Copyright as a Barrier to Music Therapy Telehealth Interventions: A Qualitative Interview Study.

BACKGROUND: Music therapy is a multifaceted discipline that harnesses the power of music to treat a wide range of patient populations. A therapist who plays music in a private room for a patient is not subject to copyright restrictions on public performances. However, in the wake of the COVID-19 pandemic, music therapy is no longer strictly confined to the face-to-face setting. This study explores music therapists' perceptions of copyright law with respect to their ability to provide mediated services to their clients.

OBJECTIVE: The objective of our study was two-fold. First was to investigate whether concerns about copyright law are hampering the diffusion of telehealth innovations, and second was whether these concerns are causing music therapists to avoid therapeutically beneficial telehealth interventions.

METHODS: Semistructured interviews were conducted with credentialed music therapists (N=18) in the United States between May and June of 2020. With participants' consent, video conference technology recorded and transcribed the in-depth interviews. The median interview length was 45 minutes (SD=16.37) This theoretically informed study employed thematic analysis of the interview data.

RESULTS: The COVID-19 pandemic accelerated the adoption of telehealth interventions to facilitate therapy outside of private face-to-face environments: Environments where music therapy practices are largely shielded from copyright infringement concerns. Five main themes emerged, including therapists' uncertainty about permissible uses of music and therapists' erring on the side of caution causing lost opportunities for care. Our interview data suggest music therapists have altered telehealth interventions in suboptimal ways to avoid copyright liability in a physically distanced environment.

CONCLUSIONS: Some music therapists "drag their feet" on offering therapeutically appropriate telehealth services to clients because of copyright concerns. Our findings suggest innovative mediated therapies were shied away from or abandoned. These findings offer a novel contribution to the public health literature by highlighting copyright law as an unexpected and unwelcomed barrier to the diffusion of music therapy practices in technology-mediated settings.