Comparing Educational Music Therapy Interventions Via Stages of Recovery With Adults in an Acute Care Mental Health Setting: A Cluster-randomized Pilot Effectiveness Study


M. J. Silverman


Community Mental Health Journal




The purpose of this cluster-randomized pilot effectiveness study was to compare two different group-based educational music therapy interventions with a control condition as measured by the stage model of recovery in adults on an acute care mental health unit. Participants (N = 69) were cluster-randomized to one of three single-session conditions: educational lyric analysis (ELA), educational songwriting (ESW), or control. ELA and ESW conditions targeted motivations for and factors contributing to recovery. Results indicated no significant between-group difference. However, ELA and ESW conditions tended to have slightly more favorable stage of recovery mean scores than the control condition. Generally, educational music therapy may be clinically relevant for impacting stage of recovery within the temporal parameters of a single session. As ELA and ESW conditions had similar results, the specific educational music therapy intervention did not affect results. Implications for clinical practice, limitations, and suggestions for future research are provided.

Music and Health Institute Terms

Composition; Hospital Setting; Hospitalized Patients; Mental Health; Music Medicine; Psychological Outcomes; Song Lyric Discussion; Songwriting

Indexed Terms

Mental Disorders; Psychiatric Department, Hospital; Psychiatric Status Rating Scales; Remission Induction; Lyric analysis; Mental health; Mental health condition; Randomized; Recovery; Songwriting; Stage of recovery

Study Type

Randomized Controlled Trial; Quantitative Methods

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Document Type