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Evaluation of the effectiveness of music therapy in improving the quality of life of palliative care patients: a randomised controlled pilot and feasibility study
  1. Tracey McConnell1,
  2. Lisa Graham-Wisener2,
  3. Joan Regan2,
  4. Miriam McKeown2,
  5. Jenny Kirkwood3,
  6. Naomi Hughes3,
  7. Mike Clarke4,
  8. Janet Leitch2,
  9. Kerry Mcgrillen2 and
  10. Sam Porter1
  1. 1School of Nursing and Midwifery, Queen’s University Belfast, UK
  2. 2Marie Curie Hospice Belfast, Marie Curie, UK
  3. 3Every Day Harmony Music Therapy, UK
  4. 4School of Medicine, Dentistry and Biomedical Sciences, Queen’s University Belfast, UK

Abstract

Introduction Music therapy is frequently used as a palliative therapy (Demmer, 2004), with the primary aim of improving people’s quality of life. To date, primarily because of a paucity of robust research, the evidence for music therapy’s effectiveness on patient reported outcomes is positive but weak (McConnell et al., 2016).

Aim(s) This pilot and feasibility study will: test procedures; outcomes and validated tools; estimate recruitment and attrition rates; and calculate the sample size required for a phase III randomised trial to evaluate the effectiveness of music therapy in improving the quality of life of palliative care patients.

Method(s) A pilot controlled trial supplemented with qualitative methods with n = 52 patients from an inpatient and day hospice setting. Baseline data collection includes the McGill Quality of Life Questionnaire (MQOL), medical and socio-demographic data. Participants in the intervention arm are offered two 30–45 minute sessions of music therapy per week for 3 consecutive weeks, in addition to care as usual. Participants in the control arm receive care as usual. Follow-up measures administered at 3 and 5-weeks. Qualitative data collection involves focus group/interviews with HCPs and carers.

Results The results of the study will ensure a firm methodological grounding for the development of a robust phase III randomised trial of music therapy for improving quality of life in palliative care patients.

Conclusion(s) By undertaking the pilot and feasibility trial under normal clinical conditions in a hospice setting, the trial will result in reliable procedures to overcome some of the difficulties in designing music therapy RCTs for palliative care settings.

References

  1. Demmer C. A survey of complementary therapy services provided by hospices. J Palliat Med 2004;7(4):510–516

  2. McConnell T, Scott D, Porter S. Music therapy for end-of-life care: an updated systematic review. Palliat Med 2016. doi:10.1177/0269216316635387. Accessed March 4, 2016

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