{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T10:12:54Z","timestamp":1778148774707,"version":"3.51.4"},"reference-count":45,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T00:00:00Z","timestamp":1778112000000},"content-version":"unspecified","delay-in-days":126,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951526102624_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Patients hospitalized with a life-limiting illness, along with their loved ones, frequently experience anxiety, stress, and pain. Legacy building through storytelling and music may alleviate emotional strain and provide comfort. Musical Rounds is a novel music medicine program designed to reduce distress and support legacy building for adult patients receiving palliative care and their loved ones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102624_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multisite, mixed-methods, pre\u2013post feasibility study was conducted across 3 hospitals in California, USA. Participants engaged in live bedside recording sessions in which personal stories were shared with real-time musical improvisation provided by a clinician-musician. Afterward, participants received a personalized edited recording combining voice and improvised music. Pain, stress, anxiety, and comfort were assessed before and after each session using a 0\u201310 numeric rating scale. Perceived mood changes were assessed through directed qualitative content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102624_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We invited 100 adult patients hospitalized with a life-limiting illness and their loved ones to participate. If patients were unable to respond, loved ones participated on their behalf. Patients (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a079) demonstrated statistically significant within-group differences between pre- and post-session assessments, including lower pain (\u22121.58,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), stress (\u22122.89,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and anxiety (\u22122.73,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and higher comfort (+1.61,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Loved ones (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a042) reported lower stress (\u22123.14,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001) and anxiety (\u22122.86,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a0.001), and higher comfort (+1.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a0.004). Directed content analysis indicated perceived mood improvement in 59% (47\/80) of patients and 68% (30\/44) of loved ones.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951526102624_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>Musical Rounds, a personalized music and storytelling session for hospitalized patients with life-limiting illness and their loved ones, was associated with lower self-reported stress, pain (patients only), and anxiety, and higher comfort and perceived mood across 3 hospitals. Findings demonstrate the feasibility and suggest potential benefits of music medicine\u2013supported legacy building in palliative care. Controlled studies with independent assessors are needed to further evaluate efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951526102624","type":"journal-article","created":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T09:48:32Z","timestamp":1778147312000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Musical Rounds: A multisite, mixed-methods feasibility study of a musical legacy session in palliative care"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3963-2657","authenticated-orcid":false,"given":"Melanie","family":"Ambler","sequence":"first","affiliation":[{"name":"Stanford University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mukta","family":"Awasthi","sequence":"additional","affiliation":[{"name":"Stanford University"},{"name":"VA Palo Alto Healthcare System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn","family":"Gerber","sequence":"additional","affiliation":[{"name":"Stanford University"},{"name":"Santa Clara Valley Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryant","family":"Lin","sequence":"additional","affiliation":[{"name":"Stanford University"},{"name":"Stanford University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire E","family":"Wakefield","sequence":"additional","affiliation":[{"name":"UNSW Sydney"},{"name":"Stanford University and Stanford Medicine Children\u2019s Health"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2026,5,7]]},"reference":[{"key":"S1478951526102624_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2009.04.021"},{"key":"S1478951526102624_ref27","doi-asserted-by":"publisher","DOI":"10.24215\/27186199e003"},{"key":"S1478951526102624_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/1744987117741667"},{"key":"S1478951526102624_ref22","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10853"},{"key":"S1478951526102624_ref25","doi-asserted-by":"publisher","DOI":"10.2478\/jccm-2022-0014"},{"key":"S1478951526102624_ref29","unstructured":"Orchestra Directory (n.d.) 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