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- Title
Mediators and Moderators of Active Music Engagement to Reduce Traumatic Stress Symptoms and Improve Well-being in Parents of Young Children With Cancer.
- Authors
Robb, Sheri L.; Stegenga, Kristin; Perkins, Susan M.; Stump, Timothy E.; Moody, Karen M.; Henley, Amanda K.; MacLean, Jessica; Jacob, Seethal A.; Delgado, David; Haut, Paul R.
- Abstract
Objective: This trial examined the effects of proximal/distal mediators and moderators of an Active Music Engagement (AME) intervention on young child/parent distress, quality of life, and family function outcomes. Methods: Child/parent dyads (n = 125) were randomized to AME or Audio-storybooks attention control condition. Each group received 3 sessions with a credentialed music therapist for 3 consecutive days with data collection at baseline, post-intervention (T2), and 30-days later (T3). Potential proximal mediators included within session child and parent engagement. Potential distal mediators included changes in perceived family normalcy, parent self-efficacy, and independent use of play materials. Potential moderators included parent/child distress with prior hospitalizations, parent traumatic stress screener (PCL-6), and child age. Outcomes included child emotional distress and quality of life; parent emotion, traumatic stress symptoms (IES-R), well-being; and family function. Mediation effects were estimated using ANCOVA, with indirect effects estimated using the percentile bootstrap approach. Moderation effects were tested by including appropriate interaction terms in models. Results: No significant mediation effects were observed. Child distress with prior hospitalizations moderated AME effects for IES-R intrusion subscale scores at T2 (P = .01) and avoidance subscale scores at T3 (P = .007). Traumatic stress screener scores (PCL-6) moderated intervention effects for IES-R hyperarousal subscale scores at T2 (P = .01). There were no moderation effects for child age. Conclusions: AME is a promising intervention for mitigating traumatic stress symptoms and supporting well-being in parents of children with cancer, particularly for parents who screen high for traumatic stress and whose children are more highly distressed with hospitalization.
- Subjects
CANCER patient psychology; WELL-being; STATISTICS; PSYCHOLOGY of parents; CONFIDENCE intervals; FISHER exact test; AUDIOVISUAL materials; TUMORS in children; MUSIC therapy; TREATMENT effectiveness; RANDOMIZED controlled trials; PEARSON correlation (Statistics); T-test (Statistics); SELF-efficacy; AVOIDANCE (Psychology); QUALITY of life; QUESTIONNAIRES; ANALYSIS of covariance; FACTOR analysis; CHI-squared test; DESCRIPTIVE statistics; HOSPITAL care; RESEARCH funding; FAMILY relations; STATISTICAL sampling; DATA analysis; EMOTIONS; PSYCHOLOGICAL distress; VIDEO recording; EVALUATION
- Publication
Integrative Cancer Therapies, 2023, Vol 22, p1
- ISSN
1534-7354
- Publication type
Article
- DOI
10.1177/15347354231218266