Effects of Educational Music Therapy on State Hope for Recovery in Acute Care Mental Health Inpatients: A Cluster-randomized Effectiveness Study


Frontiers in Psychology




Background: There has been an increasing emphasis on recovery as the expectation for people with mental health disorders. Purpose: The purpose of this effectiveness study is to determine if group-based educational music therapy can immediately impact state hope for recovery in acute care mental health patients. Research questions included: will acute care mental health inpatients who participate in a single music therapy session have higher agency and pathway aspects of state hope for recovery than patients in a control condition? Will there be differences in state hope for recovery as a result of hope-oriented songwriting or lyric analysis interventions? Method: Participants (N = 169) were cluster randomized to one of three single-session conditions: lyric analysis, songwriting, or wait-list control. Results: There was no significant between-group difference. However, both music therapy conditions tended to have slightly higher mean pathway, agency, and total state hope scores than the control condition even within the temporal parameters of a single music therapy session. There was no between-group difference in the songwriting and lyric analysis interventions. Conclusion: Although not significant, results support that educational music therapy may impact state hope for recovery within the temporal parameters of a single session. The specific type of educational music therapy intervention did not affect results. Implications for practice, limitations, and suggestions for future research are provided. (PsycInfo Database Record (c) 2020 APA, all rights reserved)

Music and Health Institute Terms

Composition; Hospital Setting; Hospitalized Patients; Mental Health; Music Medicine; Psychological Outcomes; Quality of Life; Song Lyric Discussion; Songwriting; Wellness and Well-Being

Indexed Terms

hope; educational; mental health; acute psychiatric patients; recovery; state hope; Clinical Practice; Recovery (Disorders)

Study Type

Quantitative Methods; Randomized Controlled Trial

PubMed ID


Document Type