Study2018Open access

Patient's and health care provider's perspectives on music therapy in palliative care - an integrative review

Schmid W, Rosland JH, von Hofacker S, Hunskår I, Bruvik F

BMC palliative care · 37 citations

How it was studied

Design
Systematic review (classified by our AI screen)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Independent funding
University or hospital
Universitetet i Bergen
University or hospital
POLYFON Knowledge Cluster for Music Therapy, University of Bergen, Norway

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2018-02-20 · BMC Palliat Care · vol. 17 · issue 1 · p. 32
Publisher
BioMed Central
Cited
90 citations · more than 98% of similar papers · 9.8× the field average
Impact
Top 10% most cited in its field
References
39 works
Access
Open access (journal) · CC-BY
Research areas
Music Therapy and Health · Pain Management and Placebo Effect · Art Therapy and Mental Health
Keywords
Music therapy, Palliative care, Qualitative research, Inclusion (mineral), Medicine, Health care, Multidisciplinary approach, MEDLINE, Psychology, Nursing, Family medicine, Physical therapy, Sociology
MeSH
humans, music therapy, palliative care, perception, quality of life, health personnel, terminally ill, pain management

5 authors

From US, NO

  • Wolfgang Schmid · correspondingDeaconess Hospital; University of Bergen
  • Jan Henrik RoslandDeaconess Hospital; University of Bergen
  • Sebastian von HofackerHaukeland University Hospital; Deaconess Hospital
  • Irene HunskårVID Specialized University; Haraldsplass Diakonale Sykehus
  • Frøydis Kristine BruvikHaraldsplass Diakonale Sykehus; University of Bergen

Abstract

Background

The use of music as therapy in multidisciplinary end-of-life care dates back to the 1970s and nowadays music therapy (MT) is one of the most frequently used complementary therapy in in-patient palliative care in the US. However existing research investigated music therapy's potential impact mainly from one perspective, referring to either a quantitative or qualitative paradigm. The aim of this review is to provide an overview of the users' and providers' perspectives on music therapy in palliative care within one research article.

Methods

A systematic literature search was conducted using several databases supplemented with a hand-search of journals between November 1978 and December 2016. Inclusion criteria were: Music therapy with adults in palliative care conducted by a certified music therapist. Both quantitative and qualitative studies in English, German or a Scandinavian language published in peer reviewed journals were included. We aimed to identify and discuss the perspectives of both patients and health care providers on music therapy's impact in palliative care to forward a comprehensive understanding of it's effectiveness, benefits and limitations. We investigated themes mentioned by patients within qualitative studies, as well as commonly chosen outcome measures in quantitative research. A qualitative approach utilizing inductive content analysis was carried out to analyze and categorize the data.

Results

Twelve articles, reporting on nine quantitative and three qualitative research studies were included. Seven out of the nine quantitative studies investigated pain as an outcome. All of the included quantitative studies reported positive effects of the music therapy. Patients themselves associated MT with the expression of positive as well as challenging emotions and increased well-being. An overarching theme in both types of research is a psycho-physiological change through music therapy.

Conclusions

Both quantitative as well as qualitative research showed positive changes in psycho-physiological well-being. The integration of the users´ and providers´ perspectives within future research applicable for example in mixed-methods designs is recommended.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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