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. 2021 Oct 12;2021(10):CD006911. doi: 10.1002/14651858.CD006911.pub4

Cassileth 2003.

Study characteristics
Methods RCT
2‐arm parallel‐group design
Participants Adults with hematologic malignancy admitted for high dose therapy with autologous stem cell transplantation
Diagnosis: Hodgkin's (n = 8, 12%), non‐Hodgkin's lymphoma (n = 31, 45%), myeloma/amyloidosis (n = 30, 43%)
Total N randomized: 69
Total N analyzed: 60
N randomized to music group: 36
N randomized to control group: 33
N analyzed in music group: 34
N analyzed in control group: 26
Mean age: 52 years
Sex: 37 (54%) females, 32 (46%) males
Ethnicity: not provided
Setting: inpatient
Country: USA
Interventions 2 study groups:
  1. Music therapy group: live bedside music therapy provided by trained music therapist

  2. Control group: standard care


Music selections provided: each music therapy session was individualized according to the needs of the participant.
Number of sessions: the treatment group received a median of 5 sessions during a median of 10 days.
Length of sessions: 20‐30 min
Categorized as music therapy
Outcomes Depression (POMS): post‐test scores (after 1 session)
Anxiety (POMS): change scores (after 1 session)
Mood (POMS total score): change scores (after 1 session)
Fatigue (POMS): post‐test scores (after 1 session)
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "[R]andomized by telephone using the MSKCC clinical research database" (p. 2724) and "randomly permuted blocks with the following strata: whole body/whole lymphatic irradiation (yes/no); diagnosis (lymphoma, Hodgkin disease, myeloma/amyloidosis); and center (MSKCC/ICC)" (p. 2724).
Allocation concealment (selection bias) Low risk Quote: "[T]he use of telephone registration and randomization ensured concealment of treatment allocation".
Blinding of participants and personnel (performance bias)
All outcomes Low risk Music therapist and participants could not be blinded given the interactive nature of the music therapy session.
Blinding of outcome assessment (detection bias)
Objective outcomes Low risk This study did not address objective outcomes.
Blinding of outcome assessment (detection bias)
Subjective outcomes High risk Self‐report measures were used for subjective outcomes.
Incomplete outcome data (attrition bias)
All outcomes Low risk Attrition rate = 9 (13%)
Withdrew before learning allocation (n = 7); discharged before post‐test (n = 2)
Selective reporting (reporting bias) Low risk No evidence of selective reporting
Other bias Low risk Supported in part, by the Memorial Sloan‐Kettering Cancer Center Translational/Integrative Medicine Research Fund