Samuel N Rodgers-Melnick1, Nadine Matthie2, Coretta Jenerette3, Tara J Griest Pell1, Deforia Lane1, Pingfu Fu4, Seunghee Margevicius4, Jane A Little5. 1. University Hospitals Connor Integrative Health Network, Cleveland, OH, USA. 2. Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, USA. 3. School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. 4. Department of Population and Quantitative Health Sciences, Case Western Reserve University, Cleveland, OH, USA. 5. Department of Medicine- Hematology, Case Western Reserve University, University Hospitals Seidman Cancer Center, Cleveland, OH, USA.
Abstract
BACKGROUND: Adults with sickle cell disease (SCD) experience acute pain that is multidimensional. Despite recent improvements in treatment, pain management remains a significant challenge for these individuals. Music therapy interventions have the potential to address several dimensions of SCD pain, but they require systematic investigation. OBJECTIVE: This study investigated feasibility and preliminary efficacy of a single-session electronic music improvisation with a music therapist to diminish pain intensity and improve pain relief and mood in adults with SCD. METHODS: Using a three-group mixed methods intervention design, we randomized 60 adults with SCD to standard care plus one of three 20-minute study conditions: 1) electronic music improvisation with a music therapist (MT); 2) recorded music listening (ML); or 3) no intervention (control). Measures of pain intensity (VASPI), pain relief (VASPR), and mood (VASMOOD) were assessed before and after the study conditions, with a subset of MT and ML participants interviewed after measure completion. RESULTS: Compared to control, MT produced significant improvements in VASPI (odds ratio (OR) = 5.12, P = 0.035) and VASMOOD (OR = 11.60, P = 0.005). ML produced significant improvements in VASMOOD compared to control (OR = 5.76, P = 0.040). Qualitatively, there were two prominent themes directly related to music: 1) ML and MT offered many positive and few negative effects; and 2) music therapists provided comfort beyond the music. CONCLUSIONS: Preliminary findings were promising and support the need for additional studies evaluating improvisational music therapy interventions for acute pain management in adults with SCD.
BACKGROUND: Adults with sickle cell disease (SCD) experience acute pain that is multidimensional. Despite recent improvements in treatment, pain management remains a significant challenge for these individuals. Music therapy interventions have the potential to address several dimensions of SCD pain, but they require systematic investigation. OBJECTIVE: This study investigated feasibility and preliminary efficacy of a single-session electronic music improvisation with a music therapist to diminish pain intensity and improve pain relief and mood in adults with SCD. METHODS: Using a three-group mixed methods intervention design, we randomized 60 adults with SCD to standard care plus one of three 20-minute study conditions: 1) electronic music improvisation with a music therapist (MT); 2) recorded music listening (ML); or 3) no intervention (control). Measures of pain intensity (VASPI), pain relief (VASPR), and mood (VASMOOD) were assessed before and after the study conditions, with a subset of MT and ML participants interviewed after measure completion. RESULTS: Compared to control, MT produced significant improvements in VASPI (odds ratio (OR) = 5.12, P = 0.035) and VASMOOD (OR = 11.60, P = 0.005). ML produced significant improvements in VASMOOD compared to control (OR = 5.76, P = 0.040). Qualitatively, there were two prominent themes directly related to music: 1) ML and MT offered many positive and few negative effects; and 2) music therapists provided comfort beyond the music. CONCLUSIONS: Preliminary findings were promising and support the need for additional studies evaluating improvisational music therapy interventions for acute pain management in adults with SCD.
Authors: Monika R Asnani; Damian K Francis; Amanda M Brandow; Christine Eo Hammond Gabbadon; Amza Ali Journal: Cochrane Database Syst Rev Date: 2019-07-05
Authors: Samuel N Rodgers-Melnick; Lucas Lin; Kristina Gam; Evanilda Souza de Santana Carvalho; Coretta Jenerette; Douglas Y Rowland; Jane A Little; Jeffery A Dusek; Nitya Bakshi; Lakshmanan Krishnamurti Journal: J Pain Res Date: 2022-01-11 Impact factor: 3.133