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The purpose of this paper is to show some aspects of music therapy application in cancer care and to present the integration of music therapy program into a continuous supportive cancer care for inpatients.
- Study Design
- Patients and Recruitment
- Inclusion Criteria
- Exclusion Criteria
- Sample Size
- Control of Bias
- Intervention Protocol
- Blinding
- Randomisation
- Outcome Assessment
The study will take the form of a randomised controlled trial (RCT), double blinded and multicentre, with a study population composed, on the one hand, of cancer patients receiving at-home palliative care and, on the other, of their informal caregivers. In each case, two parallel groups will be considered: a control group (CG) and an experimental g...
Patients will be recruited to this study from the lists of cancer patients included in the Palliative Care Attention Process in the DIRAYA Digital Health History, corresponding to one of the Clinical Management Units participating in the study. These patients’ informal caregivers will also be recruited. A list of random numbers supplied by the Epid...
Cancer patients receiving at-home palliative care, aged over 18 years, and their informal caregiver (if any).Provision of signed informed consent to participate.Patients with advanced-stage cancer and a life expectancy of just a few days.Patients with advanced-stage dementia and/or psychological disorders, who are evidently incapable of making rational decisions.Patients with severe hearing loss that impedes the use of a mp3 device or mobile phone.Caregivers with severe hearing loss that impedes the use of a mp3 device or mobile phone.The most significant variable in palliative care patients is assumed to be anxiety. In a review conducted by Bradt et al. , this variable presented a distribution with a standard deviation of 1.8, for a population similar to that considered in the study we propose, albeit with a wider range of results. Previous studies have reported that music ther...
In order to avoid bias, the participants will be randomly assigned to the study groups (EG or CG). They will not be told which group they have been assigned to. Moreover, they will be blinded to the procedure, as headphones will be provided to both groups; the intervention group will listen to music, while the control group will listen to (spoken w...
Control group
The usual treatment will be provided, in accordance with the Palliative Care Plan of the Andalusian Ministry of Health and with the rules and recommendations for Palliative Care Units issued by the Ministry of Health and Social Policy . This treatment consists of an initial comprehensive assessment by an attending nurse, both of the person in palliative care and of their caregiver, by reference to the Virginia Henderson of 14 basic human needs, together with application of the care p...
Intervention group
These persons will receive not only conventional health care, but also music therapy, provided via pre-recorded music (according to personal taste), both to the palliative care patients and to their caregivers. Those assigned to this group will be advised to select music that enhances their well-being. The music will be supplied via an mp3 player or mobile phone (using the Spotify Premium program, which is available without charge for a one-month trial period), in seven 30-min daily sessions.
The only person aware of the groups to which patients and their caregivers have been assigned will be the researcher responsible for the randomisation. Neither the evaluators (case management nurses) nor the study subjects will know which group they are in. This masking will be achieved by providing headphones, for use with an mp3 player or mobile ...
The following randomisation mechanism will be applied: cards marked “intervention group” or “control group” will be prepared, in quantities corresponding to the numbers required for each group. These cards will be placed in sealed opaque envelopes, which will be shuffled and then numbered, such that none of those involved will know the group to whi...
The primary outcome measures that will be considered to assess the effectiveness of the intervention are the symptoms presented by the patients and the degree of overload experienced by the caregivers. The secondary outcomes considered, for patients and caregivers, are health-related quality of life, satisfaction with the intervention and the econo...
- Inmaculada Valero-Cantero, Francisco Javier Martínez-Valero, Milagrosa Espinar-Toledo, Cristina Casa...
- 2020
How does music therapy work? In a therapeutic setting, listening to or making music triggers physi-cal and emotional changes. Ongoing clinical research has docu-mented benefits of specific interventions using rhythms, melodies, harmonies, or lyrics. In oncology, common goals of music therapy
Sep 1, 2011 · Music therapy is an effective form of supporting cancer care for patients during the treatment process. It may be also basic for planning effective programs of rehabilitation to promote wellness, improve physical and emotional well-being and the quality of life.
- Malgorzata Monika Stanczyk
- 2011
Sep 25, 2016 · Music therapists create a milieu within which the cancer patient can engage with the therapist. Goals may include promotion of wellness, stress management, pain alleviation, expression of feelings, memory enhancement, improved communication, and enabling of physical rehabilitation.
Jan 5, 2012 · The use of music therapy in the integrative treatment of cancer patients is a therapeutic option whose salutogenetic potential is demonstrated in many case studies such as those presented here. Study results, however, did not draw a conclusive picture of the overall effect of music therapy.
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Jan 27, 2015 · Live therapeutic music has been shown to help reduce anxiety, help to regulate blood pressure and respiration rates, and reduce stress in patients, caregivers, and surrounding staff. This type of therapy can be easily adapted to meet the immediate and emerging needs of the patient.
