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Boyde C, Berger B, Längler A, Neugebauer L, Jacobsen SL, Swanick R, Gaebel C, Schneider D, Bernbeck B, Paulussen M, Ostermann T, Hunger-Schoppe C. Interaction-focused music therapy with cancer-affected children and their significant others: a randomized controlled feasibility study with subsequent intervention (INMUT). Pilot Feasibility Stud 2024; 10:86. [PMID: 38807165 PMCID: PMC11131283 DOI: 10.1186/s40814-024-01490-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 03/26/2024] [Indexed: 05/30/2024] Open
Abstract
BACKGROUND Paediatric oncology/haematology patients and their families are confronted with a life-threatening situation for which music therapy can be a cross-linguistic field of action. The creative act of making music together offers the possibility to strengthen competences and make conflicts tangible. Besides its complementing of evidence-based biomedical care, there is little research on the feasibility and efficacy of interactive music therapy including the diagnosed child and their significant others. METHODS We conducted an assessor blind, prospective, multicentric feasibility randomized controlled trial (RCT) with subsequent intervention. Including overall 52 child-significant other dyads, INMUT investigates interaction-focused music therapy with cancer-affected children and their significant others (INMUT-KB; n = 21) compared to music therapy only with the child (MUT-K; n = 21) and a wait-list group (WLG; n = 10). The measurement points include the screening for a cancer diagnosis, psychometric baseline (pre-T1), initial assessment (T1/T2), music therapy sessions (T3-T9), final assessment (T10), final psychometric evaluation (post-T10), and 3-month follow-up (cat-T11). Feasibility and acceptability of the (1) research methodology, (2) intervention and (3) estimation of effect sizes will be assessed using qualitative and quantitative data. The proposed primary outcome includes the parent-child interaction (APCI), and the proposed secondary outcomes refer to subjective goal achievement (GAS), quality of life (KINDL), system-related functional level (EXIS), psychosocial stress (BAS), psychosomatic complaints (SCL-9k), and resources (WIRF). We plan to investigate the efficacy of INMUT-KB and MUT-K post-intervention (post-T10) within the RCT design and at 3-month follow-up (cat-T11). DISCUSSION This study will provide insights into the feasibility of INMUT and the final sample needed for a confirmatory RCT. We will reflect on successfully implemented study procedures and, if necessary, provide recommendations for changes considering the design, procedures, measures, and statistical analyses. The discussion will conclude with an evaluation whether a confirmatory RCT is worth the investment of future resources, including the calculated number of child-significant other dyads needed based on the efficacy trends derived from this feasibility study. TRIAL REGISTRATION ClinicalTrials.gov: NCT05534282; date of registration: June 23, 2022.
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Affiliation(s)
- Constance Boyde
- Faculty of Health, Departement of Psychology and Psychotherapy, Chair for Clinical Psychology and Psychotherapy III, Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, 58455, Germany.
- Department of Paediatrics and Adolescent Medicine, Community Hospital Herdecke, Gerhard-Kienle-Weg 4, Herdecke, 58313, Germany.
- Interprofessional Graduate School of Integrative Medicine and Health Sciences (IGIM), Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, 58455, Germany.
| | - Bettina Berger
- Interprofessional Graduate School of Integrative Medicine and Health Sciences (IGIM), Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, 58455, Germany
- Faculty of Health, Department of Human Medicine, Chair for Medical Theory, Integrative and Anthroposophic Medicine, Witten/Herdecke University, Gerhard-Kienle-Weg 4, Herdecke, 58313, Germany
| | - Alfred Längler
- Department of Paediatrics and Adolescent Medicine, Community Hospital Herdecke, Gerhard-Kienle-Weg 4, Herdecke, 58313, Germany
- Faculty of Health, Department of Human Medicine, Chair for Paediatrics, Witten/Herdecke University, Dr. Friedrich-Steiner-Strasse 5, Datteln, 45711, Germany
| | - Lutz Neugebauer
- Nordoff/Robbins Centre for Music Therapy Witten, Ruhrstrasse 70, Witten, 58452, Germany
| | - Stine Lindahl Jacobsen
- Department of Communication and Psychology, Faculty of Sciences and Humanities, Aalborg University, Rendsburggade 14, Aalborg, 9000, Denmark
| | - Rachel Swanick
- Chroma Therapies Ltd., Overross House, Ross Park, Ross-On-Wye, Herefordshire, HR9 7US, UK
| | - Christine Gaebel
- Institute of Medical Psychology, University Hospital Heidelberg, Ruprecht-Karls University Heidelberg, Bergheimer Str. 20, Heidelberg, Germany
| | - Dominik Schneider
- Clinic for Paediatrics and Adolescent Medicine, Clinic Centre Dortmund, Beurhausstrasse 40, Dortmund, 44137, Germany
| | - Benedikt Bernbeck
- Clinic for Paediatrics and Adolescent Medicine, Clinic Centre Dortmund, Beurhausstrasse 40, Dortmund, 44137, Germany
| | - Michael Paulussen
- Faculty of Health, Department of Human Medicine, Chair for Paediatrics, Witten/Herdecke University, Dr. Friedrich-Steiner-Strasse 5, Datteln, 45711, Germany
- Vestic Children's Hospital, Dr. Friedrich-Steiner-Strasse 5, Datteln, 45711, Germany
| | - Thomas Ostermann
- Faculty of Health, Department of Psychology and Psychotherapy, Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, 58455, Germany
| | - Christina Hunger-Schoppe
- Faculty of Health, Departement of Psychology and Psychotherapy, Chair for Clinical Psychology and Psychotherapy III, Witten/Herdecke University, Alfred-Herrhausen-Strasse 50, Witten, 58455, Germany
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Kuuse AK, Paulander AS, Eulau L. Characteristics and impacts of live music interventions on health and wellbeing for children, families, and health care professionals in paediatric hospitals: a scoping review. Int J Qual Stud Health Well-being 2023; 18:2180859. [PMID: 36880806 PMCID: PMC10013212 DOI: 10.1080/17482631.2023.2180859] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 02/11/2023] [Indexed: 03/08/2023] Open
Abstract
PURPOSE The objective of this scoping review is to compile and examine characteristics and impacts of live music interventions on the health and wellbeing of children, families, and health care professionals in paediatric hospital care. METHODS We searched four scientific databases for peer-reviewed publications of empirical studies of all study designs. The first author screened the publications, with spot-checks for eligibility by the second and third authors. Data extraction and quality assessment were made by the first author with support from the second and third. Additionally, the included studies were screened for quality appraisal. The analysis followed an inductive, interpretive approach for synthesis. RESULTS Quantitative features were screened and compiled, and qualitative inductive analyses of findings were elaborated into categories connected to research questions. The reported impacts were thematized through emergent features of importance and prerequisites beneficial for successful interventions. Recurrent outcomes present themes of positive affect, copingand reduced hospitalization. Emotional regulation, play and participation, age, session design, adaptivity, and familiarity present benefits, barriers, and facilitators for outcomes. CONCLUSIONS Findings from collected empirical research display philosophy, practice, and relations as keys for characteristics, impacts, and implications of live music interventions in paediatric hospital care. The communicative aspects of music appear at the core of importance.
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Affiliation(s)
- Anna-Karin Kuuse
- Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden
| | - Ann-Sofie Paulander
- Royal College of Music in Stockholm, Department of Music Pedagogy, Stockholm, Sweden
| | - Louise Eulau
- Department of Nursing Science, Sophiahemmet University, Stockholm, Sweden
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Bozzetti F. Does nutrition support during chemotherapy increase long-term survival of cancer patients? Lessons from the past and future perspectives. Support Care Cancer 2021; 29:7269-7277. [PMID: 34309702 DOI: 10.1007/s00520-021-06213-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 04/08/2021] [Indexed: 11/28/2022]
Abstract
PURPOSE The aim of this review was to analyze the potential effect of the nutritional support (oral supplementation/counseling, tube feeding, parenteral nutrition) combined with chemotherapy on long-term survival of cancer patients. METHODS Using various electronic databases, we retrieved all English language papers on the combination nutritional support and chemotherapy and including data on long-term survival. RESULTS 29 trials (4 non-RCT) were retrieved. No significant benefit was observed except for a longer survival in a few selected subgroups of patients, depending on the tumor stage and compliance with the nutritional support. However, no study included survival as primary endpoint or was adequately powered for this purpose, and patients were seldom affected by malnutrition, a condition which would have made them extremely vulnerable and unsafe during an intensive chemotherapy with significant gastrointestinal toxicity. Finally, nutritional regimens were often inappropriate as regards quality and quantity of nutrients or too similar in the two arms of the trial to expect a result. CONCLUSION From the review of these trials, it appears clear that there is absence of evidence more than evidence of absence of effect of the supplemental nutritional support. This poor scenario should not discourage future large multicenter trials to assess the potential of an early versus a delayed support in mildly malnourished patients. From the practical point of view, a nutritional supplementation should be considered when severe malnutrition caused by the disease or following repeated oncologic treatments can make the patients poorly compliant with further chemotherapy cycles, as recommended by the international guidelines.
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Affiliation(s)
- Federico Bozzetti
- Faculty of Medicine, University of Milan, Via Festa del Perdono 11, 20100, Milan, Italy.
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