Randomized controlled trial of the active music engagement (AME) intervention on children with cancer

Background: Coping theorists argue that environmental factors affect how children perceive and respond to stressful events such as cancer. However, few studies have investigated how particular interventions can change coping behaviors. The active music engagement (AME) intervention was designed to c...

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Published in:Psycho-oncology (Chichester, England) England), 2008-07, Vol.17 (7), p.699-708
Main Authors: Robb, Sheri L., Clair, Alicia A., Watanabe, Masayo, Monahan, Patrick O., Azzouz, Faouzi, Stouffer, Janice W., Ebberts, Allison, Darsie, Emily, Whitmer, Courtney, Walker, Joey, Nelson, Kirsten, Hanson-Abromeit, Deanna, Lane, Deforia, Hannan, Ann
Format: Article
Language:English
Subjects:
Cancer
Children
Children & youth
Clinical trials
Coping
coping behavior
Health behavior
Hospitalization
hospitalized children
Music therapy
Oncology
Pediatrics
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Summary:Background: Coping theorists argue that environmental factors affect how children perceive and respond to stressful events such as cancer. However, few studies have investigated how particular interventions can change coping behaviors. The active music engagement (AME) intervention was designed to counter stressful qualities of the in‐patient hospital environment by introducing three forms of environmental support. Method: The purpose of this multi‐site randomized controlled trial was to determine the efficacy of the AME intervention on three coping‐related behaviors (i.e. positive facial affect, active engagement, and initiation). Eighty‐three participants, ages 4–7, were randomly assigned to one of three conditions: AME (n = 27), music listening (ML; n = 28), or audio storybooks (ASB; n = 28). Conditions were videotaped to facilitate behavioral data collection using time‐sampling procedures. Results: After adjusting for baseline differences, repeated measure analyses indicated that AME participants had a significantly higher frequency of coping‐related behaviors compared with ML or ASB. Positive facial affect and active engagement were significantly higher during AME compared with ML and ASB (p
ISSN:1057-9249
1099-1611
DOI:10.1002/pon.1301