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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(申请人提供)：传统的疼痛治疗每年花费数十亿美元，但对慢性疼痛的适当管理仍然是一个挑战。患有慢性疼痛的人，通常在被传统干预措施幻灭后，越来越多地寻求补充疼痛治疗。在过去的二十年里，音乐作为一种非药物止痛疗法受到了越来越多的关注。不幸的是，关于使用音乐治疗疼痛的研究主要集中在听预先录制的音乐上。虽然听音乐确实可以起到分散注意力或放松的作用，但临床经验表明，患者积极参与音乐治疗会增加有效疼痛治疗的因素。具体地说，我们已经开发了声乐疗法(VMT)治疗计划，该计划激活了对改善慢性疼痛管理需求的人的身体和情感功能和自我效能非常重要的机制。这些机制包括增强身体意识，准备与身体合作而不是对抗它，增加接受度，改善情感表现力，增强情绪，增强喜悦和精力，以及增强社会支持。我们为期8周的VMT治疗计划使用了经过临床测试的技术，包括变音(拉长元音的演唱)、集体演唱和深呼吸。这项探索性研究的目的是测试VMT对慢性疼痛患者的可行性、接受性和治疗效果。采用等待名单对照组设计，我们将48名患有慢性疼痛的内城成年人随机分为VMT治疗组和标准护理等待名单对照组。我们将：1)评估与标准护理相比，VMT对身体功能和自我效能、疼痛强度、疼痛应对、情绪功能、患者感知的影响的大小变化，以及医疗保健消费作为次要结果。结果测量将在基线、4周、8周和1个月后进行；2)评估VMT治疗计划的可行性和接受性，以及WLC小组设计；3)在1个月的后续会议期间，通过焦点小组获得关于治疗方案和预期益处的定性参与者反馈。这项研究的结果将用于支持未来全面随机对照试验的设计决策。如果这项拟议的试点研究的结果是积极的，并在更大规模的试验中重复使用，VMT可能成为一种具有吸引力、成本效益高、没有副作用或并发症的辅助治疗选择。此外，非洲裔美国人和拉美裔美国人等群体可能会将VMT视为满足其慢性疼痛管理需求的理想补充治疗选择，对他们来说，社区音乐制作是其文化的组成部分。