Exploring the Feasibility of a Therapeutic Music Video Intervention in Adolescents and Young Adults During Stem-Cell Transplantation

Abstract

The purpose of this study was to explore the feasibility and preliminary efficacy of a therapeutic music video (TMV) intervention for adolescents and young adults (AYAs) undergoing stem-cell transplantation (SCT). Twelve AYAs (aged 11-24 years) were randomized to the TMV or an audio-book protocol. The TMV was designed to diminish symptom distress and improve coping, derived meaning, resilience, and quality of life by supporting AYAs in exploring thoughts and feelings. Six sessions with a board-certified music therapist were held twice a week for 3 weeks. The Adolescent Resilience Model guided the selection of a large, comprehensive battery of outcome measures. Major data collections occurred before admission, after intervention, and at 100 days after transplantation. Participants completed a brief set of measures at presession/postsessions 2, 4, and 6. Rates of consent, session completion, and questionnaire completion supported feasibility. Immediate follow-up measures suggest positive trends in the TMV group for hope, spirituality, confidence/mastery, and self-transcendence. Positive trends at 100 days include MOS, symptoms distress, defensive coping, spirituality, and self-transcendence. Therapeutic music video participants also demonstrated gains in quality of life. The TMV intervention may buffer the immediate after-effects of the stem-cell transplantation experience, and a larger study is warranted.

Psychosocial interventions for adolescents and young adult cancer patients: A systematic review and meta-analysis

“…The control group listened to self-chosen audio books and afterwards discussed the impressions and thoughts about the book content with a therapist. Burns et al [40] report a good consent rate of 63% which indicates a good feasibility of the TMV. A trend for an increased quality of life was observed in the intervention group.…”

“…Burns et al [40] assessed the feasibility of a therapeutic music video intervention (TMV) based on the Resilience in Illness Model (RIM; formerly called Adolescent Resilience Model ARM) developed by Haase et al [45,46]. Participants were randomized into an intervention and a control group.…”

“…Six studies [39][40][41][42][43][44] examined the effects of technologybased interventions. The majority of these studies used multiple outcome parameters.…”

Engaging Nurses in Research for a Randomized Clinical Trial of a Behavioral Health Intervention

“…The level of enthusiasm of the study team was reflected in their involvement in multiple dissemination efforts, including presentations, published abstracts, and manuscripts [10–22]. These efforts afforded team members opportunities to participate in dissemination, a new and exciting opportunity for many of the participating nurses that was also celebrated at each of the data collection sites.…”

Music’s relevance for adolescents and young adults with cancer: a constructivist research approach

“…Two people aged 30 and 24 years who had cancer reported that "hard and heavy metal" music purged their anger and enabled "ideal self" expression [11]. Music therapy 1 methods improved adolescent cancer patients' selfesteem [13] and stress management [14], and therapeutic music video (TMV) interventions during stem cell transplant produced favourable effects in AYAs' spirituality, confidence/ mastery, hope, and self-transcendence [15]. AYA parents were also grateful for TMV's perceived benefits [16].…”