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Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial
Journal article   Peer reviewed

Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial

Joke Bradt, Amy Leader, Brooke Worster, Kate Myers-Coffman, Karolina Bryl, Jacelyn Biondo, Brigette Schneible, Carrie Cottone, Preethi Selvan and Fengqing Zhang
Psycho-oncology (Chichester, England), v 33(10), e70005
Oct 2024
DOI: https://doi.org/10.1002/pon.70005
PMID: 39450934
url
https://pmc.ncbi.nlm.nih.gov/articles/PMC11778920/pdf/nihms-2043478.pdfView
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Abstract

Adult Affect Aged Anxiety - psychology Anxiety - therapy Cancer Pain - psychology Cancer Pain - therapy Chronic Pain - psychology Chronic Pain - therapy Female Humans Male Middle Aged Music Therapy - methods Neoplasms - complications Neoplasms - psychology Neoplasms - therapy Pain Management - methods Pain Measurement Self Efficacy Social Support Treatment Outcome
To improve mechanistic understanding, this randomized controlled trial examined anxiety, mood, emotional support, and pain-related self-efficacy as mediators of music therapy for pain management in people with advanced cancer. People with advanced cancer who had chronic pain were randomized (1:1) to 6 weekly individual music therapy or social attention control sessions. We measured mediators and pain outcomes (pain interference and pain intensity) using self-report measures at baseline, session 4, and post-intervention. We included outcome expectancy/treatment credibility, music reward, adult playfulness, and baseline pain interference and pain intensity as moderators. Participants (n = 92) had a mean age of 56 years. Most were female (71.7%), white (47.8%) or Black (39.1%), and had stage IV cancer (75%). Self-efficacy was found to be a significant mediator of music therapy for pain intensity (indirect effect ab = 0.79, 95% CI 0.01-1.82) and pain interference (indirect effect ab = 1.16, 95% CI 0.02-2.51), while anxiety, mood, and emotional support were not. The mediating effect of pain-related self-efficacy was significantly moderated by baseline pain interference but not by the other moderators. The findings suggest that the impact of music therapy on chronic pain is mediated by self-efficacy. This knowledge can help optimize music therapy interventions for chronic pain management for people with advanced cancer by capitalizing on teaching music-based self-management strategies. ClinicalTrials.gov identifier: NCT03432247.

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9 citations in Web of Science
2 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Oncology
Psychology
Psychology, Multidisciplinary
Social Sciences, Biomedical
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