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Live music intervention for cancer inpatients: The Music Givers format

Published online by Cambridge University Press:  28 March 2017

Alessandro Toccafondi ,
Andrea Bonacchi ,
Andrea Mambrini ,
Guido Miccinesi ,
Roberto Prosseda  and
Maurizio Cantore
Alessandro Toccafondi*
Affiliation:
Centro Studi e Ricerca Synthesis, Florence, Italy
Andrea Bonacchi
Affiliation:
Centro Studi e Ricerca Synthesis, Florence, Italy Clinical and Descriptive Epidemiology Unit, Institute for Cancer Research and Prevention, Florence, Italy
Andrea Mambrini
Affiliation:
Department of Oncology, Azienda Unità Sanitaria Locale (AUSL) 1, Massa Carrara, Tuscany, Italy
Guido Miccinesi
Affiliation:
Clinical and Descriptive Epidemiology Unit, Institute for Cancer Research and Prevention, Florence, Italy
Roberto Prosseda
Affiliation:
Donatori di Musica, Massa Carrara, Italy
Maurizio Cantore
Affiliation:
Department of Oncology, Azienda Unità Sanitaria Locale (AUSL) 1, Massa Carrara, Tuscany, Italy
*
Address correspondence and reprint requests to: Alessandro Toccafondi, Via delle Forbici, 4 Florence, Italy. E-mail: [email protected].
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Abstract

Objective:

The present study intended to evaluate the impact of a standardized format—called the “Music Givers,” based on a single session of music intervention followed by a buffet—on the psychological burden and well-being of hospitalized cancer patients.

Method:

The Distress Thermometer (DT), the Hospital Anxiety and Depression Scale (HADS), and self-reported visual analogue scales (score range = 1–10) to assess pain, fatigue, and five areas of well-being (i.e., physical, psychological, relational, spiritual, and overall well-being) were administered to 242 cancer patients upon admission to and at discharge from the hospital. Among them, 103 were hospitalized during which time a live concert took place (intervention group), whereas 139 patients were hospitalized when it did not (control group).

Results:

Compared to the control group, patients in the intervention group demonstrated less distress at discharge according to the DT (adjusted estimate of difference = –0.8, p = 0.001), lower HADS–Anxiety (–1.7, p < 0.001) and HADS–Depression scores (–1.3, p = 0.001), and higher scores on all the well-being scales, with the exception of spiritual well-being. In addition, no between-group differences were found in terms of pain and fatigue scores at discharge.

Significance of results:

The one-session format of the Music Givers intervention is an effective, standardized, easy-to-replicate, and low-cost intervention that reduces psychological burden and improves the well-being of hospitalized cancer patients. Listening to live music and the opportunity to establish better relationships between patients and staff could explain these results.

Keywords

CancerMusic interventionDistressAnxietyDepression
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 6 , December 2018 , pp. 777 - 784
Copyright
Copyright © Cambridge University Press 2017 

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References

REFERENCES

Akechi, T., Okuyama, T., Sugawara, Y., et al. (2004). Major depression, adjustment disorders, and post-traumatic stress disorder in terminally ill cancer patients: Associated and predictive factors. Journal of Clinical Oncology, 22(10), 1957–1965. Available from http://ascopubs.org/doi/10.1200/JCO.2004.08.149.Google Scholar
Archie, P., Bruera, E. & Cohen, L. (2013). Music-based interventions in palliative cancer care: A review of quantitative studies and neurobiological literature. Supportive Care in Cancer, 21(9), 2609–2624. Epub ahead of print May 30. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3728458/.Google Scholar
Berry, D.L., Blonquist, T.M., Hong, F., et al. (2015). Self-reported adherence to oral cancer therapy: Relationships with symptom distress, depression, and personal characteristics. Patient Preference and Adherence, 9, 1587–1592. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4639537/.Google Scholar
Bjelland, I., Dahl, A.A., Haug, T.T., et al. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77. Available from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.457.6433&rep=rep1&type=pdf.Google Scholar
Bradt, J., Dileo, C., Grocke, D., et al. (2011). Music interventions for improving psychological and physical outcomes in cancer patients. The Cochrane Database for Systematic Reviews, 8, CD006911. Available from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006911.pub3/abstract.Google Scholar
Bradt, J., Potvin, N., Kesslick, A., et al. (2015). The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: A mixed methods study. Supportive Care in Cancer, 23(5), 1261–1271. Epub ahead of print Oct 17, 2014. Available from http://www.mascc.org/assets/Pain_Center/2015_May/may2015-9.pdf.Google Scholar
Breitbart, W., Rosenfeld, B., Pessin, H., et al. (2000). Depression, hopelessness, and desire for hastened death in terminally ill patients with cancer. The Journal of the American Medical Association, 284(22), 2907–2911. Available from http://jamanetwork.com/journals/jama/fullarticle/193350.Google Scholar
Brown, L.F., Kroenke, K., Theobald, D.E., et al. (2010). The association of depression and anxiety with health-related quality of life in cancer patients with depression and/or pain. Psycho-Oncology, 19(7), 734–741. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2888919/.Google Scholar
Carlson, L.E., Angen, M., Cullum, J., et al. (2004). High levels of untreated distress and fatigue in cancer patients. British Journal of Cancer, 90(12), 2297–2304. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2410292/.Google Scholar
Chen, L.C., Wang, T.F., Shih, Y.N., et al. (2013). Fifteen-minute music intervention reduces pre-radiotherapy anxiety in oncology patients. European Journal of Oncology Nursing, 17(4), 436–441. Epub ahead of print Dec 4, 2012.Google Scholar
Danhauer, S.C., Vishnevsky, T., Campbell, C.R., et al. (2010). Music for patients with hematological malignancies undergoing bone marrow biopsy: A randomized controlled study of anxiety, perceived pain, and patient satisfaction. Journal of the Society for Integrative Oncology, 8(4), 140–147. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947526/.Google Scholar
Dileo, C. (1999). Music Therapy and Medicine: Theoretical and Clinical Applications. Silver Spring, MD: American Music Therapy Association.Google Scholar
DiMatteo, M.R., Lepper, H.S. & Croghan, T.W. (2000). Depression is a risk factor for noncompliance with medical treatment: Meta-analysis of the effects of anxiety and depression on patient adherence. Archives of Internal Medicine, 160(14), 2101–2107. Available from http://www.robindimatteo.com/uploads/3/8/3/4/38344023/meta_depression.pdf.Google Scholar
Ferrer, A.J. (2007). The effect of live music on decreasing anxiety in patients undergoing chemotherapy treatment. Journal of Music Therapy, 44(3), 242–255.Google Scholar
Gallagher, L.M., Lagman, R., Walsh, D., et al. (2006). The clinical effects of music therapy in palliative medicine. Supportive Care in Cancer, 14(8), 859–866. Epub ahead of print Mar 15.Google Scholar
Hanser, S.B., Bauer-Wu, S., Kubicek, L., et al. (2005). Effects of a music therapy intervention on quality of life and distress in women with metastatic breast cancer. Journal of the Society for Integrative Oncology, 4(3), 116–124.Google Scholar
Huang, S.T., Good, M. & Zauszniewski, J.A. (2010). The effectiveness of music in relieving pain in cancer patients: A randomized controlled trial. International Journal of Nursing Studies, 47(11), 1354–1362. Epub ahead of print Apr 18.Google Scholar
Khan, W.U., Mohamad Onn Yap, I.A., O'Neill, D., et al. (2015). Perceptions of music therapy for older people among healthcare professionals. Medical Humanities, 42(1), 52–56. Epub ahead of print Dec 11.Google Scholar
Kissane, D. (2009). Beyond the psychotherapy and survival debate: The challenge of social disparity, depression and treatment adherence in psychosocial cancer care. Psycho-Oncology, 18(1), 1–5.Google Scholar
Leung, Y.W., Li, M., Devins, G., et al. (2013). Routine screening for suicidal intention in patients with cancer. Psycho-Oncology, 22(11), 2537–2545. Epub ahead of print Jul 22.Google Scholar
Li, X.M., Yan, H., Zhou, K.N., et al. (2011). Effects of music therapy on pain among female breast cancer patients after radical mastectomy: Results from a randomized controlled trial. Breast Cancer Research and Treatment, 128(2), 411–419. Epub ahead of print May 3.Google Scholar
Mitchell, A.J., Chan, M., Bhatti, H., et al. (2011). Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: A meta-analysis of 94 interview-based studies. The Lancet. Oncology, 12(2), 160–174.Google Scholar
Moss, H., Nolan, E. & O Neill, D. (2007). A cure for the soul? The benefit of live music in the general hospital. Irish Medical Journal, 100(10), 634–636.Google Scholar
O'Callaghan, C. & Magill, L. (2009). Effect of music therapy on oncologic staff bystanders: A substantive grounded theory. Palliative & Supportive Care, 7(2), 219–228.Google Scholar
O'Callaghan, C.C., McDermott, F., Michael, N., et al. (2014). “A quiet still voice that just touches”: Music's relevance for adults living with life-threatening cancer diagnoses. Supportive Care in Cancer, 22(4), 1037–1047. Epub ahead of print Nov 28, 2013.Google Scholar
Pinquart, M. & Duberstein, P.R. (2010). Depression and cancer mortality: A meta-analysis. Psychological Medicine, 40(11), 1797–1810. Epub ahead of print Jan 20. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935927/.Google Scholar
Prieto, J.M., Blanch, J., Atala, J., et al. (2002). Psychiatric morbidity and impact on hospital length of stay among hematologic cancer patients receiving stem-cell transplantation. Journal of Clinical Oncology, 20(7), 1907–1917. Available from http://ascopubs.org/doi/10.1200/JCO.2002.07.101.Google Scholar
Robb, S.L., Burns, D.S., Stegenga, K.A., et al. (2014). Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: A report from the Children's Oncology Group. Cancer, 120(6), 909–917. Epub ahead of print Jan 27. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3947727/.Google Scholar
Roth, A.J., Kornblith, A.B., Batel-Copel, L., et al. (1998). Rapid screening for psychologic distress in men with prostate carcinoma. Cancer, 82(10), 1904–1908.Google Scholar
Singer, S., Szalai, C., Briest, S., et al. (2013). Co-morbid mental health conditions in cancer patients at working age: Prevalence, risk profiles, and care uptake. Psycho-Oncology, 22(10), 2291–2297.Google Scholar
Teut, M., Dietrich, C., Deutz, B., et al. (2014). Perceived outcomes of music therapy with Body Tambura in end-of-life care: A qualitative pilot study. BMC Palliative Care, 13(1), 13–18. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3986446/.Google Scholar
Toccafondi, A., Bonacchi, A., Mambrini, A., et al. (2013). Musing in oncology: When oncology meets music something special happens. The Oncologist, 18(1), 112–113. Epub ahead of print Jan 3. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556247/.Google Scholar
Toccafondi, A., Bonacchi, A., Mambrini, A., et al. (2016). Live concerts reduce cancer inpatients' anxiety. European Journal of Cancer Care. Epub ahead of print Oct 10. Available from http://onlinelibrary.wiley.com/wol1/doi/10.1111/ecc.12590/full.Google Scholar
Zabora, J., BrintzenhofeSzoc, K., Curbow, , et al. (2001). The prevalence of psychological distress by cancer site. Psycho-Oncology, 10(1), 19–28.Google Scholar
Zaza, C., Sellick, S.M. & Hillier, L.M. (2005). Coping with cancer: What do patients do? Journal of Psychosocial Oncology, 23(1), 55–73.Google Scholar
Zigmond, A.S. & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361–370.Google Scholar