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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.
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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.
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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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Zanchi B, Trevor-Briscoe T, Sarti P, Rivi V, Bernini L, Burnazzi J, Ricci Bitti PE, Abbado A, Rostagno E, Pession A, Blom JMC, Scarponi D. The Impact of Music Therapy in a Pediatric Oncology Setting: An Italian Observational Network Study. Healthcare (Basel) 2024; 12:1071. [PMID: 38891146 PMCID: PMC11172261 DOI: 10.3390/healthcare12111071] [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: 03/15/2024] [Revised: 05/02/2024] [Accepted: 05/21/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND Music Therapy (MT) is a non-pharmacological, art-based intervention that employs music experiences within a therapeutic alliance to attend to clients' physical, emotional, cognitive, and social requirements. This is the first study aiming at investigating the impact of MT on the psychological facets of children suffering from cancer. METHODS The study, combining the AQR and m-YPAS assessment tools, evaluated behavioral, sound-musical, and interactive parameters in pediatric oncology patients undergoing MT sessions during hospitalization. Fifty patients admitted to the Paediatric Oncology and Haematology Unit at Policlinico S. Orsola Hospital in Bologna, Italy, were enrolled, irrespective of their treatment regimen. Data collection occurred on the first day of the MT session between 3 p.m. and 5 p.m., with observations conducted by independent observers. In addition to traditional statistical analysis, network analysis was used to explore the combined interactions of all parameters, effectively discerning the distinctive roles played by each one during therapy sessions and their influence on all others. RESULTS Network analysis highlighted distinct patterns of interactions among parameters during the various sessions, emphasizing the role of positive emotions and a calm setting, the child's ability to take the initiative in sessions, their sense of agency, and the parent's role in guiding them. Significant differences were recorded at each time point between all variables considered. CONCLUSIONS The results of this innovative study may pave the way for future multicenter studies aimed at further exploring the role of MT in children undergoing both curative and palliative treatments for cancer.
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Affiliation(s)
- Barbara Zanchi
- Conservatorio Bruno Maderna, 47521 Cesena, Italy; (B.Z.); (T.T.-B.); (P.E.R.B.)
- Fondazione Policlinico Sant’ Orsola, 40138 Bologna, Italy; (L.B.); (J.B.); (A.A.)
- MusicSpace Italy Association, 40122 Bologna, Italy
| | - Timothy Trevor-Briscoe
- Conservatorio Bruno Maderna, 47521 Cesena, Italy; (B.Z.); (T.T.-B.); (P.E.R.B.)
- Fondazione Policlinico Sant’ Orsola, 40138 Bologna, Italy; (L.B.); (J.B.); (A.A.)
- MusicSpace Italy Association, 40122 Bologna, Italy
| | - Pierfrancesco Sarti
- Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy; (P.S.); (V.R.)
| | - Veronica Rivi
- Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy; (P.S.); (V.R.)
| | - Lorenzo Bernini
- Fondazione Policlinico Sant’ Orsola, 40138 Bologna, Italy; (L.B.); (J.B.); (A.A.)
- MusicSpace Italy Association, 40122 Bologna, Italy
| | - Jenny Burnazzi
- Fondazione Policlinico Sant’ Orsola, 40138 Bologna, Italy; (L.B.); (J.B.); (A.A.)
| | - Pio Enrico Ricci Bitti
- Conservatorio Bruno Maderna, 47521 Cesena, Italy; (B.Z.); (T.T.-B.); (P.E.R.B.)
- Department of Psychology, University of Bologna, 40127 Bologna, Italy
| | - Alessandra Abbado
- Fondazione Policlinico Sant’ Orsola, 40138 Bologna, Italy; (L.B.); (J.B.); (A.A.)
| | - Elena Rostagno
- Oncoematologia Pediatrica, IRCCS Azienda Ospedaliero Universitaria di Bologna, 40138 Bologna, Italy;
| | - Andrea Pession
- Department of Medical and Surgical Sciences, University of Bologna, 40126 Bologna, Italy;
| | - Johanna M. C. Blom
- Department of Biomedical, Metabolic, and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy; (P.S.); (V.R.)
- Centre for Neuroscience and Neurotechnology, University of Modena and Reggio Emilia, 41125 Modena, Italy
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Trigueros-Murillo A, Martinez-Calderon J, Casuso-Holgado MJ, González-García P, Heredia-Rizo AM. Effects of music-based interventions on cancer-related pain, fatigue, and distress: an overview of systematic reviews. Support Care Cancer 2023; 31:488. [PMID: 37486578 PMCID: PMC10366242 DOI: 10.1007/s00520-023-07938-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2023] [Accepted: 07/10/2023] [Indexed: 07/25/2023]
Abstract
PURPOSE To summarize the available evidence from systematic reviews with meta-analysis on the effects of music-based interventions in adults diagnosed with cancer. METHODS An overview of systematic reviews was conducted. CINHAL, Embase, PEDro, PubMed, Scopus, the Cochrane Library and Web of Science were searched from inception until November 2022. Systematic reviews with meta-analysis in individuals with cancer (any type), any comparator, and outcomes of cancer-related pain, fatigue, and psychosocial symptoms were eligible. The methodological quality of systematic reviews and the amount of spin of information in the abstract were assessed. The Graphical Representation of Overlap for OVErviews tool (GROOVE) was used to explore the overlap of primary studies among systematic reviews. RESULTS Thirteen systematic reviews, with over 9000 participants, containing 119 randomized trials and 34 meta-analyses of interest, were included. Music-based interventions involved passive music listening or patients' active engagement. Most systematic reviews lacked a comprehensive search strategy, did not assess the certainty in the evidence and discussed their findings without considering the risk of bias of primary studies. The degree of overlap was moderate (5.81%). Overall, combining music-based interventions and standard care seems to be more effective than standard care to reduce cancer-related pain, fatigue, and distress. Mixed findings were found for other psychosocial measures. CONCLUSION Music-based interventions could be an interesting approach to modulate cancer-related pain, fatigue, and distress in adults with cancer. The variability among interventions, together with important methodological biases, detract from the clinical relevance of these findings.
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Affiliation(s)
- Ana Trigueros-Murillo
- Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain
| | - Javier Martinez-Calderon
- Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain
- CTS 1110: Uncertainty, Mindfulness, Self, and Spirituality (UMMS) research group, Andalusia, Spain
| | - María Jesús Casuso-Holgado
- Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain
- CTS 1110: Uncertainty, Mindfulness, Self, and Spirituality (UMMS) research group, Andalusia, Spain
| | - Paula González-García
- Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain.
- Instituto de Biomedicina de Sevilla, IBiS, Departamento de Fisioterapia, Universidad de Sevilla, Seville, Spain.
| | - Alberto Marcos Heredia-Rizo
- Departamento de Fisioterapia, Facultad de Enfermería, Fisioterapia y Podología, Universidad de Sevilla, Seville, Spain
- CTS 1110: Uncertainty, Mindfulness, Self, and Spirituality (UMMS) research group, Andalusia, Spain
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Sampaio ADSC. Music-based interventions in rehabilitation of children and adolescents with chronic diseases: Sharing an experience from a Brazilian public hospital. FRONTIERS IN REHABILITATION SCIENCES 2023; 4:1116914. [PMID: 36937104 PMCID: PMC10014532 DOI: 10.3389/fresc.2023.1116914] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 02/09/2023] [Indexed: 03/05/2023]
Abstract
Music-based interventions (MBI) in therapeutic routine have been observed as an effective tool for adjuvant therapy for patients with chronic diseases and for those with various types of disabilities. Music can serve as a pedagogical and therapeutic strategy for development of psychomotor skills in children and adolescents with long-lasting illnesses, and also as a secular way of promoting comfort and spiritual health for patients and families during difficult times; it can also be used to alleviate suffering during diagnostic and therapeutic procedures throughout the long recovery and/or rehabilitation processes. In this article, a musician and art therapist describes some simple MBI used daily in a tertiary children's hospital in Sao Paulo, where patients with chronic diseases and from lower socioeconomic background represent most of outpatients and inpatients. Some MBI developed or adapted by the author are described in detail, some of them using only the voice and others utilizing simple musical instruments, usually percussion ones, by the patients themselves. There are also reports describing MBI in special situations, such as long-lasting isolation of immunosuppressed patients (for bone marrow transplantation, for example), regular day-hospital visits for hemodialysis and religious songs for families of end-of-life or critically ill patients. In conclusion, MBI can be beneficial for improving patient experience in hospital settings, particularly for those with long-lasting or repeated stays, and can be performed in a simple and playful way, with contribution of other health professionals with some background in music, since music therapy specialists are still scarce in many countries.
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How to ‘Discover the Beauty of Life’ in / against the Disease? Musicology in the Therapy for the Elderly with Oncological Illnesses. MUSICOLOGY TODAY 2022. [DOI: 10.2478/muso-2022-0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/06/2023]
Abstract
Abstract
Cooperation between the Institute of Musicology of the University of Warsaw and ‘Jestem’ Foundation began in 2013. The Foundation aims to support adults (especially elderly people) with chronic or terminal illnesses. The so-called ‘hour on beauty’, the Foundation's innovation introduced as part of the schedule of activities for patients, takes the form of weekly meetings with interesting persons (journalists, actors, travellers, etc.), and in the last several years – also with students of musicology. Cooperation involves regular facultative classes at which teams of musicology students prepare educational-therapeutic projects subsequently implemented at the Foundation's seat as part of the ‘hour on beauty’. The paper presents the model of cooperation worked out over the years and examples of original projects implemented by musicology students. The diversity of topics has been discussed here along with effective methods of patient activation (such as task-oriented listening, joint singing, and improvisation using everyday objects). The Foundation's work fills a gap in the Polish health care system resulting from the National Health Fund (NFZ) only financing stationary and home-based hospices but not designating any resources for day-care hospices targeting those oncological patients who need not be permanently hospitalised. The Foundation strives to prevent their exclusion and to improve the quality of their lives as well as their well-being. The benefits of the cooperation are invaluable. There is no doubt that this project (innovative on the Polish scale) reveals a new and potentially surprising function of musicology in the contemporary world.
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Efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies: study protocol for randomised controlled trial. Trials 2022; 23:811. [PMID: 36163030 PMCID: PMC9513975 DOI: 10.1186/s13063-022-06768-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 09/17/2022] [Indexed: 11/10/2022] Open
Abstract
Background Paediatric cancer patients often experience anxiety and depression. Evidence suggests that cognitive-behavioural interventions may help reduce anxiety and depression in children undergoing cancer treatment. However, only a few studies evaluated its impact on the psychological well-being and quality of life of paediatric cancer patients globally. In Ethiopia, there has been no published study to date. Thus, this trial aims to evaluate the efficacy of a culturally tailored cognitive-behavioural intervention for Ethiopian children with haematological malignancies receiving chemotherapy. Methods A single-blinded, parallel-group, two-arm, repeated measure randomised controlled trial will be conducted. Eighty children aged 8 − 18 years with haematological malignancy receiving chemotherapy will be recruited and randomly assigned to experimental or control groups. The experimental group will receive five sessions of introducing cognitive-behavioural intervention, identifying and modifying maladaptive thoughts and behaviour, behavioural activation, practising deep breathing exercises, reassessing goals or treatment plans, and encouraging participants to maintain changes. Each session will be conducted face-to-face for 30–35 min a week. The control group will receive usual care. The outcomes will be measured at baseline, post-intervention, and one month after the intervention using the Revised Child Anxiety and Depression Scale and Paediatric Quality of Life Inventory Generic Core Score 4.0. Discussion The findings of this study will provide evidence to support the integration of culturally effective cognitive-behavioural intervention strategies into paediatric oncology practice and thus, add new knowledge to the literature and help improve the care of children with haematological malignancies receiving chemotherapy. If the cognitive-behavioural intervention is shown to be effective and culturally acceptable, it will provide evidence to include the intervention as a standard of care in paediatric haematology/oncology. Trial registration ClinicalTrials.gov NCT05270655. Registered on March 8, 2022. Supplementary Information The online version contains supplementary material available at 10.1186/s13063-022-06768-x.
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Melesse TG, Chau JPC, Nan MA. Effectiveness of psychosocial interventions on health outcomes of children with cancer: A systematic review of randomised controlled trials. Eur J Cancer Care (Engl) 2022; 31:e13695. [PMID: 36004749 DOI: 10.1111/ecc.13695] [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: 07/16/2021] [Revised: 06/17/2022] [Accepted: 08/12/2022] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Nowadays, there is promising evidence that psychosocial interventions could be helpful in paediatric oncology. Thus, this review aimed to describe the impact of psychosocial interventions on cancer-related health outcomes in children. METHODS Fifteen English electronic databases were searched from October to December 2020. Only randomised controlled trials that (1) included children ≤18 years old diagnosed with cancer, (2) evaluated the effects of psychosocial interventions, and (3) reported health outcomes including quality of life, anxiety, depression, stress, distress, self-esteem, psychological adjustment, treatment adherence, pain, fatigue, and academic performance were included. RESULTS Ten RCTs were included in this review. Six types of psychosocial interventions (social skill training, music-based intervention, therapeutic play, cognitive therapy, wish intervention, and art therapy) were identified. The studies were assessed as having low to high risk of bias. Nine of the studies reported significant improvement in at least one outcome measure. But quantifying the pooled effect was not applicable due to the heterogeneity of interventions. CONCLUSION Psychosocial interventions could be beneficial in paediatric oncology. Yet, the outcomes were reported in heterogeneous types of interventions and participants. The results underscore the need to conduct further studies that include participants with specific cancer diagnoses and types of interventions.
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Affiliation(s)
- Tenaw Gualu Melesse
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong.,Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Janita Pak Chun Chau
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
| | - M A Nan
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong
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Music Intervention for Pain Control in the Pediatric Population: A Systematic Review and Meta-Analysis. J Clin Med 2022; 11:jcm11040991. [PMID: 35207263 PMCID: PMC8877634 DOI: 10.3390/jcm11040991] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 02/08/2022] [Accepted: 02/10/2022] [Indexed: 02/04/2023] Open
Abstract
Music intervention (MI) has been applied as an effective adjunctive treatment for pain control in various clinical settings. However, no meta-analysis has yet been published on the analgesic effects of MI in infants and children. We performed a systematic review of PubMed, EMBASE, Web of Science, and Cochrane Library databases to identify randomized controlled trials (RCTs) with the keywords "pain" AND "music therapy" from inception to January 2022. Primary outcomes were pain intensity and vital signs. Standardized mean difference (SMD) values and the corresponding 95% confidence intervals (CIs) were computed using a random effect model. Subgroup analyses with age groups, types of pain, and music styles were conducted. A total of 38 RCTs involving 5601 participants met the selection criteria. MI significantly decreased the pain levels (SMD = -0.57, p < 0.001), both in the newborn group (p = 0.007) and in the infant/children group (p < 0.001). MI significantly reduced heart rate (SMD = -0.50, p < 0.001) and respiratory rate (SMD = -0.60, p = 0.002) and increased peripheral capillary oxygen saturation (SMD = 0.44, p < 0.001). In subgroup analyses of types of pain, MI had significant effects on prick pain (p = 0.003), chronic and procedural pain (p < 0.001), and postoperative pain (p = 0.018). As for music styles, significant analgesic effects were observed for classical music (p < 0.001), kids' music (p < 0.001), and pop music (p = 0.001), but not for world music (p = 0.196), special composition (p = 0.092), and multiple music combinations (p = 0.420). In conclusion, our analysis provides supportive evidence about the efficacy of MI, especially classical, kids', and pop music, in controlling prick, procedural, and postoperative pain in the pediatric population.
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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.
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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
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The Role of Music Therapy for Children Undergoing Cancer Treatment in Singapore. Healthcare (Basel) 2021; 9:healthcare9121761. [PMID: 34946487 PMCID: PMC8702053 DOI: 10.3390/healthcare9121761] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Revised: 12/09/2021] [Accepted: 12/17/2021] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to explore the benefits of music therapy (MT) for children with cancer over the course of their treatment in an acute paediatric hospital setting in Singapore. Twenty-five children undergoing cancer treatment received MT sessions as part of a multidisciplinary team rehabilitation intervention from March 2017 to January 2020. A total of 37 individualised goals were developed by the music therapist for the cohort. Goals were scored via the Goal Attainment Scale at 3-month intervals up to 1 year. Descriptive statistics and correlation analysis were used to evaluate the findings. The rate of goal achievement was 89.2% over 180 MT sessions (M = 7.20, SD = 6.45). Children diagnosed with brain tumours had the highest frequency of MT sessions (M = 9.11, SD = 7.79). Most of the goals targeted the regulation of mood and morale through music. There was a positive correlation found between goals and sessions (rs = 0.56, p = 0.004). Age of the children was not correlated with the number of sessions received (rs= −0.19, p = 0.354). MT has been found to be an accessible and effective intervention in addressing functional and emotional goals for children across all ages who are undergoing cancer treatment.
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