Cassileth 2003.
Study characteristics | ||
Methods | RCT 2‐arm parallel‐group design |
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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 |
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Interventions | 2 study groups:
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 |
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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) |
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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 |