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Malignant NeoplasmPhase 3NCT00305851

Music Therapy or Book Discussion in Improving Quality of Life in Young Patients Undergoing Stem Cell Transplant

A Phase 3 study testing Music Therapy, Psychosocial Assessment and Care and Quality-of-Life Assessment in people with Malignant Neoplasm, run by Children's Oncology Group at 3 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized phase III trial is studying how well music therapy works compared to listening and discussing books on tape in improving quality of life in young patients undergoing stem cell transplant. Music therapy or book discussion may improve quality of life in patients undergoing stem cell transplant. Read more about this study

Who is it for?
Ages 11 to 24 years
Conditions the study is for
Malignant Neoplasm
What is being tested?
Music Therapy, Psychosocial Assessment and Care and Quality-of-Life Assessment
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
118 participants
Where
3 sitesUnited States
Study dates
15 Apr 2006to 31 Mar 2021
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 11 to 24 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Diagnosis of an oncology condition requiring allogeneic or autologous transplantation
  • Receiving or planning to receive a myeloablative treatment regimen and 1 of the following:
  • Marrow transplantation
  • Peripheral stem cell transplantation
  • Cord blood stem cell transplantation
  • Patients with cancers that do not usually occur in childhood/adolescent or young adult populations (e.g., breast or prostate cancer) are not eligible
Show all 12Show fewer
  • Able to read and speak English
  • English does not need to be the primary language
  • Able to participate in the sessions as evaluated for alertness and engagement by the music therapist
  • No cognitive impairments that would make it difficult to participate in the intervention or complete questionnaires
  • Not married and not a parent
  • Concurrent therapy for pain control or relief of other symptoms allowed

Who cannot join

None listed.

Trial locations and contacts

3 sites in 1 country.

United States3 sites
  • Children's Healthcare of Atlanta - Egleston

    Atlanta, Georgia, 30322

  • Emory University Hospital/Winship Cancer Institute

    Atlanta, Georgia, 30322

  • Children's Oncology Group

    Philadelphia, Pennsylvania, 19104

Other trials in United States

About this study

Official title: Stories and Music for Adolescent/Young Adult Resilience During Transplant (SMART)

This randomized phase III trial is studying how well music therapy works compared to listening and discussing books on tape in improving quality of life in young patients undergoing stem cell transplant. Music therapy or book discussion may improve quality of life in patients undergoing stem cell transplant. It is not yet known whether music therapy is more effective than book discussion in improving quality of life in patients undergoing stem cell transplant.

Read the detailed description

PRIMARY OBJECTIVES:

  1. Test the efficacy, in terms of resilience and quality of life, of a therapeutic music video (TMV) intervention vs listening and discussing books on tape (control group) for adolescents and young adults (AYA) undergoing autologous or allogeneic transplantation for cancer.

II. Qualitatively describe the perception of helpfulness and meaningfulness of a sub-group of both interventions for AYA and family members 100 days post-transplant.

OUTLINE: This is a randomized, controlled, limited multicenter study. Patients are randomized to 1 of 2 arms.

ARM I (books on tape [control group]): Patients undergo six 1-hour sessions twice a week for 3 weeks with a trained counselor in which they choose up to 3 books on CD and listen to the book and/or discuss their impressions and thoughts about the contents with the counselor. Patients are provided with a portable CD player to listen to the books during their hospitalization.

ARM II (therapeutic music video [TMV] intervention): Patients undergo six 1-hour sessions twice a week for 3 weeks with a music therapist, designed specifically for the pre-transplant and acute phase of treatment. Phases of patient participation include song writing, recording the song with a digital accompaniment track, completing a video layout worksheet, taking photos or making drawings for the video, viewing clip art and pictures on a computer, and sharing the final video with family members and hospital staff.

In both arms, patients complete questionnaires before and after sessions 2, 4, and 6 with the music therapist. Patients also complete computer-based questionnaires before hospitalization, after session six during hospitalization, and at 100 days post-transplantation.

Being tested
Music Therapy, Psychosocial Assessment and Care, Quality-of-Life Assessment
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Music TherapyProcedure or surgery

    Undergo therapeutic music video therapy

  • Psychosocial Assessment and CareProcedure or surgery

    Also called Psychosocial Care/Assessment

    Undergo books on tape therapy

  • Quality-of-Life AssessmentOther

    Also called Quality of Life Assessment

    Ancillary studies

Study groups in NCT00305851
Study groupRoleWhat they receive
Arm I (counseling)Active comparatorPatients undergo six 1-hour sessions twice a week for 3 weeks with a trained counselor in which they choose up to 3 books on CD and listen to the book and/or discuss their impressions and thoughts about the contents with the counselor. Patients are provided with a portable CD player to listen to the books during their hospitalization.
Receives: Procedure: Psychosocial Assessment and Care; Other: Quality-of-Life Assessment
Arm II (counseling and music therapy)ExperimentalPatients undergo six 1-hour sessions twice a week for 3 weeks with a music therapist, designed specifically for the pre-transplant and acute phase of treatment. Phases of patient participation include song writing, recording the song with a digital accompaniment track, completing a video layout worksheet, taking photos or making drawings for the video, viewing clip art and pictures on a computer, and sharing the final video with family members and hospital staff.
Receives: Procedure: Music Therapy; Procedure: Psychosocial Assessment and Care; Other: Quality-of-Life Assessment

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Assess acute changes of Symptoms-related distress: Pain

    Illness-related distress will be measured by indicators of uncertainty in illness, symptom-related distress. Brief Symptoms Assessment is a self-reported measure capturing information on pain. Specifically, the instrument includes a 1-item pain numeric rating scale.

    Measured: Change from pre- and post-sessions 2, 4, and 6, baseline, immediately after completion of study treatment, and 100 days post-transplant

  2. Assess acute changes of Symptoms-related distress: Anxiety

    Illness-related distress will be measured by indicators of uncertainty in illness, symptom-related distress. Brief Symptoms Assessment is a self-reported measure capturing information on anxiety. Specifically, the instrument includes a 5-item Anxiety scale.

    Measured: Change from pre- and post-sessions 2, 4, and 6, baseline, immediately after completion of study treatment, and 100 days post-transplant

  3. Assess acute changes of Symptoms-related distress: Fatigue

    Illness-related distress will be measured by indicators of uncertainty in illness, symptom-related distress. Brief Symptoms Assessment is a self-reported measure capturing information on fatigue. Specifically, the instrument includes a 1-item fatigue visual analogue scale.

    Measured: Change from pre- and post-sessions 2, 4, and 6, baseline, immediately after completion of study treatment, and 100 days post-transplant

  4. Assess acute changes of Symptoms-related distress: Mood

    Illness-related distress will be measured by indicators of uncertainty in illness, symptom-related distress. Brief Symptoms Assessment is a self-reported measures capturing information on mood. Specifically, the instrument includes a 1-item mood scale.

    Measured: Change from pre- and post-sessions 2, 4, and 6, baseline, immediately after completion of study treatment, and 100 days post-transplant

  5. Assess changes in uncertainty in illness as assessed by the Mishel Uncertainty in Illness Scale

    Mishel Uncertainty in Illness Scale-Revised (MUIS-R) consists of two factors: Complexity and Ambiguity, with higher scores indicating a high level of uncertainty. Item responses are on a 5-point Likert-type scale (ranging from 5 = Strongly Agree to 1 = Strongly Disagree

    Measured: Change from baseline, immediately after completion of study treatment and 100 days post-transplant

  6. Assess changes in the use of defensive coping

    Defensive Coping will be measured by three subscales of the Jalowiec Coping Scale-Revised (JCS):

    evasive, emotive, and fatalistic coping. JCS is a self-report, 0-3 point rating scale. The items are scored for both use and effectiveness.

    Measured: Change from immediately after completion of study treatment and 100 days post-transplant

  7. Assess changes in the use of positive coping

    Three subscales of the Jalowiec Coping Scale-Revised will measure Positive Coping (JCS): confrontive, optimistic, and supportive.

    Measured: Change from immediately after completion of study treatment and 100 days post-transplant

  8. Assess changes in communication with family as assessed by Parent-Adolescent Communication

    Parent Adolescent Communication (P-AC) self-report items are on 5-point Likert scales that assess adolescents' views regarding their perceptions and experience of communicating with each parent rated separately. The two subscales, Open Family Communication and Problems in Family Communication, respectively measure positive and negative aspects of communications within a family and are scored independently.

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  9. Assess changes in adaptability or cohesion as assessed by FACES II

    Family Adaptability and Cohesion Scale II (FACES II) is a self-report scale using Likert response scales and measuring the 2 factors: Adaptability or cohesion

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  10. Assess changes in perceived social support from friends

    Perceived Social Support from Friends (PSS-Fr) is a self-report scale using 3-point rating responses ranging from 0 to 2 designed to measure the extent to which individuals perceive that their needs for support, information, and feedback are fulfilled by friends.

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  11. Assess changes in perceived social support from family

    Perceived Social Support from Family (PSS-Fa) is a self-report, 3-point response (Yes, No, I don't know) scale, designed to measure the extent to which individuals perceive that their needs for support, information and feedback are fulfilled by family.

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  12. Assess changes in perceived social support from healthcare providers

    Perceived Social Support from Health Care Providers (PSS-HCP) is a self-report, 3-point rating scale adapted by Haase from items on the Perceived Social Support-Friends scales102 to correspond to health care provider relationships. Items indicate the extent to which individuals perceive their needs for support, information, and feedback are fulfilled by health care providers.

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  13. Assess changes in Hope from stem cell transplantation (STC) experience:

    Measured by indicators of hope. Herth Hope Index (HHI) items are on a 4-point scale, ranging from 1 (strongly disagree) to 4 (strongly agree); higher summative scores indicate greater hope.

    Measured: Change from immediately after completion of study treatment, and 100 days post-transplant

  14. Assess changes in Spiritual Perspective from stem cell transplantation (STC) experience

    Measured by indicators spiritual perspective. Reed Spiritual Perspective Scale (RSPS) is a one-factor scale that measures the saliency of spiritual beliefs and behaviors in the respondent's life.157 The response format is a 6-point Likert scale anchored with words describing the frequency of behaviors.

    Measured: Change from immediately after completion of study treatment, and 100 days post-transplant

  15. Assess changes of Higher Resilience: Haase Adolescent Resilience in Cancer Scale

    Haase Adolescent Resilience in Cancer Scale measures resilience related to illness. The scale uses a 6-point Likert-type scale ranging form: 1 (strongly disagree) to 4 (strongly agree); higher summative scores indicate greater resilience. Validity of the scales was found in predictive correlations with self-esteem, self-transcendence, confidence/mastery and quality of life. In Haase's preliminary studies, alpha reliability coefficients were 0.84 - 0.86.

    Measured: Change from after completion of study treatment and 100 days post-transplant

  16. Assess changes of Higher Resilience (self esteem, confidence, self-transcendence): NCS

    Nowotny Confidence Subscale (NCS) of the Nowotny Hope Scale is a self-report of confidence in one's own ability, which uses a 4-point Likert response format of strongly agree to strongly disagree

    Measured: Change from after completion of study treatment, and 100 days post-transplant

  17. Assess changes of Higher Resilience (self esteem, confidence, self-transcendence): STS

    Reed Self-Transcendence Scale (STS) assesses activities and perspectives individuals engage in to expand their boundaries via 4-point Likert response scales

    Measured: Change from after completion of study treatment, and 100 days post-transplant

  18. Assess changes in Higher Resilience (self esteem, confidence, self-transcendence): SES

    Rosenberg Self-esteem Scale (SES) measures attitudes toward one's self. Responses are on a 4-point Likert scale.

    Measured: Change from after completion of study treatment, and 100 days post-transplant

  19. Assess changes in indicators of well-being and global quality of life: LASA Uniscale

    Measured by indicators of well-being and global quality of life.LASA Uniscale is a global QOL self-report one-item instrument: "Please score how you feel your life has been affected by the state of your health (any disease or treatment) during the last week".160 The item is adopted from the Southwest Oncology Group protocol, which adapted the scale from a linear analogue to categorical format with 5 response categories ranging from extremely unpleasant to normal (no change).

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

  20. Assess changes in indicators of well-being and global quality of life: IWB

    Measured by indicators of well-being and global quality of life. Index of Well-being (IWB) is a semantic differential scale describing present life using adjective extremes such as discouraging/hopeful.

    Measured: Change from baseline, immediately after completion of study treatment, and 100 days post-transplant

Secondary outcomes (1)
  1. Qualitatively describe the perception of helpfulness and meaningfulness of both the low-dose and TMV interventions for AYA and family members

    The Interview Guide is used to collect data to answer research questions. The interview schedule includes open-ended questions. Examples of questions for the TMV group AYA and designated caregiver, respectively, are: "Tell me about your experience of being involved in the music video production" and "Tell me what you think it meant for your adolescent to complete the video." (Appendix 1) The interview proceeds until the participant feels the experience is fully described

    Measured: 100 days post-transplant

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Mar 2006 (estimated)
  2. Study start15 Apr 2006
  3. Primary completion5 Oct 2010
  4. Study completion31 Mar 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
118 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00305851
Sponsor's protocol ID
COG-ANUR0631
Other IDs
NCI-2009-00408, CDR0000463879, COG-ANUR0631, COG-ANUR0631, ANUR0631, R01NR008583, U10CA095861
Status last verified
Jan 2013
First submitted
21 Mar 2006
Last updated
15 Jul 2022
Results posted
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Music Therapy, Psychosocial Assessment and Care and Quality-of-Life Assessment in people with Malignant Neoplasm, run by Children's Oncology Group at 3 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 12 inclusion and 0 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 15 Jul 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 3 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Assess acute changes of Symptoms-related distress: Pain (time frame: Change from pre- and post-sessions 2, 4, and 6, baseline, immediately after completion of study treatment, and 100 days post-transplant). The study lists 20 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Jul 2022; AzTrials last refreshed its copy on 8 Nov 2026.

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