Association between music therapy techniques and patient-reported moderate to severe fatigue in hospitalized adults with cancer Journal Article
| Authors: | Atkinson, T. M.; Liou, K. T.; Borten, M. A.; Li, Q. S.; Popkin, K.; Webb, A.; DeRito, J.; Lynch, K. A.; Mao, J. J. |
| Article Title: | Association between music therapy techniques and patient-reported moderate to severe fatigue in hospitalized adults with cancer |
| Abstract: | PURPOSE:Cancer-related fatigue is a prevalent, debilitating symptom that contributes to increased health care utilization among hospitalized patients. Music therapy is a nonpharmacological intervention that uses active (eg, singing, selecting songs) and passive (eg, listening) techniques. Preliminary evidence from small trials suggests a potential benefit for cancer-related fatigue in the inpatient setting; however, it remains unclear which techniques are most effective.METHODS:A cross-sectional mixed-methods study was performed to compare cancer-related fatigue before and after active or passive music therapy. Cancer-related fatigue was captured via the Edmonton Symptom Assessment Scale fatigue item. Patients were asked to provide postsession free-text comments.RESULTS:A total of 436 patients (mean [standard deviation] age, 62.2 [13.4] years; n = 284 [65.1%] women; n = 294 [67.4%] white; active music therapy n = 360 [82.6%]; passive music therapy n = 76 [17.4%]) with a range of primary malignancies participated. Active music therapy was associated with a 0.88-point greater reduction in cancer-related fatigue (95% CI, 0.26 to 1.51; P = .006; Cohen's D, 0.52) at postsession as compared with passive music therapy when restricting the analysis to patients who rated their baseline cancer-related fatigue as moderate to severe (ie, >= 4; n = 236 [54.1%]). Free-text responses confirmed higher frequencies of words describing positive affect/emotion among active music therapy participants.CONCLUSIONS:In a large sample of inpatient adults with diverse cancer disease types, active music therapy was associated with greater reduction in cancer-related fatigue and increased reporting of positive affect/emotions compared with passive music therapy. Additional research is warranted to determine the specific efficacy and underlying mechanisms of music therapy on cancer-related fatigue. |
| Journal Title: | JCO Oncology Practice |
| Volume: | 16 |
| Issue: | 12 |
| ISSN: | 2688-1527 |
| Publisher: | American Society of Clinical Oncology |
| Date Published: | 2020-12-01 |
| Start Page: | e1553 |
| End Page: | e1557 |
| Language: | English |
| ACCESSION: | WOS:000615918500030 |
| DOI: | 10.1200/op.20.00096 |
| PROVIDER: | wos |
| PMCID: | PMC7735038 |
| PUBMED: | 32639926 |
| Notes: | Article -- Source: Wos |
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