Evidence map›Paper›PMID 41107817›Full record

ArticleBMC complementary medicine and therapies2025

The healing power of music: a mixed-methods study on stress reduction in paediatric hospitalisation.

Ivone Nunes da Silva Santa, Maria Lucia Barbosa Maia Dos Santos, Lucca Garcia Moreira Ribeiro, Danton Matheus de Souza, Ana Paula Scoleze Ferrer

Abstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ivone Nunes da Silva SantaSpecialist in Therapeutic Education and Social Therapy, University Hospital, University of São Paulo. São Paulo (USP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-0031-4099
Maria Lucia Barbosa Maia Dos SantosDepartment of Pediatrics, School of Medicine, University of São Paulo, São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0002-8821-3240
Lucca Garcia Moreira RibeiroSchool of Nursing, University of São Paulo (USP), São Paulo, Brazil, SP.ORCID http://orcid.org/0009-0002-1420-0532
Danton Matheus de SouzaSchool of Nursing, Federal University of São Paulo (UNIFESP), São Paulo, SP, Brazil.ORCID http://orcid.org/0000-0001-6320-4826
Ana Paula Scoleze FerrerDepartment of Pediatrics, School of Medicine, University of São Paulo, São Paulo, SP, Brazil. ana.ferrer@hc.fm.usp.br.ORCID http://orcid.org/0000-0003-2364-8443

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesHospitalisation is a potentially distressing experience for children and their families, often accompanied by emotional, psychological, and physical discomfort. Humanised care through complementary and integrative health practices (CIHP), such as music-based interventions (MBIs), has demonstrated beneficial effects in specific paediatric populations. However, evidence in general paediatric hospital settings remains limited. This study aimed to assess the impact of an MBI on perceived stress and the subjective experience of hospitalisation among paediatric patients and their caregivers.

methodsIt was a quasi-experimental study, cross-sectional, with a mixed-methods approach, conducted in a paediatric ward of a teaching hospital affiliated with the University of São Paulo. The study carried out in two phases: (I) a quantitative evaluation of perceived stress using a visual analogue scale (VAS) before and after the intervention; and (II) a qualitative analysis of caregivers’ perceptions through semi-structured interviews. The intervention included 20–40 min of live music using string instruments (kantele or lyre), complemented by age-appropriate singing and spoken word. Quantitative data were analysed using the Wilcoxon test; qualitative data underwent content analysis and lexical analysis via IRAMUTEQ software.

resultsA total of 125 children (mean age: 30.6 months) and their caregivers participated in Phase I. On a scale from 0 to 10, the mean stress score decreased by 2.18 points among children/adolescents and by 1.45 points among caregivers, with the reduction being significant for both (p < 0.001), with a large effect size (Cohen’s d = 1.0). All participants approved the intervention, and 74.4% reported behavioural improvements in the children. Phase II included 30 interviews, which revealed overwhelmingly positive perceptions of the intervention. Caregivers described the hospital environment as stressful and isolating but reported that the MBI provided relaxation, comfort, and emotional relief for both children and themselves.

conclusionsThe findings highlight the potential of MBIs as an effective, safe and non-pharmacological strategy to reduce stress and improve emotional well-being for paediatric patients and their families. Incorporating music-based practices into routine paediatric care may foster more welcoming, humanised environments that address the emotional needs of children and caregivers.

Indexed as

Child, HospitalizedHospitalizationMusic TherapyStress, PsychologicalAdolescentBrazilCaregiversChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleSubjective StressComplementary and integrative health practicesHumanised careMusic-based interventionsPaediatric hospital care

Identifiers

PMID41107817
PMCPMC12535118

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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.