Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial.


Journal

Psycho-oncology
ISSN: 1099-1611
Titre abrégé: Psychooncology
Pays: England
ID NLM: 9214524

Informations de publication

Date de publication:
Oct 2024
Historique:
revised: 29 07 2024
received: 26 03 2024
accepted: 10 10 2024
medline: 25 10 2024
pubmed: 25 10 2024
entrez: 25 10 2024
Statut: ppublish

Résumé

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. 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. 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. 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. ClinicalTrials.gov identifier: NCT03432247.

Identifiants

pubmed: 39450934
doi: 10.1002/pon.70005
doi:

Banques de données

ClinicalTrials.gov
['NCT03432247']

Types de publication

Journal Article Randomized Controlled Trial

Langues

eng

Sous-ensembles de citation

IM

Pagination

e70005

Subventions

Organisme : NINR NIH HHS
ID : R01NR016681
Pays : United States

Informations de copyright

© 2024 John Wiley & Sons Ltd.

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Auteurs

Joke Bradt (J)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Amy Leader (A)

Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Brooke Worster (B)

Division of Supportive Oncology, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Kate Myers-Coffman (K)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Karolina Bryl (K)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Jacelyn Biondo (J)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Brigette Schneible (B)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Carrie Cottone (C)

Department of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.

Preethi Selvan (P)

Division of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Fengqing Zhang (F)

Department of Psychological and Brain Sciences, College of Arts and Sciences, Drexel University, Philadelphia, Pennsylvania, USA.

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