Vocal Music Therapy for Chronic Pain Management in Inner-City African Americans: A Mixed Methods Feasibility Study.
Vocal Music Therapy for Chronic Pain Management in Inner-City African Americans: A Mixed Methods Feasibility Study.
复制标题
声乐治疗慢性疼痛管理在内城非裔美国人：混合方法的可行性研究。
DOI：
10.1093/jmt/thw004
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发表时间：
2016
影响因子：
1.9
通讯作者：
Gerrity P
中科院分区：
文献类型：
--
作者：
Bradt J;Norris M;Shim M;Gracely EJ;Gerrity P
迄今为止，关于音乐治疗疼痛的研究主要集中在听预先录制的音乐治疗急性疼痛。需要研究积极的音乐治疗干预对慢性疼痛管理的影响。这项混合方法研究的目的是确定声乐治疗慢性疼痛管理的可行性和效果估计。55名患有慢性疼痛的内城成年人，主要是非洲裔美国人，被随机分配到为期8周的声乐治疗组或候补对照组。跟踪知情同意率和脱落率、治疗依从性和工具适当性/负担。在基线、第4、8和12周测量身体功能（疼痛干扰和一般活动）、自我效能、情绪功能、疼痛强度、疼痛应对和参与者对变化的感知。在12周随访时进行焦点小组。同意率为77%。随访时的脱落率为27%。我们确立了干预的可接受性。在第8周和第12周获得了自我效能的大效应量;在第8周发现疼痛干扰的中等效应量;没有发现一般活动和情绪功能的改善。疼痛强度的效应量为中等，应对的效应量较小，但无统计学显著性。定性研究结果表明，治疗导致增强自我管理，动机，赋权，归属感，减少孤立。这项研究表明，声乐治疗可能是有效的建立有效的慢性疼痛管理，即增强自我效能，动机，授权和社会参与的基本垫脚石。
To date, research on music for pain management has focused primarily on listening to pre-recorded music for acute pain. Research is needed on the impact of active music therapy interventions on chronic pain management. The aim of this mixed methods research study was to determine feasibility and estimates of effect of vocal music therapy for chronic pain management. Fifty-five inner city adults, predominantly African-Americans, with chronic pain were randomized to an 8-week vocal music therapy treatment group or waitlist control group. Consent and attrition rates, treatment compliance, and instrument appropriateness/burden were tracked. Physical functioning (pain interference and general activities), self-efficacy, emotional functioning, pain intensity, pain coping, and participant perception of change were measured at baseline, 4, 8, and 12 weeks. Focus groups were conducted at the 12-week follow-up. The consent rate was 77%. The attrition rate was 27% at follow-up. We established acceptability of the intervention. Large effect sizes were obtained for self-efficacy at weeks 8 and 12; a moderate effect size was found for pain interference at week 8; no improvements were found for general activities and emotional functioning. Moderate effect sizes were obtained for pain intensity and small effect sizes for coping, albeit not statistically significant. Qualitative findings suggested that the treatment resulted in enhanced self-management, motivation, empowerment, a sense of belonging, and reduced isolation. This study suggests that vocal music therapy may be effective in building essential stepping stones for effective chronic pain management namely enhanced self-efficacy, motivation, empowerment, and social engagement.
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影响因子：
3.8
作者：
Boer D;Abubakar A
通讯作者：
Abubakar A
影响因子：
1.4
作者：
Livesey, Laetitia;Morrison, Ian;Camic, Paul
通讯作者：
Camic, Paul
影响因子：
1.9
作者：
Bullington, J;Nordemar, R;Sjöström-Flanagan, C
通讯作者：
Sjöström-Flanagan, C
影响因子：
1.9
作者：
Bullington, Jennifer
通讯作者：
Bullington, Jennifer
DOI：
10.1177/104990910402100406
发表时间：
2004-07-01
期刊：
The American journal of hospice & palliative care
影响因子：
--
作者：
Clements-Cortes, Amy
通讯作者：
Clements-Cortes, Amy