cochrane reviews and music therapy research cheryl dileo, phd, mt-bc carnell professor of music...
TRANSCRIPT
![Page 1: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/1.jpg)
COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH
Cheryl Dileo, PhD, MT-BCCarnell Professor of Music Therapy
Director: Arts and Quality of Life Research Ctr.Coordinator: PhD Program in Music Therapy
![Page 2: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/2.jpg)
Basic issues to be addressed How to understand Cochrane
Reviews Including important concepts such
as bias How to make use of this
information in designing future research
![Page 3: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/3.jpg)
Evidence-Based PracticeStrides being taken to accumulate high
quality evidence in field of music therapy
Attempting to assure that procedures used in music therapy are: Safe Effective Cost-Effective
![Page 4: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/4.jpg)
Cochrane Collaboration The Cochrane Collaboration
international network of individuals and institutions
review and analyze the best clinical trials synthesize them into regularly updated
systematic reviews and meta-analyses. considered by many to be the Gold Standard,
or the final word in the medical conversation on a topic.
![Page 5: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/5.jpg)
Current Cochrane Reviews at TempleMusic for stress and anxiety reduction in coronary heart
disease patients (Bradt, Dileo & Potvin) (2013)
Music therapy for end-of-life care (Bradt & Dileo) (2009)
Music therapy for acquired brain injury (2010) (Bradt, Magee, Dileo, Wheeler, McGilloway)
Music interventions for mechanically ventilated patients (Bradt & Dileo., 2010 update in press)
![Page 6: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/6.jpg)
Music interventions for improving psychological and physical outcomes in cancer patients (Bradt, Dileo, Grocke & Magill) (2011) (being updated)
Music for pre-operative anxiety (Bradt, Dileo & Shim) (2013)
![Page 7: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/7.jpg)
Other Published Cochrane Reviews Music during caesarean section under regional anaesthesia for
improving maternal and infant outcomes (Laopaiboon, Lumbiganon, Martis, Vatanasapt, Somjaivong) (2009)
Music for pain relief (Cepeda,Carr, Lau, Alvare, 2013) Music therapy for people with autism spectrum disorder Geretsegger ,
Elefant, Mössler Gold (2014) Music therapy for Depression (Maratos, Gold, Wang, Crawford) (2008) Music Therapy for People with Dementia (Vink,Bruinsma,Scholten)
(2003) Music therapy for people with schizophrenia and schizophrenia-like
disorders (Mössler, Chen, Heldal, Gold, 2011)
![Page 8: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/8.jpg)
Cochrane Reviews
Listening to music for improving sleep in adults with insomnia (Jespersen Koenig, Jennum and PetVuust, 2013
Music therapy for attention deficit hyperactivity disorder (ADHD) in children and adolescents (Zhang, Liu, An, You,Teng, Liu 2012)
![Page 9: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/9.jpg)
Other Arts therapies
Art therapy for people with dementia Deshmukh, Holmes, Cardno, 2014)
Art therapy for schizophrenia or schizophrenia-like illnesses Ruddy, Milnes, 2005
Dance/movement therapy for improving psychological and physical outcomes in cancer patients (Bradt, Goodill, Dileo, 2011)
Dance therapy for schizophrenia (Ren, Xia, 2013)
![Page 10: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/10.jpg)
SOME BASICSUnderstanding Cochrane Reviews
![Page 11: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/11.jpg)
Systematic Reviews Systematic reviews seek to collate all evidence that
fits pre-specified eligibility criteria in order to address a specific research question.
Systematic reviews aim to minimize bias by using explicit, systematic methods.
The Cochrane Collaboration prepares, maintains and promotes systematic reviews to inform healthcare decisions
![Page 12: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/12.jpg)
Types of studies Cochrane reviews typically include
Randomized Controlled Trials
Controlled Clinical Trials
![Page 13: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/13.jpg)
Library of Medicine definition Randomized Controlled Trial
involves at least one test treatment and one control treatment,
concurrent enrolment and follow-up of the test- and control-treated groups,
in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.
![Page 14: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/14.jpg)
Library of Medicine DefinitionControlled Clinical Trial
Involves one or more test treatments at least one control treatment, specified outcome measures for evaluating
the studied intervention, and a bias-free method for assigning patients
to the test treatment.
![Page 15: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/15.jpg)
Reporting Results- Risk of Bias In clinical trials, biases can be broadly
categorized selection bias, performance bias, detection bias, attrition bias, reporting bias and other biases that do not fit into these categories.
![Page 16: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/16.jpg)
A Common Classification Scheme for Bias
Type of bias Description Relevant domains in the Collaboration’s ‘Risk of bias’ tool
Selection bias. Systematic differences between baseline characteristics of the groups that are compared.
•Sequence generation.•Allocation concealment.
Performance bias. Systematic differences between groups in the care that is provided, or in exposure to factors other than the interventions of interest.
•Blinding of participants and personnel.•Other potential threats to validity.
Detection bias. Systematic differences between groups in how outcomes are determined.
•Blinding of outcome assessment.•Other potential threats to validity.
Attrition bias. Systematic differences between groups in withdrawals from a study.
•Incomplete outcome data
Reporting bias. Systematic differences between reported and unreported findings.
•Selective outcome reporting (see also Chapter 10).
![Page 17: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/17.jpg)
Understanding Results Effect size
Confidence Intervals
Heterogeneity
![Page 18: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/18.jpg)
Music for stress and anxiety reduction in coronary heart disease patients
Bradt, Dileo, Potvin, 2013
![Page 19: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/19.jpg)
Music…CHDPurpose: to assess the effects of
music interventions with standard care
vs. standard care alone
On psychological responses physiological responses
Inpeople with heart disease.
![Page 20: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/20.jpg)
Studies Included 26 trials- 1369 Ss
Representing US, Australia, Denmark, Hong Kong, S, Korea, Sweden, Iran
3 trials - music therapy
23 trials - music medicine
![Page 21: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/21.jpg)
Music Medicine vs. Music Therapy Use of music by
medical professionals No therapeutic
process No relationship
established through the music
Primarily pre-recorded music listening
Trained/ Credentialed music therapist
Therapeutic process (assessment, treatment, evaluation
Relationship with pt through music
Range of music experiences
![Page 22: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/22.jpg)
Data Analysis Were there significant differences between
patients who had music vs. no music/standard care?
What was size of difference? Small? Moderate? Large?
Did the studies differ significantly in their results? Homogenous or heterogenous?
![Page 23: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/23.jpg)
BRADT, DILEO & GROCKE, 2010) (BRADT & DILEO, IN PRESS)
Music Interventions for Mechanically Ventilated Patients
![Page 24: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/24.jpg)
Music…Mechanically Ventilated Patients PURPOSE
Compare the effects of standard care + music therapy or music medicine interventions
with standard care alone on anxiety in mechanically ventilated
patients.
![Page 25: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/25.jpg)
Music…Mechanically Ventilated Patients 14 studies
USA (5) China (3) and 1 each from Taiwan, Canada, Germany, Netherlands, Turkey & France
805 participants
13 studies- music medicine
1 study-music therapy
![Page 26: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/26.jpg)
BRADT, MAGEE, DILEO, WHEELER, MCGILLOWAY , 2010
Music Therapy for Acquired Brain Injury
![Page 27: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/27.jpg)
MT/ABI Seven studies (184 participants, 54% male)
All Music Therapy
3 US, 1 South Korea, 1 Germany, 1 Australia, 1 US and Germany
![Page 28: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/28.jpg)
BRADT, DILEO, GROCKE, MAGILL, 2011BRADT, DILEO, MAGILL (IN PROGRESS)
Music Interventions for Improving Psychological and Physical Outcomes in Cancer Patients
![Page 29: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/29.jpg)
Music….Cancer Patients 29 studies (1880 participants; 33% male)
17 US, 6 China, 2 Italy, 1 Iran, 1 Spain, 1 Taiwan, 1 Vietnam
12 music therapy 17 music medicine
9 chemotherapy or radiation 8 surgery or procedure 12 general 4 pediatric
![Page 30: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/30.jpg)
BRADT, DILEO, SHIM (2013)
Music for Preoperative Anxiety
![Page 31: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/31.jpg)
Music….Preoperative Anxiety 26 Trials (2051 Participants) Inpatients, outpatients, emergency, non-
emergency Patients undergoing major as well as minor
surgical procedures General, endoscopic, gynecological, urogenital,
orthopedic,cosmetic, caesarean, cardiac, opthalmic, septorhinoplastic, gastric
![Page 32: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/32.jpg)
Music….Preoperative Anxiety 54% female; 46% male participants (Average
48.7 years) Studies included
USA (9); Taiwan (5); Hong Kong (3); China (3); Turkey (2); Poland (2); Malaysia (1); Israel (1)
All studies classified as Music Medicine Most with one 20-30 minute listening session 2 with multiple listening sessions
![Page 33: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/33.jpg)
BRADT & DILEO, 2010
Music Therapy for End-of-Life Care
![Page 34: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/34.jpg)
Music Therapy…..EOL PURPOSE
To compare the effects of music therapy combined with standard care with
standard care alone, or
standard care and other therapies.
![Page 35: COCHRANE REVIEWS AND MUSIC THERAPY RESEARCH Cheryl Dileo, PhD, MT-BC Carnell Professor of Music Therapy Director: Arts and Quality of Life Research Ctr](https://reader030.vdocuments.net/reader030/viewer/2022032522/56649d6e5503460f94a4ea9b/html5/thumbnails/35.jpg)
Music Therapy….EOL Studies Included
5 studies (175 participants, 49% male)
All Music Therapy
4 US, 1 Australia