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Metaanálisis2022Acceso abierto

Association of Music Interventions With Health-Related Quality of Life: A Systematic Review and Meta-analysis

McCrary JM, Altenmüller E, Kretschmer C, Scholz DS

JAMA network open · 55 citas

Cómo se estudió

Diseño
Metaanálisis (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación independiente
Organización sin fines de lucro
Alexander von Humboldt-Stiftung

Según 1 financiador declarado.

Publicación

Publicado
2022-03-22 · JAMA Netw Open · vol. 5 · número 3 · pág. e223236
Editorial
American Medical Association
Citado
91 citas · más que el 100% de estudios similares · 14.8× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
71 trabajos
Acceso
Acceso abierto (revista) · CC-BY
Áreas de investigación
Music Therapy and Health · Language Acquisition and Education · Health, psychology, and well-being
Palabras clave
Psychological intervention, PsycINFO, Medicine, MEDLINE, Music therapy, Observational study, Randomized controlled trial, Quality of life (healthcare), Clinical psychology, Physical therapy, Psychiatry, Internal medicine
MeSH
humans, health surveys, quality of life, music, middle aged

4 autores

  • J. Matt McCrary🇦🇺🇩🇪 · autor de correspondenciaUNSW Sydney; Hanover University of Music Drama and Media
  • ECKART O. ALTENMÜLLER🇩🇪Hanover University of Music Drama and Media
  • Clara R. Kretschmer🇩🇪Hanover University of Music Drama and Media
  • Daniel S. Scholz🇩🇪Hanover University of Music Drama and Media

Resumen

El texto original del estudio, en el idioma en que se publicó.

Importance

Increasing evidence supports the ability of music to broadly promote well-being and health-related quality of life (HRQOL). However, the magnitude of music's positive association with HRQOL is still unclear, particularly relative to established interventions, limiting inclusion of music interventions in health policy and care.

Objective

To synthesize results of studies investigating outcomes of music interventions in terms of HRQOL, as assessed by the 36- and 12-Item Health Survey Short Forms (SF-36 and SF-12).

Data sources

MEDLINE, Embase, Web of Science, PsycINFO, ClinicalTrials.gov, and International Clinical Trials Registry Platform (searched July 30, 2021, with no restrictions).

Study selection

Inclusion criteria were randomized and single-group studies of music interventions reporting SF-36 data at time points before and after the intervention. Observational studies were excluded. Studies were reviewed independently by 2 authors.

Data extraction and synthesis

Data were independently extracted and appraised using GRADE criteria (Grading of Recommendations, Assessment, Development, and Evaluations) by multiple authors. Inverse-variance random-effects meta-analyses quantified changes in SF-36 mental and physical component summary (respectively, MCS and PCS) scores from preintervention to postintervention and vs common control groups.

Main outcomes and measures

SF-36 or SF-12 MCS and PCS scores, defined a priori.

Results

Analyses included 779 participants from 26 studies (mean [SD] age, 60 [11] years). Music interventions (music listening, 10 studies; music therapy, 7 studies; singing, 8 studies; gospel music, 1 study) were associated with significant improvements in MCS scores (total mean difference, 2.95 points; 95% CI, 1.39-4.51 points; P < .001) and PCS scores (total mean difference, 1.09 points; 95% CI, 0.15-2.03 points; P = .02). In subgroup analysis (8 studies), the addition of music to standard treatment for a range of conditions was associated with significant improvements in MCS scores vs standard treatment alone (mean difference, 3.72 points; 95% CI, 0.40-7.05 points; P = .03). Effect sizes did not vary between music intervention types or doses; no evidence of small study or publication biases was present in any analysis. Mean difference in MCS scores met SF-36 minimum important difference thresholds (mean difference 3 or greater).

Conclusions and relevance

In this systematic review and meta-analysis, music interventions were associated with clinically meaningful improvements in HRQOL; however, substantial individual variation in intervention outcomes precluded conclusions regarding optimal music interventions and doses for distinct clinical and public health scenarios.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).

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