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Vocal Music Therapy for Chronic Pain Management in Inner-City African Americans: A Mixed Methods Feasibility Study
Journal article   Open access   Peer reviewed

Vocal Music Therapy for Chronic Pain Management in Inner-City African Americans: A Mixed Methods Feasibility Study

Joke Bradt, Marisol Norris, Minjung Shim, Edward J Gracely and Patricia Gerrity
Journal of music therapy, v 53(2)
2016
DOI: https://doi.org/10.1093/jmt/thw004
PMID: 27090149
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1093/jmt/thw004View
Published, Version of Record (VoR) Open

Abstract

Chronic Pain - therapy Self Efficacy Outcome Assessment (Health Care) Humans Focus Groups Pain Management - methods Male Music - psychology Feasibility Studies Adolescent Music Therapy - methods Adult Female Surveys and Questionnaires Qualitative Research Self Care African Americans - psychology
To date, research on music for pain management has focused primarily on listening to prerecorded music for acute pain. Research is needed on the impact of active music therapy interventions on chronic pain management. The aim of this mixed methods research study was to determine feasibility and estimates of effect of vocal music therapy for chronic pain management. Fifty-five inner-city adults, predominantly African Americans, with chronic pain were randomized to an 8-week vocal music therapy treatment group or waitlist control group. Consent and attrition rates, treatment compliance, and instrument appropriateness/burden were tracked. Physical functioning (pain interference and general activities), self-efficacy, emotional functioning, pain intensity, pain coping, and participant perception of change were measured at baseline, 4, 8, and 12 weeks. Focus groups were conducted at the 12-week follow-up. The consent rate was 77%. The attrition rate was 27% at follow-up. We established acceptability of the intervention. Large effect sizes were obtained for self-efficacy at weeks 8 and 12; a moderate effect size was found for pain interference at week 8; no improvements were found for general activities and emotional functioning. Moderate effect sizes were obtained for pain intensity and small effect sizes for coping, albeit not statistically significant. Qualitative findings suggested that the treatment resulted in enhanced self-management, motivation, empowerment, a sense of belonging, and reduced isolation. This study suggests that vocal music therapy may be effective in building essential stepping-stones for effective chronic pain management, namely enhanced self-efficacy, motivation, empowerment, and social engagement.

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40 citations in Web of Science
39 citations in Scopus

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Web of Science research areas
Music
Rehabilitation
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