The author studied the relationship between listening to a Music-Assisted Relaxation and Imagery (MARI) compact disc recording and health-related outcomes of patients with coronary heart disease (CHD), who were enrolled in an outpatient cardiac rehabilitation program. High worldwide mortality related to CHD substantiated need for the research. An extensive search of the literature revealed a lack of published systematic investigations of the topic. The purpose of the non-randomized study was to identify implications for continued music therapy research of treatment for patients who have CHD. The study examined research questions that were identified by the author from analysis of her prior exploratory, feasibility study. Physiological and psychological outcomes were measured, including: blood pressure, anxiety, stress, depression, and health-related quality of life. Patients' recorded narratives about their MARI experiences were analyzed. The non-randomized investigation involved intensive analysis and comparison of data from eight patients, who remained in the study through at least 4 months after recruitment Findings suggest a functional relationship between MARI and all measured outcomes. Individual patients' experiences varied, and need for consideration of patients' preferences for music and imagery was evident. The study's findings were limited by lack of randomization, small sample size, and attrition. A future longitudinal, randomized controlled trial of music therapy in cardiac rehabilitation, with sample size to be determined by statistical power analysis, is suggested.
|Advisor:||Ryan, Lawrence J.|
|School:||Union Institute and University|
|School Location:||United States -- Ohio|
|Source:||DAI-B 68/08, Dissertation Abstracts International|
|Keywords:||Cardiac rehabilitation, Music therapy, Music-assisted relaxation and imagery|
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