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Published in: BMC Palliative Care 1/2018

Open Access 01-12-2018 | Research article

Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review

Authors: W. Schmid, J. H. Rosland, S. von Hofacker, I. Hunskår, F. Bruvik

Published in: BMC Palliative Care | Issue 1/2018

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Abstract

Background

The use of music as therapy in multidisciplinary end-of-life care dates back to the 1970s and nowadays music therapy (MT) is one of the most frequently used complementary therapy in in-patient palliative care in the US. However existing research investigated music therapy’s potential impact mainly from one perspective, referring to either a quantitative or qualitative paradigm. The aim of this review is to provide an overview of the users’ and providers’ perspectives on music therapy in palliative care within one research article.

Methods

A systematic literature search was conducted using several databases supplemented with a hand-search of journals between November 1978 and December 2016. Inclusion criteria were: Music therapy with adults in palliative care conducted by a certified music therapist. Both quantitative and qualitative studies in English, German or a Scandinavian language published in peer reviewed journals were included. We aimed to identify and discuss the perspectives of both patients and health care providers on music therapy’s impact in palliative care to forward a comprehensive understanding of it’s effectiveness, benefits and limitations. We investigated themes mentioned by patients within qualitative studies, as well as commonly chosen outcome measures in quantitative research. A qualitative approach utilizing inductive content analysis was carried out to analyze and categorize the data.

Results

Twelve articles, reporting on nine quantitative and three qualitative research studies were included. Seven out of the nine quantitative studies investigated pain as an outcome. All of the included quantitative studies reported positive effects of the music therapy. Patients themselves associated MT with the expression of positive as well as challenging emotions and increased well-being. An overarching theme in both types of research is a psycho-physiological change through music therapy.

Conclusions

Both quantitative as well as qualitative research showed positive changes in psycho-physiological well-being. The integration of the users´ and providers´ perspectives within future research applicable for example in mixed-methods designs is recommended.
Literature
4.
go back to reference McConnell T, Scott D, Porter S. Music therapy for end-of-life care: an updated systematic review. Palliat Med. 2016;30(9):877–83.CrossRefPubMed McConnell T, Scott D, Porter S. Music therapy for end-of-life care: an updated systematic review. Palliat Med. 2016;30(9):877–83.CrossRefPubMed
5.
go back to reference Schmid S. Musikkterapi i palliative omsorg. In: Stige B, Ridder HM, editors. Musikkterapi og eldrehelse. Oslo: Universitetsforlaget; 2016. p. 177–186. Schmid S. Musikkterapi i palliative omsorg. In: Stige B, Ridder HM, editors. Musikkterapi og eldrehelse. Oslo: Universitetsforlaget; 2016. p. 177–186.
6.
go back to reference Trondalen G, Bonde LO. Music therapy: models and interventions. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health and wellbeing. Oxford: Oxford University; 2012. p. 40–61. Trondalen G, Bonde LO. Music therapy: models and interventions. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health and wellbeing. Oxford: Oxford University; 2012. p. 40–61.
7.
go back to reference Bradt J, Burns DS, Creswell JW. Mixed methods research in music therapy research. J Music Ther. 2013;50(2):123–48.CrossRefPubMed Bradt J, Burns DS, Creswell JW. Mixed methods research in music therapy research. J Music Ther. 2013;50(2):123–48.CrossRefPubMed
11.
go back to reference Kirkevold M. Integrative nursing research—an important strategy to further the development of nursing science and nursing practice. J Adv Nurs. 1997;25(5):977–84.CrossRefPubMed Kirkevold M. Integrative nursing research—an important strategy to further the development of nursing science and nursing practice. J Adv Nurs. 1997;25(5):977–84.CrossRefPubMed
19.
go back to reference Domingo JP, Matamoros NE, Danés CF, Abelló HV, Carranza JM, Ripoll AIR, Garcia SM, Rossetti A. Effectiveness of music therapy in advanced cancer patients admitted to a palliative care unit: a non-randomized controlled, clinical trial. Music Med. 2015;7(1):23–31. Domingo JP, Matamoros NE, Danés CF, Abelló HV, Carranza JM, Ripoll AIR, Garcia SM, Rossetti A. Effectiveness of music therapy in advanced cancer patients admitted to a palliative care unit: a non-randomized controlled, clinical trial. Music Med. 2015;7(1):23–31.
20.
go back to reference Nakayama H, Kikuta F, Takeda H. A pilot study on effectiveness of music therapy in hospice in Japan. J Music Ther. 2009;46(2):160–72.CrossRefPubMed Nakayama H, Kikuta F, Takeda H. A pilot study on effectiveness of music therapy in hospice in Japan. J Music Ther. 2009;46(2):160–72.CrossRefPubMed
24.
go back to reference Hilliard RE. The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003;40(2):113–37.CrossRefPubMed Hilliard RE. The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. J Music Ther. 2003;40(2):113–37.CrossRefPubMed
25.
go back to reference O'Callaghan C. Bringing music to life: a study of music therapy and palliative care experiences in a cancer hospital. J Palliat Care. 2001;17(3):155.PubMed O'Callaghan C. Bringing music to life: a study of music therapy and palliative care experiences in a cancer hospital. J Palliat Care. 2001;17(3):155.PubMed
26.
go back to reference Teut M, Dietrich C, Deutz B, Mittring N, Witt CM. Perceived outcomes of music therapy with body tambura in end of life care - a qualitative pilot study. BMC Palliat Care. 2014;13(1):18.CrossRefPubMedPubMedCentral Teut M, Dietrich C, Deutz B, Mittring N, Witt CM. Perceived outcomes of music therapy with body tambura in end of life care - a qualitative pilot study. BMC Palliat Care. 2014;13(1):18.CrossRefPubMedPubMedCentral
27.
go back to reference Heiderscheit A, Breckenridge SJ, Chlan LL, Savik K. Music preferences of mechanically ventilated patients participating in a randomized controlled trial. Music Med. 2014;6(2):29.PubMedPubMedCentral Heiderscheit A, Breckenridge SJ, Chlan LL, Savik K. Music preferences of mechanically ventilated patients participating in a randomized controlled trial. Music Med. 2014;6(2):29.PubMedPubMedCentral
28.
go back to reference Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287.CrossRefPubMed Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287.CrossRefPubMed
29.
go back to reference Wang XS, Cleeland CS, Mendoza TR, Engstrom MC, Liu S, Xu G, Hao X, Wang Y, Ren XS. The effects of pain severity on health-related quality of life: a study of Chinese cancer patients. Cancer. 1999;86(9):1848–55.CrossRefPubMed Wang XS, Cleeland CS, Mendoza TR, Engstrom MC, Liu S, Xu G, Hao X, Wang Y, Ren XS. The effects of pain severity on health-related quality of life: a study of Chinese cancer patients. Cancer. 1999;86(9):1848–55.CrossRefPubMed
30.
go back to reference Becker N, Bondegaard Thomsen A, Olsen AK, Sjogren P, Bech P, Eriksen J. Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center. Pain. 1997;73(3):393–400.CrossRefPubMed Becker N, Bondegaard Thomsen A, Olsen AK, Sjogren P, Bech P, Eriksen J. Pain epidemiology and health related quality of life in chronic non-malignant pain patients referred to a Danish multidisciplinary pain center. Pain. 1997;73(3):393–400.CrossRefPubMed
31.
go back to reference Groen KM. Pain assessment and management in end of life care: a survey of assessment and treatment practices of hospice music therapy and nursing professionals. J Music Ther. 2007;44(2):90–112.CrossRefPubMed Groen KM. Pain assessment and management in end of life care: a survey of assessment and treatment practices of hospice music therapy and nursing professionals. J Music Ther. 2007;44(2):90–112.CrossRefPubMed
33.
go back to reference Altenmüller E, Schlaug G. Music, brain, and health: exploring biological foundations of Music’s health effects. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health, and wellbeing. Oxford: Oxford University Press; 2012. p. 12–24. Altenmüller E, Schlaug G. Music, brain, and health: exploring biological foundations of Music’s health effects. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health, and wellbeing. Oxford: Oxford University Press; 2012. p. 12–24.
34.
go back to reference Clements-Cortes A. The effect of live music vs. taped music on pain and comfort in palliative care. Korean J Music Ther. 2011a;13(1):105–21.CrossRef Clements-Cortes A. The effect of live music vs. taped music on pain and comfort in palliative care. Korean J Music Ther. 2011a;13(1):105–21.CrossRef
35.
go back to reference Dileo C. Final moments: the use of song in relationship completion. In: Advanced practice in medical music therapy: case reports. Edited by Dileo C. United States: Jeffrey Books. 2015:273–286. Dileo C. Final moments: the use of song in relationship completion. In: Advanced practice in medical music therapy: case reports. Edited by Dileo C. United States: Jeffrey Books. 2015:273–286.
36.
go back to reference Bruscia KE. Defining music therapy. 3rd ed. United States: Barcelona Publishers Llc; 2014. Bruscia KE. Defining music therapy. 3rd ed. United States: Barcelona Publishers Llc; 2014.
37.
go back to reference Davidson J, Emberly A. Embodied musical communication across cultures: singing and dancing for quality of life and wellbeing benefit. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health and wellbeing. Oxford: Oxford University Press; 2012. p. 136–49. Davidson J, Emberly A. Embodied musical communication across cultures: singing and dancing for quality of life and wellbeing benefit. In: MacDonald RAR, Kreutz G, Mitchell L, editors. Music, health and wellbeing. Oxford: Oxford University Press; 2012. p. 136–49.
38.
go back to reference Schmid W. Being together–exploring the modulation of affect in improvisational music therapy with a man in a persistent vegetative state–a qualitative single case study. Health Psychologya. 2017;5(2):186–92. Schmid W. Being together–exploring the modulation of affect in improvisational music therapy with a man in a persistent vegetative state–a qualitative single case study. Health Psychologya. 2017;5(2):186–92.
Metadata
Title
Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
Authors
W. Schmid
J. H. Rosland
S. von Hofacker
I. Hunskår
F. Bruvik
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Palliative Care / Issue 1/2018
Electronic ISSN: 1472-684X
DOI
https://doi.org/10.1186/s12904-018-0286-4

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