Comparing Educational Music Therapy Interventions via Stages of Recovery with Adults in an Acute Care Mental Health Setting: A Cluster-Randomized Pilot Effectiveness Study
The purpose of this cluster-randomized pilot effectiveness study was to compare two different group-based educational music therapy interventions with a control condition as measured by the stage model of recovery in adults on an acute care mental health unit. Participants (N = 69) were cluster-randomized to one of three single-session conditions: educational lyric analysis (ELA), educational songwriting (ESW), or control. ELA and ESW conditions targeted motivations for and factors contributing to recovery. Results indicated no significant between-group difference. However, ELA and ESW conditions tended to have slightly more favorable stage of recovery mean scores than the control condition. Generally, educational music therapy may be clinically relevant for impacting stage of recovery within the temporal parameters of a single session. As ELA and ESW conditions had similar results, the specific educational music therapy intervention did not affect results. Implications for clinical practice, limitations, and suggestions for future research are provided.
KeywordsMental health condition Music therapy Mental health Recovery Stage of recovery Randomized Songwriting Lyric analysis
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Conflict of interest
The author reports no conflict of interest.
The author has read the ethical guidelines for this journal and certifies he is in compliance with all ethical guidelines.
- American Music Therapy Association. (2019). What is music therapy? Retrieved from http://www.musictherapy.org.
- Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health system in the 1990s. Innovations and Research, 2, 17–24.Google Scholar
- Centers for Disease Control and Prevention. (2015). FastStats, April 8, Mental Health. Retrieved from http://www.cdc.gov.nchs/faststats/mental-health.htm.
- Green, C. A., Estroff, S. E., Yarborough, B. J. H., Spofford, M., Solloway, M. R., Kitson, R. S., & Perrin, N. A. (2014). Directions for future patient-centered and comparative effectiveness research for people with serious mental illness in a learning mental health care system. Schizophrenia Bulletin, 40(S1), S1–S94.PubMedGoogle Scholar
- McCaffrey, T., Carr, C., Solli, H. P., & Hense, C. (2018). Music therapy and recovery in mental health: Seeking a way forward. Voices: A World Forum for Music Therapy, 18(1). https://doi.org/10.15845/voices.v18i1.918.
- Rolvsjord, R. (2010). Resource-oriented music therapy in mental health care. Gilsum: Barcelona.Google Scholar
- Silverman, M. J. (2014). Effects of a live educational music therapy intervention on acute psychiatric inpatients’ perceived social support and trust in the therapist: A four-group randomized effectiveness study. Journal of Music Therapy, 51, 228–249. https://doi.org/10.1093/jmt/thu011.CrossRefPubMedGoogle Scholar
- Silverman, M. J. (2016a). Effects of educational music therapy on illness management knowledge and mood state in acute psychiatric inpatients: A randomized three group effectiveness study. Nordic Journal of Music Therapy, 25, 57–75. https://doi.org/10.1080/08098131.2015.1008559.CrossRefGoogle Scholar
- Sowers, W., Huskshorn, K., & Ashcraft, L. (2004). Transforming systems of care: Translation of recovery to mental health treatment settings. Paper presented at the National Consensus Conference on Mental Health Recovery and Systems Transformation, Rockville, MD.Google Scholar
- Thomas, C. (2007). Music therapy and acute care psychiatric treatment. In B. J. Crowe & C. Colwell (Eds.), Music therapy for children, adolescents and adults with mental disorders (pp. 125–132). Silver Spring: American Music Therapy Association.Google Scholar