Impact of Music Therapy on Pain in Patients Treated for Advanced Cancer

Study Overview
=================
Brief Summary
-----------------
The aim of this study is to assess the impact of music therapy on the pain of patients cared at the Montpellier Cancer Institute (ICM) for advanced cancer in a palliative situation and requiring full hospitalization or on an outpatient basis.

Detailed Description
-----------------
Music therapy is a care practice that falls within the field of support, help and accompaniment therapies. Sound, musical and music are the means used to support, maintain or improve a person's physical and mental health. The patients involved in the study are patients cared at the ICM for advanced cancer in a palliative situation and requiring full hospitalization or on an outpatient basis. The aim is to assess the impact of music therapy on the pain of these patients. The patient is proposed to participate in a music therapy session. Before this session, the music therapist will assess the pain and the presence of symptoms with the patient. Following this exchange, she will define the device best suited to his expectations and his needs and will propose his a relaxation session induced by music. After the session the music therapist will assess with the patient the pain and the presence of symptoms. The patient's feelings and satisfaction about this music therapy session as well as his possible wish to participate in another session will also be evaluated.

Official Title
-----------------
Impact of Music Therapy on Pain in Patients Treated for Advanced Cancer

Conditions
-----------------
Advanced Cancer

Intervention / Treatment
-----------------
* Other: one music therapy session


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Male/female over 18 years old Patient cared for at the ICM for advanced cancer followed by the Mobile Palliative and/or Pain Care Team Patient with pain score >= 3 (cancer related) Patient who accepts a music therapy session Patient having expressed his oral non-opposition Patient able to communicate Patient affiliated to the French Social Security System. Exclusion Criteria: Patient with uncorrected hearing loss to normal Patient under guardianship, curatorship or safeguard of justice

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Evaluation of the impact of music therapy on the pain of patients<br>One music therapy session | Other: one music therapy session<br>* Edmonton Symptom Assessment System (ESAS) scale (before and after music therapy session), Numerical pain scale (before and after music therapy session)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change between before and after music therapy session on patients pain | Evolution of pain assessed by a numerical pain scale ranging from 0 to 10 (10 indicating the highest degree of pain) | at day 1 (before and after the music therapy session) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of symptom management | By the Edmonton Symptom Assessment System scale symptom score. This is a self-assessment scale of the most common symptoms in palliative care:pain, dyspnoea, fatigue, drowsiness, appetite, anxiety, depression, well-being and other possible symptoms. It's a numerical scale ranging from 0 to 10 (with higher scores indicating more severe symptoms). The Edmonton Symptom Assessment System scale allows to: Detect the symptoms present, quantify them and follow their evolution Validate with the patient the symptoms that bother him and that he wishes to be treated as a priority Communicate quickly between the different professionals involved in the treatment. | at day 1 (before and after the music therapy session) | 
| Patient wishing a second session of music therapy | Proportion of Patient wishing a second session of music therapy | at day 1 (after the music therapy session) | 
| Patient satisfaction of the music therapy session | Assessment of the satisfaction of the music therapy session. Assessment made by a numerical scale ranging from 0 to 10 (10 indicating high satisfaction) | at day 1 (after the music therapy session) | 
| Agreement to participate in the study | Proportion of patients agreeing to participate among the eligible patients to whom the study was proposed | at inclusion | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
music therapy