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

Journal

Cancer

Year

2014

Abstract

Background: To reduce the risk of adjustment problems associated with hematopoietic stem cell transplant (HSCT) for adolescents/young adults (AYAs), we examined efficacy of a therapeutic music video (TMV) intervention delivered during the acute phase of HSCT to: 1) increase protective factors of spiritual perspective, social integration, family environment, courageous coping, and hope-derived meaning; 2) decrease risk factors of illness-related distress and defensive coping; and 3) increase outcomes of self-transcendence and resilience. Methods: This was a multisite randomized, controlled trial (COG-ANUR0631) conducted at 8 Children’s Oncology Group sites involving 113 AYAs aged 11-24 years undergoing myeloablative HSCT. Participants, randomized to the TMV or low-dose control (audiobooks) group, completed 6 sessions over 3 weeks with a board-certified music therapist. Variables were based on Haase’s Resilience in Illness Model (RIM). Participants completed measures related to latent variables of illness-related distress, social integration, spiritual perspective, family environment, coping, hope-derived meaning, and resilience at baseline (T1), post-intervention (T2), and 100 days post-transplant (T3). Results: At T2, the TMV group reported significantly better courageous coping (Effect Size [ES], 0.505; P = .030). At T3, the TMV group reported significantly better social integration (ES, 0.543; P = .028) and family environment (ES, 0.663; P = .008), as well as moderate nonsignificant effect sizes for spiritual perspective (ES, 0.450; P = .071) and self-transcendence (ES, 0.424; P = .088). Conclusions: The TMV intervention improves positive health outcomes of courageous coping, social integration, and family environment during a high-risk cancer treatment. We recommend the TMV be examined in a broader population of AYAs with high-risk cancers. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

Music and Health Institute Terms

Adolescents; Cancer; Coping; Distress; Engagement Level; Invasive Medical Procedures; Music Therapy; Resilience; Stem Cell Transplantation

Indexed Terms

therapeutic music intervention; outcomes; hematopoietic stem cell transplant; adjustment problems; risk factors; Adaptation, Psychological; Adolescents; Anxiety; Children; Family Relations; Hematopoietic Stem Cell Transplantation; Hematopoietic Stem Cells; Hope; Resilience, Psychological; Social Isolation; Social Support; Stress; Adjustment Disorders; Organ Transplantation; Stem Cells; Coping Behavior; Resilience (Psychological); Treatment Outcomes

Study Type

Randomized Controlled; Trial; Quantitative Methods

Document Type

Article

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