A critical realist evaluation of a music therapy intervention in palliative care.

Porter, S., McConnell, T., Clarke, M., Kirkwood, J., Hughes, N., Graham-Wisener, L., Regan, J., McKeown, M., McGrillen, K. and Reid, J., 2017. A critical realist evaluation of a music therapy intervention in palliative care. BMC Palliative Care, 16 (1), pp. 1-12.

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DOI: 10.1186/s12904-017-0253-5

Abstract

BACKGROUND: Music therapy is increasingly used as an adjunct therapy to support symptom management in palliative care. However, studies to date have paid little attention to the processes that lead to changes in patient outcomes. To fill this gap, we examined the processes and experiences involved in the introduction of music therapy as an adjunct complementary therapy to palliative care in a hospice setting in the United Kingdom (UK). METHODS: Using a realistic evaluation approach, we conducted a qualitative study using a variety of approaches. These consisted of open text answers from patients (n = 16) on how music therapy helped meet their needs within one hospice in Northern Ireland, UK. We also conducted three focus groups with a range of palliative care practitioners (seven physicians, seven nursing staff, two social workers and three allied health professionals) to help understand their perspectives on music therapy's impact on their work setting, and what influences its successful implementation. This was supplemented with an interview with the music therapist delivering the intervention. RESULTS: Music therapy contains multiple mechanisms that can provide physical, psychological, emotional, expressive, existential and social support. There is also evidence that the hospice context, animated by a holistic approach to healthcare, is an important facilitator of the effects of music therapy. Examination of patients' responses helped identify specific benefits for different types of patients. CONCLUSIONS: There is a synergy between the therapeutic aims of music therapy and those of palliative care, which appealed to a significant proportion of participants, who perceived it as effective.

Item Type:Article
ISSN:1472-684X
Additional Information:Funding: This research was funded from a Northern Ireland Health and Social Care Research and Development Enabling Award. The funding body had no role in the design of the study, collection, analysis, interpretation of data or in writing the manuscript.
Group:Faculty of Health & Social Sciences
ID Code:30121
Deposited By: Unnamed user with email symplectic@symplectic
Deposited On:14 Dec 2017 10:48
Last Modified:14 Dec 2017 10:48

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