A Study Comparing Music Therapy and Cognitive Behavioral Therapy for Anxiety in Cancer Survivors

ConditionSurvivorship
Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorMemorial Sloan Kettering Cancer Center

About this trial

The researchers are doing this study to compare how music therapy and cognitive behavioral therapy, given virtually, may be able to reduce anxiety in people who have had cancer. In addition, this study will see if certain factors affect how well participants respond to music therapy or cognitive behavioral therapy. For example, the researchers will see if personal characteristics (like age, sex, race, and education) and ways of thinking (like expectations of therapy) may affect how well participants respond.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

English- or Spanish-speaking

18 years or older

Prior cancer diagnosis of any type or stage

Free of oncological disease, or stable disease with no evidence of progression

Disqualifiers

Completed active cancer treatment (e.g., surgery, radiation, chemotherapy) less than one month prior to enrollment (maintenance hormonal or targeted therapies are allowed).

Active suicidal ideation, bipolar disorder, schizophrenia, or substance abuse

Score of ≥10 indicative of cognitive impairment on the Blessed Orientation-Memory-Concentration

Received a treatment course of seven or greater MT or CBT sessions for anxiety symptoms within the last six months

Trial design

Design model

Parallel

Treatments tested in this trial

  • Music Therapy

    Other intervention

    Participants will receive seven weekly 60-minute treatments of music therapy. All sessions will be delivered virtually through Zoom.

  • Cognitive Behavioral Therapy

    Other intervention

    Participants will receive seven weekly 60-minute treatment of cognitive behavioral therapy. All sessions will be delivered virtually through Zoom.

  • assessments

    Other intervention

    Participants will complete study assessments prior to randomization (week 0) and at weeks 4, 8, 16, and 26. A subgroup of 60 survivors will complete optional semi-structured interviews after treatment to understand their unique experiences with MT or CBT. All participants will be followed for 26 weeks.

Treatment groups

368 Participants
are divided into 3 treatment groups
Group A: Music Therapy (MT)Experimental treatment 2 interventions
Group B: Cognitive Behavioral Therapy (CBT)Active comparator 2 interventions
Group C: Sub-study for N=18 cancer survivors original MELODY protocol for group delivery (non randomized)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

HADS anxiety score changes

Using the seven-item anxiety sub-scale of the Hospital Anxiety and Depression Scale (HADS). A score of ≥8 indicates presence of anxiety symptoms.

Time frame
8 weeks
2

HADS anxiety score changes

Using the seven-item anxiety sub-scale of the Hospital Anxiety and Depression Scale (HADS). A score of ≥8 indicates presence of anxiety symptoms.

Time frame
26 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Memorial Sloan Kettering Cancer Center

Lead sponsor

Patient-Centered Outcomes Research Institute

Collaborator