Story Kristin Maya, Wasmuth Sally, Belkiewitz Johanne M, Whalen Claire, Robb Sheri L, Bravata Dawn M, Bair Matthew J
VA Center for Health Information and Communication, Indianapolis, IN, United States.
Department of Medicine, Indiana University School of Medicine, Indianapolis, IN, United States.
Front Neurol. 2025 Aug 6;16:1613220. doi: 10.3389/fneur.2025.1613220. eCollection 2025.
Chronic pain conditions are common in military veterans, often leading to disability, psychological distress and high healthcare utilization. An interdisciplinary approach, informed by a biopsychosocial model, is recommended for patients with chronic pain. Music-based interventions have shown improvements in patients with pain, but results are inconsistent and most studies have concentrated on acute pain and in-person delivery.
The Feasibility and Acceptability of Music and Imagery for Analgesia (FAMILIA) explored the use of two telehealth delivered music interventions for chronic pain. As part of FAMILIA we conducted interviews to assess the veteran experience and acceptability of the music interventions.
Semi-structured interviews were conducted with veterans who participated in either self-directed, independent music listening or a therapist-delivered music and imagery intervention in a three-arm randomized controlled trial. All interventions were conducted by board certified music therapists over a HIPAA approved telehealth platform. Interviews were conducted by team members who did not deliver the intervention and included questions about the intervention(s), delivery format, barriers and facilitators to study participation.
Sixteen interviews were recorded, transcribed, and deidentified for analysis. The research team identified ten themes, drawn from the veterans' experiences from pre to post intervention about the acceptability, motivation for joining, challenges, and perceived benefits of the telehealth-delivered music interventions.
Veteran patients found FAMILIA acceptable and endorsed using music listening or music and imagery as a non-pharmacological support for management of chronic pain and accompanying psychological symptoms.
Clinicaltrial.gov, Identifier NCT05426941.
慢性疼痛在退伍军人中很常见，常常导致残疾、心理困扰和高医疗利用率。对于慢性疼痛患者，建议采用基于生物心理社会模型的跨学科方法。基于音乐的干预已显示出对疼痛患者有改善作用，但结果并不一致，且大多数研究集中在急性疼痛和面对面治疗上。
音乐与意象镇痛的可行性与可接受性（FAMILIA）研究探讨了两种通过远程医疗提供的音乐干预对慢性疼痛的作用。作为FAMILIA研究的一部分，我们进行了访谈，以评估退伍军人对音乐干预的体验和可接受性。
在一项三臂随机对照试验中，对参与自我指导的独立音乐聆听或治疗师提供的音乐与意象干预的退伍军人进行了半结构化访谈。所有干预均由获得董事会认证的音乐治疗师通过符合健康保险流通与责任法案（HIPAA）规定的远程医疗平台进行。访谈由未实施干预的团队成员进行，问题包括干预措施、提供形式、参与研究的障碍和促进因素。
记录、转录并对16次访谈进行去识别化处理以进行分析。研究团队从退伍军人干预前到干预后的经历中确定了10个主题，内容涉及远程医疗提供的音乐干预的可接受性、参与动机、挑战以及感知到的益处。
退伍军人患者认为FAMILIA研究中的干预是可接受的，并认可将音乐聆听或音乐与意象作为管理慢性疼痛及伴随心理症状的非药物支持手段。
Clinicaltrial.gov，标识符NCT05426941。
