large. The percentage of music selected in first phase is 54%.  It shows that most songs are belong to music genre. The music analysis is generated by BPM counter which is a bpm analyzer software.

 4.2.4 Analysis using spectrogram

Spectrogram is to measure spectrum of frequency in sound and fundamental frequency and amplitude in 60-80dB. This software uses Fast Fourier Transform (FFT) convert the signal from its original domain. The algorithm uses symmetry that reducing runtime from O(n2) to O(n log n). The higher decibel the music is, the louder the music is. The aim of this is to analyze the music whether it is under 80 dB. The music selection is using spectrogram generator software, Spek. For more sound, the following pictures are some songs extract from the suitable songs.

Case 1: Accepted

Figure 7- Air.mp3 (New Age)

This song has low frequency and it implies low decibel on the song. As the green area represent 60 dB, the green proportion of the music is in high proportion which means low music intensity level. The spectrum density in blue area is sparse but the spectrum density in green area is concentrated.

Case 2: Not Accepted

Figure 8 Scarlet_Sails.mp3

Although this song is below 98 bpm, the blue area means high dB level has high proportional compared to green area. The song shows that it is about 20 kilohertz This means that the spectrum of energy of the music is high. The graph shows that the music may exceed 80dB range and nearly 100 dB.

In conclusion, the music is suitable for system when the decibel is not intense and strong. The range is within 60 dB to 80 dB. The more concentrated the blue area is, the stronger the music is.

The analysis result is narrow down to 30 songs in the selection process. The 30 songs are classified into different stress level according to the chronological order of bpm.

5. System Design

5.1 Users Type

There has two types of users, admin and visitors. Admin has more rights than common users. Admin can modify information while visitor only can register.

5.2 Functional Requirement

5.2.1 Listen music

Users can listen music in the system. There has a music list that has already in the system.

5.2.2 Do self-assessment

Users can do self-assessment in the system. The assessment is displayed in the assessment page and result of the self-assessment will be displayed.

5.2.3 Give Feedback

When the user finish using the system, users can give feedback to the system. The feedback form is available in the evaluation page.

5.2.4 Interact with social media

User can like and share the link of the system using their Facebook and Twitter account. The function is to promote the page and interact with users’ friends.

5.2.5 Login

User can login to the music system.

5.2.6 Register

User can register to the system

5.2.7 Change Password

User can change password in the system

5.2.8 Delete Account

User can delete account in the system.

5.2.9 Play Games

User can play music therapy activities in the system.

5.2.10 Admin-Feedback management

Admin can manage the feedback by viewing, deleting the feedback from the users.

5.2.11 Admin-Login

Admin can type user id and password to login to the system.

5.2.12 Admin-Account Management

Admin can view account information of user.

5.2.13 Admin-Music Management

Admin can upload, view, delete and edit music .

5.3 Preliminary System Design

5.3.1 Use Case Diagram

Figure 9 User Case Diagram

Users can login, do assessment, listen to the music and play game. Also, users can change password and delete account. Visitor has only right to register and then become a user. Admin has more rights than users and visitors. They can view, delete feedback and insert, edit and delete music. The user account can be viewed by admin.

5.3.2 Database Diagram

Figure 10 -Database Diagram

The relationship between song and user is zero to many and one to many respectively as at least one user can listen zero to many song. Also, the relationship between response and user is zero to many users gives zero or one response. The user does not require to give response. Also, one user can listen no song. But songs are required at least one user to listen. The user and assessment is linked in zero to many to one to many relationship.

5.3.3 Database Table

Song

Attributes Datatype Primary Key Description
songid INTEGER The id of the song
songname VARCHAR(45) X The name of the song
genre VARCHAR(45) X The type of the song
songlink VARCHAR(45) X The link of the song
songlength VARCHAR(45) X The length of the song
speedlevel VARCHAR(45) X The stress level the song belongs

Table 1 song table

Assessment

Attributes Datatype Primary Key Description
aid INTEGER The assessment id
id INTEGER X Foreign key references user
assessresult VARCHAR(45) X The assessment result
Therapy VARCHAR(500) X The therapy
Speedlevel VARCHAR(45) X The stress level

Table 2 assessment table

Admin

Attributes Datatype Primary Key Description
userid INT Unique identifier is automatically generated to the system.
username VARCHAR(45) X The name of user
password VARCHAR(45) X The password of the user

Table 3 admin table

User

Attributes Datatype Primary Key Description
id INTEGER The unique identifier of user
Username VARCHAR(45) X The username
Password VARCHAR(45) X The password
firstname VARCHAR(45) X The first name of user
lastname VARCHAR(45) X The last name of user
email VARCHAR(100) X The email of user

Table 4 user table

Response

Attributes Datatype Primary Key Description
rid INT The unique identifier of response
category VARCHAR(45) X The category of the response
rating VARCHAR(45) X The user rating on the system
comment VARCHAR(500) X The comment from user
effectiveness VARCHAR(45) X The effectiveness of the therapy
musicselect VARCHAR(45) X The music selection rating
id INTERGER X The foreign key references user

Table 5 Response Table

5.3.3 System Diagram

Figure 11 System Diagram

The system will have sent http request to the web server and application server will process the http request. Also, a database server is for storing the information and retrieve the data if receiving command.

5.4 Sequence Table

Figure 12 Sequence Diagram for users

The diagram shows the login process from step 1 to 5. The login process is assume the username and password are correct. The validation on the password are true. Then, users will login direct to index page. The next steps from 7 to 9 are assessment. After submitting assessment, the score will be calculated and display the stress level and therapy to users. For the next part (Steps 10-14) of music listening, the music will be shown required song and users can listen it. In the diagram, the system and interface will be transacted very frequently.

Figure 13 Sequence diagram for admin

In the diagram, it shows part of the admin functions. When admin submits login form, the interface will connect to system to request validation to the database. When the database validates, the admin index page will be redirected. For upload music function, the music will be uploaded to the system. The database will be requested by system to insert data to database. Then, it will display successful message to admin. The music deletion will be submitted data to system and then send delete request to database. Then database will perform the action and then inform the system. The interface will display the successful message to admin.

5.5 Hardware & Software Requirement

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