Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: a report from the Children's Oncology Group
dc.contributor.author | Robb, Sheri L. | |
dc.contributor.author | Burns, Debra S. | |
dc.contributor.author | Stegenga, Kristin A. | |
dc.contributor.author | Haut, Paul R. | |
dc.contributor.author | Monahan, Patrick O. | |
dc.contributor.author | Meza, Jane | |
dc.contributor.author | Stump, Timothy E. | |
dc.contributor.author | Cherven, Brooke O. | |
dc.contributor.author | Docherty, Sharron L. | |
dc.contributor.author | Hendricks-Ferguson, Verna L. | |
dc.contributor.author | Kintner, Eileen K. | |
dc.contributor.author | Haight, Ann E. | |
dc.contributor.author | Wall, Donna A. | |
dc.contributor.author | Haase, Joan E. | |
dc.contributor.department | Nursing, School of | en_US |
dc.date.accessioned | 2015-11-13T19:17:12Z | |
dc.date.available | 2015-11-13T19:17:12Z | |
dc.date.issued | 2014-03 | |
dc.description.abstract | BACKGROUND: To reduce the risk of adjustment problems associated with hematopoietic stem cell transplant (HSCT) for adolescents/young adults (AYAs), we examined efficacy of a therapeutic music video (TMV) intervention delivered during the acute phase of HSCT to: 1) increase protective factors of spiritual perspective, social integration, family environment, courageous coping, and hope-derived meaning; 2) decrease risk factors of illness-related distress and defensive coping; and 3) increase outcomes of self-transcendence and resilience. METHODS: This was a multisite randomized, controlled trial (COG-ANUR0631) conducted at 8 Children's Oncology Group sites involving 113 AYAs aged 11-24 years undergoing myeloablative HSCT. Participants, randomized to the TMV or low-dose control (audiobooks) group, completed 6 sessions over 3 weeks with a board-certified music therapist. Variables were based on Haase's Resilience in Illness Model (RIM). Participants completed measures related to latent variables of illness-related distress, social integration, spiritual perspective, family environment, coping, hope-derived meaning, and resilience at baseline (T1), postintervention (T2), and 100 days posttransplant (T3). RESULTS: At T2, the TMV group reported significantly better courageous coping (Effect Size [ES], 0.505; P = .030). At T3, the TMV group reported significantly better social integration (ES, 0.543; P = .028) and family environment (ES, 0.663; P = .008), as well as moderate nonsignificant effect sizes for spiritual perspective (ES, 0.450; P = .071) and self-transcendence (ES, 0.424; P = .088). CONCLUSIONS: The TMV intervention improves positive health outcomes of courageous coping, social integration, and family environment during a high-risk cancer treatment. We recommend the TMV be examined in a broader population of AYAs with high-risk cancers. | en_US |
dc.eprint.version | Author's manuscript | en_US |
dc.identifier.citation | Robb, S. L., Burns, D. S., Stegenga, K. A., Haut, P. R., Monahan, P. O., Meza, J., … Haase, J. E. (2014). Randomized Clinical Trial of Therapeutic Music Video Intervention for Resilience Outcomes in Adolescents/Young Adults Undergoing Hematopoietic Stem Cell Transplant: A Report from the Children’s Oncology Group. Cancer, 120(6), 909–917. http://doi.org/10.1002/cncr.28355 | en_US |
dc.identifier.uri | https://hdl.handle.net/1805/7447 | |
dc.publisher | Wiley | en_US |
dc.relation.isversionof | 10.1002/cncr.28355 | en_US |
dc.relation.journal | Cancer | en_US |
dc.rights | IUPUI Open Access Policy | en_US |
dc.source | PMC | en_US |
dc.subject | Adolescents | en_US |
dc.subject | Cancer | en_US |
dc.subject | Courageous coping | en_US |
dc.subject | Family relations | en_US |
dc.subject | Music | en_US |
dc.subject | Music therapy | en_US |
dc.subject | Resilience | en_US |
dc.subject | Self-transcendence | en_US |
dc.subject | Social environment | en_US |
dc.subject | Young adult | en_US |
dc.title | Randomized clinical trial of therapeutic music video intervention for resilience outcomes in adolescents/young adults undergoing hematopoietic stem cell transplant: a report from the Children's Oncology Group | en_US |
dc.type | Article | en_US |