Abstract

This article presents a research agenda that began with the development of a clinical music therapy protocol, including music-assisted relaxation and imagery (MARI), for individuals with heart conditions who are referred for cardiac rehabilitation. Health-related outcomes of this program were investigated in a randomized controlled trial, finding significant changes in blood pressure over time, and short-term changes in stress and anxiety. A mixed methods study then examined process and outcomes more thoroughly in a small sample of patients. In a more recent trial, this approach was applied to individuals who have diabetes. Coming full circle, the research investigations informed an adaptation of the original music therapy protocol for clinical use in cardiac rehabilitation. Underlying mechanisms in the autonomic nervous system and future research directions are also discussed.

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