Patient Outcomes of a Virtual Reality-Based Music Therapy Pilot in Palliative Care.

Autor:	Brungardt A; Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Wibben A; University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA., Shanbhag P; Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Boeldt D; National Mental Health Innovation Center, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., Youngwerth J; University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA.; Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Tompkins A; Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Rolbiecki AJ; Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.; Department of Family Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Coats H; College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA., LaGasse AB; School of Music, Theatre and Dance, Colorado State University, Fort Collins, Colorado, USA., Kutner JS; University of Colorado Hospital Palliative Care Consult Service, University of Colorado Hospital, Aurora, Colorado, USA.; Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA., Lum HD; Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Jazyk:	angličtina
Zdroj:	Palliative medicine reports [Palliat Med Rep] 2024 Jul 19; Vol. 5 (1), pp. 278-285. Date of Electronic Publication: 2024 Jul 19 (Print Publication: 2024).
DOI:	10.1089/pmr.2024.0022
Abstrakt:	Background: Hospitalized patients with palliative care needs often have high levels of physical and psychological symptom distress. Virtual reality (VR) with a music therapy intervention may improve physical and psychological symptoms. Objectives: To assess symptom distress and quality of life (QOL) among hospitalized palliative care patients who participated in a virtual reality-based music therapy (VR-MT) intervention, and to explore VR-MT from the perspectives of health care professionals involved in their care. Design: Single-arm pilot study of a two-day VR-MT intervention. Setting/participants: Patients seen by an inpatient palliative care consultation service at a U.S. hospital could participate in the VR-MT intervention. Participants created a customized soundtrack with a music therapist and then listened to it while experiencing a 360-degree VR nature-based environment of their choice. Measurements: Patients completed the Edmonton Symptom Assessment System, revised version (ESAS-r) and McGill Quality of Life, revised version (MQOL-R) before and after VR-MT. Members of the participants' health care teams were interviewed. Results: Seventeen patients completed VR-MT (range 20-79 years of age, 59% women). Moderate clinical improvements were observed for total ESAS-r score (Cohen's d effect size, 0.68), physical distress subscale (0.52), and psychological distress subscale (0.60); small improvements were observed in total MQOL-r score (0.26) and the existential subscale (0.27). Health care team members described the value of VR-MT as facilitating meaningful conversations. Conclusions: This pilot study of VR combined with a music therapy intervention for hospitalized patients with palliative care needs supports opportunities for future study of potential improvements in symptom distress and QOL. (© Adreanne Brungardt et al., 2024; Published by Mary Ann Liebert, Inc.)
Databáze:	MEDLINE
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