Telehealth Engaged Music for Pain Outcomes: A Music and Imagery Proof-of-concept Study with Veterans.

Music therapy interventions target biopsychosocial outcomes and are a non-pharmacological option for integrated pain management. To date, most music and pain studies have focused on acute pain, passive music experiences, and in-person delivery. The purpose of this study was to examine feasibility and acceptability and determine proof-of-concept for a newly developed telehealth music imagery (MI) intervention for Veterans with chronic pain. A single-group proof-of-concept pilot study was conducted with Veterans with chronic pain (n = 8). Feasibility was assessed through examination of recruitment, retention, and session/measure completion rates; acceptability through participant interviews; and whether the intervention resulted in clinically meaningful change scores (pre- to post-intervention) on measures of pain, anxiety, and depression at the individual level. For Veterans who passed eligibility screening, we had an enrollment rate of 89%, with good retention (75%). Overall, participating Veterans found the intervention acceptable, identified specific challenges with technology, and recommended an increased number of sessions. Preliminary outcome data for pain, anxiety, and depression were mixed, with some Veterans reporting clinically meaningful improvements and others reporting no change or worsening symptoms. Findings informed modifications to the telehealth MI intervention and the design of a larger pilot randomized controlled trial to assess feasibility and acceptability of the modified intervention in a larger population of Veterans with chronic pain using additional measures and a control condition.

音乐疗法干预旨在实现生物心理社会方面的成效，是综合疼痛管理的一种非药物选择。到目前为止，大多数关于音乐与疼痛的研究都聚焦于急性疼痛、被动音乐体验以及面对面实施的疗法。本研究旨在检验一项新开发的针对慢性疼痛退伍军人的远程医疗音乐意象（MI）干预的可行性和可接受性，并确定其概念验证。对患有慢性疼痛的退伍军人（n = 8）开展了一项单组概念验证试点研究。通过考察招募、留存情况以及课程/测量完成率来评估可行性；通过参与者访谈评估可接受性；并考察该干预是否能在个体层面上使疼痛、焦虑和抑郁测量指标产生具有临床意义的变化分数（干预前后对比）。对于通过资格筛查的退伍军人，我们的招募率为89%，留存情况良好（75%）。总体而言，参与的退伍军人认为该干预是可接受的，指出了技术方面的具体难题，并建议增加课程数量。疼痛、焦虑和抑郁的初步结果数据喜忧参半，一些退伍军人报告称有具有临床意义的改善，而另一些则报告症状无变化或恶化。研究结果为远程医疗音乐意象干预的改进以及一项更大规模的试点随机对照试验的设计提供了参考，以便使用更多测量指标并设置对照条件，在更大规模的慢性疼痛退伍军人群体中评估改进后干预的可行性和可接受性。