Differences between Supportive Music and Imagery and Music Listening during Outpatient Chemotherapy and Potential Moderators of Treatment Effects
Burns DS, Meadows AN, Althouse S, Perkins SM, Cripe LD
Journal of music therapy · 16 citations
How it was studied
- Design
- Randomized controlled trial (indexed by PubMed)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Independent funding
- Nonprofit
- Arthur Flagler Fultz Research Fund
Based on 1 listed funder(s).
Publication
- Published
- 2018-01-01 · J Music Ther · vol. 55 · issue 1 · pp. 83–108
- Publisher
- Oxford University Press
- Cited
- 33 citations · more than 92% of similar papers · 3.5× the field average
- Impact
- Top 10% most cited in its field
- References
- 36 works
- Access
- Paywalled
- Research areas
- Music Therapy and Health · Cancer survivorship and care · Health, psychology, and well-being
- Keywords
- Psychology, Psychological intervention, Music therapy, Randomized controlled trial, Active listening, Distress, Clinical psychology, Anxiety, Mood, Guided imagery, Moderation, Intervention (counseling), Psychotherapist, Psychiatry, Medicine, Social psychology
- MeSH
- humans, neoplasms, treatment outcome, music therapy, depression, affect, anxiety, auditory perception, music, aged, middle aged, outpatients, female, male, sense of coherence, imagery, psychotherapy
5 authors
From US
- Debra S. Burns · corresponding
- Anthony MeadowsShenandoah University
- Sandra K. AlthouseIndiana University Melvin and Bren Simon Comprehensive Cancer Center
- Susan M. PerkinsIndiana University Melvin and Bren Simon Comprehensive Cancer Center
- Larry Dean CripeIndiana University Melvin and Bren Simon Comprehensive Cancer Center
Abstract
Background
Supportive music and imagery and music listening interventions have been effective in decreasing distress and improving mood in cancer patients receiving chemotherapy, but it is unclear whether the two interventions differ in their treatment benefits. Furthermore, previous studies have not examined moderators to determine which subgroup(s) of patients may benefit most from each intervention.
Objective
To examine the effects of supportive music and imagery compared with preferred music listening on responsiveness to music therapy, distress, anxiety and depression, and benefit finding. A secondary purpose was to explore sense of coherence and locus of control as potential moderators of intervention effectiveness.
Methods
A single-session, two-group comparative effectiveness randomized trial in two cancer centers. Patients were randomized to supportive music and imagery or preferred music listening during outpatient chemotherapy treatment. Data were collected at baseline and immediately after the 45-minute session. ANCOVA models were used to determine main effects of intervention as well as pairing potential moderators with group assignment to explore differences in intervention effects by moderator.
Results
There were differential effects between the two interventions with the supportive music and imagery group scoring higher in responsiveness to music therapy and benefit finding. The music listening group scores indicated lower distress. The exploratory moderating analyses suggested Health Locus of Control-Internal and Sense of Coherence influenced intervention effectiveness.
Conclusions
Music and imagery and preferred music listening experiences may serve different therapeutic purposes, access and activate different patient resources, and may be helpful at different stages of treatment.
Abstract via Europe PMC. Copyright remains with the authors or publisher.
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