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This study examines the stages of concern among rural music teachers in China regarding multimedia technology integration. Using a mixed-methods approach with survey and qualitative responses from 103 teachers in several provinces, the results show that while teachers have high awareness and generally positive attitudes toward digital technology, few progress to advanced stages of integration. The absence of significant differences across demographic and professional variables suggests that systemic factors such as inadequate infrastructure, limited music-specific resources, and insufficient professional development are the principal barriers. The findings are interpreted through the Stages of Concern framework, and recommendations are proposed to support effective multimedia integration in rural music education.