Journal Article

Differences between Supportive Music and Imagery and Music Listening during Outpatient Chemotherapy and Potential Moderators of Treatment Effects

Debra S Burns, Anthony N Meadows, Sandra Althouse, Susan M Perkins and Larry D Cripe

in Journal of Music Therapy

Volume 55, issue 1, pages 83-108
Published in print March 2018 | ISSN: 0022-2917
Published online February 2018 | e-ISSN: 2053-7395 | DOI: https://dx.doi.org/10.1093/jmt/thy001
Differences between Supportive Music and Imagery and Music Listening during Outpatient Chemotherapy and Potential Moderators of Treatment Effects

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Abstract

Background

Supportive music and imagery and music listening interventions have been effective in decreasing distress and improving mood in cancer patients receiving chemotherapy, but it is unclear whether the two interventions differ in their treatment benefits. Furthermore, previous studies have not examined moderators to determine which subgroup(s) of patients may benefit most from each intervention.

Objective

To examine the effects of supportive music and imagery compared with preferred music listening on responsiveness to music therapy, distress, anxiety and depression, and benefit finding. A secondary purpose was to explore sense of coherence and locus of control as potential moderators of intervention effectiveness.

Methods

A single-session, two-group comparative effectiveness randomized trial in two cancer centers. Patients were randomized to supportive music and imagery or preferred music listening during outpatient chemotherapy treatment. Data were collected at baseline and immediately after the 45-minute session. ANCOVA models were used to determine main effects of intervention as well as pairing potential moderators with group assignment to explore differences in intervention effects by moderator.

Results

There were differential effects between the two interventions with the supportive music and imagery group scoring higher in responsiveness to music therapy and benefit finding. The music listening group scores indicated lower distress. The exploratory moderating analyses suggested Health Locus of Control–Internal and Sense of Coherence influenced intervention effectiveness.

Conclusions

Music and imagery and preferred music listening experiences may serve different therapeutic purposes, access and activate different patient resources, and may be helpful at different stages of treatment.

Keywords: music listening; supportive music and imagery; comparative effectiveness; cancer care

Journal Article.  6438 words.  Illustrated.

Subjects: Applied Music ; Music Therapy ; Music Psychology

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