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Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation

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ClinicalTrials.gov Identifier: NCT00137189
Recruitment Status : Completed
First Posted : August 29, 2005
Last Update Posted : May 15, 2017
Sponsor:
Collaborators:
The Research Council of Norway
Helse Vest
Helse Forde
Nordfjord Psychiatric Centre
Helse Stavanger HF
Jæren District Psychiatric Centre
The Wagner-Jauregg Provincial Neuropsychiatric Clinic
University of Melbourne
Information provided by (Responsible Party):
NORCE Norwegian Research Centre AS

Study Description
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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.

Condition or disease Intervention/treatment Phase
Mental Disorders Mood Disorders Personality Disorders Schizophrenia and Disorders With Psychotic Features Procedure: Resource-oriented music therapy Procedure: Standard care Not Applicable

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.

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 144 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Resource-oriented Music Therapy for Psychiatric Patients With Low Therapy Motivation: A Randomised Controlled Trial
Study Start Date : April 2005
Actual Primary Completion Date : October 2010
Actual Study Completion Date : October 2010

Resource links provided by the National Library of Medicine


Arms and Interventions
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Arm Intervention/treatment
Experimental: Music therapy
See published study protocol
 Procedure: Resource-oriented music therapy
Procedure: Standard care
Standard care
See published study protocol
 Procedure: Standard care


Outcome Measures
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Primary Outcome Measures :
  1. negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [ Time Frame: 1 ]
  2. negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [ Time Frame: 3 months ]
  3. negative symptoms (Scale for the Assessment of Negative Symptoms [SANS]) [ Time Frame: 9 months ]

Secondary Outcome Measures :
  1. general symptoms [ Time Frame: 1 ]
  2. general symptoms [ Time Frame: 3 months ]
  3. general symptoms [ Time Frame: 9 months ]
  4. general functioning [ Time Frame: 1 months ]
  5. general functioning [ Time Frame: 3 months ]
  6. general functioning [ Time Frame: 9 months ]
  7. clinical global impressions [ Time Frame: 1 months ]
  8. clinical global impressions [ Time Frame: 3 months ]
  9. clinical global impressions [ Time Frame: 9 months ]
  10. interest in music [ Time Frame: 1 months ]
  11. interest in music [ Time Frame: 3 months ]
  12. interest in music [ Time Frame: 9 months ]
  13. motivation for change [ Time Frame: 1 months ]
  14. motivation for change [ Time Frame: 3 months ]
  15. motivation for change [ Time Frame: 9 months ]
  16. self-efficacy [ Time Frame: 1 months ]
  17. self-efficacy [ Time Frame: 3 months ]
  18. self-efficacy [ Time Frame: 9 months ]
  19. self-esteem [ Time Frame: 1 months ]
  20. self-esteem [ Time Frame: 3 months ]
  21. self-esteem [ Time Frame: 9 months ]
  22. vitality [ Time Frame: 1 months ]
  23. vitality [ Time Frame: 3 months ]
  24. vitality [ Time Frame: 9 months ]
  25. affect regulation [ Time Frame: 1 months ]
  26. affect regulation [ Time Frame: 3 months ]
  27. affect regulation [ Time Frame: 9 months ]
  28. relational competence [ Time Frame: 1 months ]
  29. relational competence [ Time Frame: 3 months ]
  30. relational competence [ Time Frame: 9 months ]
  31. actual social relationships [ Time Frame: 1 months ]
  32. actual social relationships [ Time Frame: 3 months ]
  33. actual social relationships [ Time Frame: 9 months ]

Eligibility Criteria
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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

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

Exclusion Criteria:

  • Severe mental retardation
  • Life-threatening somatic illness
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00137189


Locations
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Australia
Sunshine Hospital/University of Melbourne, Faculty of Music
Melbourne, Australia
Austria
Wagner Jauregg Hospital
Linz, Austria, 4021
Norway
Jæren District Psychiatric Centre
Bryne, Rogaland, Norway, 4349
Stavanger University Hospital
Stavanger, Rogaland, Norway, 4068
Nordfjord Psychiatry Centre
Nordfjordeid, Sogn og Fjordane, Norway, 6770
Sponsors and Collaborators
NORCE Norwegian Research Centre AS
The Research Council of Norway
Helse Vest
Helse Forde
Nordfjord Psychiatric Centre
Helse Stavanger HF
Jæren District Psychiatric Centre
The Wagner-Jauregg Provincial Neuropsychiatric Clinic
University of Melbourne
Investigators
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Principal Investigator: Christian Gold, PhD Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
Study Director: Brynjulf Stige, PhD University of Bergen/Grieg Academy Music Therapy Research Centre GAMUT, Unifob Health
More Information
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Publications of Results:

Other Publications:
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.

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Responsible Party: NORCE Norwegian Research Centre AS
ClinicalTrials.gov Identifier: NCT00137189    
Other Study ID Numbers: RCT-MTPSY
First Posted: August 29, 2005    Key Record Dates
Last Update Posted: May 15, 2017
Last Verified: May 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by NORCE Norwegian Research Centre AS:
Motivation
Music Therapy
Psychotherapy
Additional relevant MeSH terms:
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Disease
Schizophrenia
Mental Disorders
Personality Disorders
 Mood Disorders
Schizophrenia Spectrum and Other Psychotic Disorders
Pathologic Processes