College of Nursing, Michigan State University, East Lansing, MI, USA.
J Integr Complement Med. 2023 May;29(5):279-291. doi: 10.1089/jicm.2022.0623. Epub 2022 Nov 10.
Despite music listening interventions (MLIs) being recommended in multiple clinical practice guidelines, implementation into oncology clinical practice sites has been slow. This mapping review aimed to critique and identify barriers to MLI clinical implementation, as well as offer practical solutions for both clinicians and researchers. A PRISMA-based mapping review of MLI literature was performed using CINAHL, PubMed, PsycINFO, and Web of Science databases. Eligibility criteria included studies with MLIs as independent variables and cancer-related phenomena as outcome variables. Search was performed in October 2021, and no date limit was set. Thirty-eight studies met the eligibility criteria for inclusion. Several aspects of MLI studies suggested potential barrier status to clinician or patient adoption. These findings included choice of music, music delivery hardware, dose of MLI, and timing of MLI specific to outcomes of interest (e.g., pain, anxiety, mood). Few investigators addressed the concurrent effects of pharmaceuticals (e.g., analgesics, anxiolytics), and controlling for the effects of competing auditory stimuli was minimal. This review has identified several barriers that may obstruct clinician and patient adoption of MLIs, despite level of evidence for MLIs that presently exists in the literature. The review makes practical suggestions for clinicians, researchers, and patients to overcome the present barriers and ease MLIs into common practice in clinics and homes.
尽管有多项临床实践指南推荐使用音乐聆听干预（MLI），但将其纳入肿瘤临床实践场所的速度仍然缓慢。本次映射回顾旨在对 MLI 的临床实施进行批判和识别障碍，并为临床医生和研究人员提供实用的解决方案。使用 CINAHL、PubMed、PsycINFO 和 Web of Science 数据库，按照 PRISMA 进行了 MLI 文献的映射回顾。纳入标准包括将 MLI 作为自变量和癌症相关现象作为因变量的研究。搜索于 2021 年 10 月进行，未设置日期限制。有 38 项研究符合纳入标准。MLI 研究的几个方面表明，对临床医生或患者的采用存在潜在障碍。这些发现包括音乐的选择、音乐播放硬件、MLI 的剂量以及特定于感兴趣结果（例如疼痛、焦虑、情绪）的 MLI 时间。很少有研究人员关注药物（例如镇痛药、抗焦虑药）的并发影响，对竞争听觉刺激的影响控制也很少。本次综述确定了一些障碍，尽管目前文献中存在 MLI 的证据水平，但这些障碍可能会阻碍临床医生和患者采用 MLI。该综述为临床医生、研究人员和患者提供了实用的建议，以克服当前的障碍，并将 MLI 轻松融入诊所和家庭的常规实践中。
