"Song of Life": Results of a multicenter randomized trial on the effects of biographical music therapy in palliative care
Warth M, Koehler F, Brehmen M, Weber M, Bardenheuer HJ, Ditzen B, Kessler J
Palliative medicine · 23 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
- Organización sin fines de lucro
- Hector Stiftung
- Organización sin fines de lucro
- Sonnen-Blau. Gemeinnützige Morgott-Schupp-Stiftung für frühkindliche Erziehung und Palliativversorgung
- Organización sin fines de lucro
- H.W. & J. Hector Stiftung
Según 3 financiadores declarados.
Publicación
- Publicado
- 2021-04-20 · Palliat Med · vol. 35 · número 6 · págs. 1126–1136
- Editorial
- SAGE Publishing
- Citado
- 45 citas · más que el 96% de estudios similares · 5.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 57 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Palliative and Oncologic Care · Palliative Care and End-of-Life Issues
- Palabras clave
- music therapy, palliative care, terminal illness, spiritual well-being, ego integrity, psychological distress, quality of life, psychosocial interventions, treatment satisfaction, family members, meaningfulness
- MeSH
- humans, music therapy, palliative care, quality of life, patients, hospice and palliative care nursing
7 autores
- Marco Warth🇩🇪 · autor de correspondenciaHeidelberg University; University Hospital Heidelberg
- Friederike Koehler🇩🇪Heidelberg University; University Hospital Heidelberg
- Martin Brehmen🇩🇪Johannes Gutenberg University Mainz; University Medical Center of the Johannes Gutenberg University Mainz
- Martin Weber🇩🇪Johannes Gutenberg University Mainz; University Medical Center of the Johannes Gutenberg University Mainz
- Hubert J. Bardenheuer🇩🇪Heidelberg University; University Hospital Heidelberg
- Beate Ditzen🇩🇪Heidelberg University; University Hospital Heidelberg
- Jens Keßler🇩🇪Heidelberg University; University Hospital Heidelberg
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Awareness for the importance of psychological and spiritual needs in patients with terminal diseases has increased in recent years, but randomized trials on the effects of psychosocial interventions are still rare.
Aim
To investigate the efficacy of the "Song of Life" music therapy intervention regarding the emotional and psycho-spiritual dimensions of quality of life.
Design
Patients were randomly assigned to either "Song of Life" or a relaxation intervention. "Song of Life" is a novel three-session music therapy intervention working with a biographically meaningful song. Primary outcome was the improvement in psychological quality of life. Secondary outcomes included spiritual well-being, ego-integrity, momentary distress, and global quality of life and the explorative assessment of treatment satisfaction (patient and family member version). Intention-to-treat analysis was conducted including adjustment for multiple testing in secondary outcomes.
Setting/participants
Between December 2018 and August 2020, 104 patients receiving specialized palliative care were recruited from two palliative care wards.
Results
No significant differences were found regarding psychological and global quality of life, but "Song of Life" participants reported significantly higher spiritual well-being (p = 0.04) and ego-integrity (p p = 0.05) than patients in the control group. Both patients' and family members' treatment satisfaction was higher after "Song of Life" with large between-group effect sizes on items asking for meaningfulness (d = 0.96) and importance (d = 1.00).
Conclusions
Our findings provide evidence that "Song of Life" is an effective and meaningful biographical music therapy intervention to facilitate psycho-spiritual integration in terminally ill patients.
Trial registration
German Clinical Trials Register (DRKS)-DRKS00015308 (date of registration: September 7th 2018).
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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