Cargando…

Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review

BACKGROUND: The use of music as therapy in multidisciplinary end-of-life care dates back to the 1970s and nowadays music therapy (MT) is one of the most frequently used complementary therapy in in-patient palliative care in the US. However existing research investigated music therapy’s potential imp...

Descripción completa

Detalles Bibliográficos
Autores principales: Schmid, W., Rosland, J. H., von Hofacker, S., Hunskår, I., Bruvik, F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819707/
https://www.ncbi.nlm.nih.gov/pubmed/29463240
http://dx.doi.org/10.1186/s12904-018-0286-4
_version_ 1783301256998027264
author Schmid, W.
Rosland, J. H.
von Hofacker, S.
Hunskår, I.
Bruvik, F.
author_facet Schmid, W.
Rosland, J. H.
von Hofacker, S.
Hunskår, I.
Bruvik, F.
author_sort Schmid, W.
collection PubMed
description BACKGROUND: The use of music as therapy in multidisciplinary end-of-life care dates back to the 1970s and nowadays music therapy (MT) is one of the most frequently used complementary therapy in in-patient palliative care in the US. However existing research investigated music therapy’s potential impact mainly from one perspective, referring to either a quantitative or qualitative paradigm. The aim of this review is to provide an overview of the users’ and providers’ perspectives on music therapy in palliative care within one research article. METHODS: A systematic literature search was conducted using several databases supplemented with a hand-search of journals between November 1978 and December 2016. Inclusion criteria were: Music therapy with adults in palliative care conducted by a certified music therapist. Both quantitative and qualitative studies in English, German or a Scandinavian language published in peer reviewed journals were included. We aimed to identify and discuss the perspectives of both patients and health care providers on music therapy’s impact in palliative care to forward a comprehensive understanding of it’s effectiveness, benefits and limitations. We investigated themes mentioned by patients within qualitative studies, as well as commonly chosen outcome measures in quantitative research. A qualitative approach utilizing inductive content analysis was carried out to analyze and categorize the data. RESULTS: Twelve articles, reporting on nine quantitative and three qualitative research studies were included. Seven out of the nine quantitative studies investigated pain as an outcome. All of the included quantitative studies reported positive effects of the music therapy. Patients themselves associated MT with the expression of positive as well as challenging emotions and increased well-being. An overarching theme in both types of research is a psycho-physiological change through music therapy. CONCLUSIONS: Both quantitative as well as qualitative research showed positive changes in psycho-physiological well-being. The integration of the users´ and providers´ perspectives within future research applicable for example in mixed-methods designs is recommended.
format Online
Article
Text
id pubmed-5819707
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-58197072018-02-26 Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review Schmid, W. Rosland, J. H. von Hofacker, S. Hunskår, I. Bruvik, F. BMC Palliat Care Research Article BACKGROUND: The use of music as therapy in multidisciplinary end-of-life care dates back to the 1970s and nowadays music therapy (MT) is one of the most frequently used complementary therapy in in-patient palliative care in the US. However existing research investigated music therapy’s potential impact mainly from one perspective, referring to either a quantitative or qualitative paradigm. The aim of this review is to provide an overview of the users’ and providers’ perspectives on music therapy in palliative care within one research article. METHODS: A systematic literature search was conducted using several databases supplemented with a hand-search of journals between November 1978 and December 2016. Inclusion criteria were: Music therapy with adults in palliative care conducted by a certified music therapist. Both quantitative and qualitative studies in English, German or a Scandinavian language published in peer reviewed journals were included. We aimed to identify and discuss the perspectives of both patients and health care providers on music therapy’s impact in palliative care to forward a comprehensive understanding of it’s effectiveness, benefits and limitations. We investigated themes mentioned by patients within qualitative studies, as well as commonly chosen outcome measures in quantitative research. A qualitative approach utilizing inductive content analysis was carried out to analyze and categorize the data. RESULTS: Twelve articles, reporting on nine quantitative and three qualitative research studies were included. Seven out of the nine quantitative studies investigated pain as an outcome. All of the included quantitative studies reported positive effects of the music therapy. Patients themselves associated MT with the expression of positive as well as challenging emotions and increased well-being. An overarching theme in both types of research is a psycho-physiological change through music therapy. CONCLUSIONS: Both quantitative as well as qualitative research showed positive changes in psycho-physiological well-being. The integration of the users´ and providers´ perspectives within future research applicable for example in mixed-methods designs is recommended. BioMed Central 2018-02-20 /pmc/articles/PMC5819707/ /pubmed/29463240 http://dx.doi.org/10.1186/s12904-018-0286-4 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Schmid, W.
Rosland, J. H.
von Hofacker, S.
Hunskår, I.
Bruvik, F.
Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title_full Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title_fullStr Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title_full_unstemmed Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title_short Patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
title_sort patient’s and health care provider’s perspectives on music therapy in palliative care – an integrative review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819707/
https://www.ncbi.nlm.nih.gov/pubmed/29463240
http://dx.doi.org/10.1186/s12904-018-0286-4
work_keys_str_mv AT schmidw patientsandhealthcareprovidersperspectivesonmusictherapyinpalliativecareanintegrativereview
AT roslandjh patientsandhealthcareprovidersperspectivesonmusictherapyinpalliativecareanintegrativereview
AT vonhofackers patientsandhealthcareprovidersperspectivesonmusictherapyinpalliativecareanintegrativereview
AT hunskari patientsandhealthcareprovidersperspectivesonmusictherapyinpalliativecareanintegrativereview
AT bruvikf patientsandhealthcareprovidersperspectivesonmusictherapyinpalliativecareanintegrativereview