Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation
Study Details
Study Description
Brief Summary
The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Background: Previous research has shown positive effects of music therapy for people with schizophrenia and other mental disorders. In clinical practice, music therapy is often offered to psychiatric patients with low therapy motivation, but little research exists about this population. The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes. An additional aim of the study is to examine the mechanisms of change through music therapy.
Method: 144 adults with a non-organic mental disorder (ICD-10: F1 to F6) who have low therapy motivation and a willingness to work with music will be randomly assigned to an experimental or a control condition. All participants will receive standard care, and the experimental group will in addition be offered biweekly sessions of music therapy over a period of three months. Outcomes will be measured by a blind assessor before and 1, 3, and 9 months after randomisation.
Discussion: The findings to be expected from this study will fill an important gap in the knowledge of treatment effects for a patient group that does not easily benefit from treatment. The study's close link to clinical practice, as well as its size and comprehensiveness, will make its results well generalisable to clinical practice.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Music therapy See published study protocol |
Procedure: Resource-oriented music therapy
Procedure: Standard care
|
| Other: Standard care See published study protocol |
Procedure: Standard care
|
Outcome Measures
Primary Outcome Measures
- negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [1]
- negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [3 months]
- negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [9 months]
Secondary Outcome Measures
- general symptoms [1]
- general symptoms [3 months]
- general symptoms [9 months]
- general functioning [1 months]
- general functioning [3 months]
- general functioning [9 months]
- clinical global impressions [1 months]
- clinical global impressions [3 months]
- clinical global impressions [9 months]
- interest in music [1 months]
- interest in music [3 months]
- interest in music [9 months]
- motivation for change [1 months]
- motivation for change [3 months]
- motivation for change [9 months]
- self-efficacy [1 months]
- self-efficacy [3 months]
- self-efficacy [9 months]
- self-esteem [1 months]
- self-esteem [3 months]
- self-esteem [9 months]
- vitality [1 months]
- vitality [3 months]
- vitality [9 months]
- affect regulation [1 months]
- affect regulation [3 months]
- affect regulation [9 months]
- relational competence [1 months]
- relational competence [3 months]
- relational competence [9 months]
- actual social relationships [1 months]
- actual social relationships [3 months]
- actual social relationships [9 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Non-organic mental disorder
-
Low therapy motivation
-
Willingness to work with music
Exclusion Criteria:
-
Severe mental retardation
-
Life-threatening somatic illness
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Sunshine Hospital/University of Melbourne, Faculty of Music | Melbourne | Australia | ||
| 2 | Wagner Jauregg Hospital | Linz | Austria | 4021 | |
| 3 | Jæren District Psychiatric Centre | Bryne | Rogaland | Norway | 4349 |
| 4 | Stavanger University Hospital | Stavanger | Rogaland | Norway | 4068 |
| 5 | Nordfjord Psychiatry Centre | Nordfjordeid | Sogn og Fjordane | Norway | 6770 |
Sponsors and Collaborators
- NORCE Norwegian Research Centre AS
- The Research Council of Norway
- Helse Vest
- Helse Forde
- Nordfjord Psychiatric Centre
- Helse Stavanger HF
- Jæren District Psychiatric Centre
- The Wagner-Jauregg Provincial Neuropsychiatric Clinic
- University of Melbourne
Investigators
- Principal Investigator: Christian Gold, PhD, Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
- Study Director: Brynjulf Stige, PhD, University of Bergen/Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
Study Documents (Full-Text)
None provided.More Information
Publications
- Gold C, Rolvsjord R, Aaro LE, Aarre T, Tjemsland L, Stige B. Resource-oriented music therapy for psychiatric patients with low therapy motivation: protocol for a randomised controlled trial [NCT00137189]. BMC Psychiatry. 2005 Oct 31;5:39.
- Rolvsjord R, Gold C, Stige B. Research rigour and therapeutic flexibility: Rationale for a therapy manual developed for a randomised controlled trial. Nordic Journal of Music Therapy 14(1):15-32, 2005.
- RCT-MTPSY