Randomized Controlled Trials in Music Therapy: Guidelines for Design and Implementation

2012 ◽  
Vol 49 (2) ◽  
pp. 120-149 ◽  
Author(s):  
J. Bradt
Author(s):  
Sanita Šuriņa ◽  
Jana Duhovska ◽  
Kristīne Mārtinsone

There are numerous trials, showing positive results for using the music therapy for stroke patient rehabilitation. Therefore, summarizing the data from these trials is an actual topic. The objective, of this research, was to summarize the data from trials about the use of music therapy methods and techniques, especially the rhythmic auditory stimulation, for improving of the motor functions for stroke patients, by creating a systematic review of randomized controlled trials, with meta-analysis. The trials where searched in MEDLINE, Cochrane Trial Register and EBSO databases. The trial quality was evaluated by the PEDro scale. 20 randomized controlled trials were included in the systematic review. The meta-analysis for 5 gait outcomes, including gait speed, steps per minute, step length, gait symmetry, Time up and go test, and 7 arm function outcomes, including Fugl-Meyer test, ARAT test, Box and blocks test, Wolf motor function test, Nine hole peg test, shoulder flexion, elbow extension, was conducted. According to the results of the meta-analysis, gait exercises, combined with rhythmic auditory stimulation, provide statistically significant improvement, compared with gait exercises alone. Concerning the use of rhythmic auditory stimulation and other music therapy interventions for arm function rehabilitation, a statistically significant improvement was not detected.  


2014 ◽  
pp. 727 ◽  
Author(s):  
Hiroharu Kamioka ◽  
Yoshiteru Mutoh ◽  
Kiichiro Tsutani ◽  
Minoru Yamada ◽  
Hyuntae Park ◽  
...  

2014 ◽  
Vol 51 (4) ◽  
pp. 355-381 ◽  
Author(s):  
S. Porter ◽  
T. McConnell ◽  
F. Lynn ◽  
K. McLaughlin ◽  
C. Cardwell ◽  
...  

Author(s):  
Barbara L. Wheeler

Music therapy is a diverse field and music therapy research increasingly reflects that diversity. Many methods and approaches are used to examine the various facets of music therapy practice and theory. This chapter provides an overview of music therapy research, and provides basic information about how research is conducted in this field. Research methods in music therapy research are similar to those used in other healthcare disciplines. A range of methods are reviewed and presented including; experimental research and Randomized Controlled Trials, Participatory Action Research, Grounded Theory, and Phenomenological methods.


2018 ◽  
Vol 18 (4) ◽  
Author(s):  
Carol Ann Blank

In the United States, children who suffer trauma or abuse receive services through Children’s Advocacy Centers (CACs). Over 800 CACs provided treatment and services to nearly 325,000 children in 2016 (National Children’s Alliance, 2016b).  CACs coordinate the work of multidisciplinary teams (MDT) including law enforcement, mental health, medical, and social service personnel to help children and families heal. CACs are autonomous groups made up of affiliations with many local agencies. This article provides a description of the National Children’s Alliance (NCA) standards for implementing treatment, including the state of music therapy implementation in CACs. The literature has shown that music therapy can be helpful to address needs of children and families who have experienced trauma, suggesting that this may offer a helpful treatment modality in CACs. However, music therapy is rarely available in CACs. This may be, in part, a result of the lack of randomized controlled trials, a key determining factor for inclusion in the annotated bibliography that accompanies the NCA Standards (National Children’s Alliance, 2013). Music therapy practice has addressed the clinical needs of children and teens who have been abused. This work is often presented in clinical reflections, not randomized controlled trials. Music therapy is currently not included in the treatment modalities utilized by CACs because of a perceived lack of evidence base. This article attempts to synthesize the information available to provide CACs with the current state of research in music therapy with children who have been abused. This article also provides music therapists with a depth of information about the structure and function of CACs, including a synthesis of the NCA Standards of Practice. The article presents a description for the implementation of music therapy services in a CAC in New Jersey and includes recommendations for music therapists who wish to seek out opportunities for clinical practice at CACs


Author(s):  
Sheri L. Robb ◽  
Debra S. Burns

Randomized controlled trials (RCTs) are experiments that compare two or more groups of participants, and participants are assigned to groups based on chance. Groups include an experimental intervention group that is being compared to a treatment as usual, a low dose or attention control condition, and/or a comparative treatment group. The purpose of randomization is to equalize groups on both known and unknown characteristics that may influence the outcome and the effectiveness of the intervention. This chapter describes how music therapists have used RCTs to demonstrate the effectiveness of music therapy interventions and services. Key strategies for implementing RCT designs are presented, and studies in music therapy that have used this design are reviewed.


2021 ◽  
Vol 12 ◽  
Author(s):  
Wen-Hao Huang ◽  
Zu-Lin Dou ◽  
Hui-Min Jin ◽  
Ying Cui ◽  
Xin Li ◽  
...  

Objective: This study aims to evaluate the efficacy of music-supported therapy for stroke patients' hand function.Methods: The databases used included Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PubMed, Embase, Music Index, and Google Scholar. Studies published between January 2010 and August 2020 were included. The searching key terms included “music-supported therapy,” “music therapy,” “hand function,” “hand dysfunction,” “stroke,” “ischemic,” and “hemorrhagic.” Randomized controlled trials or controlled trials involving adults who have hand function problems caused by stroke are included in this study. The methodological quality and risk of bias of the included studies were rated by two independent assessors under the guidance of Cochrane collaboration's risk of bias tool.Results: Twelve studies that met the inclusion criteria were included in this study. Totally, the data included 598 stroke patients (345 male, 253 female) with recruited time from 1.7 months to 3 years, and the mean age of the participants were 61.09 years old. Based on the Cochrane risk of bias tool, study quality ranged from three to seven out of seven points. Compared with the control group, outcomes including hand strength, range of joint motion, dexterity of hands, arm function, and quality of life were significantly superior with music-supported therapy. Five studies reported improved dexterity of hands, and one study reported the improvement of range of motion and strength of patients' hands, which supported the therapy has positive effects on patients' hand function and improving their quality of life after the therapy. The therapy ranged over a period of 4–8 weeks, with an average duration of 30 min/session and an average of three times per week.Conclusion: Based on the results, music-supported therapy could be a useful treatment for improving hand function and activities of daily living in patients with stroke, especially for patients within 6 months after stroke. However, the low certainty of evidence downgrades our confidence to practice in hospital. More and more randomized controlled trials and larger sample sizes are required for a deeper review.


2021 ◽  
pp. 114137
Author(s):  
Ruiying Jia ◽  
Dandan Liang ◽  
Jingfen Yu ◽  
Zhen Wu ◽  
Chaoran Chen ◽  
...  

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