The Effect of Music Therapy on Comfort for Pediatric Patients During Electroencephalographic Hookup
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Author
Walker, Jennifer
Date
2012
Degree
Master of Arts in Music Therapy
Abstract
Electroencephalographic monitoring is a necessary part of diagnosis and treatment
evaluation for patients with Epilepsy, the most common neurological disorder of
childhood (Epilepsy Foundation, 2010). EEG monitoring requires a hookup procedure
which can cause significant distress and discomfort for children; support from parents,
pediatric EEG technicians, and Certified Child Life Specialists does not always ease this
discomfort. Loewy, Hallan, Friedman, & Martinez, (2006) demonstrated that musical
sedation was effective for achieving sleep or sedation for toddlers undergoing short-term
EEG testing. While there is limited quantitative research supporting music therapy for
EEG hookup for long-term monitoring, many researchers have shown that music therapy
can provide support for patients undergoing other procedures (DeLoach Walworth, 2003;
Hunter et al., 2010; Standley & Whipple, 2003; Tan, Yowler, Super, & Fratianne, 2010;
Walworth, 2010) and to support pediatric patients during their hospitalization (Nesbitt, &
Tabatt-Haussmann, 2008; O’Callaghan, Sexton, & Wheeler, 2007; Robb, 2000; Robb et
al., 2008). In keeping with the common goal in healthcare settings to improve patient
comfort by providing patient- and family-centered care (Kolcaba & DiMarco, 2005;
O’Callaghan, Sexton, & Wheeler 2007), the author aimed to evaluate the efficacy of
music therapy in increasing patient and family comfort during and after the EEG hookup.
Results were recorded in a randomized control trial that compared individualized music
therapy services, including musical sedation and active musical engagement, to standard
care. Patients receiving music therapy intervention did not demonstrate increased
comfort behaviors or personally report higher levels of comfort; however, parents of children receiving music therapy services reported perceiving greater physical and
emotional comfort for their children.