Covid-19 and absence of music therapy: Impact on mother-child dyad during invasive procedures in pediatric oncology

Giordano, Filippo; Rutigliano, Chiara; Leonardis, Francesco De; Rana, Roberta; Neri, Daniela; Brienza, Nicola; Santoro, Nicola

doi:10.1016/j.aip.2021.101839

Cited by 9 publications

(4 citation statements)

References 25 publications

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“…Consistent with social referencing and emotional contagion research, pediatric cancer studies indicate a strong positive relationship between parent and child distress, with young children most vulnerable to parent distress 8,26–29 . Given the strength of this relationship, use of a family‐based, dyadic approach is well justified, yet rarely seen in pediatric oncology intervention trials 30 .…”

Section: Discussionmentioning

confidence: 97%

“…The morale I guess is what you call it, it totally brings it up" (F4-4B). Another parent noted "I think just being able to play, being able to not think about cancer for 15, 20 minutes, and just be 5 (years old)" Consistent with social referencing and emotional contagion research, pediatric cancer studies indicate a strong positive relationship between parent and child distress, with young children most vulnerable to parent distress 8,[26][27][28][29]. Given the strength of this relationship, TA B L E 3 Themes, subthemes, and representative quotes.…”

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confidence: 85%

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Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

Stegenga,

Henley,

Harman

et al. 2024

Pediatric Blood & Cancer

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BackgroundChildren with cancer (ages 3–8 years) and their parents experience significant, interrelated distress associated with cancer treatment. Active music engagement (AME) uses music‐based play and shared music‐making to mitigate this distress. To advance our understanding about how AME works and its essential features, we interviewed parents who received the AME intervention as part of a multi‐site mechanistic trial. The purpose of this qualitative analysis was to describe parents’ experiences of AME for themselves and their child and to better understand how the intervention worked to lower parent–child distress.ProcedureWe conducted a total of 43 interviews with parents/caregivers, and purposively analyzed all interviews from underrepresented groups based on race/ethnicity and parent role. We used thematic analysis and achieved thematic redundancy after analyzing 28 interviews.ResultsThe following statement summarizes resulting themes: Music therapists skillfully use AME to create a safe and healthy space (Theme 1), where parents/children have transformative experiences (Theme 2) that lead to learning and enactment (Theme 3) of new skills that counteract suffering (Theme 4) through empowerment, connectedness, and sustained relief.ConclusionsThis work elucidates how AME works to counteract stressful qualities of cancer treatment. As parents witnessed positive and transformative changes in their child, they experienced relief and reported shifts in their perspective about cancer treatment. This led to learning and use of music as a coping strategy that extended beyond therapist‐led sessions. Accessible, music‐based interventions, like AME, offer a developmentally appropriate and effective way to support parents and young children during treatment.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 85%

Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

Stegenga,

Henley,

Harman

et al. 2024

Pediatric Blood & Cancer

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“…MT can be considered an excellent support for anesthesia as a complementary/non-pharmacological approach to reduce pre-operative anxiety in children undergoing invasive procedure [6,17].…”

Section: Discussionmentioning

confidence: 99%

Use of music therapy in pediatric oncology: an Italian AIEOP multicentric survey study in the era of COVID-19

Giordano

Muggeo²,

Rutigliano³

et al. 2022

Eur J Pediatr

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Music therapy (MT) is a complementary therapy offered to children, young adults, and their families in pediatric oncology and palliative care. We performed a survey to collect information about MT in pediatric oncology in Italy. The outbreak of COVID-19 unavoidably changed the scenario of MT, suggesting some considerations presented in this survey. 27/32 (84.4%) centers belonging to the Infections and Supportive Therapy Working Group of Association of Pediatric Hematology and Oncology (AEIOP) completed in 2 different time points (T1 and T2) an online survey on MT, before and after COVID-19 pandemia. Different kinds of music approach were used taking care of patients in 21/27 centers, while in 14/21 (66%), a specific project of MT conducted by a music therapist was present. In 6/14 centers, MT activities were delivered for < 3 h/week, in 3 centers for > 3 and < 10 h/week, and in the remaining 5 for > 3 h/week. MT sessions were in different areas, day hospital, or ward (patient rooms, operating rooms, waiting rooms), on an individual basis or by groups. Patients were invited to MT by psychologists, caring physician, or nurse, or on equipé decision. MT was evaluated with tools self-made by music therapist in 11/14 centers. After COVID-19, MT has been withdrawn in 3 centers, sessions in the waiting rooms were reduced, individual sessions were preferred, and enrollment by multidisciplinary teams increased. Conclusion : This survey represents the starting platform to compare and discuss different experience of MT in AIEOP centers, to implement MT in pediatric oncology for a more qualified assistance to patients, and to improve quality of care. What is Known: • Music therapy in pediatric oncology and palliative care can be used for the management and prevention of various somatic and psychological symptoms of patients and often is provided to children together with their families. • In Italy the application of Music therapy in the AIEOP pediatric oncology centers is constantly increasing, but due to the outbreak of Covid-19 Pandemic, Italian pediatric oncology departments were obliged to adopt restrictive measures. What is New: • Although the majority of Centres did not abrogate MT interventions, judgment about limitation should be carefully taken since MT helps children and even more adolescents in their fight against cancer. • The best practice of Music therapy in pediatric oncology requires communication and collaboration among qualified music therapists and multidisciplinary care team, using a model of family-centered care that actively involves parents/ caregivers in assessment, treatment planning, and care delivery.

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“…Evidence from Cochrane systematic reviews shows that MT can decrease anxiety in patients with cancer [19], coronary heart diseases [20] and in patients on mechanical ventilation [9]. Some studies have reported that music interventions reduce sedative requirements in patients undergoing regional anesthesia when combined with sedation, using both midazolam [21,22] and propofol, and also in critically ill patients in intensive care units [9,13].…”

Section: Introductionmentioning

confidence: 99%

Effect of Preoperative Music Therapy Versus Intravenous Midazolam on Anxiety, Sedation and Stress in Stomatology Surgery: A Randomized Controlled Study

Giordano

Giglio

Sorrentino

et al. 2023

JCM

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Background: Patients undergoing surgery and general anesthesia often experience anxiety, fear and stress, with negative bodily responses. These may be managed by the pre-procedural application of anxiolytic, analgesic, and anesthetic drugs that have, however, potential risks or side effects. Music therapy (MT) can be used as a complementary no-drug intervention alongside standard surgical care before, during and after medical procedures. The aim of this study was to evaluate the effects of preoperative MT intervention compared to premedication with midazolam on levels of anxiety, sedation and stress during general anesthesia for elective stomatology surgery. Methods: A two-arm randomized and controlled single-center, parallel-group, pre–post event study was conducted. In total, 70 patients affected by stage I or II (both clinically and instrumentally N0) micro-invasive oral cancer and undergoing elective surgery under general anesthesia were assigned to the control group (CG) or to the music therapy group (MTG). MTG patients received preoperative music therapy intervention (MT) from a certified music therapist before surgery, while the CG patients did not receive MT but instead received premedication with intravenous midazolam, 0,02 mg/kg. Anesthesia was the same in both groups. The systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) were recorded at the entrance to the operating room, just before the induction of anesthesia and every 5 min until the end of surgery. An anxiety visual analogues scale (A-VAS) was used to evaluate the level of anxiety. The bispectral index (BIS) monitor was used to measure the depth of sedation just before and 10 min after both music intervention and midazolam administration. Stress response was assessed 5 min before and 20 min after surgery via the control of plasma prolactin (PRL), growth hormone (GH), and cortisol levels. The patient global impression of satisfaction (PGIS) was tested 1 h after surgery. Participants in the MTG were asked to answer 3 questions concerning their experience with MT. Results: No statistical differences among the PRL, GH and cortisol levels between the two groups were registered before and after the treatment, as well as for PAS, PAD and HR. Significant differences in the A-VAS scores between the MTG and CG (p < 0.01) was observed. Compared to the CG, MTG patients had a statistically significantly lower BIS score (p = 0.02) before induction. A PGIS score of 86.7% revealed that patients in the MTG were very satisfied, versus 80% in the CG (p < 0.05). Conclusion: Preoperative music therapy could be an alternative to intravenous midazolam when aiming to promote a preoperative and post-operative state of anxiolysis and sedation in stomatology surgery, even if no differences were found in terms of the surgery-related stress response according to physiological and hormonal determinations.

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Covid-19 and absence of music therapy: Impact on mother-child dyad during invasive procedures in pediatric oncology

Cited by 9 publications

References 25 publications

Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

Shifting perspectives and transformative change: Parent perspectives of an active music engagement intervention for themselves and their child with cancer

Use of music therapy in pediatric oncology: an Italian AIEOP multicentric survey study in the era of COVID-19

Effect of Preoperative Music Therapy Versus Intravenous Midazolam on Anxiety, Sedation and Stress in Stomatology Surgery: A Randomized Controlled Study

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