Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation

Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation: A Randomised Controlled Trial

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.

Study Overview

• Status: Completed
• Conditions: Personality Disorders; Mental Disorders; Mood Disorders; Schizophrenia and Disorders With Psychotic Features
• Intervention / Treatment: Procedure: Resource-oriented music therapy; Procedure: Standard care

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 Type: Interventional
• Enrollment (Actual): 144
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Australia
  • Melbourne, Australia
    • Sunshine Hospital/University of Melbourne, Faculty of Music
• Austria
  • Linz, Austria, 4021
    • Wagner Jauregg Hospital
• Norway
  • Rogaland
    • Bryne, Rogaland, Norway, 4349
      • Jæren District Psychiatric Centre
    • Stavanger, Rogaland, Norway, 4068
      • Stavanger University Hospital
  • Sogn og Fjordane
    • Nordfjordeid, Sogn og Fjordane, Norway, 6770
      • Nordfjord Psychiatry Centre

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Non-organic mental disorder
• Low therapy motivation
• Willingness to work with music

Exclusion Criteria:

• Severe mental retardation
• Life-threatening somatic illness

Study Plan

How is the study designed?

Design Details

• Primary Purpose: TREATMENT
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: SINGLE

Number of Arms

2

Arms and Interventions

Participant Group / 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

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
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

Outcome Measure	Time Frame
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

Collaborators and Investigators

• Sponsor: NORCE Norwegian Research Centre AS
• Collaborators: The Research Council of Norway; Helse Stavanger HF; Helse Vest; Helse Forde; University of Melbourne; Nordfjord Psychiatric Centre; The Wagner-Jauregg Provincial Neuropsychiatric Clinic; Jæren District Psychiatric Centre
• 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

Publications and helpful links

General Publications

• 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.
• 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. doi: 10.1186/1471-244X-5-39.
• Gold C, Mossler K, Grocke D, Heldal TO, Tjemsland L, Aarre T, Aaro LE, Rittmannsberger H, Stige B, Assmus J, Rolvsjord R. Individual music therapy for mental health care clients with low therapy motivation: multicentre randomised controlled trial. Psychother Psychosom. 2013;82(5):319-31. doi: 10.1159/000348452. Epub 2013 Aug 9.

Study record dates

Study Major Dates

• Study Start: April 1, 2005
• Primary Completion (ACTUAL): October 1, 2010
• Study Completion (ACTUAL): October 1, 2010

Study Registration Dates

• First Submitted: August 26, 2005
• First Submitted That Met QC Criteria: August 26, 2005
• First Posted (ESTIMATE): August 29, 2005

Study Record Updates

• Last Update Posted (ACTUAL): May 15, 2017
• Last Update Submitted That Met QC Criteria: May 12, 2017
• Last Verified: May 1, 2017

More Information

Terms related to this study

• Keywords: Motivation; Psychotherapy; Music Therapy
• Additional Relevant MeSH Terms: Pathologic Processes; Personality Disorders; Schizophrenia; Disease; Mental Disorders; Mood Disorders; Schizophrenia Spectrum and Other Psychotic Disorders
• Other Study ID Numbers: RCT-MTPSY

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO