Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial
Bradt J, Leader A, Worster B, Myers-Coffman K, Bryl K, Biondo J, Schneible B, Cottone C, Selvan P, Zhang F
Psycho-oncology · 11 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
- National Institutes of Health
- Gobierno
- National Institute of Nursing Research
- Gobierno
- NINR NIH HHS
- Subvenciones
- National Institute of Nursing Research (R01 NR016681)
Según 3 financiadores declarados.
Publicación
- Publicado
- 2024-10-01 · Psychooncology · vol. 33 · número 10 · pág. e70005
- Editorial
- Wiley
- Citado
- 20 citas · más que el 98% de estudios similares · 9.5× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 35 trabajos
- Acceso
- Acceso abierto (copia en repositorio)
- Áreas de investigación
- Music Therapy and Health · Pain Management and Opioid Use · Cancer survivorship and care
- Palabras clave
- music therapy, chronic pain, advanced cancer, pain interference, pain intensity, anxiety, mood, emotional support, mediators, moderators, outcome expectations, music reward, adult playfulness
- MeSH
- humans, neoplasms, pain measurement, treatment outcome, music therapy, affect, anxiety, self efficacy, social support, adult, aged, middle aged, female, male, pain management, chronic pain, cancer pain
10 autores
- Joke Bradt🇺🇸 · autor de correspondenciaDrexel University
- Amy E. Leader🇺🇸Thomas Jefferson University
- Brooke K. Worster🇺🇸Thomas Jefferson University
- Katherine Myers-Coffman🇺🇸Drexel University
- Karolina Bryl🇺🇸Drexel University
- Jacelyn Biondo🇺🇸Drexel University
- Brigette K. Schneible🇺🇸Drexel University
- Carrie A. Cottone🇺🇸Drexel University
- Preethi Selvan🇺🇸Thomas Jefferson University
- Fengqing Zhang🇺🇸Drexel University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Objective
To improve mechanistic understanding, this randomized controlled trial examined anxiety, mood, emotional support, and pain-related self-efficacy as mediators of music therapy for pain management in people with advanced cancer.
Methods
People with advanced cancer who had chronic pain were randomized (1:1) to 6 weekly individual music therapy or social attention control sessions. We measured mediators and pain outcomes (pain interference and pain intensity) using self-report measures at baseline, session 4, and post-intervention. We included outcome expectancy/treatment credibility, music reward, adult playfulness, and baseline pain interference and pain intensity as moderators.
Results
Participants (n = 92) had a mean age of 56 years. Most were female (71.7%), white (47.8%) or Black (39.1%), and had stage IV cancer (75%). Self-efficacy was found to be a significant mediator of music therapy for pain intensity (indirect effect ab = 0.79, 95% CI 0.01-1.82) and pain interference (indirect effect ab = 1.16, 95% CI 0.02-2.51), while anxiety, mood, and emotional support were not. The mediating effect of pain-related self-efficacy was significantly moderated by baseline pain interference but not by the other moderators.
Conclusions
The findings suggest that the impact of music therapy on chronic pain is mediated by self-efficacy. This knowledge can help optimize music therapy interventions for chronic pain management for people with advanced cancer by capitalizing on teaching music-based self-management strategies.
Trial registration
ClinicalTrials.gov identifier: NCT03432247.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.
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