Music Therapy's Effect on Cancer Patients Undergoing Radiotherapy

NCT ID: NCT07261267

Last Updated: 2025-12-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-01-31

Brief Summary

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The goal of this randomized controlled clinical study is to learn about the effects of music therapy on anxiety, stress, pain, and patient satisfaction in cancer patients who are newly starting radiotherapy (radiation treatment).

The main questions it aims to answer are:

Can music therapy lower the levels of anxiety and stress in patients receiving radiotherapy? Can music therapy improve the pain felt during the radiotherapy experience and overall satisfaction? Researchers will compare patients receiving standard radiotherapy (control group) with patients receiving music therapy alongside their radiotherapy (experimental group).

Participants (72 total) will:

Be 18 years and older and newly starting curative radiotherapy. Answer short surveys (STAI-SF, SDT, VAS) to measure their anxiety, stress, and pain levels before and after treatment.

Participants in the experimental group will receive a 15-20 minute music therapy session consisting of meditative and instrumental music during their first radiotherapy session.

This study aims to provide reliable data to guide clinical practice by showing whether music therapy offers a multifaceted approach to managing the psychological and physical challenges associated with cancer treatment.

Detailed Description

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This study is a single-blind randomized controlled trial 20202020evaluating the effect of music therapy in managing the emotional and physical difficulties experienced by cancer patients who are newly starting curative radiotherapy (RT).Study Site: The study will take place at the Kocaeli University Hospital Radiation Oncology Unit.Objectives: The primary aim is to examine the effect of music therapy on anxiety, stress, pain, and patient satisfaction, and to determine how it can improve the RT experience.Intervention Application:Timing and Duration: Music therapy will be administered during the first RT session in sessions lasting 15-20 minutes. (Literature reports that $\<20$ minutes reduces anxiety ).Provider: The intervention will be administered by a certified music therapist. Music Selection: Patients will be asked to choose music that has a meditative effect, is instrumental (without lyrics), and lacks peaks (sudden attacks), based on their preference and inclination. The music options provided will include Far Eastern music, music accompanied by a light-beat rhythm instrument (bendir), Ney-heavy Mesnevi music with meditative effects, and meditative Saba makam music.Listening Method: The patient's selected music will be played via headphones for 15 minutes before the session, and as ambient listening during the session. For patients with head and neck or brain cancer, only ambient listening will be used during the procedure for consistency.Data Collection and Timeline:Measurement Location: Measurements will be taken by researchers at the Kocaeli University Radiation Oncology Unit.Study Duration: The study starts on December 1, 2025, and ends on January31, 2026, with a total duration of 7 months.

Statistical Analysis:The collected data will be analyzed using the following methods: Between-group comparisons: Independent Sample T-test or Mann-Whitney U test37.Pre-post changes: Repeated Measures ANOVA.The significance level is set at $p\<0.05.

Conditions

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Cancer Radiotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Music Therapy Group (Experimental Arm)

Description: Consists of patients receiving curative radiotherapy (RT) who receive the music therapy intervention in addition to standard care to improve their radiotherapy experience.

Group Type EXPERIMENTAL

Music Therapy

Intervention Type OTHER

Intervention: A personalized 15-20 minute music listening session is administered by a certified music therapist during the first session of radiotherapy.

Patients select from a list of meditative, instrumental (wordless), and music that lacks peaks (sudden attacks).

Music is presented via headphones before the session and as ambient listening during the session.

Control Group (Standard Care Arm)

Description: Consists of patients receiving curative radiotherapy (RT) who receive only the standard radiation oncology care as per hospital protocol during their treatment.

Group Type ACTIVE_COMPARATOR

Standard Care (in control arm)

Intervention Type OTHER

Intervention: These patients do not receive the music therapy intervention during their radiotherapy treatment.

Interventions

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Music Therapy

Intervention: A personalized 15-20 minute music listening session is administered by a certified music therapist during the first session of radiotherapy.

Patients select from a list of meditative, instrumental (wordless), and music that lacks peaks (sudden attacks).

Music is presented via headphones before the session and as ambient listening during the session.

Intervention Type OTHER

Standard Care (in control arm)

Intervention: These patients do not receive the music therapy intervention during their radiotherapy treatment.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Must be a cancer patient 18 years of age or older.
* Must be newly starting curative external radiotherapy.
* Must volunteer to participate in the study and sign the Informed Consent form.

Exclusion Criteria

* Having an advanced stage psychiatric disorder (e.g., schizophrenia).
* Having hearing loss.
* Having a prior history of an adverse reaction to music therapy.
* Receiving radiotherapy for palliative (symptom relief) purposes.
* Having received radiotherapy previously (for reasons such as brachytherapy, a different type of cancer, or recurrence).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kocaeli University

OTHER

Sponsor Role lead

Responsible Party

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Ünal Önsüz

Lecturer, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Kocaeli University Hospital

Kocaeli, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Ünal Önsüz

Role: CONTACT

+905444416990

References

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Yang HF, Chang WW, Chou YH, Huang JY, Liao YS, Liao TE, Tseng HC, Chang ST, Chen HL, Ke YF, Tsai PF, Chan HM, Chang BJ, Hwang YT, Tsai HY, Lee YC. Impact of background music listening on anxiety in cancer patients undergoing initial radiation therapy: a randomized clinical trial. Radiat Oncol. 2024 Jun 11;19(1):73. doi: 10.1186/s13014-024-02460-3.

Reference Type BACKGROUND
PMID: 38862982 (View on PubMed)

Wilson JM, Franqueiro AR, Edwards RR, Chai PR, Schreiber KL. Individuals with fibromyalgia report greater pain sensitivity than healthy adults while listening to their favorite music: the contribution of negative affect. Pain Med. 2024 May 2;25(5):352-361. doi: 10.1093/pm/pnae005.

Reference Type BACKGROUND
PMID: 38291916 (View on PubMed)

Terzi, E. (2022). The effect of listening to music with or without patient selection on pain during cesarean section and its contribution to anesthesia technicians. Journal of Experimental and Clinical Medicine, 39(3), 786-792.

Reference Type BACKGROUND

Tao WW, Jiang H, Tao XM, Jiang P, Sha LY, Sun XC. Effects of Acupuncture, Tuina, Tai Chi, Qigong, and Traditional Chinese Medicine Five-Element Music Therapy on Symptom Management and Quality of Life for Cancer Patients: A Meta-Analysis. J Pain Symptom Manage. 2016 Apr;51(4):728-747. doi: 10.1016/j.jpainsymman.2015.11.027. Epub 2016 Feb 12.

Reference Type BACKGROUND
PMID: 26880252 (View on PubMed)

Gulbahar Ates S, Demirel BB, Kekilli E, Ozturk E, Ucmak G. Primary tumor heterogeneity on pre-treatment [68Ga]Ga-PSMA PET/CT for the prediction of biochemical recurrence in prostate cancer. Rev Esp Med Nucl Imagen Mol (Engl Ed). 2024 Nov-Dec;43(6):500032. doi: 10.1016/j.remnie.2024.500032. Epub 2024 Aug 2.

Reference Type BACKGROUND
PMID: 39097169 (View on PubMed)

Hewis J. Music and Music Therapy in the Medical Radiation Sciences. J Med Imaging Radiat Sci. 2018 Dec;49(4):360-364. doi: 10.1016/j.jmir.2018.09.009. Epub 2018 Oct 23. No abstract available.

Reference Type BACKGROUND
PMID: 30514551 (View on PubMed)

Jiang X, Gao J, Zheng Y. Effectiveness of traditional Chinese medicine music therapy on anxiety and depression emotions of lung cancer patients: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021 Mar 26;100(12):e25040. doi: 10.1097/MD.0000000000025040.

Reference Type BACKGROUND
PMID: 33761662 (View on PubMed)

Imani M, Jalali A, Salari N, Abbasi P. Effect of instrumental music on anxiety and depression among hemodialysis patients: A randomized controlled trial. J Educ Health Promot. 2021 Aug 31;10:305. doi: 10.4103/jehp.jehp_1472_20. eCollection 2021.

Reference Type BACKGROUND
PMID: 34667805 (View on PubMed)

Forbes E, Baker AL, Britton B, Clover K, Skelton E, Moore L, Handley T, Oultram S, Oldmeadow C, Gibberd A, McCarter K. A systematic review of nonpharmacological interventions to reduce procedural anxiety among patients undergoing radiation therapy for cancer. Cancer Med. 2023 Oct;12(20):20396-20422. doi: 10.1002/cam4.6573. Epub 2023 Oct 6.

Reference Type BACKGROUND
PMID: 37803922 (View on PubMed)

Fernando GVMC, Wanigabadu LU, Vidanagama B, Samaranayaka TSP, Jeewandara JMKC. "Adjunctive Effects of a Short Session of Music on Pain, Low-mood and Anxiety Modulation among Cancer Patients" - A Randomized Crossover Clinical Trial. Indian J Palliat Care. 2019 Jul-Sep;25(3):367-373. doi: 10.4103/IJPC.IJPC_22_19.

Reference Type BACKGROUND
PMID: 31413450 (View on PubMed)

Chen HH, Lai CH, Hou YJ, Kuo LT. The Efficacy of Music Intervention in Patients with Cancer Receiving Radiation Therapy: A Systematic Review and Meta-Analysis. Cancers (Basel). 2025 Feb 18;17(4):691. doi: 10.3390/cancers17040691.

Reference Type BACKGROUND
PMID: 40002284 (View on PubMed)

Other Identifiers

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17.07.2025 - 2025/1

Identifier Type: -

Identifier Source: org_study_id

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