A randomised controlled pilot and feasibility study of music therapy for improving the quality of life of hospice inpatients
Porter S, McConnell T, Graham-Wisener L, Regan J, McKeown M, Kirkwood J, Clarke M, Gardner E, Dorman S, McGrillen K, Reid J
BMC palliative care · 14 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
- Universidad u hospital
- Bournemouth University
- Gobierno
- Public Health Agency
- Gobierno
- Health and Social Care Research and Development Division
- Gobierno
- Northern Ireland Health and Social Care R&D Division
- Gobierno
- Medical Research Council
- Gobierno
- Northern Ireland Health and Social Care R&D Division
- Subvenciones
- Public Health Agency (STL/5091/14)
Según 6 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2018-11-27 · BMC Palliat Care · vol. 17 · número 1 · pág. 125
- Editorial
- BioMed Central
- Citado
- 39 citas · más que el 93% de estudios similares · 3.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 29 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, quality of life, hospice inpatients, palliative care, feasibility, randomized controlled trial design, participant recruitment, loss to follow-up, McGill Quality of Life Questionnaire, end-of-life care
- MeSH
- humans, treatment outcome, music therapy, feasibility studies, pilot projects, quality of life, aged, middle aged, inpatients, terminally ill, hospices, northern ireland, female, male, interviews as topic
11 autores
- Sam Porter🇬🇧Bournemouth University
- Tracey McConnell🇬🇧Queen's University Belfast
- Lisa Graham‐Wisener🇬🇧Queen's University Belfast
- Joan Regan🇬🇧Queen's University Belfast
- Miriam McKeown🇬🇧Queen's University Belfast
- Jenny Kirkwood
- Mike J Clarke🇬🇧Queen's University Belfast
- Evie Gardner
- Saskie Dorman🇬🇧Poole Hospital NHS Foundation Trust
- Kerry McGrillen🇬🇧Queen's University Belfast
- Joanne Reid🇬🇧 · autor de correspondenciaQueen's University Belfast
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Evidence about the effectiveness of music therapy for improving the quality of life of palliative care patients is positive but weak in terms of risk of bias.
Methods
This study aimed to determine the feasibility of a randomised controlled trial to evaluate the effectiveness of music therapy for improving the quality of life of hospice inpatients, as measured by the McGill Quality of Life questionnaire. Objectives included recruitment of 52 participants over 12 months and provision of data to support the calculation of the required sample size for a definitive randomised trial, taking into account the retention rates of recruited participants; and evaluation of the viability of the intervention and the acceptability of the assessment tool. The design was a single-centre, researcher-blinded randomised pilot and feasibility study involving two parallel groups. Participants were recruited from one inpatient hospice unit in Northern Ireland. Eligibility criteria were an Eastern Cooperative Oncology Group performance status of two or lower and an Abbreviated Mental Test score of seven or more. Consenting patients were randomly allocated to the intervention or control group using a 1:1 allocation ratio. The intervention group received up to six individual music therapy sessions over 3 weeks in addition to usual care. The control group received usual care only.
Results
Fifty one participants were recruited over 12 months. Twenty five were allocated to the intervention group and 26 to the control group. Seventy one percent of participants were lost to follow up by week 3, the proposed primary endpoint. The primary endpoint was moved from week 3, when 71% were lost to follow up to week 1, when 33% were lost. The McGill Quality of Life questionnaire was generally acceptable to participants. In order to detect a small to moderate effect size of 0.3, a fully powered study would require the recruitment of 698 participants.
Conclusions
A Phase III randomised controlled trial to evaluate the effectiveness of music therapy in improving the quality of life of hospice inpatients is feasible.
Trial registration
ClinicalTrials.gov: NCT02791048 . Registered 6 June 2016.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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