Effectiveness of music therapy within community hospitals: an EMMPIRE retrospective study

Rodgers-Melnick, Samuel N; Rivard, Rachael L.; Block, Seneca; Dusek, Jeffery A.

doi:10.1097/pr9.0000000000001074

Cited by 5 publications

(5 citation statements)

References 50 publications

(89 reference statements)

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“…An identical post-encounter questionnaire was also developed and printed on a blue-colored paper to be distinguished from the pre-encounter assessment. Brief acute NRS measures of pain, anxiety, and stress were specifically chosen given their successful collection in prior studies [ 51 ] and short completion time, minimizing response burden for patients. In addition, the selection of maximally relevant measures was prioritized in accordance with clinical practice guidelines [ 55 ], so as to integrate their collection within clinic workflow [ 38 ].…”

Section: 0 Materials and Methodsmentioning

confidence: 99%

“…In accordance with prior established tenets of whole health, UHCWH partners with UH providers, departments, and institutes to provide IHM modalities and empower patients in managing health and wellbeing while centering patient goals [45]. In efforts to meet the growing demand for comprehensive strategies to manage a wide variety of health concerns, UHCWH services are integrated into the UH health system across primary care, multispecialty outpatient care [46], hematology/oncology [47][48][49], fertility, rehabilitation, and orthopedic divisions spanning a central academic medical center [50] and eight community hospitals [51].…”

Section: Settingmentioning

confidence: 99%

“…2.4.1 Questionnaires. The numeric rating scale (NRS) is commonly used for measuring pain, stress, and anxiety in clinical practice [52][53][54] and research [44,48,51], with demonstrated validity across these constructs. Owing to its simplicity, ease of use across populations, focus on symptoms in the present moment, and generalizability across various age and education levels [52], the NRS was selected as the instrument of choice in the present study.…”

Section: Data Collectionmentioning

confidence: 99%

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Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

Srinivasan,

Rodgers-Melnick,

Rivard

et al. 2024

PLoS ONE

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Objective To investigate the feasibility of pre- and post-encounter patient-reported outcome (PRO) measure collection within an outpatient integrative health and medicine (IHM) clinic and to characterize factors associated with successful completion. Methods We conducted a retrospective review of 27,464 outpatient IHM encounters including 9,520 chiropractic; 8,237 acupuncture; 5,847 massage; 2,345 IHM consultation; and 1,515 osteopathic manipulation treatment encounters at four clinics offering IHM over 18 months. Patients were asked to complete paper questionnaires rating pain, anxiety, and stress from 0–10 immediately pre- and post-encounter. Generalized linear mixed effect regression models were used to examine the relationship between demographic, clinical, and operational covariates and completing (1) pre-encounter and (2) paired (i.e., pre and post) PROs. Results Patients (N = 5587, mean age 49 years, 74% white, 77% female) generally presented for musculoskeletal conditions (81.7%), with a chief complaint of pain (55.1%). 21,852 (79.6%) encounters were among patients who completed pre-encounter PROs; 11,709/21,852 (53.6%) completed subsequent post-encounter PROs. Odds of PRO completion were more impacted by provider, operational, and clinical-level factors than patient factors. Covariates associated with increased odds of pre-encounter PRO completion included being female, having additional IHM encounters, and having a pain or anxiety complaint. Covariates associated with increased odds of paired PRO completion included being aged 31–40 vs. 51–60 years and having additional IHM encounters. Conclusion Implementing a paper-based PRO collection system in outpatient IHM is feasible; however, collecting post-encounter PROs was challenging. Future endeavors should leverage the electronic health record and patient portals to optimize PRO collection and engage patients and clinical providers.

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Section: 0 Materials and Methodsmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

Srinivasan,

Rodgers-Melnick,

Rivard

et al. 2024

PLoS ONE

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“…Our retrospective study revealed that coping was a common reason for MT referral [23] and a prevalent goal within MT sessions [15]. Thus, it was important to measure coping preand postsession to evaluate the effectiveness of MT for addressing patients' perceived ability to cope with hospitalization.…”

Section: Pro Measuresmentioning

confidence: 99%

“…We are currently conducting a large research project entitled Effectiveness of Medical Music therapy Practice: Integrative Research using the Electronic health record (EMMPIRE). EMMPIRE is an observational study with three aims: (1) a retrospective study examining single-session clinical effectiveness in hematology and oncology within an academic cancer center [14] and 8 community hospitals [15]; (2) a quality improvement initiative to improve documentation consistency and increase the routine collection of PROs; and (3) a prospective study to further understand the clinical effectiveness of MT on health care use (eg, length of stay and pain medication use) and longitudinal changes in PROs.…”

Section: Introductionmentioning

confidence: 99%

Optimizing Patient-Reported Outcome Collection and Documentation in Medical Music Therapy: Process-Improvement Study

Rodgers-Melnick¹,

Block²,

Rivard³

et al. 2023

JMIR Hum Factors

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Background To measure the effectiveness of nonpharmacologic interventions delivered during clinical care, investigators need to ensure robust and routine data collection without disrupting individualized patient care or adding unnecessary documentation burden. Objective A process-improvement study was undertaken to improve documentation consistency and increase the capture of patient-reported outcomes (PROs; ie, stress, pain, anxiety, and coping) within a medical music therapy (MT) team. Methods We used 2 Plan-Do-Study-Act (PDSA) cycles to improve documentation processes among an MT team (13.3 clinical full-time equivalent staff). Trainings focused on providing skills and resources for optimizing pre- and postsession PRO collection, specific guidelines for entering session data in the electronic health record, and opportunities for the team to provide feedback. Two comparisons of therapists’ PRO collection rates were conducted: (1) between the 6 months before PDSA Cycle 1 (T0) and PDSA Cycle 1 (T1), and (2) between T1 and PDSA Cycle 2 (T2). Results Music therapists’ rates of capturing any PRO within MT sessions increased significantly (P<.001) from T0 to T1 and from T1 to T2 for all domains, including stress (4/2758, 0.1% at T0; 1012/2786, 36.3% at T1; and 393/775, 50.7% at T2), pain (820/2758, 29.7% at T0; 1444/2786, 51.8% at T1; and 476/775, 61.4% at T2), anxiety (499/2758, 18.1% at T0; 950/2786, 34.1% at T1; and 400/775, 51.6% at T2), and coping (0/2758, 0% at T0; 571/2786, 20.5% at T1; and 319/775, 41.2% at T2). Music therapists’ feedback and findings from a retrospective analysis were used to create an improved electronic health record documentation template. Conclusions Rates of PRO data collection improved within the medical MT team. Although the process improvement in this study was applied to a nonpharmacologic MT intervention, the principles are applicable to numerous inpatient clinical providers. As hospitals continue to implement nonpharmacologic therapies in response to the Joint Commission’s recommendations, routine PRO collection will provide future researchers with the ability to evaluate the impact of these therapies on pain relief and opioid use.

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Effectiveness of music therapy, aromatherapy, and massage therapy on people in palliative care with end-of-life needs: A systematic review.

Jodie,

Anna,

Ursula

2024

Journal of Pain and Symptom Management

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Effectiveness of music therapy within community hospitals: an EMMPIRE retrospective study

Abstract: Supplemental Digital Content is Available in the Text.Adult patients with moderate-to-severe symptoms receiving music therapy in community hospitals reported clinically significant mean reductions in pain (2.04), anxiety (2.80), and stress (3.48).

Cited by 5 publications

References 50 publications

Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

Implementing paper-based patient-reported outcome collection within outpatient integrative health and medicine

Optimizing Patient-Reported Outcome Collection and Documentation in Medical Music Therapy: Process-Improvement Study

Effectiveness of music therapy, aromatherapy, and massage therapy on people in palliative care with end-of-life needs: A systematic review.

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