Music Therapy Advocacy Recording Intervention (MTAR) on Internalized Stigma

Hackensack Meridian Health

Status: Terminated

Conditions: Schizophrenia Spectrum and Other Psychotic Disorders; Bipolar Disorder; Anxiety Disorder; Mental Health Issues; Depressive

Treatments: Behavioral: Group Music Therapy Advocacy Recording Intervention (MTAR)

Study type: Interventional

Funder types: Other

Identifiers

NCT05723328

Pro2022-0570

Details and patient eligibility

About

This study will use a systematic music therapy intervention on patients with mental illness trying to help them with their internalized stigma.

Full description

The primary objective of this study is to determine the effect of a systematic music therapy intervention on internalized stigma of mental illness. The secondary objective is to evaluate the potential for the treatment effect to vary across subject diagnostic categories. This study will also examine the ability of the treatment effect to persist after 3 weeks as an exploratory objective.

Data collection will be conducted in the Acute Care Unit (ACU) of Hackensack Meridian Health Carrier Clinic (HMHCC) over a period of ten months. Subjects will be drawn from the pool of patients admitted to the HMHCC ACU during that time. Adults aged 18-65 with severe mental illness with a diagnosis of bipolar or a related disorder, depressive or anxiety disorder, or schizophrenia spectrum or other psychotic disorders as defined by the Diagnostic and Statistical Manual of Mental Disorders version 5 (DSM-5 : 5th ed.; American Psychiatric Association, 2013), of prolonged duration with a significant degree of disability or social dysfunction (Ruggeri et al., 2000) are eligible to participate. Eligible participants must be able to provide informed consent as determined by the doctor.

Enrollment: 7 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admitted to the HMHCC ACU
• Able to read and comprehend the ISMI questionnaire, provide informed consent,
• With a severe mental illness of prolonged duration with a significant degree of disability or social dysfunction

Exclusion criteria

• Patients on S1 status (1:1 patient observation) or isolation protocol
• Evidence of organic brain disease, severe acute symptomatology, hearing deficit, and intellectual disability.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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7 participants in 2 patient groups

Treatment Group

Experimental group

Description:

The intervention consists of a sequence of five music therapy song-writing and recording groups, one per day. Internalized stigma will be assessed within 3 days of admission (pretest/baseline), at ten days (posttest), and at 3 weeks from baseline (follow-up), using the Internalized Stigma of Mental Illness Inventory.

Treatment:

Behavioral: Group Music Therapy Advocacy Recording Intervention (MTAR)

Control Group

No Intervention group

Description:

Access to standard of care services that include several groups per day focused on topics of coping skills, mindfulness, journaling, creative arts, wellness recovery, recreation, and at least one music therapy group.