This study explores the hypothesis that mental health service users, their carers and musicians can - through the creative act of music learning and performing - mutually enhance wellbeing through the development of more meaningful and resilient lives. The project seeks to explore three interconnected issues: (i) the extent to which music learning and performing provides a forum for 'mutual recovery' among adult mental health service users, their formal/informal carers, and musicians, (ii) the characteristic features of 'mutual recovery' through music, and (iii) the underlying mechanisms of such 'mutual recovery'. The study will consist of three different stages. Stages 1 and 2 will examine the effect of a variety of group activities - including participatory music, listening to live music, listening to recorded music and a non-music control - on psychological scales, saliva samples of stress hormones and cytokines, and subjective experience to see which provide the most relaxing, sociable and supportive environments for mutual recovery. Stage 3 will explore the impact of musical interventions over longer periods of time. A systematic review we have just carried out has revealed a major gap in research comparing different music interventions and testing the effects of different lengths of interventions. As a result, our study should help us answer the following questions: * Which aspect(s) of music can contribute to mutual recovery? * Do carers, patients and musicians all respond to the same activities, or do some musical activities suit certain groups more than others? * Do carers, patients and musicians all recover at the same rate? * What length of intervention is most effective? If certain interventions are found to produce stronger results than others, these results could help guide community groups and healthcare settings in their design of music activities and have implications for the spending of arts-in-health budgets.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
150
Active participation in group drumming workshops
Listening to live performances of group drumming
Listening to recorded performances of group drumming
Taking part in a literary-based activity
Centre for Performance Science, Royal College of Music
London, United Kingdom
Warwick-Edinburgh Mental Well-being Scale
Time frame: Change from baseline (recorded in the week prior to participation in either 6 or 10 weeks of music interventions) to the end of participation in the music interventions
Secker's 'Measure of social inclusion for arts and mental health project participants'
Time frame: Change from baseline (recorded in the week prior to participation in either 6 or 10 weeks of music interventions) to (a) the end of participation in the music interventions, and (b) 3 months after the end of music interventions
Connor-Davidson Resilience Scale (CD-RISC)
Time frame: Change from baseline (recorded in the week prior to participation in either 6 or 10 weeks of music interventions) to (a) the end of participation in the music interventions, and (b) 3 months after the end of music interventions
Hospital Anxiety and Depression Scale
Time frame: Change from baseline (recorded in the week prior to participation in either 6 or 10 weeks of music interventions) to (a) the end of participation in the music interventions, and (b) 3 months after the end of music interventions
Saliva levels of cortisol
Time frame: Change from baseline (taken immediately before the music intervention) when measured immediately following the 60 or 90 minute music intervention session
Blood pressure
Time frame: Change from baseline (taken immediately before the music intervention) when measured immediately following the 60 or 90 minute music intervention session
Saliva levels of salivary immunoglobulin A
Time frame: Change from baseline (taken immediately before the music intervention) when measured immediately following the 60 or 90 minute music intervention session
Saliva levels of interleukins including IL6
Time frame: Change from baseline (taken immediately before the music intervention) when measured immediately following the 60 or 90 minute music intervention session
Heart rate
Time frame: Change from baseline (taken immediately before the music intervention) when measured immediately following the 60 or 90 minute music intervention session
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