The purpose of this within-subjects randomized controlled trial is to determine whether two music therapy interventions are efficacious in reducing pain symptoms, in order to improve the quality of care for children in pediatric hospice. The investigators hypothesize that both music therapy interventions, live guitar and vocal intervention and vibroacoustic intervention, will reduce behavioural pain scores and that behavioural pain scores will correlate with physiological outcome measures.
Effective pain management in pediatric palliative care is a quality of life issue for patients, families and professionals. Current research supports the use of music therapy to assist with pain management in pediatric medical settings. However, little research has been done to explore the use of music therapy for reducing pain in children with life-limiting neurological impairments or metabolic conditions. As the first known project to examine the effects of music therapy on pain symptoms with children who have life-limiting neurological impairments or metabolic disorders, this study will expand the evidence-base for practice with this population. It is imperative that an evidence base for music therapy in this area be established, so that the most effective interventions can be provided to these vulnerable children.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
13
Live guitar and vocal music therapy. Subject is passive recipient for 30 minutes.
30 minutes using vibroacoustic mat.
Canuck Place Children's Hospice
Vancouver, British Columbia, Canada
Behavioural Pain Scores
Non-communicating children's pain checklist scores.
Time frame: Participants will be observed for a total of 3 hours during one hospice admission, an expected average of one week
Physiological measures
Heart rate, oxygen saturation, skin conductance
Time frame: Participants will be observed for a total of 3 hours during one hospice admission, an expected average of one week
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