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Dissertation - World Federation of Music Therapy

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9.6 Directions for future research<br />

The indicated effect <strong>of</strong> ten individual BMGIM sessions on mood and quality <strong>of</strong> life <strong>of</strong><br />

cancer survivors needs to be supported by evidence from randomized controlled<br />

studies with a larger sample. It is also necessary to study the effect <strong>of</strong> BMGIM on<br />

people with different types <strong>of</strong> cancer separately, to investigate differences and<br />

similarities <strong>of</strong> male and female participants, and to distinguish between the effects <strong>of</strong><br />

BMGIM in the specific phases <strong>of</strong> cancer treatment.<br />

The participants in this study recommended the inclusion <strong>of</strong> BMGIM also in the<br />

treatment phase. In order to determine whether receptive music therapy (BMGIM) can<br />

improve mood and quality <strong>of</strong> life in cancer patients with different diagnoses during<br />

chemotherapy or radiotherapy randomized controlled trials (n=min 75) are<br />

recommended. They should be conducted in collaboration with oncological wards at<br />

selected hospitals. Participants could be randomly assigned to either individual<br />

BMGIM therapy (10 individual sessions, Condition A), relaxation induction and<br />

unguided listening to preferred music (10 individual sessions, Condition B), or the<br />

hospital’s standard care (Control). Mood could be measured with POMS-38 and the<br />

HADS self report questionnaires, enabling comparisons <strong>of</strong> American and European<br />

studies. Quality <strong>of</strong> Life could be measured with the EORTC-QLQ-C30, because side<br />

effects are important issues in the treatment phase (or other frequently used<br />

questionnaires like the MAC scale); with the Antonovsky SOC self report<br />

questionnaire (e.g the short form SOC-13) or other relevant, standardized QoL<br />

questionnaires in the rehabilitation phase; with Hearth Hope Index or similar in the<br />

palliative phase. The hospital’s standard evaluation forms should measure<br />

performance and side effects in the treatment phase. Measures could be taken pre-<br />

therapy (baseline), after 3 sessions (prognosis), after 6 sessions (mid), after the last<br />

session (post-test) and two months later (follow-up). Selected participants should be<br />

interviewed after follow-up. Some <strong>of</strong> the sessions in condition A and B, for example<br />

the 1 st , 3 rd , 6 th , 9 th and 10 th sessions, should be audio recorded for qualitative analysis<br />

<strong>of</strong> image configuration, with the categories suggested in this study as a point <strong>of</strong><br />

reference.<br />

359

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