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Music therapy for palliative care: A realist review

Published online by Cambridge University Press:  24 October 2016

Tracey McConnell  and
Sam Porter
Tracey McConnell*
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom
Sam Porter
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, Belfast, Northern Ireland, United Kingdom
*
Address correspondence and reprint requests to Tracey McConnell, School of Nursing and Midwifery, Queen's University Belfast, Medical Biology Centre, 97 Lisburn Road, Belfast BT9 7BL, Northern Ireland, United Kingdom. E-Mail: t.mcconnell@qub.ac.uk.
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Abstract

Objective:

Music therapy has experienced a rising demand as an adjunct therapy for symptom management among palliative care patients. We conducted a realist review of the literature to develop a greater understanding of how music therapy might benefit palliative care patients and the contextual mechanisms that promote or inhibit its successful implementation.

Method:

We searched electronic databases (CINAHL, Embase, Medline, and PsychINFO) for literature containing information on music therapy for palliative care. In keeping with the realist approach, we examined all relevant literature to develop theories that could explain how music therapy works.

Results:

A total of 51 articles were included in the review. Music therapy was found to have a therapeutic effect on the physical, psychological, emotional, and spiritual suffering of palliative care patients. We also identified program mechanisms that help explain music therapy's therapeutic effects, along with facilitating contexts for implementation.

Significance of results:

Music therapy may be an effective nonpharmacological approach to managing distressing symptoms in palliative care patients. The findings also suggest that group music therapy may be a cost-efficient and effective way to support staff caring for palliative care patients. We encourage others to continue developing the evidence base in order to expand our understanding of how music therapy works, with the aim of informing and improving the provision of music therapy for palliative care patients.

Keywords

Realist reviewMusic therapyPalliative care
Type
Review Article
Information
Palliative & Supportive Care , Volume 15 , Issue 4 , August 2017 , pp. 454 - 464
Copyright
Copyright © Cambridge University Press 2016 

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References

REFERENCES

Aasgaard, T. (1999). Music therapy as milieu in the hospice and paediatric oncology ward. In Music therapy in palliative care: New voices. Aldridge, D. (ed.), pp. 29–42. London: Jessica Kingsley.Google Scholar
Aldridge, D. (ed.) (1999). Music therapy in palliative care: New voices. London: Jessica Kingsley.Google Scholar
Amadoru, S. & McFerran, K. (2007). The role of music therapy in children's hospice: Both unique and necessary. European Journal of Palliative Care, 14(3), 124–127.Google Scholar
Archie, P., Bruera, E. & Cohen, L. (2013). Music-based interventions in palliative cancer care: A review of quantitative studies and neurobiological literature. Supportive Care in Cancer, 21, 2609–2624. Epub ahead of print May 30.CrossRefGoogle Scholar
Blackwood, B., O'Halloran, P. & Porter, S. (2010). On the problems of mixing RCTs with qualitative research: The case of the MRC framework for the evaluation of complex healthcare interventions. Journal of Research in Nursing, 15(6), 511–521.CrossRefGoogle Scholar
Bowers, T.A. & Wetsel, M.A. (2014). Utilization of music therapy in palliative and hospice care. Journal of Hospice & Palliative Nursing, 16(4), 231–239.CrossRefGoogle Scholar
Bradt, J. (2010). The effects of music entrainment on postoperative pain perception in pediatric patients. Music and Medicine, 2(3), 150–157.CrossRefGoogle Scholar
Bradt, J. & Dileo, C. (2010). Music therapy for end-of-life care. The Cochrane Database of Systematic Reviews, 2010(1). Available from http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD007169.pub2/abstract.CrossRefGoogle Scholar
Bunt, L. & Hoskyns, S. (2002). The handbook of music therapy. East Sussex: Brunner–Routledge.Google Scholar
Burns, D.S., Perkins, S.M., Tong, Y., et al. (2015). Music therapy is associated with family perception of more spiritual support and decreased breathing problems in cancer patients receiving hospice care. Journal of Pain and Symptom Management, 50(2), 225–231. Epub ahead of print Apr 1.CrossRefGoogle ScholarPubMed
Cadrin, M.L. (2006). Music therapy legacy work in palliative care: Creating meaning at the end of life. Canadian Journal of Music Therapy, 12(1), 109–137.Google Scholar
Cardozo, M. (2004). Harmonic sounds: Complementary medicine for the critically ill. British Journal of Nursing, 13(22), 1321–1324.CrossRefGoogle ScholarPubMed
Cassell, E.J. (1982). The nature of suffering and the goals of medicine. The New England Journal of Medicine, 306(11), 639–645.CrossRefGoogle Scholar
Chiu, L., Emblen, J.D., Hofwegen, L., et al. (2004). An integrative review of the concept of spirituality in the health sciences. Western Journal of Nursing Research, 26(4), 405–428.CrossRefGoogle ScholarPubMed
Clements-Cortes, A. (2004). The use of music in facilitating emotional expression in the terminally ill. The American Journal of Hospice & Palliative Care, 21(4), 255–260.CrossRefGoogle ScholarPubMed
Cottrell, A. (2000). Healing music: A closer look. Available from http://www.healingmusic.org.Google Scholar
Coyle, J. (2002). Spirituality and health: Towards a framework for exploring the relationship between spirituality and health. Journal of Advanced Nursing, 37(6), 589–597.CrossRefGoogle ScholarPubMed
Curtis, S.L. (2011). Music therapy and the symphony: A university–community collaborative project in palliative care. Music and Medicine, 3(1), 20–26.CrossRefGoogle Scholar
Dileo, C. & Bradt, J. (2005). Medical music therapy: A meta-analysis and agenda for future research. Cherry Hill, NJ: Jeffrey Books.Google Scholar
Dileo, C. & Dneaster, D. (2005). Music therapy at the end of life: State of the art. In Music therapy at the end of life. Dileo, C. & Loewy, J. (eds.), pp. xix–xxvii. Cherry Hill, NJ: Jeffrey Books.Google Scholar
Dimaio, L. (2010). Music therapy entrainment: A humanistic music therapist's perspective of using music therapy entrainment with hospice clients experiencing pain. Music Therapy Perspectives, 28(2), 106–115.CrossRefGoogle Scholar
Edwards, B. & Clarke, V. (2004). The psychological impact of a cancer diagnosis on families: The influence of family functioning and patients' illness characteristics on depression and anxiety. Psycho-Oncology, 13(8), 562–576.CrossRefGoogle ScholarPubMed
Ezzati, M., Martin, H., Skjold, S., et al. (2006). Trends in national and state-level obesity in the USA after correction for self-report bias: Analysis of health surveys. Journal of the Royal Society of Medicine, 99(5), 250–257.CrossRefGoogle ScholarPubMed
Fachner, J., Gold, C. & Erkkela, J. (2013). Music therapy modulates fronto-temporal activity in rest-EEG in depressed clients. Brain Topography, 26(2), 338–354. Epub ahead of print Sep 16, 2012.CrossRefGoogle ScholarPubMed
Feldstein, M.A. & Gemma, P.B. (1995). Oncology nurses and chronic compounded grief. Cancer Nursing, 18(3), 228–236.CrossRefGoogle ScholarPubMed
Figley, C.R. (ed.) (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York: Brunner/Mazel.Google Scholar
Fryback, P.B. & Reinert, B.R. (1999). Spirituality and people with potentially fatal diagnoses. Nursing Forum, 34, 13–22.CrossRefGoogle ScholarPubMed
Gallagher, L.M. (2011). The role of music therapy in palliative medicine and supportive care. Seminars in Oncology, 38(8), 403–406. Available from http://www.pubpdf.com/pub/21600370/The-role-of-music-therapy-in-palliative-medicine-and-supportive-care.CrossRefGoogle ScholarPubMed
Gallagher, L.M., Lagman, R., Walsh, D., et al. (2006). The clinical effects of music therapy in palliative medicine. Supportive Care in Cancer, 14(8), 859–866.CrossRefGoogle ScholarPubMed
Groen, K.M. (2007). Pain assessment and management in end-of-life care: A survey of assessment and treatment practices of hospice music therapy and nursing professionals. Journal of Music Therapy, 44(2), 90–112.CrossRefGoogle ScholarPubMed
Gutgsell, K.J., Schluchter, M., Margevicius, S., et al. (2013). Music therapy reduces pain in palliative care patients: A randomized controlled trial. Journal of Pain and Symptom Management, 45(5), 822–831.CrossRefGoogle ScholarPubMed
Hartwig, R. (2010). Music therapy in the context of palliative care in Tanzania. International Journal of Palliative Nursing, 16(10), 499–504.CrossRefGoogle ScholarPubMed
Heath, B. & Lings, J. (2012). Creative songwriting in therapy at the end of life and in bereavement. Mortality, 17(2), 106–118.CrossRefGoogle Scholar
Hilliard, R.E. (2003). The effects of music therapy on the quality and length of life of people diagnosed with terminal cancer. Journal of Music Therapy, 40(2), 113–137.CrossRefGoogle ScholarPubMed
Hilliard, R.E. (2005). Music therapy in hospice and palliative care: A review of the empirical data. Evidence-Based Complementary and Alternative Medicine, 2(2), 173–178.CrossRefGoogle ScholarPubMed
Hogan, Β. (1999). Approaching the end of life: A role for music therapy within the context of palliative care models. Australian Journal of Music Therapy, 9, 18–34.Google Scholar
Hogan, B. (2003). Soul music in the twilight years. Topics in Geriatric Rehabilitation, 19(4), 275–281.CrossRefGoogle Scholar
Horne-Thompson, A. & Grocke, D. (2008). The effect of music therapy on anxiety in patients who are terminally ill. Journal of Palliative Care, 11(4), 582–590.Google ScholarPubMed
Hruschka, D.J., Schwartz, D., St. John, D., et al. (2004). Reliability in coding open-ended data: Lessons learned from HIV behavioral research. Field Methods, 16(3), 307–331.CrossRefGoogle Scholar
Jensen, M.P. & Turk, D.C. (2014). Contributions of psychology to the understanding and treatment of people with chronic pain. The American Psychologist, 69(2), 105–118.CrossRefGoogle Scholar
Kitawaki, A. (2007). The effectiveness of music therapy involving family members of terminally ill patients in hospice on quality of life of the patient and stress levels of family members. Master's thesis. East Lansing: Michigan State University.Google Scholar
Krout, R.E. (2001). The effects of single-session music therapy interventions on the observed and self-reported levels of pain control, physical comfort, and relaxation of hospice patients. The American Journal of Hospice & Palliative Care, 18(6), 383–190.CrossRefGoogle ScholarPubMed
Krout, R.E. (2003). Music therapy with imminently dying hospice patients and their families: Facilitating release near the time of death. The American Journal of Hospice & Palliative Care, 20(2), 129–134.CrossRefGoogle ScholarPubMed
Kugelmann, R. (2000). Pain in the vernacular: Psychological and physical. Journal of Health Psychology, 5(3), 305–313.CrossRefGoogle ScholarPubMed
Leblanc, T. (2007). Early evidence of unprofessional behavior found in medical student records. Virtual Mentor, 9(4), 290–294.Google ScholarPubMed
Lee, H.J. (2005). The effect of live music via the Iso-principle on pain management in palliative care as measured by self-report using a graphic rating scale and pulse rate. Master's thesis. Tallahassee: Florida State University.Google Scholar
Leow, M.Q. (2011). Music therapy in the palliative setting: A systematic review. Singapore Nursing Journal, 38(4), 14–21.Google Scholar
Leow, M., Drury, V. & Hong, P. (2010 a). The experience and expectations of terminally ill patients receiving music therapy in the palliative setting: A systematic review. JBI Library of Systematic Reviews, 8(27), 1088–1111. Available from http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2648.2011.05609.x/abstract.Google Scholar
Leow, Q.H.M., Drury, V.B. & Poon, W.H. (2010 b). A qualitative exploration of patients' experiences of music therapy in an inpatient hospice in Singapore. International Journal of Palliative Nursing, 16(7), 344–350.CrossRefGoogle Scholar
Liu, X., Burns, D.S., Hilliard, R.E., et al. (2015). Music therapy clinical practice in hospice: Differences between home and nursing home delivery. Journal of Music Therapy, 52(3), 376–393.CrossRefGoogle ScholarPubMed
McClean, S., Bunt, L. & Daykin, N. (2012). The healing and spiritual properties of music therapy at a cancer care centre. Journal of Alternative and Complementary Medicine, 18(4), 402–407.CrossRefGoogle Scholar
McConnell, T., O'Halloran, P., Porter, S., et al. (2013). Systematic realist review of key factors affecting the successful implementation and sustainability of the Liverpool Care Pathway for the dying patient. Worldviews on Evidence-Based Nursing, 10(4), 218–237.CrossRefGoogle ScholarPubMed
McConnell, T., Scott, D. & Porter, S. (2016). Music therapy for end-of-life care: An updated systematic review. Palliative Medicine. Epub ahead of print Mar 4. Available from http://pmj.sagepub.com/content/early/2016/03/04/0269216316635387.CrossRefGoogle ScholarPubMed
Melzack, R. & Wall, P.D. (1965). Pain mechanisms: A new theory. Science, 150(3699), 971–979. Available from http://science.sciencemag.org/content/150/3699/971.CrossRefGoogle ScholarPubMed
Nakayama, H., Kikuta, F. & Takeda, H. (2009). A pilot study on effectiveness of music therapy in hospice in Japan. Journal of Music Therapy, 46(2), 160–172.CrossRefGoogle ScholarPubMed
Nguyen, J.T. (2003). The effect of music therapy on end-of-life patients' quality of life, emotional state, and family satisfaction as measured by self-report. Master's thesis. Tallahassee: Florida State University.Google Scholar
O'Callaghan, C.C. (1996). Lyrical themes in songs written by palliative care patients. Journal of Music Therapy, 33(2), 74–92.CrossRefGoogle Scholar
O'Callaghan, C. & Barry, P. (2009). Music therapists' practice-based research in cancer and palliative care: Creative methods and situated findings. Voices: A World Forum for Music Therapy, 9(3). Available from https://normt.uib.no/index.php/voices/article/view/53.Google Scholar
O'Callaghan, C.C. & Hiscock, R. (2007). Interpretive subgroup analysis extends modified grounded theory research findings in oncologic music therapy. Journal of Music Therapy, 44(3), 256–281.CrossRefGoogle ScholarPubMed
Okamoto, M. (2005). The effects of music therapy interventions on grief and spirituality of family members of patients in a hospice setting. Master's thesis. Tallahassee: Florida State University.Google Scholar
O'Kelly, J. (2002). Music therapy in palliative care: Current perspectives. International Journal of Palliative Nursing, 8(3), 130–136.CrossRefGoogle ScholarPubMed
O'Kelly, J. & Koffman, J. (2007). Multi-disciplinary perspectives of music therapy in adult palliative care. Palliative Medicine, 21(3), 235–243.CrossRefGoogle Scholar
Onyeka, T.C. (2010). Psychosocial issues in palliative care: A review of five cases. Indian Journal of Palliative Care, 16(3), 123–128.CrossRefGoogle ScholarPubMed
Papadatou, D., Anagnostopoulos, F. & Monos, D. (1994). Factors contributing to the development of burnout in oncology nursing. British Journal of Medical Psychology, 2(Pt. 2), 187–199.CrossRefGoogle Scholar
Pawson, R. (2006). Evidence-based policy: A realist perspective. London: Sage.CrossRefGoogle Scholar
Pitts, S.E. & Cevasco, A.M. (2013). A survey of music therapy students' practical experiences in hospice and palliative care settings. Music Therapy Perspectives, 31(2), 144–156.CrossRefGoogle Scholar
Porter, S. (2015 a). The uncritical realism of realist evaluation. Evaluation, 21(1), 65–82.CrossRefGoogle Scholar
Porter, S. (2015 b). Realist evaluation: An immanent critique. Nursing Philosophy, 16(4), 239–251. Available from http://onlinelibrary.wiley.com/doi/10.1111/nup.12100/abstract.CrossRefGoogle ScholarPubMed
Porter, S., McConnell, T., Lynn, F., et al. (2014). Recruiting participants for randomized controlled trials of music therapy: A practical illustration. Journal of Music Therapy, 51(4), 355–381.CrossRefGoogle ScholarPubMed
Post-White, J., Ceronsky, C., Kreitzer, M., et al. (1996). Hope, spirituality, SOC, and quality of life in survivors with cancer. Oncology Nursing Forum, 23, 1571–1579.Google Scholar
Raglio, A., Attardo, L., Gontero, G., et al. (2015). Effects of music and music therapy on mood in neurological patients. World Journal of Psychiatry, 5(1), 68–78.CrossRefGoogle ScholarPubMed
Renz, M., Schutt, M.M. & Cherny, T. (2005). Spirituality, psychotherapy and music in palliative cancer care: Research projects in psycho-oncology at an oncology center in Switzerland. Supportive Care in Cancer, 13(12), 961–966.CrossRefGoogle ScholarPubMed
Salmon, D. (2001). Music therapy as psychospiritual process in palliative care. Journal of Palliative Care, 17(3), 142–146.CrossRefGoogle ScholarPubMed
Sato, Y. (2011). Musical life review in hospice. Music Therapy Perspectives, 29, 31–38.CrossRefGoogle Scholar
Saunders, J. & Valente, S. (1994). Nurses' grief. Cancer Nursing, 17(4), 318–325.CrossRefGoogle ScholarPubMed
Tanyi, R.A. (2002). Towards clarification of the meaning of spirituality. Journal of Advanced Nursing, 39(5), 500–509.CrossRefGoogle ScholarPubMed
Thoresen, C.E. (1999). Spirituality and health: Is there a relationship? Journal of Health Psychology, 4, 291–300.CrossRefGoogle ScholarPubMed
Trauger-Querry, B. & Haghighi, K.R. (1999). Balancing the focus: Art and music therapy for pain control and symptom management in hospice care. The Hospice Journal, 14(1), 25–38.Google ScholarPubMed
Tsiris, G., Dives, T. & Prince, G. (2014). Music therapy: Evaluation of staff perceptions at St. Christopher's Hospice. European Journal of Palliative Care, 21(2), 72–75.Google Scholar
Vachon, M., Fillion, L. & Achille, M. (2004). Death confrontation, spiritual–existential experience and caring attitudes in palliative care nurses: An interpretative phenomenological analysis. Qualitative Research in Psychology, 9(2), 151–172.CrossRefGoogle Scholar
Wlodarczyk, N. (2007). The effect of music therapy on the spirituality of persons in an inpatient hospice unit as measured by self-report. Master's thesis. Tallahassee: Florida State University.Google Scholar
Wong, G., Greenhalgh, T. & Pawson, R. (2010). Internet-based medical education: A realist review of what works, for whom and in what circumstances. BMC Medical Education, 10(12). Available from http://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-10-12.CrossRefGoogle ScholarPubMed
World Health Organization (2014). The top 10 causes of death. Available from http://www.who.int/mediacentre/factsheets/fs310/en/.Google Scholar