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. 2021;30(2):179-191.
doi: 10.1080/08098131.2020.1790632. Epub 2020 Jul 16.

Experiences of implementing treatment manuals: Clinician, supervisor, and researcher reflections

Allison Millstein  1 , Katherine Myers-Coffman  1 , Scott Horowitz  1 , Amy Kesslick  2 , Joke Bradt  1
Affiliations

Experiences of implementing treatment manuals: Clinician, supervisor, and researcher reflections

Allison Millstein et al. Nord J Music Ther. 2021.

Abstract

Introduction: Treatment manuals play an essential role in clinical trials that aim to determine the efficacy of an intervention. Yet, the idea of needing to adhere to a treatment manual may seem counterintuitive to many music therapy clinicians. The purpose of this article is to offer clinician, supervisor, and researcher perspectives on the process of developing and executing a manualized music therapy treatment protocol in a randomized controlled trial.

Method: After describing the purpose of treatment manuals in clinical trials, we present the experience of developing a treatment manual through clinician and researcher collaborations. The concept of treatment fidelity and quality assurance monitoring within clinical trials is detailed to provide an inside look at an integral aspect of enacting treatment manuals in efficacy research. We then share reflections from a research clinician and supervisor to demonstrate the opportunities and challenges when working within the guidelines of manualized clinical practice.

Results: Providing a reflective perspective on implementation of a manualized treatment protocol allows for a more thorough understanding of the clinical and research processes in the conduct of randomized controlled trials.

Discussion: Collaboration of researchers, clinicians and supervisors is of critical importance for the successful implementation of treatment manuals in clinical trials.

Keywords: Music therapy; quality assurance monitoring; randomized controlled trial; research clinician; treatment manual.

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Conflict of interest statement

Disclosure statement The authors report no conflicts of interest.

References

    1. American Music Therapy Association (AMTA). (2015). Improving access and quality: Music therapy research 2025. Author.
    1. Andrews H, & Roberts L. (2015). Liminality. In Wright JD (Ed.), International encyclopedia of the social & behavioral sciences (2nd ed., pp. 131–137). Elsevier. 10.1016/B978-0-08-097086-8.12102-6 - DOI
    1. Borrelli B. (2011). The assessment, monitoring, and enhancement of treatment fidelity in public health clinical trials. Journal of Public Health Dentistry, 71(s1), S52–S63. 10.1111/j.1752-7325.2011.00233.x - DOI - PMC - PubMed
    1. Bradt J. (2012). Randomized controlled trials in music therapy: Guidelines for design and implementation. Journal of Music Therapy, 49(2), 120–149. 10.1093/jmt/49.2.120 - DOI - PubMed
    1. Bradt J, Potvin N, Kesslick A, Shim M, Radl D, Schriver E, Gracely E, & Komarnicky-Kocher LT (2015). The impact of music therapy versus music medicine on psychological outcomes and pain in cancer patients: A mixed methods study. Supportive Care in Cancer, 23(5), 1261–1271. 10.1007/s00520-014-2478-7 - DOI - PubMed

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