Impact Of Music Therapy Research Articles

Exploring the effectiveness of music therapy intervention as part of interdisciplinary assessment and treatment for patients with prolonged disorders of consciousness

A four - year study took place at a Rehabilitation hospital in Ireland where two music therapists worked as an integral part of a Prolonged Disorders of Consciousness (PDOC) interdisciplinary team (IDT). The study aimed to explore the impact of music therapy as part of IDT assessment and treatment for patients with PDOC and their families. PDOC is defined as diminished or absent responsiveness and awareness persisting for more than four weeks following a catastrophic brain injury. A mixed method approach incorporating a case study series, the Music Therapy Assessment Tool for Awareness in Disorders of Consciousness (MATADOC), questionnaires from patient’s families and IDT and video analysis was undertaken. Three research questions were explored:Does the inclusion of music therapy within an IDT enhance the service offered to PDOC patients? How does music therapy impact on the experience of family members? Can a music therapy assessment and treatment pathway be developed for this patient population?Three case studies taken from the case study series are outlined to illustrate aspects of the clinical work and address the research questions. Findings suggest that music therapy can enhance an IDT and have a positive impact on family members.

The impact of music therapy in late-moderate premature infants, on their parents and their environment, in a Spanish neonatal intermediate care unit.

The aim of this study is to determine whether a live music therapy session during parent holding had an effect on physiological and comfort outcomes of late-moderate preterm infants, on their parents, and on the ward environment. This is a quasi-experimental study of a cohort of 44 preterm / adult pairs exposed to a music therapy session in the first two weeks after birth. There were 3 moments of observation (before, during, and after the intervention), at which heart rate (HR), oxygen saturation (O2-sat), the infant’s behavioral-emotional activation level, and the environmental response were measured. A statistically significant increase was observed in O2-sat (p<.001) after the intervention, as well as a decrease in HR (p<.001). Personal and environmental stress was observed to decrease (p<.001). A music therapy session in the Neonatal Unit at the time of interaction between parents and premature infants was found to be useful in reducing stress and promoted a positive interaction between parents and infants.

Music Therapy to Alleviate Anxiety in Cervical Brachytherapy – Do We Change a Tune? A Randomized, Single Institute Study

The procedure of Intracavitary Brachytherapy (ICBT) involves use of spinal anesthesia and invasive procedure leading to anxiety among the patients. Music therapy (MT) has been established as an excellent measure to alleviate anxiety; however, the role is scarcely employed. This randomized study evaluates the impact of MT on anxiety and distress during the procedure of ICBT in cervical malignancies.In this single institute, Randomized trial comparing MT versus no MT in patients undergoing ICBT for cervical malignancies, subjective assessment for stress and anxiety was done with use of pre-State-Trait Anxiety Inventory (STAI-S Anxiety) questionnaire and Symptom Distress Thermometer (SDT). Patients under the MT group were counselled for their choice of music prior to the treatment and the non-MT group did not receive any such counselling. After the completion of treatment, both the questionnaires were again repeated and repeated-measures analysis of variance was used to assess treatment effects on STAI and SDT. Correlation between STAI and SDT was also assessed at both time points and by group with Spearman correlation coefficients.A total of 70 patients with histopathological proven cervical malignancy were enrolled with 35 each in the MT and non-MT group. The median age was 48.5 years and both groups were matched in the treatment and patient characteristics. The overall mean pre- and post-simulation STAI-S scores were 42.3 (range, 22-62) and 37.7 (range, 20-64), respectively. The overall mean pre- and post-simulation SDT scores were 4.6 (range, 0-10) and 3.2 (range, 0-10), respectively. The MT group had mean pre- and post-simulation STAI-S scores of 42.8 and 32.3, respectively (P < 0.001) and the mean SDT scores before and after simulation were 4.5 and 1.9, respectively (P < 0.001) The no-MT group's mean pre- and post-simulation STAI-S scores were 41.9 and 39.9, respectively (P = 0.54), and the mean SDT scores were 4.7 and 3.9, respectively (P = 0.76).The role of Music therapy as a method to reduce the patient anxiety has been well established in our study. The reduced anxiety in the patient helps the oncologist in performing a better implant which indirectly would lead to better disease control and survival. MT should be incorporated in the Brachytherapy Operating room to help alleviate the patients alleviate their procedure related stress and anxiety.M. Barthwal: None. V. Pareek: None. P.A. Patil: None. S. Mallick: None. A. Sharma: None. D. Sharma: None.

202 - Music Therapy Intervention to Reduce Caregiver Distress at End of Life: A Feasibility Study

ContextMusic therapy is frequently provided to patients at the end of life, and studies have shown a benefit in relief of symptoms and a positive impact on quality of life (QoL), but little is known regarding the effect of music therapy (MT) on caregivers. Caregivers are at risk for anxiety, emotional distress and experience anticipatory grief as the patient nears death. Caregivers are present with patients and may also benefit from MT.ObjectiveTo assess the impact of MT on caregivers for hospice patients and determine the feasibility of research in this population.MethodsTwenty caregivers of patients hospitalized for general inpatient hospice care were enrolled. MT was provided by a board-certified music therapist, and sessions included pre-MT assessment, 20-45 minutes of MT, and post-MT assessment. Caregiver stress was measured with the Pearlin Role Overload Measure (ROM), QoL was measured with the Linear Analogue Self-Assessment (LASA), and depression and anxiety were measured with the Patient Health Questionnaire for Depression and Anxiety (PHQ-4). These three measures were taken pre-MT, post-MT and 6 months post-MT. Caregivers were also asked to complete a Music Therapy Program Survey post-MT.ResultsThe MT intervention was completed for 15/20 caregivers (75%). Of those who did not complete MT, 2 withdrew prior, 1 was not available, 1 patient passed during the MT session, and 1 patient died prior to MT. 14 caregivers completed pre-MT and post-MT assessments, and 9 caregivers completed assessments at all 3 timepoints. The MT Program Survey (post-MT assessment, n=14) showed 100% of caregivers were very satisfied with MT and would recommend to others, 78% found MT effective for stress relief, 69% for relaxation, 71% for spiritual support, 86% for emotional support, and 71% for feeling of wellness.ConclusionResearch on MT is feasible for acute hospice care caregivers with a majority of caregivers consenting to research and about half completing surveys pre-MT, post-MT, and 6-months post-MT (9/20). Future larger studies should be conducted to better assess the impact of MT on caregivers.

Does music therapy affect the global cognitive function of patients with dementia? A meta-analysis.

Studies have shown that music therapy can improve a variety of symptoms of patients with dementia. The impact of music therapy on the global cognition of patients with dementia is controversial now. To explore whether music therapy has an effect on the global cognitive function of patients with dementia. PubMed, Web of Science, Embase, Google Academy and National Knowledge Infrastructure were systematically searched to collect all literature studies published since the establishment of the database until November 2020. All randomized controlled trials that met the criteria of music therapy in the intervention group and standard care in the control group with outcome measures of Mini-mental State Examination (MMSE) were included. Analysis was performed using Stata 16.0. The results showed that compared with the control group, the MMSE score in the music therapy group was generally higher (MD = 0.86, 95% CI: 0.07-1.66, P = 0.03). The result of this study differs from those of previous relevant meta-analyses, suggesting that music therapy is likely to improve the global cognitive function of patients with dementia, but more rigorous clinical trials are still needed to provide more sufficient and real evidence.

PP03 Presentation Time: 10:20 AM: Music Therapy to Alleviate Anxiety in Cervical Brachytherapy - Do We Change a Tune? A Randomized, Single Institute Study

Purpose: The procedure of Intracavitary Brachytherapy (ICBT) involves use of spinal anesthesia and invasive procedure leading to anxiety among the patients. Music therapy (MT) has been established as an excellent measure to alleviate anxiety; however, the role is scarcely employed. This randomized study evaluates the impact of MT on anxiety and distress during the procedure of ICBT in cervical malignancies.

THE EFFECT OF MUSIC THERAPY ON PEAK EXPIRATORY FLOW, ANXIETY, AND DEPRESSION IN COPD PATIENTS

Introduction : Biopsychological factors of anxiety in patients with Chronic Obstructive Pulmonary Disease (COPD) will cause symptoms of increased respiration rate and prolonged expiration duration. Meanwhile, depression in COPD patients will increase the damage to lung functional capacity. This study aims to determine the difference in the impact of music therapy on increasing the value of peak expiratory flow rate, anxiety, and depression in the treatment group and the control group. Methods : Quasi-experimental one group pre-test-post test was conducted on 46 COPD patients in RSUD Prof. Dr. Soekandar Mojosari and RSUD Basoeni Mojokerto with simple random sampling technique. This research was conducted by providing music therapy intervention in the treatment group. The statistical test used was the Independent t-test to determine the difference in peak expiratory flow values in the two groups, while the Mann-Whitney U test was used to determine the difference between anxiety and depression in the two groups. Results : There were differences in the intervention group who received music therapy with the control group with p-value = 0.005 (p &lt;0.05), and the difference between anxiety (Z = -3.813) and depression (Z = -3.868) values with an asymp sign value. = 0,000. Conclusion : There are differences in PEF values, anxiety, and depression between the treatment group and the control group, where this therapy affects the PEF value, anxiety, and depression.

The Effects of Clinical Music Therapy on Resiliency in Adults Undergoing Infusion: A Randomized, Controlled Trial

ContextEighty-seven patients newly diagnosed with lung, breast, or gastrointestinal cancer and undergoing chemotherapy in the infusion suite of a large urban hospital in New York City. ObjectivePatients were enrolled in this study of music therapy's impact on resilience in coping with the impact of symptoms inclusive of symptom clustering. MethodsPatients were randomly assigned to three arms: clinical instrumental improvisation or clinical vocal improvisation 43 subjects to instrumental improvisation or vocal improvisation and 44 subjects to control. All subjects received a Medical Music Psychotherapy Assessment including psychosocial information and music preferences, pre-/post-Resilience Scale, Hospital Anxiety and Depression Scale, Visual Analogue Scale/Faces Scale, and a pain—Color Analysis Scale. Interventions included 20-minute music therapy (MT) and two additional sessions. ResultsSignificant increases in Resilience Scale in MT groups after treatment with instrumental and vocal MT interventions equally potent-reflect average changes of 3.4 and 4.83 (P = 0.625), respectively. Although Hospital Anxiety and Depression Scale scores showed little impact of MT on perceived anxiety/depression, a strong correlation is seen between vocal intervention and lower depression scores through Visual Analogue Scale–rendered postsessions. This yielded a significant decrease in pain levels immediately after MT, with the final session showing the most significant change in pain level. Resilience in enduring procedures is a necessary component of combating potential negative illness perception. ConclusionOur study shows MT's facility to propel resilience in patients newly diagnosed with cancer, particularly when promoting and pairing adaptation toward coping through the expression of perceived negative effects of emotional and physiological symptoms.

An Eclectic Approach to Working with a Dyad of a Patient with TBI and His Caregiver

AbstractPURPOSE The purpose of this case study is to describe the impact of music therapy on a dyad relationship between the client and the caregiver. It provides suggestions for methods to work with a client who is severely profoundly brain injured, requiring feeding, bathing, and positioning, five years post-accident.METHODS A dyad approach was used, which explored the practice of songwriting with a dyad of client and his mother. RESULTS A song was created during the period of this study and was shared with the caregiver. The song provided support for not losing hope for both the client and his caregiver. An interview was conducted with the caregiver one-year post session. The caregiver commented that music therapy “gives her a breath of fresh air and makes it so much easier.”CONCLUSIONS As a dyad, the relationship between client and caregiver is crucial to the rehabilitation process. Therefore, the authors suggest treatment practitioners to adopt the family-centered approach to further improve the quality of care.Key Words:Dyad, family-centered care, quality improvement, traumatic brain injury, music therapy

THE SOUND OF MUSIC: SHORT-TERM EFFECTS OF LIVE MUSIC PERFORMANCE ON THE COGNITIVE AND EMOTIONAL STATUSES OF RESIDENTIAL PATIENTS WITH MAJOR NEUROCOGNITIVE DISORDER

Introduction Patients with neurocognitive disorders (NCD) commonly experience a range of psychiatric symptoms such as depression, anxiety, psychosis, and agitation. 1 These comorbidities complicate the course of treatment for these patients as well as exacerbate caregiver burden. Since pharmacologic interventions are known to pose significant risks to these patients, there is great urgency to find additional non-pharmacologic options to improve quality of care. 1 Music therapy is becoming a more frequently used tool in different treatment settings and has been shown to improve anxiety and depression, however intensive and structured music therapy can also be a cost burden for residential facilities. 2 , 3 This study's aim was to assess the short-term benefits of a live music performance for residential patients with mild and moderate major NCD. Methods This is a prospective, non-blinded, longitudinal comparison study. Inclusion criteria were age 65-100, English speaking, and had either a diagnosis of major NCD, cognitive disorder, or dementia of the mild to moderate stage that required institutionalization at a residential facility. Exclusion criteria were severe presbycusis, and diagnosis of dementia or NCD of the severe stage. Participating residential facilities with connections to the Symphony of Soul Foundation and St. David's Foundation were asked to publicize this study to residents and their legally authorized representatives (LAR). The participants would then provide informed assent and consent, respectively, to enroll. The study intervention was a 30 minute live-performance of a set list of popular music from the 1930s-1950s (English language), given by a standard performer. The main statistical analysis will be a multivariate repeated measures comparison of scores that assess cognition, depression, and quality of life using the Montreal Cognitive Assessment (MoCA), Geriatric Depression Scale (GDS), and the Cornell-Brown Scale for Quality of Life (CBSQoL). The scales were administered 1 week before the study intervention to participating subjects for baseline scores, and then re-administered 1 week after the intervention. Different versions of the MoCA (v.1 and v.2) were used for the pre- and post-intervention assessments. Results A total of 8 subjects (n=8) and their respective LARs provided assent and consent to participate in the study. There was 1 complete dropout before the study began. The mean MoCA score pre-intervention, MoCApre = 7.3, with a 95% CI = [2.36, 12.25]; the mean MoCA score post-intervention, MoCApost = 9.4, with a 95% CI = [3.41, 15.39]; the difference between the two mean MoCA scores was not statistically significant, since the 95% CI for this difference was [-5.65, 9.85]. Subjects did not have scores that indicated clinical depression throughout the study, with a mean GDSpre = 1.5, and a mean GDSpost = 2.2. The mean CBSQoLpre = -3.67, with a 95% CI = [-10.91, 3.57]; the mean CBSQoLpost = 17, with a 95% CI = [10.86, 23.14]; the CBSQoL scores between the two groups had statistically significant difference as evident in non-overlapping CIs; the 95% CI for the difference between the two mean CBSQoL scores was [11.19, 30.15]. Conclusions This study's initial results suggested that there was a statistically significant improvement in the subjects’ quality of life after a brief, live-musical performance. However there were no significant differences in the subjects’ cognition and mood. The labor intensity that was required for the subjects to complete the pre- and post- intervention assessments was a notable barrier for them to participate effectively as evident by the dropout rate, and was also a deterrent for additional eligible subjects to enroll in the study. Decreasing the difficulty for subjects to participate in the future (e.g., through optimizing the testing environment, shortening the music performance) might therefore increase the sample size and improve the study's power and validity This research was funded by: Symphony of Soul Foundation, St. David's Foundation

Impact of music therapy before first-trimester instrumental termination of pregnancy: a randomised controlled trial.

To evaluate the impact of preoperative Music Therapy (MT) on pain in first-trimester termination of pregnancy (TOP) under local anaesthesia. Randomised controlled trial comparing women undergoing a first-trimester TOP under local anaesthesia with or without a preoperative MT session. University Hospital of Angers from November 2016 to August 2017. Women who underwent first-trimester TOP under local anaesthesia. Women allocated to the MT group underwent a preoperative 20-minute session of MT. Pain was assessed using a visual analogue scale (VAS) just before the procedure, during the procedure, at the end of the procedure and upon returning to the ward. A total of 159 women were randomised (80 in the MT group, and 79 in the control group). Two women were excluded from the control group and six from the MT group. Therefore, 77 women were analysed in the control group and 74 in the MT group. The intensity of pain was similar in the two groups just before the procedure (VAS 4.0±2.9 versus 3.6±2.5; P=0.78), during the procedure (VAS 5.3±2.5 versus 4.9±2.9; P=0.78), at the end of the procedure (VAS 2.7±2.4 versus 2.6±2.4; P=0.43) and upon returning to the ward (VAS 1.8±2.0 versus 1.5±2.0; P=0.84). The difference in pain between entering the department and returning to the room after the procedure was similar between the MT and control groups (difference in VAS 0.3±2.5 versus 0.3±2.4; P=0.92). An MT session before a TOP under local anaesthesia procedure resulted in no improvement in patient perception of pain during a first-trimester TOP. Music therapy before first-trimester termination of pregnancy under local anaesthesia did not improve the perception of pain.

Impact of Music Therapy on Mental Patients: Review based on Implementation of Music Therapy in the Islamic Civilization

Impact of Music Therapy on Mental Patients: Review based on Implementation of Music Therapy in the Islamic Civilization

Musicoterapia y bienestar en personas adultas mexicanas

Objective: To determine the level of well-being of the elderly through two interventions of music therapyMaterial and methods: Double blind random intervention. In two groups with 15 persons, belonging to institutional attending educational and physical workouts. One Group listened to music, and another that music, accompanied by health-related messages. Questionnaire SF-36's of perceived well-being and health applied, before and after the intervention, The statistics analysis applied descriptive and inferential statisticians, in accordance with the analyzed variables.Results: Both groups findings, presented similar socio-demographic results. At the end of the intervention, showed in relation to the pretest, significant increase of perceptual scores in: general health, social functioning, emotional role, and mental health. The group with oral messages, showed significant decrease, in: pain.Conclusions: Results stimulate continue and expand, the impact of music therapy in older adults, making it possible to relate scientific disciplines, for the well-being of the human being

The Impact of Music Therapy in Paediatric Palliative Care in Residential Hospice

The Impact of Music Therapy in Paediatric Palliative Care in Residential Hospice

The Impact of Music Therapy in the Postoperative Setting on Overall Patient Satisfaction Using Validated Outcome Scores

Previous studies have examined music therapy (MT) as a potential modality to relieve negative postoperative symptoms such as pain. This randomized control trial examined the use of MT on patient satisfaction in the postanesthesia care unit. Fifty patients undergoing outpatient orthopaedic surgery were enrolled and randomized into two groups, those receiving MT postoperatively and a control group who did not. After hospital discharge, subjects were assessed with two validated outcome measurements for overall patient satisfaction, the visual analog satisfaction scale and the Patient Judgment of Hospital Quality survey. The results showed no statistically significant differences between the MT and control group on the Patient Judgment of Hospital Quality survey (MT=3.42, standard therapy = 3.41, P = .94) and the visual analog satisfaction scale (MT=91.20, standard therapy=91.65, P=.88). MT given in the postoperative setting has no impact on overall patient satisfaction.

The impact of music therapy on pain and stress reduction during oocyte retrieval - a randomized controlled trial.

Does music therapy help in reducing pain and anxiety in women undergoing transvaginal ultrasound-guided oocyte retrieval (TUGOR)? In this randomized controlled open label study, 209 participants were recruited and randomized into three groups (music group, n = 70; headphone group, n = 70; control group, n = 69). Patients' psychological status was assessed using the visual analogue scale of pain (VAS-P), satisfaction of pain control, state-trait anxiety inventory (STAI), Beck depression inventory (BDI), and general health questionnaire (GHQ). Stress biomarkers, including salivary alpha amylase (sAA) and salivary cortisol (sCort), were measured before and after TUGOR. No significant differences were found in psychological scoring of STAI, BDI, GHQ and the stress biomarkers. Although neither the anxiety scores nor the analgesic requirements differed among the three groups, the visual measure of vaginal pain (median, range) showed music group (20,0-70) was significantly (P = 0.005) lower than headphone group (30,0-90) and control group (30,0-100). The degree of satisfaction with pain control (median, range) in the music group (80,30-100), was significantly (P = 0.001) higher than the headphone group (80,10-100) and control group (70,0-100). Music is a simple, inexpensive and effective way to reduce pain score and increase satisfaction with pain control during TUGOR procedure, which may justify its routine use.

Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery: A Randomized Controlled Trial.

Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery: A Randomized Controlled Trial.

Impact of Music Therapy on Hospitalized Patients Post-Elective Orthopaedic Surgery: A Randomized Controlled Trial.

Music therapy (MT) research has demonstrated positive effects on fatigue, depressed mood, anxiety, and pain in perioperative care areas. However, there has been limited research on the effects of MT for surgical patients on orthopaedic units. The purpose of this study was to understand the impact of MT sessions on post-elective orthopaedic surgery patients' pain, mood, nausea, anxiety, use of narcotics and antiemetics, and length of stay. This was a randomized controlled study with an experimental arm (MT sessions) and a control arm (standard medical care). Patients received MT within 24 hours of admission to the unit, as well as every day of their stay. Same-day pre- and postdata were collected 30 minutes apart for both arms, including patient self-reported mood, pain, anxiety, and nausea. Use of medications and length of stay were gleaned from the electronic medical record. Data were obtained for 163 patients, age 60.5 ± 11.1 years, 56% of whom were male. Joints targeted by surgeries were hips (54%), knees (42%), and shoulders (4%). There were significantly greater changes favoring the MT group on Day 1 (pain, anxiety, and mood), Day 2 (pain, anxiety, mood, and nausea), and Day 3 (pain, anxiety, and mood). Among participants with a pre-pain score of 2 or more on Day 1, a decrease of at least 2 points was noted in 36% of the MT group and 10% of the control group (P < .001). Overall, 73% of MT patients versus 41% of control patients reported improved pain (P < .001). No significant between-group differences in medications or length of stay were noted. We observed greater same-day improvements of pain, emotional status, and nausea with MT sessions, compared to usual care, in patients hospitalized after elective orthopaedic surgeries. Effects on narcotic and antiemetic usage, as well as length of stay, were not observed. More research needs to be conducted to better understand the benefits of MT pre- and post-elective orthopaedic surgery.

Impact of Music Therapy on Dementia Behaviors: A Literature Review.

Worldwide, dementia is the most important contributor to disability in elderly patients. Treating patients with dementia can be challenging for clinicians because of the numerous behavioral and psychological symptoms of dementia (BPSD). The Dementia Action Alliance and American Geriatrics Society Beers criteria promote nonpharmacological and behavioral treatments as first-line therapy to manage BPSD to avoid adverse events associated with antipsychotic medications. Some of the nonpharmacologic therapies proposed for BPSD include: music therapy (MT), light therapy, acupressure, aromatherapy, massage, and animal-assisted therapy. However, several are supported with only limited literature findings. Among these, MT has the most substantial data. MT has demonstrated benefit throughout mild-severe stages of dementia. The extended impact is attributed to associated brain pathology. MT's mode of delivery is essential to the evidencebased use of music interventions and delivery methods. The literature citations show that adequately trained individuals should ideally conduct several forms of MT to obtain optimal benefit. There are several studies investigating the impact of the various forms of MT on alleviating BPSD. Among the numerous reviewed studies, six trials and three meta-analyses were included in this article. While the literature conflicts, MT is noninvasive, poses little to no risk to patients, requires minimal training, and offers large potential for implementation in the patient-care setting. In addition, MT can have an important role in fostering student pharmacist development, because an emphasis on the aging demographic is becoming increasingly important.

Does Music Positively Impact Preterm Infant Outcomes?

The hospital environment leaves preterm infants (PTIs) exposed to various stressors that can disrupt their growth and development. Developmental interventions such as music may be an important strategy to mitigate PTI's stress. This brief evaluates current evidence regarding the impact of music therapy on outcomes for PTIs. The question guiding this brief is "Do various types of music therapy positively affect physiologic indicators, feeding behaviors/length of stay (LOS) and pain management outcomes for PTIs?" CINAHL/MEDLINE Complete and PubMed databases were searched using keywords preterm infants, premature infants, preterm baby, premature baby, NICU baby, music, and music therapy. The search was limited to 5 years for English studies evaluating the effects of music therapy on physiological indicators, feeding, pain outcomes, and length of stay. The search yielded 12 studies addressing these concerns. Music therapy was shown to positively affect physiologic indicators, feeding, length of stay, and pain outcomes for PTIs. In addition, music decreased parental stress. Thoughtful consideration should be given regarding the value of diverse types of music and parental involvement when incorporating music into an individualized plan of care. Furthermore, the development of guidelines with a focus on ambient sound reduction is an important strategy when adding music as an intervention. Further research is needed to investigate ambient sound levels in conjunction with musical interventions. In addition, the impact of various types of music, differences in gender, reduction of stress, pain for infants, and parental role in music requires further evaluation.