The Effects of Vocal Music Therapy on Core Outcomes in Chronic Pain Management: A

声乐疗法对慢性疼痛管理核心结果的影响：A

基本信息

批准号：
8516599
负责人：
Joke Bradt
金额：
$ 7.32万
依托单位：
DREXEL UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-08-01 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8516599
关键词：
Academy Address Adult Adverse effects Affect African American Agreement American Appointment Attention Awareness Belief Breathing Chronic Disease Client Clinical Clinical Research Clinical Trials Communities Community Healthcare Consumption Control Groups Data Data Collection Discipline of Nursing Drops Emotional Ethnic Origin Etiology Feedback Focus Groups Future Gender Grant Health Healthcare Interdisciplinary Study Intervention Knowledge Latino Measurement Mediating Medical Methods Modality Moods Music Music Therapy Names Outcome Outcome Measure Pain Pain Measurement Pain intensity Pain management Participant Patients Perception Phase Physical Function Pilot Projects Population Population Group Procedures Protocols documentation Quality of life Randomized Randomized Controlled Trials Readiness Reporting Research Research Personnel Sample Size Self Efficacy Social Functioning Social support Target Populations Techniques Testing Treatment Efficacy Treatment Protocols Urban Population Validation Waiting Lists Work biopsychosocial chronic pain compliance behavior coping cost effective design disability eligible participant experience follow-up functional status improved inner city non-compliance primary outcome secondary outcome standard care tool treatment effect treatment program

项目摘要

DESCRIPTION (provided by applicant): Billions of dollars are spent annually on traditional pain treatments, but adequate management of chronic pain continues to present a challenge. People with chronic pain, often after being disillusioned by traditional interventions, increasingl seek complementary pain treatments. The use of music as a non-pharmacological pain treatment has received growing attention during the past two decades. Unfortunately, research on the use of music for pain management has focused primarily on listening to pre-recorded music. While it is true that listening to music can function as a distractor or a relaxing agent, or clinical experience indicates that patients' active engagement in music therapy enlists added components of effective pain management. Specifically, we have developed a vocal music therapy (VMT) treatment program that activates mechanisms important for im- proved physical and emotional functioning and self-efficacy for people with chronic pain management needs. These mechanisms include augmented body awareness, readiness to work with the body rather than against it, increased acceptance, improved emotional expressivity, enhanced mood, increased joy and energy, and enhanced social support. Our 8-week VMT treatment program uses clinically tested techniques including ton- ing (singing of elongated vowels), group singing, and deep breathing. The purpose of this exploratory study is to test the feasibility, acceptance, and treatment effects of VMT with people who experience chronic pain. Us- ing a wait-list control group design, we will randomize 48 inner-city adults with chronic pain to the VMT treat- ment group or the standard care wait-list control (WLC) group. We will: 1) evaluate the size of the effects of VMT, compared with standard care, on physical functioning as the primary outcome and self-efficacy, pain in- tensity, pain coping, emotional functioning, patient perception of change, and healthcare consumption as sec- ondary outcomes. Outcome measures will be administered at baseline, 4 weeks, 8 weeks, and one-month fol- low-up; 2) evaluate the feasibility and acceptance of the VMT treatment program, as well as the WLC group design; and 3) obtain qualitative participant feedback on the treatment protocol and perceived benefits through a focus group during the one-month follow-up session. The results from this study will be used to support de- sign decisions for a future full-scale randomized controlled trial. If the findings of this proposed pilot study are positive and are replicated in larger trials, VMT could become an attractive, cost-effective adjunctive treatment option with no side-effects or complications. Furthermore, population groups, such as African-Americans and Latinos, for whom community music making is an integral part of their culture may view VMT as a desirable complementary treatment option for their chronic pain management needs.

描述（由申请人提供）：每年花费数十亿美元用于传统的疼痛治疗，但对慢性疼痛的充分管理继续提出挑战。慢性疼痛的人通常在被传统干预措施幻灭后，增加了互补的疼痛治疗。在过去的二十年中，将音乐用作非药物疼痛治疗已受到越来越多的关注。不幸的是，关于音乐用于疼痛管理的研究主要集中在聆听预录的音乐上。虽然聆听音乐确实可以充当干扰物或放松剂，或者临床经验表明，患者在音乐疗法中积极参与吸引了有效的疼痛管理的组成部分。具体来说，我们已经开发了一项声乐疗法（VMT）治疗计划，该计划激活对具有慢性疼痛管理需求的人的身体和情感功能和自我效能重要的机制。这些机制包括增强的身体意识，准备与身体一起工作，而不是与身体一起工作，增加的接受度，改善情绪表现力，增强情绪，增强的欢乐和能量以及增强的社会支持。我们为期8周的VMT治疗计划使用了经过临床测试的技术，包括Tonging（伸长元音的唱歌），组唱歌和深呼吸。这项探索性研究的目的是测试VMT对经历慢性疼痛的人的可行性，接受和治疗效果。我们是一个等待名单对照组的设计，我们将将48名患有慢性疼痛的内城成年人随机为VMT治疗组或标准护理等待名单对照组（WLC）组。我们将：1）与标准护理相比，评估VMT的影响的大小，对身体功能作为主要结果和自我效能感，疼痛感，疼痛，疼痛应对，情绪功能，患者感知变革和医疗保健消费作为临时结果。结果指标将在基线，4周，8周和一个月的时间内进行。 2）评估VMT治疗计划的可行性和接受以及WLC组设计； 3）在一个月的随访期间，通过焦点小组获得有关治疗方案的定性参与者反馈。这项研究的结果将用于支持未来全尺度随机对照试验的决定决策。如果这项拟议的试点研究的发现是积极的，并且在较大的试验中得到了复制，则VMT可能会成为一种有吸引力的，具有成本效益的辅助治疗选择，而无需副作用或并发症。此外，人口群体，例如非裔美国人和拉丁裔，社区音乐创作是其文化不可或缺的一部分，可以将VMT视为满足其慢性疼痛管理需求的理想补充治疗选择。