Evidence map›Paper›PMID 39450934›Full record

Trial reportPsycho-oncology2024

Music Therapy for Pain Management for People With Advanced Cancer: A Randomized Controlled Trial.

Joke Bradt, Amy Leader, Brooke Worster, Kate Myers-Coffman, Karolina Bryl, Jacelyn Biondo, Brigette Schneible, Carrie Cottone, Preethi Selvan, Fengqing Zhang

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psycho-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03432247 (Mechanisms of Music Therapy to Palliate Pain in Patients With Advanced Cancer), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03432247 nacompletednot on this map

Mechanisms of Music Therapy to Palliate Pain in Patients With Advanced Cancer

TypeinterventionalSponsorDrexel UniversityRan2018 to 2021Enrolled103ConditionsAdvanced CancerArmsInteractive Music Therapy, Verbal support
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Joke BradtDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-7313-9829
Amy LeaderDivision of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-9514-3631
Brooke WorsterDivision of Supportive Oncology, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-6687-1760
Kate Myers-CoffmanDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-8822-812X
Karolina BrylDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-1804-367X
Jacelyn BiondoDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-8925-5135
Brigette SchneibleDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9230-4922
Carrie CottoneDepartment of Creative Arts Therapies, College of Nursing and Health Professions, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-2444-0479
Preethi SelvanDivision of Population Science, Department of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-3621-8461
Fengqing ZhangDepartment of Psychological and Brain Sciences, College of Arts and Sciences, Drexel University, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-2736-2303

Funding

Mechanisms of Music Therapy to Palliate Pain in Patients with Advanced CancerR01NR016681 · NINR · DREXEL UNIVERSITY · PI BRADT, JOKE · 2017 to 2019
$1.4M
NINR NIH HHS R01 NR016681NINR NIH HHS R01NR016681
6 · The paper itself

Abstract

objectiveTo improve mechanistic understanding, this randomized controlled trial examined anxiety, mood, emotional support, and pain-related self-efficacy as mediators of music therapy for pain management in people with advanced cancer.

methodsPeople with advanced cancer who had chronic pain were randomized (1:1) to 6 weekly individual music therapy or social attention control sessions. We measured mediators and pain outcomes (pain interference and pain intensity) using self-report measures at baseline, session 4, and post-intervention. We included outcome expectancy/treatment credibility, music reward, adult playfulness, and baseline pain interference and pain intensity as moderators.

resultsParticipants (n = 92) had a mean age of 56 years. Most were female (71.7%), white (47.8%) or Black (39.1%), and had stage IV cancer (75%). Self-efficacy was found to be a significant mediator of music therapy for pain intensity (indirect effect ab = 0.79, 95% CI 0.01-1.82) and pain interference (indirect effect ab = 1.16, 95% CI 0.02-2.51), while anxiety, mood, and emotional support were not. The mediating effect of pain-related self-efficacy was significantly moderated by baseline pain interference but not by the other moderators.

conclusionsThe findings suggest that the impact of music therapy on chronic pain is mediated by self-efficacy. This knowledge can help optimize music therapy interventions for chronic pain management for people with advanced cancer by capitalizing on teaching music-based self-management strategies.

trial registrationClinicalTrials.gov identifier: NCT03432247.

Indexed as

AnxietyCancer PainChronic PainMusic TherapyNeoplasmsPain ManagementSelf EfficacyAdultAffectAgedFemaleHumansMaleMiddle AgedPain MeasurementSocial Supportcancerchronic painmusic therapyoncologyself‐efficacy

Identifiers

PMID39450934
PMCPMC11778920

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.