The MusiQual treatment manual for music therapy in a palliative care inpatient setting

Kirkwood, Jenny; Graham‐Wisener, Lisa; McConnell, Tracey; Porter, Sam; Reid, Joanne; Craig, Naomi; Dunlop, Conall; Gordon, Charles A.; Thomas, D.M.; Godsal, Jo; Vorster, Aisling

doi:10.1177/1359457519834533

Cited by 6 publications

(11 citation statements)

References 32 publications

(33 reference statements)

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“…If the intervention is delivered to a group, then the size of the group should be discussed and agreed with the anticipated service users, along with other practicalities such as the timing, length, and duration of the intervention. Another important, regularly reported consideration relates to musical/song choice [ 136 ] which should be participant-driven to achieve the best outcomes.…”

Section: Discussionmentioning

confidence: 99%

Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review

Gillespie,

McConnell,

Roulston

et al. 2024

BMC Palliat Care

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Background Music therapy interventions with informal carers of individuals with life-threatening illness at pre- and post-bereavement is an increasingly important clinical area. This systematic review is the first to synthesise and critically evaluate the international evidence associated with music therapy with adult informal carers pre- and post-bereavement. Specifically, the objectives were: i) to describe the characteristics and effectiveness of music therapy interventions which aim to improve health-related outcomes for adult informal carers of adults with life-threatening illness (pre- and post-bereavement), and ii) to describe the experience of music therapy for adult informal carers of adults with life-threatening illness (pre- and post-bereavement). Methods Eligibility: adult informal carers of adults at end of life or bereaved; music therapy interventions for improving health-related outcomes; qualitative; mixed-method; and quantitative studies including comparators of any other intervention; published in English from 1998 onwards. Six databases were searched up to July 2022. A JBI mixed-methods systematic review approach was followed throughout, including quality appraisal, data extraction and a convergent segregated approach to synthesis and integration. Results A total of 34 studies were included, published between 2003 and 2022. Most were conducted in North America (n = 13), Australia (n = 10), or Europe (n = 8). No studies were conducted in low- and middle-income countries or in the UK. The majority were qualitative (n = 17), followed by quasi-experimental (n = 8), mixed-methods (n = 7) and two RCTs. The majority focused on carers of individuals with dementia (n = 21) or advanced cancer (n = 7). Seventeen studies were purely quantitative or included a quantitative component. During meta-synthesis, findings were aligned to core outcomes for evaluating bereavement interventions in palliative care and previously identified risk factors for complicated grief. Commonly targeted outcomes in quantitative studies included quality of life and mental wellbeing, showing equivocal effectiveness of music therapy with significant and non-significant results. Twenty-two studies either purely qualitative or with a qualitative component underwent meta synthesis and suggested a diverse range of improved pre- and post-bereavement outcomes for informal carers across all core outcomes, and across all risk and protective factors, including psychological, spiritual, emotional, and social outcomes. Conclusions Qualitative studies provide moderate to strong evidence for improved health-related outcomes for adult informal carers of adults with life-threatening illness pre-bereavement. Limited studies including those bereaved negates conclusions for the bereavement phase. Comparisons and explanations for effectiveness across quantitative and qualitative studies are equivocal, with a high risk of bias and small samples in the limited number of quantitative studies, demonstrating a need for high-quality RCTs. Systematic review pre-registration PROSPERO [CRD42021244859].

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Section: Discussionmentioning

confidence: 99%

Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review

Gillespie,

McConnell,

Roulston

et al. 2024

BMC Palliat Care

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“…This process also helped them to create their life history through a unique personal music playlist as a special legacy. According to literature, the act itself of choosing music together allows a deep connection to be quickly established [ 69 ]. The act of the patient and family member choosing music makes use of the potential of the individual, focusing on ‘noticing, acknowledging and making use of the individual’s resources via the fostering of a collaborative relationship’ Indeed, this approach including the collaborative therapeutic relationship is a core component to delivering person-centred care for people at the end of life [ 69 ].…”

Section: Discussionmentioning

confidence: 99%

‘Playlist for Life’ at the end of life: a mixed-methods feasibility study of a personalised music listening intervention in the hospice setting

Johnston

Bowman

Carduff

et al. 2022

Pilot Feasibility Stud

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Background Playlist for Life is a brief, inexpensive music listening intervention which originated in dementia care, but is increasingly being used for people at the end of life. However, there is a lack of robust empirical research on its application in the hospice setting. Our patient and public involvement group originated the idea for this study. The aim of this feasibility study was to inform the design of a larger effectiveness study on the use of Playlist for Life in the hospice setting. Method This study was a mixed-methods feasibility study involving adults at the end of life, family members and hospice staff from one in-patient hospice in Scotland. Eligible patient/family member dyads were approached by hospice staff and if interested, recruited by the researcher. All included participants received the intervention, which involved the provision of an MP3 player and assistance to set up a playlist. Participants were asked to listen to the playlist daily during the intervention period (7 days). Data were collected through patient reported outcome measures and on days 1, 3 and 7 of the intervention period and through participant observation session. Patient/family member dyads and hospice staff also took part in qualitative interviews (Appendix 1) post-intervention, which were audio-recorded, transcribed and analysed thematically. Semi-structured interviews at the end of the intervention period were used to evaluate feasibility and acceptability. An advisory group including patients, family members and staff gave helpful feedback on the qualitative interview questions. Interview questions were the same for all participants and all the questions were asked to all participants. Results N = 15 participants were recruited (n = 5 patients, n = 5 family, n = 5 staff. The intervention was appraised positively, particularly regarding its beneficial effect on patient/family relationships. The study design was deemed feasible and acceptable. Conclusion The findings of this study will inform the development of a future randomised cluster trial designed to assess the usability and effectiveness of the Playlist for Life personalised music intervention. Trial registration This study was not registered as this was a small feasibility study, conducted prior to a pilot study not testing for effectiveness. In addition, the study was non-randomised. The study is registered with NHS ethics and the hospice research and governance team

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Section: Music Therapy As a Core Service In Hospice And Palliative Carementioning

confidence: 99%

“…Emergent theoretical and clinical models over the past 5 years have helped these gains in knowledge be organized into dynamic protocols for assessment, intervention, and evaluation 13 . Subsequently, best practices in hospice care have begun to take shape, informing clinicians about clinical decision making in the context of indications for potential benefit and contraindications for potential harm 14-16 …”

Section: Music Therapy As a Core Service In Hospice And Palliative Carementioning

confidence: 99%

“…13 Subsequently, best practices in hospice care have begun to take shape, informing clinicians about clinical decision making in the context of indications for potential benefit and contraindications for potential harm. [14][15][16] Despite these advancements in practice, establishing music therapy as a core service in hospice has been a challenge, with multiple obstacles complicating effective partnership with nurses as part of the interdisciplinary treatment team. One such obstacle is the inconsistent usage and role of music therapists across hospice agencies.…”

Section: Music Therapy As a Core Service In Hospice And Palliative Carementioning

confidence: 99%

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Music Therapy and Nursing Cotreatment in Integrative Hospice and Palliative Care

Potvin

Hicks

Kronk

2021

J Hosp Palliat Nurs

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Integrative hospice and palliative care is a philosophy of treatment framing patients as whole persons composed of interrelated systems. The interdisciplinary treatment team is subsequently challenged to consider ethical and effective provision of holistic services that concomitantly address these systems at the end of life through cotreatment. Nurses and music therapists, as direct care professionals with consistent face-to-face contact with patients and caregivers, are well positioned to collaborate in providing holistic care. This article introduces processes of referral, assessment, and treatment that nurses and music therapists may engage in to address family support, spirituality, bereavement, and telehealth. Clinical vignettes are provided to illustrate how cotreatment may evolve and its potential benefits given diverse circumstances. As part of this framing, music therapy is positioned as a core—rather than alternative or complementary—service in hospice that satisfies the required counseling services detailed in Medicare's Conditions of Participation for hospice providers. The systematic and intentional partnering of nurses and music therapists can provide patients and caregivers access to quality comprehensive care that can cultivate healthy transitions through the dying process.

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The MusiQual treatment manual for music therapy in a palliative care inpatient setting

Abstract: Her clinical work to date has mainly been in learning and physical disability and paediatric palliative care.

Cited by 6 publications

References 32 publications

Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review

Music therapy for supporting informal carers of adults with life-threatening illness pre- and post-bereavement; a mixed-methods systematic review

‘Playlist for Life’ at the end of life: a mixed-methods feasibility study of a personalised music listening intervention in the hospice setting

Music Therapy and Nursing Cotreatment in Integrative Hospice and Palliative Care

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