Application of Therapeutic Harp Sounds for Quality of Life Among Hospitalized Patients

• Published in: Journal of pain and symptom management 2015-05, Vol.49 (5), p.836-845
• Main Authors: Schneider, Diane M., JD, PhD, Graham, Kathleen, RN, MS, AOCN, Croghan, Katrina, MS, Novotny, Paul, MS, Parkinson, Julia, BA, Lafky, Veronica, Sloan, Jeff A., PhD
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Anesthesia & Perioperative Care; Anxiety - diagnosis; Anxiety - prevention & control; Anxiety - psychology; clinical trial; Cross-Over Studies; crossover; Fatigue - prevention & control; Fatigue - psychology; Female; Hospitalization; Humans; Male; Middle Aged; Music; Music Therapy - methods; Pain - diagnosis; Pain - prevention & control; Pain - psychology; Pain Medicine; quality of life; Quality of Life - psychology; therapeutic harp; Treatment Outcome; Young Adult
• ISSN: 0885-3924; 1873-6513
• DOI: 10.1016/j.jpainsymman.2014.09.012

Abstract Context Hospitalized patients experience symptoms including pain and anxiety that may negatively affect their well-being and overall quality of life (QOL), even when medical interventions are deemed successful. Objectives The objective of the study was to assess the efficacy of prescriptive live therapeutic harp sounds on patient symptoms and QOL. Methods The study was a two-period, two-treatment arm crossover, randomized clinical trial. Individuals were randomized to harp music and standard care for the first 24 hours of the hospital stay, followed by 24 hours of only standard care, or vice versa. The harp intervention was 30–40 minutes of prescriptive live therapeutic harp sounds in the form of solo harp pieces and improvisations. Patients recorded well-being and symptom scores on linear analogue scales. Entry criteria included at least 18 years and a score of 3 or below on a 1–5 linear analogue scale indicating compromised overall QOL. Results Ninety-two eligible patients participated in the clinical trial. All the QOL variables had significantly higher percentages of patients with improvements during the harp treatment than during standard care. Five symptoms—fatigue, anxiety, sadness, relaxation, and pain—were significantly improved following therapeutic harp treatment. Approximately 30% to 50% of patients showed a significant increase in the QOL measures after harp treatment. Conclusion There is evidence of strong positive effects on the QOL of hospitalized patients who received therapeutic harp sound treatment along with standard care.