Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial

Brungardt, Adreanne; Wibben, Angela; Tompkins, Amanda; Shanbhag, Prajakta; Coats, Heather; LaGasse, A. Blythe; Boeldt, Debra; Youngwerth, Jeanie; Kutner, Jean S.; Lum, Hillary D.

doi:10.1089/jpm.2020.0403

Cited by 26 publications

(48 citation statements)

References 22 publications

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“…Table 2 lists the characteristics of the virtual reality technology used by the studies. Two studies 28,30 employed the same virtual reality headset, however there was no overall consistency in the technology or virtual reality platform used. Five studies (63%) adopted a 30-min single virtual reality session as the intervention, [30][31][32][33][34] one study used a single 10-min virtual reality intervention session 28 ; two studies completed multiple virtual reality sessions of either four 30-min virtual reality sessions over a week 29 or a 4-min virtual reality session once a week for 4 weeks.…”

Section: Virtual Reality Intervention Characteristicsmentioning

confidence: 99%

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How effective is virtual reality technology in palliative care? A systematic review and meta-analysis

Mo¹,

Vickerstaff

Minton

et al. 2022

Palliat Med

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Background: The efficacy of virtual reality for people living with a terminal illness is unclear. Aim: To determine the feasibility and effectiveness of virtual reality use within a palliative care setting. Design: Systematic review and meta-analysis. PROSPERO (CRD42021240395). Data sources: Medline, Embase, AMED, PsycINFO, CINAHL, Cochrane Central Register of Controlled Trials and Web of Science were searched from inception to March 2021. Search terms included ‘virtual reality’ and ‘palliative care’. Eligibility: (1) adult (>18 years old) with a terminal illness (2) at least one virtual reality session and (3) feasibility data and/or at least one patient outcome reported. The ROB-2 and ROBINS tools assessed risk of bias. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) tool assessed the quality of the evidence. Standardised mean differences (Hedges’s g) were calculated from the pre- and post-data. A DerSimonian-Laird random effects model meta-analysis was conducted. Results: Eight studies were included, of which five were in the meta-analysis. All studies had at least some concern for risk of bias. Virtual reality statistically significantly improved pain ( p = 0.0363), tiredness ( p = 0.0030), drowsiness ( p = 0.0051), shortness of breath ( p = 0.0284), depression ( p = 0.0091) and psychological well-being ( p = 0.0201). The quality of the evidence was graded as very low due to small sample sizes, non-randomisation methods and a lack of a comparator arm. Conclusions: Virtual reality in palliative care is feasible and acceptable. However, limited sample sizes and very low-quality studies mean that the efficacy of virtual reality needs further research.

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Section: Virtual Reality Intervention Characteristicsmentioning

confidence: 99%

“…Six studies (75%) [28][29][30][31][32][33] indicated that participants had positive attitudes towards the virtual reality session, perceived the intervention as beneficial were willing to repeat the intervention again or recommend to others.…”

Section: Acceptability and Usabilitymentioning

confidence: 99%

How effective is virtual reality technology in palliative care? A systematic review and meta-analysis

Mo¹,

Vickerstaff

Minton

et al. 2022

Palliat Med

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“…Previous studies assessed the effects of VR in relieving cancer-related symptomatology (i.e., sadness, stress, and anxiety) mainly in clinical settings (Li et al, 2011;Baños et al, 2013;Mosadeghi et al, 2016;Bani Mohammad and Ahmad, 2019) and in patients undergoing painful procedures (Gershon et al, 2004;Hoffman et al, 2014), alleviating anxiety and improving mood states. Studies in PC have proven the acceptability of VR interventions (Oyama, 1997;Brungardt et al, 2020;Weingarten et al, 2020) and their effects in reducing short-term symptoms (i.e., pain, drowsiness, lack of appetite, shortness of breath, depression, anxiety, and well-being; Niki et al, 2019;Johnson et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Virtual Reality in Home Palliative Care: Brief Report on the Effect on Cancer-Related Symptomatology

et al. 2021

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Virtual reality (VR) has been used as a complementary therapy for managing psychological and physical symptoms in cancer patients. In palliative care, the evidence about the use of VR is still inadequate. This study aims to assess the effect of an immersive VR-based intervention conducted at home on anxiety, depression, and pain over 4days and to evaluate the short-term effect of VR sessions on cancer-related symptomatology. Participants were advanced cancer patients assisted at home who were provided with a VR headset for 4days. On days one and four, anxiety and depression were measured by the Hospital Anxiety and Depression Scale (HADS) and pain by the Brief Pain Inventory (BPI). Before and after each VR session, symptoms were collected by the Edmonton Symptom Assessment Scale (ESAS). Participants wore a smart wristband measuring physiological signals associated with pain, anxiety, and depression. Fourteen patients (mean age 47.2±14.2years) were recruited. Anxiety, depression (HADS), and pain (BPI) did not change significantly between days one and four. However, the ESAS items related to pain, depression, anxiety, well-being, and shortness of breath collected immediately after the VR sessions showed a significant improvement (p<0.01). A progressive reduction in electrodermal activity has been observed comparing the recordings before, during, and after the VR sessions, although these changes were not statistically significant. This brief research report supports the idea that VR could represent a suitable complementary tool for psychological treatment in advanced cancer patients assisted at home.

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“…A futuristic approach is described by Brungardt A, Wibben A, Tompkins AF, Shanbhag P, Coats H, LaGasse AB, Boeldt D, Youngwerth J, Kutner JS, Lum HD. [10] They used virtual reality-based music therapy intervention with patient in palliative care to interpret the patient's compositions. Seventeen patients from ages 23-74 created their music sound track in a two day intervention then developed a 360 degree virtual reality experience that interpreted their music.…”

Section: Current Researchmentioning

confidence: 99%

Music: A holistic approach to symptom management for patients undergoing cancer treatment

Roberts

Horn²,

Aquino³

et al. 2022

JNEP

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Background and objective: Patients undergoing chemotherapy carry a tremendous amount of psychological and physical burdens. The focus of care in the oncology setting should include a blend of pharmacological and holistic medicine to achieve desired health goals. This research includes a comprehensive review of music therapy as a vehicle to promote psychotherapeutic effects on patients receiving chemotherapy. This review serves to identify the positive outcomes of patients engaging in music therapy while receiving chemotherapy.Methods: An integrative literature review was conducted. Articles published between 2007 and 2020 were identified searching the databases of CINAHL, PubMed, and ProQuest. Key words included music therapy, psychological, chemotherapy, depression, anxiety and cancer.Results: Eight articles were reviewed that identified three emotional effects in relation to receiving chemotherapy: anxiety, depression and quality of life. The literature focused on how music therapy was used to improve these emotional states. The Spielberger State Anxiety Inventory- State Anxiety Scale and other standardized units were used to evaluate the positive effects of music therapy. These tools, which help standardize assessments, found noticeable psychosocial improvements.Conclusions: Further studies are needed to conduct a more comprehensive use of music therapy in the healthcare setting. Inclusive literature should also be available as an alternative method of treatment to provide additional outlets for improvement of health outcomes. The information studied has already found promising results of music therapy on patients' psychological wellbeing while receiving chemotherapy.

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Virtual Reality-Based Music Therapy in Palliative Care: A Pilot Implementation Trial

Cited by 26 publications

References 22 publications

How effective is virtual reality technology in palliative care? A systematic review and meta-analysis

How effective is virtual reality technology in palliative care? A systematic review and meta-analysis

Virtual Reality in Home Palliative Care: Brief Report on the Effect on Cancer-Related Symptomatology

Music: A holistic approach to symptom management for patients undergoing cancer treatment

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