Exploring the Feasibility of a Mindfulness-Music Therapy Intervention to Improve Anxiety and Stress in Adolescents and Young Adults with Cancer
Knoerl R, Mazzola E, Woods H, Buchbinder E, Frazier L, LaCasce A, Li BT, Luskin MR, Phillips CS, Thornton K, Berry DL, Ligibel JA
Journal of pain and symptom management · 29 citas
Etiquetas de revisión
Financiación no declaradaDatos neutrales que nuestra revisión registró sobre cómo se hizo este estudio. Describen el método, nunca si nos gusta el resultado.
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 no declarada
Publicación
- Publicado
- 2021-12-08 · J Pain Symptom Manage · vol. 63 · número 4 · págs. e357–e363
- Editorial
- Elsevier BV
- Citado
- 52 citas · más que el 96% de estudios similares · 5.2× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 26 trabajos
- Acceso
- Lectura gratuita
- Áreas de investigación
- Music Therapy and Health · Cancer survivorship and care · Art Therapy and Mental Health
- Palabras clave
- adolescent and young adult cancer, perceived stress, anxiety, feasibility, psychological distress, cancer therapy, chemotherapy, telehealth delivery, treatment acceptability
- MeSH
- humans, sarcoma, music therapy, feasibility studies, pilot projects, stress, psychological, anxiety, adolescent, adult, child, female, male, young adult, mindfulness
12 autores
- Robert Knoerl🇺🇸 · autor de correspondenciaDana-Farber Cancer Institute; Dana-Farber/Harvard Cancer Center
- Emanuele Mazzola🇺🇸Dana-Farber Cancer Institute
- Heather Woods🇺🇸Dana-Farber Cancer Institute
- Elizabeth Iannotti Buchbinder🇺🇸Dana-Farber Cancer Institute
- A. Lindsay Frazier🇺🇸Dana-Farber Cancer Institute
- Ann Steward LaCasce🇺🇸Dana-Farber Cancer Institute
- Belinda T. Li🇺🇸Boston University
- Marlise Rachael Luskin🇺🇸Dana-Farber Cancer Institute
- Carolyn S. Phillips🇺🇸Dana-Farber Cancer Institute
- Katherine Anne Thornton🇺🇸Memorial Sloan Kettering Cancer Center
- Donna Lynn Berry🇺🇸University of Washington
- Jennifer A. Ligibel🇺🇸Dana-Farber Cancer Institute
Resumen
El texto original del estudio, en el idioma en que se publicó.
Context
Adolescent and young adults (AYAs) with cancer experience significant psychological distress due to cancer treatment that can persist long after treatment. However, little is known regarding optimal interventions to support the psychosocial needs of AYAs with cancer.
Objective
The overall objective of this single arm, longitudinal, pilot study was to determine the feasibility of implementing a mindfulness-based music therapy intervention to improve anxiety and stress in AYAs receiving cancer treatment.
Methods
AYAs (15 - 39 years old) who were to receive cancer treatment for ≥ eight weeks were recruited from the pediatric, melanoma, sarcoma, breast, lymphoma, and leukemia oncology outpatient centers at Dana-Farber Cancer Institute. The music therapy intervention included four sessions of individual mindfulness-based music therapy in-person or using Zoom over twelve weeks. Prior to-and after the intervention period, participants completed the Patient-Reported Outcomes Measurement Information Anxiety 4a and Perceived Stress Scale. Changes in patient-reported outcomes are compared using Wilcoxon signed-rank tests.
Results
Over ∼14 months, 37 of 93 eligible AYAs were enrolled to the study (39.8% consent rate). Overall, 27 of 37 (73%) participants (Median age=32; 56.8% Female) completed at least two music therapy sessions and the baseline measures and end of study measures. Participation in the mindfulness-based music therapy sessions resulted in significant pre-to-posttest improvements in perceived stress (median change: -4.0, P = 0.013) and non-significant changes in anxiety (median change: -1.9, P = 0.20). Satisfaction and acceptability were highly rated.
Conclusions
The delivery of a four-session mindfulness-based music therapy intervention to AYAs receiving chemotherapy was feasible and significantly improved perceived stress. These preliminary findings should be confirmed in a randomized controlled trial.
Trial registration
ClinicalTrials.gov Identifier: NCT03709225.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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