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单次现场团体音乐疗法干预对化疗期间焦虑状态和幸福感水平的影响:一项多中心随机临床试验方案

Effect of a Single Live Group Music Therapy Intervention on Anxiety-State and Well-Being Levels During Chemotherapy: A Multicenter Randomized Clinical Trial Protocol.

作者信息

Reyes Aragón Laura, Díaz Ana María, Suárez Raúl, Amarillo Moshé Alonso, Colmenares Mejía Claudia Carolina, Ettenberger Mark

机构信息

Music Therapy Service, Clínica Sebastián del Belalcázar, Clínica Colsanitas, Cali, Colombia.

SONO-Centro de Musicoterapia, Bogotá, Colombia.

出版信息

Glob Adv Integr Med Health. 2024 Dec 26;13:27536130241310241. doi: 10.1177/27536130241310241. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Many cancer patients experience high levels of anxiety during chemotherapy, which can negatively impact their mental health and their physiological, emotional, and spiritual well-being. Different complementary therapies aim to attenuate these effects, including music therapy. Although there is preliminary evidence on the positive effects of music therapy and music-based interventions in chemotherapy wards, few studies report live group interventions delivered by accredited music therapists.

OBJECTIVE

To determine the effect of a single live group music therapy intervention on state anxiety and well-being levels of adult cancer patients during chemotherapy.

METHODOLOGY

This study protocol follows the SPIRT guidelines and reports a two-arm multicenter randomized clinical trial (RCT). The intervention group will receive standard care + a live group music therapy session and the control group will receive standard care only. The primary outcome is state anxiety, measured with the six-item State-Trait Anxiety Inventory (STAI-6). The secondary outcome is well-being, measured with the Well-being Numerical Rating Scales WB-NRSs). The scales will be applied before and after each intervention. Sample size calculation resulted in a total of 102 participants.

CONCLUSIONS

This study seeks to contribute to the improvement of psycho-emotional health and well-being of cancer patients during chemotherapy. It is the first multi-center RCT on music therapy with cancer patients in [country, de-identified for peer review] and aims to gather knowledge about music's role to improve patients' mental health during acute treatment.

TRIAL REGISTRATION

clinicaltrials.gov (NCT06577324, submission date August 21, 2024).

摘要

引言

许多癌症患者在化疗期间会经历高度焦虑,这会对他们的心理健康以及生理、情感和精神健康产生负面影响。不同的辅助疗法旨在减轻这些影响,包括音乐疗法。尽管有初步证据表明音乐疗法和基于音乐的干预措施在化疗病房有积极效果,但很少有研究报告由认证音乐治疗师提供的现场团体干预。

目的

确定单次现场团体音乐疗法干预对成年癌症患者化疗期间的状态焦虑和幸福感水平的影响。

方法

本研究方案遵循SPIRT指南,并报告一项双臂多中心随机临床试验(RCT)。干预组将接受标准护理 + 一次现场团体音乐疗法课程,对照组仅接受标准护理。主要结局是状态焦虑,用六项状态-特质焦虑量表(STAI-6)测量。次要结局是幸福感,用幸福感数字评定量表(WB-NRSs)测量。这些量表将在每次干预前后应用。样本量计算得出总共102名参与者。

结论

本研究旨在为改善癌症患者化疗期间的心理情绪健康和幸福感做出贡献。这是在[国家,为同行评审进行了身份识别]针对癌症患者进行的音乐疗法的首个多中心RCT,旨在收集有关音乐在急性治疗期间改善患者心理健康方面作用的知识。

试验注册

clinicaltrials.gov(NCT06577324,提交日期2024年8月21日)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/236c/11683842/585b2ea4b62d/10.1177_27536130241310241-fig1.jpg

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