Mediators and Moderators of Active Music Engagement to Reduce Traumatic Stress Symptoms and Improve Well-being in Parents of Young Children With Cancer.
| Autor: | Robb SL; Indiana University, Indianapolis, IN, USA., Stegenga K; Children's Mercy, Kansas City, MO, USA., Perkins SM; Indiana University, Indianapolis, IN, USA., Stump TE; Indiana University, Indianapolis, IN, USA., Moody KM; MD Anderson Cancer Center, Houston, TX, USA., Henley AK; Purdue School of Engineering and Technology, IUPUI, Indianapolis, IN, USA., MacLean J; Indiana University, Indianapolis, IN, USA., Jacob SA; Indiana University, Indianapolis, IN, USA., Delgado D; Astellas Pharma Global Development, Inc, Northbrook, IL, USA., Haut PR; Indianapolis, IN, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Integrative cancer therapies [Integr Cancer Ther] 2023 Jan-Dec; Vol. 22, pp. 15347354231218266. |
| DOI: | 10.1177/15347354231218266 |
| Abstrakt: | Objective: This trial examined the effects of proximal/distal mediators and moderators of an Active Music Engagement (AME) intervention on young child/parent distress, quality of life, and family function outcomes. Methods: Child/parent dyads (n = 125) were randomized to AME or Audio-storybooks attention control condition. Each group received 3 sessions with a credentialed music therapist for 3 consecutive days with data collection at baseline, post-intervention (T2), and 30-days later (T3). Potential proximal mediators included within session child and parent engagement. Potential distal mediators included changes in perceived family normalcy, parent self-efficacy, and independent use of play materials. Potential moderators included parent/child distress with prior hospitalizations, parent traumatic stress screener (PCL-6), and child age. Outcomes included child emotional distress and quality of life; parent emotion, traumatic stress symptoms (IES-R), well-being; and family function. Mediation effects were estimated using ANCOVA, with indirect effects estimated using the percentile bootstrap approach. Moderation effects were tested by including appropriate interaction terms in models. Results: No significant mediation effects were observed. Child distress with prior hospitalizations moderated AME effects for IES-R intrusion subscale scores at T2 ( P = .01) and avoidance subscale scores at T3 ( P = .007). Traumatic stress screener scores (PCL-6) moderated intervention effects for IES-R hyperarousal subscale scores at T2 ( P = .01). There were no moderation effects for child age. Conclusions: AME is a promising intervention for mitigating traumatic stress symptoms and supporting well-being in parents of children with cancer, particularly for parents who screen high for traumatic stress and whose children are more highly distressed with hospitalization. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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