Clinical trial NCT00137189: Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation
Official title: Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation: A Randomised Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Disorders
Mood Disorders
Personality Disorders
Schizophrenia and Disorders With Psychotic Features
Keywords: Motivation
Music Therapy
Psychotherapy
Lead sponsor: NORCE Norwegian Research Centre AS
Sponsor class: OTHER
Collaborators: name: The Research Council of Norway
name: Helse Vest
name: Helse Forde
name: Nordfjord Psychiatric Centre
name: Helse Stavanger HF
name: Jæren District Psychiatric Centre
name: The Wagner-Jauregg Provincial Neuropsychiatric Clinic
name: University of Melbourne
First posted: 2005-08-29
Enrollment: 144
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes.

Detailed description: Background: Previous research has shown positive effects of music therapy for people with schizophrenia and other mental disorders. In clinical practice, music therapy is often offered to psychiatric patients with low therapy motivation, but little research exists about this population. The aim of this study is to examine whether resource-oriented music therapy helps psychiatric patients with low therapy motivation to improve negative symptoms and other health-related outcomes. An additional aim of the study is to examine the mechanisms of change through music therapy.

Method: 144 adults with a non-organic mental disorder (ICD-10: F1 to F6) who have low therapy motivation and a willingness to work with music will be randomly assigned to an experimental or a control condition. All participants will receive standard care, and the experimental group will in addition be offered biweekly sessions of music therapy over a period of three months. Outcomes will be measured by a blind assessor before and 1, 3, and 9 months after randomisation.

Discussion: The findings to be expected from this study will fill an important gap in the knowledge of treatment effects for a patient group that does not easily benefit from treatment. The study's close link to clinical practice, as well as its size and comprehensiveness, will make its results well generalisable to clinical practice.

Eligibility criteria: Inclusion Criteria:

* Non-organic mental disorder
* Low therapy motivation
* Willingness to work with music

Exclusion Criteria:

* Severe mental retardation
* Life-threatening somatic illness

Primary outcomes:
measure: negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
timeFrame: 1
measure: negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
timeFrame: 3 months
measure: negative symptoms (Scale for the Assessment of Negative Symptoms [SANS])
timeFrame: 9 months
Secondary outcomes:
measure: general symptoms
timeFrame: 1
measure: general symptoms
timeFrame: 3 months
measure: general symptoms
timeFrame: 9 months
measure: general functioning
timeFrame: 1 months
measure: general functioning
timeFrame: 3 months
measure: general functioning
timeFrame: 9 months
measure: clinical global impressions
timeFrame: 1 months
measure: clinical global impressions
timeFrame: 3 months
measure: clinical global impressions
timeFrame: 9 months
measure: interest in music
timeFrame: 1 months
measure: interest in music
timeFrame: 3 months
measure: interest in music
timeFrame: 9 months
measure: motivation for change
timeFrame: 1 months
measure: motivation for change
timeFrame: 3 months
measure: motivation for change
timeFrame: 9 months
measure: self-efficacy
timeFrame: 1 months
measure: self-efficacy
timeFrame: 3 months
measure: self-efficacy
timeFrame: 9 months
measure: self-esteem
timeFrame: 1 months
measure: self-esteem
timeFrame: 3 months
measure: self-esteem
timeFrame: 9 months
measure: vitality
timeFrame: 1 months
measure: vitality
timeFrame: 3 months
measure: vitality
timeFrame: 9 months
measure: affect regulation
timeFrame: 1 months
measure: affect regulation
timeFrame: 3 months
measure: affect regulation
timeFrame: 9 months
measure: relational competence
timeFrame: 1 months
measure: relational competence
timeFrame: 3 months
measure: relational competence
timeFrame: 9 months
measure: actual social relationships
timeFrame: 1 months
measure: actual social relationships
timeFrame: 3 months
measure: actual social relationships
timeFrame: 9 months
Other outcomes:
Locations:
city: Melbourne
country: Australia
facility: Sunshine Hospital/University of Melbourne, Faculty of Music
city: Linz
country: Austria
facility: Wagner Jauregg Hospital
city: Bryne
country: Norway
facility: Jæren District Psychiatric Centre
state: Rogaland
city: Stavanger
country: Norway
facility: Stavanger University Hospital
state: Rogaland
city: Nordfjordeid
country: Norway
facility: Nordfjord Psychiatry Centre
state: Sogn og Fjordane
Study officials:
affiliation: Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
name: Christian Gold, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: University of Bergen/Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
name: Brynjulf Stige, PhD
role: STUDY_DIRECTOR
References:
citation: Rolvsjord R, Gold C, Stige B. Research rigour and therapeutic flexibility: Rationale for a therapy manual developed for a randomised controlled trial. Nordic Journal of Music Therapy 14(1):15-32, 2005.
citation: Gold C, Rolvsjord R, Aaro LE, Aarre T, Tjemsland L, Stige B. Resource-oriented music therapy for psychiatric patients with low therapy motivation: protocol for a randomised controlled trial [NCT00137189]. BMC Psychiatry. 2005 Oct 31;5:39. doi: 10.1186/1471-244X-5-39.
citation: Gold C, Mossler K, Grocke D, Heldal TO, Tjemsland L, Aarre T, Aaro LE, Rittmannsberger H, Stige B, Assmus J, Rolvsjord R. Individual music therapy for mental health care clients with low therapy motivation: multicentre randomised controlled trial. Psychother Psychosom. 2013;82(5):319-31. doi: 10.1159/000348452. Epub 2013 Aug 9.