Music Therapy for Children with Oncology &amp; Hematological Conditions and Their Families: Advancing the Standards of Psychosocial Care

Knott, David; Krater, Caitlin; MacLean, Jessica; Robertson, Kim; Stegenga, Kristin; Robb, Sheri L.

doi:10.1177/27527530211059726

Cited by 12 publications

(16 citation statements)

References 53 publications

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“…As members of the psychosocial and medical teams, nurses and advanced practice providers are uniquely positioned to identify the acute patient/family care needs and refer patients for MT services. 42 The top reasons for referral in this study included coping (47.7%), anxiety reduction (17.5%), mood modification (7.6%), and pain management (7.2%) and were similar to the top reasons reported by Lopez et al 6 These reasons align with the top MT session goals including coping (53.5%), pain management (17.1%), anxiety reduction (14.5%), and mood modification (6.2%). Our data support the effectiveness of MT sessions for meeting goals related to pain management and anxiety reduction.…”

Section: Discussionmentioning

confidence: 99%

Clinical Delivery and Effectiveness of Music Therapy in Hematology and Oncology: An EMMPIRE Retrospective Study

et al. 2022

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Background: Music therapy (MT) has been shown to improve outcomes for patients with sickle cell disease (SCD) and patients with hematologic and/or oncologic conditions excluding SCD (HemOnc) in prior randomized trials. While few studies have described the clinical delivery (ie, volume, clinical settings, patient characteristics, referrals, and session characteristics) of MT and examined its real-world effectiveness, no studies have compared responses between hematology/oncology populations. The purpose of this study was to examine the clinical delivery and effectiveness of MT at a freestanding academic cancer center and compare the effectiveness of MT on pain, anxiety, and fatigue between adult patients in the HemOnc and SCD groups. Methods: A retrospective review was conducted of all MT sessions provided at a freestanding academic cancer center between January 2017 and July 2020. The unadjusted single-session effects of MT on pain, anxiety, and fatigue were assessed among patients reporting symptoms ≥1 out of 10 on a 0 to 10 scale. Adjustments were made for multiple sessions on the same patient using a mixed model to compare pre-session and change scores between the HemOnc and SCD groups. Patients’ comments were analyzed using conventional qualitative content analysis. Results: Music therapists provided 4002 sessions to 1152 patients including 1012 in the HemOnc group and 140 in the SCD group. In the combined sample, statistically significant reductions in pain (1.48 units), anxiety (2.58 units), and fatigue (0.84 units) were observed, with changes in pain and anxiety exceeding clinically significant thresholds. After adjustment, the SCD group reported significantly greater pre-session pain (7.22 vs 5.81) and anxiety (6.11 vs 5.17) as well as greater anxiety reduction (2.89 vs 2.23) than the HemOnc group. Patients’ comments contained themes including enjoyment, gratitude, and improvements in mood, pain, and anxiety. Conclusions: This study supports the delivery and clinical effectiveness of MT for addressing the needs of patients throughout their course of treatment at an academic cancer center and justifies the inclusion of individuals with SCD within integrative oncology services.

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Section: Discussionmentioning

confidence: 99%

Clinical Delivery and Effectiveness of Music Therapy in Hematology and Oncology: An EMMPIRE Retrospective Study

et al. 2022

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“…The presence of a certified music therapists can help to improve the standards through research and evidence-based interventions, thanks to an innovative and tailored care and ongoing assessment to provide the best care when and where it is mostly needed [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, it is important to note that to exploit the potential of music therapy in an optimal way, specialized academic and clinical training and careful selection of intervention techniques to fit the needs of the client are essential [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Use of music therapy in pediatric oncology: an Italian AIEOP multicentric survey study in the era of COVID-19

Giordano

Muggeo²,

Rutigliano³

et al. 2022

Eur J Pediatr

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Music therapy (MT) is a complementary therapy offered to children, young adults, and their families in pediatric oncology and palliative care. We performed a survey to collect information about MT in pediatric oncology in Italy. The outbreak of COVID-19 unavoidably changed the scenario of MT, suggesting some considerations presented in this survey. 27/32 (84.4%) centers belonging to the Infections and Supportive Therapy Working Group of Association of Pediatric Hematology and Oncology (AEIOP) completed in 2 different time points (T1 and T2) an online survey on MT, before and after COVID-19 pandemia. Different kinds of music approach were used taking care of patients in 21/27 centers, while in 14/21 (66%), a specific project of MT conducted by a music therapist was present. In 6/14 centers, MT activities were delivered for < 3 h/week, in 3 centers for > 3 and < 10 h/week, and in the remaining 5 for > 3 h/week. MT sessions were in different areas, day hospital, or ward (patient rooms, operating rooms, waiting rooms), on an individual basis or by groups. Patients were invited to MT by psychologists, caring physician, or nurse, or on equipé decision. MT was evaluated with tools self-made by music therapist in 11/14 centers. After COVID-19, MT has been withdrawn in 3 centers, sessions in the waiting rooms were reduced, individual sessions were preferred, and enrollment by multidisciplinary teams increased. Conclusion : This survey represents the starting platform to compare and discuss different experience of MT in AIEOP centers, to implement MT in pediatric oncology for a more qualified assistance to patients, and to improve quality of care. What is Known: • Music therapy in pediatric oncology and palliative care can be used for the management and prevention of various somatic and psychological symptoms of patients and often is provided to children together with their families. • In Italy the application of Music therapy in the AIEOP pediatric oncology centers is constantly increasing, but due to the outbreak of Covid-19 Pandemic, Italian pediatric oncology departments were obliged to adopt restrictive measures. What is New: • Although the majority of Centres did not abrogate MT interventions, judgment about limitation should be carefully taken since MT helps children and even more adolescents in their fight against cancer. • The best practice of Music therapy in pediatric oncology requires communication and collaboration among qualified music therapists and multidisciplinary care team, using a model of family-centered care that actively involves parents/ caregivers in assessment, treatment planning, and care delivery.

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“…Music-based play is a naturally occurring, accessible, and developmentally appropriate parent-child activity that music therapists often use to help regulate emotion and support parent-child interactions during cancer treatment. [15][16][17][18] The active music engagement (AME) intervention is a theoretically grounded intervention that uses interactive music play to counteract stressful qualities of the cancer treatment environment to reduce the interrelated stress experienced by young children and parents during cancer treatment. Grounded in Self-Determination Theory, 19 the Contextual Support Model of Music Therapy (CSM-MT) 20 explains how music can be used to create supportive environments by offering optimal levels of structure, autonomy support, and relationship support.…”

Section: Introductionmentioning

confidence: 99%

Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

Stegenga,

Henley,

Harman

et al. 2024

Pediatric Blood & Cancer

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BackgroundChildren with cancer (ages 3–8 years) and their parents experience significant, interrelated distress associated with cancer treatment. Active music engagement (AME) uses music‐based play and shared music‐making to mitigate this distress. To advance our understanding about how AME works and its essential features, we interviewed parents who received the AME intervention as part of a multi‐site mechanistic trial. The purpose of this qualitative analysis was to describe parents’ experiences of AME for themselves and their child and to better understand how the intervention worked to lower parent–child distress.ProcedureWe conducted a total of 43 interviews with parents/caregivers, and purposively analyzed all interviews from underrepresented groups based on race/ethnicity and parent role. We used thematic analysis and achieved thematic redundancy after analyzing 28 interviews.ResultsThe following statement summarizes resulting themes: Music therapists skillfully use AME to create a safe and healthy space (Theme 1), where parents/children have transformative experiences (Theme 2) that lead to learning and enactment (Theme 3) of new skills that counteract suffering (Theme 4) through empowerment, connectedness, and sustained relief.ConclusionsThis work elucidates how AME works to counteract stressful qualities of cancer treatment. As parents witnessed positive and transformative changes in their child, they experienced relief and reported shifts in their perspective about cancer treatment. This led to learning and use of music as a coping strategy that extended beyond therapist‐led sessions. Accessible, music‐based interventions, like AME, offer a developmentally appropriate and effective way to support parents and young children during treatment.

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Music Therapy for Children with Oncology & Hematological Conditions and Their Families: Advancing the Standards of Psychosocial Care

Cited by 12 publications

References 53 publications

Clinical Delivery and Effectiveness of Music Therapy in Hematology and Oncology: An EMMPIRE Retrospective Study

Clinical Delivery and Effectiveness of Music Therapy in Hematology and Oncology: An EMMPIRE Retrospective Study

Use of music therapy in pediatric oncology: an Italian AIEOP multicentric survey study in the era of COVID-19

Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

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