A critical realist evaluation of a music therapy intervention in palliative care
Porter S, McConnell T, Clarke M, Kirkwood J, Hughes N, Graham-Wisener L, Regan J, McKeown M, McGrillen K, Reid J
BMC palliative care · 21 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Gobierno
- Health and Social Care Northern Ireland
- Gobierno
- Northern Ireland Health and Social Care Research and Development Enabling Award
- Gobierno
- Medical Research Council
Según 3 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2017-12-01 · BMC Palliat Care · vol. 16 · número 1 · pág. 70
- Editorial
- BioMed Central
- Citado
- 51 citas · más que el 97% de estudios similares · 7.1× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 49 trabajos
- Acceso
- Acceso abierto (revista) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Palliative Care and End-of-Life Issues · Palliative and Oncologic Care
- Palabras clave
- music therapy, palliative care, hospice care, complementary therapy, symptom management, patient experience, implementation facilitators, holistic care, mechanisms of change, existential support
- MeSH
- humans, music therapy, palliative care, focus groups, pilot projects, qualitative research, surveys and questionnaires, united kingdom
10 autores
- Sam Porter🇬🇧Bournemouth University
- Tracey McConnell🇬🇧 · autor de correspondenciaQueen's University Belfast
- Mike J Clarke🇬🇧Queen's University Belfast
- Jenny Kirkwood
- Naomi Hughes
- Lisa Graham‐Wisener🇬🇧Marie Curie Hospice
- Joan Regan🇬🇧Marie Curie Hospice
- Miriam McKeown🇬🇧Marie Curie Hospice
- Kerry McGrillen🇬🇧Marie Curie Hospice
- Joanne Reid🇬🇧Queen's University Belfast
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Music therapy is increasingly used as an adjunct therapy to support symptom management in palliative care. However, studies to date have paid little attention to the processes that lead to changes in patient outcomes. To fill this gap, we examined the processes and experiences involved in the introduction of music therapy as an adjunct complementary therapy to palliative care in a hospice setting in the United Kingdom (UK).
Methods
Using a realistic evaluation approach, we conducted a qualitative study using a variety of approaches. These consisted of open text answers from patients (n = 16) on how music therapy helped meet their needs within one hospice in Northern Ireland, UK. We also conducted three focus groups with a range of palliative care practitioners (seven physicians, seven nursing staff, two social workers and three allied health professionals) to help understand their perspectives on music therapy's impact on their work setting, and what influences its successful implementation. This was supplemented with an interview with the music therapist delivering the intervention.
Results
Music therapy contains multiple mechanisms that can provide physical, psychological, emotional, expressive, existential and social support. There is also evidence that the hospice context, animated by a holistic approach to healthcare, is an important facilitator of the effects of music therapy. Examination of patients' responses helped identify specific benefits for different types of patients.
Conclusions
There is a synergy between the therapeutic aims of music therapy and those of palliative care, which appealed to a significant proportion of participants, who perceived it as effective.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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