1
|
Rodríguez-Rodríguez RC, Noreña-Peña A, Cháfer-Bixquert T, de Dios JG, Ruiz CS. The perception of healthcare professionals, through their own personal experiences, of the use of music therapy in hospitalised children and adolescents. J Pediatr Nurs 2024; 77:63-73. [PMID: 38479064 DOI: 10.1016/j.pedn.2024.02.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 02/21/2024] [Accepted: 02/24/2024] [Indexed: 07/07/2024]
Abstract
BACKGROUND Music therapy is an emerging and useful methodology for improving patient environments within healthcare fields. However, although it has been shown that music therapy interventions with hospitalised children and adolescents have been used for decades with positive effects, there are currently very few studies that specifically describe the perspectives of healthcare professionals regarding the value of music therapy when applied in these patients. OBJECTIVES To describe the insights of healthcare professionals regarding music therapy, both on a personal level and in terms of its usefulness in the care of hospitalised children and adolescents. DESIGN This was a qualitative descriptive-exploratory study with focus groups. PARTICIPANTS Eighteen healthcare professionals. METHODS In January 2023, two focus groups, containing nine healthcare professionals each, were created to collect data regarding their experiences concerning the effect of music therapy on hospitalised children and adolescents. Before recording their opinions, all these professionals participated in an interactive music therapy session. The thematic analysis in this work was performed using MAXQDA® software. RESULTS Two main categories emerged: (a) the effects of music therapy on healthcare professionals, and (b) the benefits of music therapy to patients (children and adolescents). CONCLUSIONS Music therapy was valued positively by healthcare professionals who described the benefits its use has for hospitalised children and adolescents. They also expressed positive viewpoints regarding the use of music therapy to improve their own self-knowledge and self-care. IMPLICATIONS TO PRACTICE Healthcare professionals may utilise music therapists to improve patient outcomes and reduce the negative effects of hospitalisation.
Collapse
Affiliation(s)
- Román-Carlos Rodríguez-Rodríguez
- Nursing Department, Health Sciences Faculty, University of Alicante, Spain; Music and Music Therapy Department, N3 Music Centre, Altea, Alicante, Spain.
| | - Ana Noreña-Peña
- Nursing Department, Health Sciences Faculty, University of Alicante, Spain.
| | - Teresa Cháfer-Bixquert
- Sculpture Department, Faculty of Fine Arts, Polytechnic University of Valencia, Valencia, Spain.
| | - Javier González de Dios
- Paediatrics Department, General University Hospital of Alicante, Alicante, Spain; Department of Paediatrics, Miguel Hernández University, Alicante, Spain.
| | - Carmen Solano Ruiz
- Nursing Department, Health Sciences Faculty, University of Alicante, Spain.
| |
Collapse
|
2
|
Lim WP, Chew RJY, O'Callaghan C. Psychological health in Palliative Care: Thematic analysis of a psychiatrist's and an art therapist's clinical reflexive journals. Palliat Med 2024; 38:737-745. [PMID: 38898650 DOI: 10.1177/02692163241259632] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/21/2024]
Abstract
BACKGROUND Patients receiving palliative care often face psychological distress, which can be challenging for clinicians to manage. Therefore, reflexive and visual journaling can be used as powerful techniques for clinician selfreflection and personal development. These journals are a form of practice wisdom, providing insights into psychological health in palliative care. AIM This study aims to describe how patients receiving palliative care experience psychological health, explore the meaning of a palliative care clinician's work and contribute to the understanding of psychological health in palliative care through the reflexive and visual journals of clinicians. DESIGN Using Gibb's reflective cycle as a framework for journaling, this study employs reflexive and visual journaling through the lenses of a psychiatrist and an art therapist. Journal data were analysed using a thematic analysis approach. SETTING/PARTICIPANTS The two first authors journaled 107 clinical encounters and created 36 pieces of response art detailing encounters with patients and their families, and clinical conversations in two palliative care centres. RESULTS Patient attributes and the clinical environment were observed to influence psychological health in palliative care. The patient's ability to navigate dying, maintain personhood, exert resilience and experience satisfying relationships contribute to psychological health. A clinical environment comprising clinicians with holistic competencies, systems promoting interdisciplinary collaborations and a values-based culture that promotes patient centricity strengthens the delivery of psychological care. CONCLUSIONS Good psychological health in palliative care extends beyond psychopathology and is influenced by the cardinal elements of being human, value systems and systemic elements in the therapeutic environment.
Collapse
Affiliation(s)
- Wen Phei Lim
- Department of Medical Psychiatry, Woodlands Health, Singapore, Singapore
| | | | - Clare O'Callaghan
- Departments of Psychosocial Cancer Care and Medicine, St. Vincent's Hospital, The University of Melbourne, Fitzroy, VIC, Australia
| |
Collapse
|
3
|
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.
Collapse
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
| |
Collapse
|
4
|
Rodríguez-Rodríguez RC, Noreña-Peña A, Chafer-Bixquert T, Lorenzo Vásquez A, González de Dios J, Solano Ruiz C. The relevance of music therapy in paediatric and adolescent cancer patients: a scoping review. Glob Health Action 2022; 15:2116774. [PMID: 36174131 PMCID: PMC9543118 DOI: 10.1080/16549716.2022.2116774] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 08/09/2022] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Music therapy is an emerging and useful methodology to improve the quality of life of children and adolescents with cancer. OBJECTIVES The objective of this scoping review was to examine the available literature and offer an analysis of the relevance of music therapy in paediatric oncology. We considered the effects of music therapy on children and adolescents with cancer as well as the perception of this population, their families, music therapists, and health professionals regarding the music therapy sessions conducted. Finally, we analysed the characteristics of the distinct types of music therapy interventions reported in the literature. METHODS In this review, we applied the methodology proposed by Arksey and O'Malley. After performing a comprehensive academic literature database search, 522 articles were identified of which, 27 met the inclusion criteria. RESULTS The results shed light on the use of music therapy as a means to facilitate self-esteem, to improve the physical, emotional, and cognitive aspects related to disease and, to a lesser extent, alleviate their physiological symptoms. Both children and adolescents with cancer were represented in the academic literature. The most prevalent findings described in these studies were the benefits of music therapy in terms of improved psychological well-being and social relationships in this population. CONCLUSIONS Music therapy interventions are generally well received, not only by children and adolescents with cancer, but also by their families, music therapists, and health professionals. Nevertheless, several gaps were identified in some of the studies we considered, including a lack of specificity regarding the results obtained or music therapy intervention methods used.
Collapse
Affiliation(s)
- Román-Carlos Rodríguez-Rodríguez
- Nursing Department, Health Sciences Faculty, University of Alicante, Alicante, Spain
- Music and Music Therapy Department, N3 Music Centre, Alicante, Spain
| | | | | | - Alicia Lorenzo Vásquez
- Music Therapy, Pediatrics Department, Faculty of Medicine, Autonomous University of Madrid, Madrid, Spain
| | - Javier González de Dios
- Pediatrics Department, General University Hospital of Alicante, Alicante, Spain
- Department of Pediatrics, Miguel Hernández University, Alicante, Spain
| | | |
Collapse
|
5
|
Feasibility & Acceptability of Patient and Family Directed Active Music Making during Pediatric Bone Marrow Transplant Process. Eur J Investig Health Psychol Educ 2022; 12:1867-1877. [PMID: 36547032 PMCID: PMC9777901 DOI: 10.3390/ejihpe12120131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2022] [Revised: 12/04/2022] [Accepted: 12/06/2022] [Indexed: 12/14/2022] Open
Abstract
(1) Background: Bone marrow transplant (BMT) is an aggressive and complex medical treatment for children with certain types of cancer and other diseases. The transplant process entails replacing the patient's diseased bone marrow with the healthy marrow of a donor. During the course of treatment, patients are isolated in their room to reduce the risk of infection. Patient's experience a variety of symptoms and side effects during the process including nausea, vomiting, diarrhea, mouth sores, fatigue, pain, discomfort, extreme muscle weakness, and emotional distress. Children often need a parent or caregiver present with them at all times throughout treatment. This process can cause significant stress and anxiety for the patient and their family. (2) Methods: This study explored the feasibility and acceptability of a patient and family directed active music making protocol during the BMT process. Ten patients, their parents, and family members participated in the study during the course of the BMT. (3) Results: Participants reported engaging in active music making 3-4 times per week and completed 121 journal forms reporting their music making experiences. They indicated using active music making to manage pain, discomfort, stress, anxiety, and boredom, foster relaxation and sleep, for enjoyment, and as a way to connect. (4) Conclusions: Patients, parents and family members reported feeling a sense of empowerment when engaged in making music to support their child or loved one.
Collapse
|
6
|
Music therapy and pediatric palliative care: songwriting with children in the end-of-life. World J Pediatr 2022; 18:695-699. [PMID: 35773435 DOI: 10.1007/s12519-022-00578-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 05/29/2022] [Indexed: 10/17/2022]
|
7
|
Knott D, Krater C, MacLean J, Robertson K, Stegenga K, Robb SL. Music Therapy for Children with Oncology & Hematological Conditions and Their Families: Advancing the Standards of Psychosocial Care. JOURNAL OF PEDIATRIC HEMATOLOGY/ONCOLOGY NURSING 2022; 39:49-59. [PMID: 35722869 PMCID: PMC9839310 DOI: 10.1177/27527530211059726] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Background: Diagnosis and treatment of cancer and blood disorders in childhood, adolescence and young adulthood has a significant impact on patients and families. The Psychosocial Standards of Care project, initiated in 2012, resulted in 15 Psychosocial Standards (PSS) that guide the care patients and families receive throughout treatment. As members of the multidisciplinary psychosocial care team, music therapists play an important role in the advancing the PSS. Most surveys have focused on other commonly provided services (e.g., social work, child life), leaving gaps in our understanding about the availability and use of music therapy services to advance PSS. This paper offers an initial description of how music therapy services contribute to the provision of care under these Standards. Methods: We analyze how music therapy services promote PSS through synthesis of a music therapy clinical practice survey, published literature, and scope of practice documents. A brief overview of music therapy services structure, PSS that music therapy services currently address, and two clinical program descriptions are included. Results: Music therapy services address 9 of the 15 PSS and are well integrated within the larger program of psychosocial care. Findings suggest integration of music therapy services can help ensure personalized, comprehensive care and efficient use of often-limited psychosocial care resources. Discussion: Nurses, as members of the psychosocial and medical teams are uniquely positioned to identify patient and family care needs and refer patients for services. Understanding how music therapy services address PSS and most importantly, the needs of patients and families, will optimize their care.
Collapse
Affiliation(s)
- David Knott
- Creative Arts Therapies, Seattle Children's Hospital, Seattle, WA, USA
| | - Caitlin Krater
- Music Therapy, Riley Hospital for Children at Indiana University Health, Indianapolis, IN, USA
| | | | - Kim Robertson
- Music Therapy and Hospital-Based School Program, Children's Mercy Hospital Kansas City, Kansas City, MO, USA
| | | | - Sheri L. Robb
- Indiana University School of Nursing, Indianapolis, IN, USA
| |
Collapse
|
8
|
Collaborative Legacy Building to Alleviate Emotional Pain and Suffering in Pediatric Cancer Patients: A Case Review. CHILDREN 2022; 9:children9010033. [PMID: 35053659 PMCID: PMC8774266 DOI: 10.3390/children9010033] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 12/16/2021] [Accepted: 12/18/2021] [Indexed: 11/28/2022]
Abstract
Childhood cancer patients experience emotional hardship associated with their life-threatening diagnoses. Interdisciplinary team members working in pediatric cancer care can help alleviate physical pain and psychological suffering of children by facilitating collaborative legacy-building activities with patients and families. The contents of this article aim to support legacy building as a medium for emotional healing prior to the end of life. The authors use a case review to contextualize legacy-building projects and provide a comprehensive overview of methods and considerations for these initiatives.
Collapse
|
9
|
Tortora S, Raghunathan NJ, Seifert G, Sibinga EMS, Ghelman R. A comprehensive definition for pediatric integrative oncology through an international consensus. Complement Ther Med 2021; 57:102678. [PMID: 33548478 DOI: 10.1016/j.ctim.2021.102678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
Affiliation(s)
- Suzi Tortora
- Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, United States.
| | - Nirupa J Raghunathan
- Integrative Medicine Service, Memorial Sloan Kettering Cancer Center, United States
| | - Georg Seifert
- Department of Pediatrics, Division of Oncology and Hematology, Berlin, Germany; Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität Zu Berlin, and Berlin Institute of Health, Germany; Instituto De Tratamento Do Câncer Infantil (ITACI), Departamento De Pediatria, Faculdade De Medicina, Universidade De São Paulo, São Paulo, Brazil
| | | | - Ricardo Ghelman
- Instituto De Tratamento Do Câncer Infantil (ITACI), Departamento De Pediatria, Faculdade De Medicina, Universidade De São Paulo, São Paulo, Brazil; Brazilian Academic Consortium for Integrative Health, Brazil
| |
Collapse
|
10
|
González-Martín-Moreno M, Garrido-Ardila EM, Jiménez-Palomares M, Gonzalez-Medina G, Oliva-Ruiz P, Rodríguez-Mansilla J. Music-Based Interventions in Paediatric and Adolescents Oncology Patients: A Systematic Review. CHILDREN-BASEL 2021; 8:children8020073. [PMID: 33561089 PMCID: PMC7911153 DOI: 10.3390/children8020073] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 01/16/2021] [Accepted: 01/18/2021] [Indexed: 11/29/2022]
Abstract
Background: The implications of cancer and its medical treatment are traumatic, highly stressful and have great psychosocial impact. Therefore, a comprehensive treatment is essential and music-based interventions can play an important role. The objective of this study is to summarise research that assesses the effects of music therapy in paediatric and adolescent patients with cancer during the process of the disease. Methods: A systematic review conducted following PRISMA’s statements. An electronic search of the literature was carried out in the following databases: PubMed, Cochrane, Dialnet, Scopus, IDICEs CSIC and Science Direct. Original studies that conducted music-based interventions with oncology patients between 0 to 18 years old were included. Results: 11 studies were finally included in the review. The sample consisted of two quasi-experimental studies, five randomised clinical controlled trials, one non-randomised controlled trial, one study that involved qualitative and quantitative analysis methods, one descriptive study and one observational study. Conclusions: Music-based interventions decrease anxiety, perceived pain and depression symptoms and improve state of mind, self-esteem and quality of life of paediatric and adolescent patients with cancer. Moreover, they decrease heart rate, respiratory rate and blood pressure and encourage patients to use adaptive coping strategies.
Collapse
Affiliation(s)
- Marta González-Martín-Moreno
- Badajoz Association of Parents of Persons with Autism (Asociación de Padres de Personas con Autismo de Badajoz-APNABA), 06011 Badajoz, Spain;
| | - Elisa María Garrido-Ardila
- ADOLOR Research Group, Department of Medical-Surgical Therapy, Medicine Faculty, Extremadura University, 06011 Badajoz, Spain; (M.J.-P.); (J.R.-M.)
- Correspondence: ; Tel.: +34-653369655
| | - María Jiménez-Palomares
- ADOLOR Research Group, Department of Medical-Surgical Therapy, Medicine Faculty, Extremadura University, 06011 Badajoz, Spain; (M.J.-P.); (J.R.-M.)
| | - Gloria Gonzalez-Medina
- Nursing and Physiotherapy Department, Nursing and Physiotherapy Faculty, Cadiz University, Av. Ana de Viya, 52, 11009 Cádiz, Spain; (G.G.-M.); (P.O.-R.)
| | - Petronila Oliva-Ruiz
- Nursing and Physiotherapy Department, Nursing and Physiotherapy Faculty, Cadiz University, Av. Ana de Viya, 52, 11009 Cádiz, Spain; (G.G.-M.); (P.O.-R.)
| | - Juan Rodríguez-Mansilla
- ADOLOR Research Group, Department of Medical-Surgical Therapy, Medicine Faculty, Extremadura University, 06011 Badajoz, Spain; (M.J.-P.); (J.R.-M.)
| |
Collapse
|
11
|
Moore DA, Nunns M, Shaw L, Rogers M, Walker E, Ford T, Garside R, Ukoumunne O, Titman P, Shafran R, Heyman I, Anderson R, Dickens C, Viner R, Bennett S, Logan S, Lockhart F, Thompson Coon J. Interventions to improve the mental health of children and young people with long-term physical conditions: linked evidence syntheses. Health Technol Assess 2020; 23:1-164. [PMID: 31122334 DOI: 10.3310/hta23220] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Although mental health difficulties can severely complicate the lives of children and young people (CYP) with long-term physical conditions (LTCs), there is a lack of evidence about the effectiveness of interventions to treat them. OBJECTIVES To evaluate the clinical effectiveness and cost-effectiveness of interventions aiming to improve the mental health of CYP with LTCs (review 1) and explore the factors that may enhance or limit their delivery (review 2). DATA SOURCES For review 1, 13 electronic databases were searched, including MEDLINE, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Science Citation Index. For review 2, MEDLINE, PsycINFO and CINAHL were searched. Supplementary searches, author contact and grey literature searches were also conducted. REVIEW METHODS The first systematic review sought randomised controlled trials (RCTs) and economic evaluations of interventions to improve elevated symptoms of mental ill health in CYP with LTCs. Effect sizes for each outcome were calculated post intervention (Cohen's d). When appropriate, random-effects meta-analyses produced pooled effect sizes (d). Review 2 located primary qualitative studies exploring experiences of CYP with LTCs, their families and/or practitioners, regarding interventions aiming to improve the mental health and well-being of CYP with LTCs. Synthesis followed the principles of metaethnography. An overarching synthesis integrated the findings from review 1 and review 2 using a deductive approach. End-user involvement, including topic experts and CYP with LTCs and their parents, was a feature throughout the project. RESULTS Review 1 synthesised 25 RCTs evaluating 11 types of intervention, sampling 12 different LTCs. Tentative evidence from seven studies suggests that cognitive-behavioural therapy interventions could improve the mental health of CYP with certain LTCs. Intervention-LTC dyads were diverse, with few opportunities to meta-analyse. No economic evaluations were located. Review 2 synthesised 57 studies evaluating 21 types of intervention. Most studies were of individuals with cancer, a human immunodeficiency virus (HIV) infection or mixed LTCs. Interventions often aimed to improve broader mental health and well-being, rather than symptoms of mental health disorder. The metaethnography identified five main constructs, described in an explanatory line of argument model of the experience of interventions. Nine overarching synthesis categories emerged from the integrated evidence, raising implications for future research. LIMITATIONS Review 1 conclusions were limited by the lack of evidence about intervention effectiveness. No relevant economic evaluations were located. There were no UK studies included in review 1, limiting the applicability of findings. The mental health status of participants in review 2 was usually unknown, limiting comparability with review 1. The different evidence identified by the two systematic reviews challenged the overarching synthesis. CONCLUSIONS There is a relatively small amount of comparable evidence for the effectiveness of interventions for the mental health of CYP with LTCs. Qualitative evidence provided insight into the experiences that intervention deliverers and recipients valued. Future research should evaluate potentially effective intervention components in high-quality RCTs integrating process evaluations. End-user involvement enriched the project. STUDY REGISTRATION This study is registered as PROSPERO CRD42011001716. FUNDING The National Institute for Health Research (NIHR) Health Technology Assessment programme and the NIHR Collaboration for Leadership in Applied Health Research and Care South West Peninsula.
Collapse
Affiliation(s)
- Darren A Moore
- Evidence Synthesis & Modelling for Health Improvement, University of Exeter Medical School, Exeter, UK
| | - Michael Nunns
- Evidence Synthesis & Modelling for Health Improvement, University of Exeter Medical School, Exeter, UK
| | - Liz Shaw
- Evidence Synthesis & Modelling for Health Improvement, University of Exeter Medical School, Exeter, UK
| | - Morwenna Rogers
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, University of Exeter Medical School, Exeter, UK
| | - Erin Walker
- Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Tamsin Ford
- Child Mental Health Group, University of Exeter Medical School, Exeter, UK
| | - Ruth Garside
- The European Centre for Environment and Human Health, University of Exeter Medical School, Exeter, UK
| | - Obi Ukoumunne
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, University of Exeter Medical School, Exeter, UK
| | - Penny Titman
- Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Roz Shafran
- University College London Institute of Child Health, London, UK
| | - Isobel Heyman
- Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK
| | - Rob Anderson
- Evidence Synthesis & Modelling for Health Improvement, University of Exeter Medical School, Exeter, UK
| | - Chris Dickens
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, University of Exeter Medical School, Exeter, UK
| | - Russell Viner
- University College London Institute of Child Health, London, UK
| | - Sophie Bennett
- University College London Institute of Child Health, London, UK
| | - Stuart Logan
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, University of Exeter Medical School, Exeter, UK
| | - Fiona Lockhart
- Biomedical Research Centre Patient & Public Involvement Group, University College London Hospitals, London, UK
| | - Jo Thompson Coon
- National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care South West Peninsula, University of Exeter Medical School, Exeter, UK
| |
Collapse
|
12
|
Raybin JL, Barr E, Krajicek M, Jones J. How Does Creative Arts Therapy Reduce Distress for Children With Cancer? A Metasynthesis of Extant Qualitative Literature [Formula: see text]. J Pediatr Oncol Nurs 2019; 37:91-104. [PMID: 31766942 DOI: 10.1177/1043454219888807] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Introduction: As more children survive cancer, attention must be paid to their quality of life (QOL). Integrative therapies are an ideal modality for nurses to advocate for reducing distress and improving QOL for children with cancer. Creative arts therapy is a type of integrative health that may improve QOL in this population. Therefore, the research question was asked, "For children with cancer, what opportunities exist for creative arts therapy to reduce distress?" Method: A metasynthesis of the extant qualitative research was conducted to answer the research question. Seven qualitative studies were identified, which included 162 participants. New themes were identified through rigorous analyzation by the study team of each study as individual data. Results: Four derived analytic themes emerged through the analysis: (a) connection is established through creative expression, (b) coping is facilitated by creative arts, (c) communication is enabled by creative arts interventions, and (d) continuance (the concept of time) is experienced through creative arts. Examples of each theme with subthemes are delineated, including expressive quotes. Summary: Through this qualitative synthesis of studies with creative arts therapy, evocative opportunities to reduce the distress associated with the disease experience are revealed. Nurses are called now to promote creative arts therapy to improve the symptoms in children with cancer.
Collapse
Affiliation(s)
- Jennifer L Raybin
- Children's Hospital Colorado, Aurora, CO, USA.,School of Medicine, University of Colorado, Aurora, CO, USA
| | - Emily Barr
- Children's Hospital Colorado, Aurora, CO, USA.,School of Medicine, University of Colorado, Aurora, CO, USA
| | | | | |
Collapse
|
13
|
Shaw L, Moore D, Nunns M, Thompson Coon J, Ford T, Berry V, Walker E, Heyman I, Dickens C, Bennett S, Shafran R, Garside R. Experiences of interventions aiming to improve the mental health and well-being of children and young people with a long-term physical condition: A systematic review and meta-ethnography. Child Care Health Dev 2019; 45:832-849. [PMID: 31339591 PMCID: PMC6851835 DOI: 10.1111/cch.12708] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2018] [Revised: 05/09/2019] [Accepted: 07/13/2019] [Indexed: 01/03/2023]
Abstract
BACKGROUND Children and young people with long-term physical health conditions are at increased risk of experiencing mental health and well-being difficulties. However, there is a lack of research that explores the experiences of and attitudes towards interventions aiming to improve their mental health and well-being. This systematic review seeks to address this gap in the literature by exploring what children and young people with long-term conditions, their caregivers, and health practitioners perceive to be important aspects of interventions aiming to improve their mental health and well-being. METHODS An information specialist searched five academic databases using predefined criteria for qualitative evaluations of interventions aiming to improve the mental health or well-being of children with long-term physical conditions. Reviewers also performed supplementary citation and grey literature searches. Two reviewers independently screened titles, abstracts, and full texts that met the inclusion criteria and conducted data extraction and quality assessment. Meta-ethnography was used to synthesize the findings. RESULTS Screening identified 60 relevant articles. We identified five overarching constructs through the synthesis: (a) Getting In and Staying In, (b) Therapeutic Foundation, (c) Social Support, (d) A Hopeful Alternative, and (e) Empowerment. The line of argument that links these constructs together indicates that when interventions can provide an environment that allows young people to share their experiences and build empathetic relationships, it can enable participants to access social support and increase feelings of hope and empowerment. CONCLUSION These findings may provide a framework to inform the development of mental health interventions for this population and evaluate existing interventions that already include some of the components or processes identified by this research. Further research is needed to establish which of the constructs identified by the line of argument are most effective in improving the mental well-being of young people living with long-term conditions.
Collapse
Affiliation(s)
- Liz Shaw
- University of Exeter Medical SchoolExeterUK
| | - Darren Moore
- Graduate School of EducationUniversity of ExeterExeterUK
| | - Michael Nunns
- Evidence Synthesis & Modelling for Health ImprovementUniversity of Exeter Medical SchoolExeterUK
| | - Jo Thompson Coon
- Evidence Synthesis & Modelling for Health ImprovementUniversity of Exeter Medical SchoolExeterUK
| | - Tamsin Ford
- Child Mental Health Research GroupUniversity of Exeter Medical SchoolExeterUK
| | - Vashti Berry
- Child Mental Health Research GroupUniversity of Exeter Medical SchoolExeterUK
| | - Erin Walker
- Centre for Outcomes and Experience Research in Children's Health, Illness and Disability, Great Ormond Street HospitalLondonUK
| | - Isobel Heyman
- Centre for Outcomes and Experience Research in Children's Health, Illness and Disability, Great Ormond Street HospitalLondonUK,Great Ormond Street Institute of Child HealthUniversity College LondonLondonUK
| | | | - Sophie Bennett
- Great Ormond Street Institute of Child HealthUniversity College LondonLondonUK
| | - Roz Shafran
- Great Ormond Street Institute of Child HealthUniversity College LondonLondonUK
| | - Ruth Garside
- European Centre for Environment and Human HealthUniversity of Exeter Medical SchoolTruroUK
| |
Collapse
|
14
|
Shoemark H, Rimmer J, Bower J, Tucquet B, Miller L, Fisher M, Ogburn N, Dun B. A Conceptual Framework: The Musical Self as a Unique Pathway to Outcomes in the Acute Pediatric Health Setting. J Music Ther 2018; 55:1-26. [PMID: 29471397 DOI: 10.1093/jmt/thx018] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
This article reports on a project at the Royal Children's Hospital Melbourne in which the music therapy team synthesized their practice and related theories to propose a new conceptual framework for music therapy in their acute pediatric setting. The impetus for the project was the realization that in the process of producing key statements about the non-musical benefits of music therapy, the cost was often the suppression of information about the patient's unique musical potential as the major (mediating) pathway from referral reason, to music therapy, and to effective outcomes. The purpose of the project was to articulate how this team of clinicians conceive of the patient's musical self as the major theoretical pathway for music therapy in an evidence-based acute medical setting. The clinicians' shared reflexive process across six months involved robust directed discussion, annotation of shared reading, and documentation of all engagement in words and diagrams. The outcome was a consensus framework including three constructs: the place of music in the life of the infant, child, and young people, Culture and Context, and Musical Manifestations. The constructs were tested in a clinical audit, and found to be robustly inclusive. In addition to the conceptual framework, this project serves to demonstrate a process by which clinical teams may reflect on their individual practice and theory together to create a consensus stance for the overall service they provide in the one setting.
Collapse
Affiliation(s)
| | - Jo Rimmer
- Royal Children's Hospital, Melbourne
| | | | | | | | | | | | - Beth Dun
- Royal Children's Hospital, Melbourne
| |
Collapse
|
15
|
O'Callaghan C, Byrne L, Cokalis E, Glenister D, Santilli M, Clark R, McCarthy T, Michael N. "Life Within the Person Comes to The Fore": Pastoral Workers' Practice Wisdom on Using Arts in Palliative Care. Am J Hosp Palliat Care 2017; 35:1000-1008. [PMID: 29284277 DOI: 10.1177/1049909117748881] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Pastoral care (also chaplaincy, spiritual care) assists people to find meaning, personal resources, and connection with self, others, and/or a higher power. Although essential in palliative care, there remains limited examination of what pastoral workers do. This study examined how pastoral workers use and consider the usefulness of art-based modalities. METHODS Qualitative research was used to examine the practice wisdom (tacit practice knowledge) of pastoral workers experienced in using visual arts and music in palliative care. Two focus groups were conducted. Thematic analysis was informed by grounded theory. RESULTS Six pastoral workers shared information. Three themes emerged. First, pastoral workers use arts as "another tool" to extend scope of practice by assisting patients and families to symbolically and more deeply contemplate what they find "sacred." Second, pastoral workers' art affinities inform their aims, assessments, and interactions. Third, pastoral workers perceive that art-based modalities can validate, enlighten, and transform patients and families through enabling them to "multisensorially" (through many senses) feel recognized, accepted, empowered, and/or close to God. Key elements involved in the work's transformative effects include enabling beauty, ritual, and the sense of "home" being heard, and legacy creation. DISCUSSION AND CONCLUSION Pastoral workers interpret that offering art-based modalities in palliative care can help patients and families to symbolically deal with painful memories and experiences, creatively engage with that deemed significant, and/or encounter a sense of transcendence. Training in generalist art-based care needs to be offered in pastoral education.
Collapse
Affiliation(s)
- Clare O'Callaghan
- 1 Department of Palliative and Supportive Care Research, Cabrini Health Australia, Malvern, Victoria, Australia.,2 Departments of Psychosocial Cancer Care and Medicine, St Vincent's Hospital, Melbourne, The University of Melbourne, Melbourne, Victoria, Australia.,3 Institute for Ethics and Society, The University of Notre Dame, Sydney, Australia
| | - Libby Byrne
- 4 School of Psychology and Public Health, La Trobe University, Melbourne, Australia.,5 Whitley College, The University of Divinity, Melbourne, Australia
| | - Eleni Cokalis
- 6 Creative Arts Pastoral Care, Caritas Christi Hospice, St Vincent's Hospital, Melbourne, Australia
| | - David Glenister
- 7 Pastoral/Spiritual Care, The Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Margaret Santilli
- 8 Pastoral Care, Epworth Freemasons, East Melbourne, Victoria, Australia
| | - Rose Clark
- 9 Pastoral/Spiritual Care, The Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Therese McCarthy
- 10 Pastoral Care, Caritas Christi Hospice, St Vincent's Hospital, Melbourne, Australia
| | - Natasha Michael
- 1 Department of Palliative and Supportive Care Research, Cabrini Health Australia, Malvern, Victoria, Australia.,11 School of Medicine, The University of Notre Dame, Sydney, Australia.,12 Faculty of Medicine, Nursing and Health Sciences, Monash Health, Melbourne, Australia
| |
Collapse
|
16
|
Silva LAGPD, Baran FDP, Mercês NNAD. MUSIC IN THE CARE OF CHILDREN AND ADOLESCENTS WITH CANCER: INTEGRATIVE REVIEW. TEXTO & CONTEXTO ENFERMAGEM 2016. [DOI: 10.1590/0104-07072016001720015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Integrative review which goal was to identify the scientific production published about the use of music in the care in health of children and adolescents with cancer from 2004 to 2014. The search was conducted in SciELO, LILACS, BDENF, MEDLINE, PubMed and The Cochrane Library databases. Seven studies were selected, which showed positive effects in the use of the music such as decrease of pain, anxiety, depression and showed that the music can bring benefits to the patient and their families. Two categories were defined on the use and effects of music and the patients' perspective, parents and professionals about this practice were elaborated. It was concluded that the use of music as a complementary therapy can improve child and adolescent's physical and mental well-being in face of serious illness and its treatment, and helps to strengthen the bond between the patient and his family, as well as the health care team.
Collapse
|
17
|
Strange J. Text Watch. BRITISH JOURNAL OF MUSIC THERAPY 2014. [DOI: 10.1177/135945751402800211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
18
|
Aletraris L, Paino M, Edmond MB, Roman PM, Bride BE. The use of art and music therapy in substance abuse treatment programs. J Addict Nurs 2014; 25:190-6. [PMID: 25514689 PMCID: PMC4268880 DOI: 10.1097/jan.0000000000000048] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Although the implementation of evidence-based practices in the treatment of substance use disorders has attracted substantial research attention, little consideration has been given to parallel implementation of complementary and alternative medical (CAM) practices. Using data from a nationally representative sample (N = 299) of U.S. substance abuse treatment programs, this study modeled organizational factors falling in the domains of patient characteristics, treatment ideologies, and structural characteristics, associated with the use of art therapy and music therapy. We found that 36.8% of treatment programs offered art therapy and 14.7% of programs offered music therapy. Programs with a greater proportion of women were more likely to use both therapies, and programs with larger proportions of adolescents were more likely to offer music therapy. In terms of other treatment ideologies, programs' use of Motivational Enhancement Therapy was positively related to offering art therapy, whereas use of contingency management was positively associated with offering music therapy. Finally, our findings showed a significant relationship between requiring 12-step meetings and the use of both art therapy and music therapy. With increasing use of CAM in a diverse range of medical settings and recent federal legislation likely to reduce barriers in accessing CAM, the inclusion of CAM in addiction treatment is growing in importance. Our findings suggest treatment programs may be utilizing art and music therapies to address unique patient needs of women and adolescents.
Collapse
|
19
|
Tanriverdi O, Aydemir NF. Perspectives of medical oncologists regarding music therapy for patients with cancer in Turkey - can musicology be integrated into psycho-oncology? Asian Pac J Cancer Prev 2014; 14:6537-40. [PMID: 24377564 DOI: 10.7314/apjcp.2013.14.11.6537] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Music therapy is a common complementary and alternative therapy in addition to medical treatment for patients with cancer. If music therapy, which is known has a positive effect on human emotions and behaviors, is a useful additional therapy, it should be more integrated into pyscho-oncology. In this study, we aimed to determine medical oncologist attitudes to music therapy for patients with cancer and knowledge about musicology and music therapy in Turkey. MATERIALS AND METHODS This survey study included questions about participant attitudes and knowledge regarding music therapy as well as demographic characteristics. The population of the study were 402 physicians working in medical oncology in Turkey and the sample covered 112 participants in the the survey. For statistical analyses the chi-square test, Fischer exact test, and Mann-Whitney U analysis are applied. RESULTS In our study the rate for medical oncologists who were interested in music therapy was 28% (n=112). Some 30% (n=34) of medical oncologists recommended music therapy for their patients and 55% (n=61) recommended music therapy to prevent anxiety in patients with cancer. CONCLUSIONS In this study, for more harmony with patients and in order to ensure management of adverse effect, it was concluded that music therapy should be regrded as an additional therapy in oncology clinics.
Collapse
Affiliation(s)
- Ozgur Tanriverdi
- Department of Medical Oncology, Education and Research Hospital, Mugla Sitki Kocman University, Mugla, Turkey E-mail :
| | | |
Collapse
|
20
|
O'Callaghan C, Baron A, Barry P, Dun B. Music's relevance for pediatric cancer patients: a constructivist and mosaic research approach. Support Care Cancer 2010; 19:779-88. [PMID: 20422229 DOI: 10.1007/s00520-010-0879-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2010] [Accepted: 04/08/2010] [Indexed: 10/19/2022]
Abstract
PURPOSE Music is important in most children's lives. To advance efficacious pediatric supportive care, it is necessary to understand young cancer patients' thoughts about music. Concern about inviting unwell children to express opinions has resulted in scant research examining their views. "Mosaic" research examines children's experiences through investigating multiple perspectives which inform a "co-constructed meaning." This study examines pediatric cancer patients' and their parents' perspectives about music and music therapy's role in the children's lives. MATERIALS AND METHODS Children were receiving care at three hospitals with the Paediatric Integrative Cancer Service in Melbourne, Victoria, Australia. A constructivist research approach with grounded theory design was applied. Children up to 14 years old with cancer and parents participated. Data included transcripts from semi-structured research interviews and observations of children's music behaviors. Qualitative inter-rater reliability was integrated. Findings were compared with music therapists' perspectives examined elsewhere. RESULTS Interviews were conducted with 26 patients, median age 5.7 years, and 28 parents. Data "saturation" was achieved. A substantive grounded theory emerged: Children's adverse cancer experiences are often alleviated by music usages. Broader family, social, and electronic musical interactions also promote children's resilience and "normal" development. Music therapy and associated programs often, but not always, alleviate children's distress. Positive effects may carry over into children's home lives and vicariously support families. CONCLUSIONS Health professionals should consider ways to assist parents who are often using music to support children with cancer. Hospitals can promote pediatric cancer patients' resilience by providing music-based support services, including music therapy, and reducing unwanted stressful sounds.
Collapse
|