{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T05:17:15Z","timestamp":1788239835579,"version":"build-2803163510"},"reference-count":0,"publisher":"Science and Medicine, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medical Problems of Performing Artists"],"published-print":{"date-parts":[[2026,6,1]]},"abstract":"<jats:p>OBJECTIVES: Students in classical music performance in higher education frequently report playing-related musculoskeletal disorders (PRMDs) and psychological distress. Observational studies based on self-reported data suggest an association between these two health problems. This observation\n supports early multidimensional prevention. However, access to musician-specific health support remains limited. The aim of this study was to develop a consensus among experts, informed by input from music students and teachers (stakeholders), on the relevance\/usefulness of Patient-Reported\n Outcome Measures (PROMs) and self-management strategies for music students, structured across four target domains: physical, psychocognitive, behavioral, and professional. A secondary aim was to identify relevant health-knowledge content and pedagogical modalities for prevention within the\n music curriculum. METHODS: A Delphi study was conducted according to the Guidance on Conducting and Reporting Delphi Studies (CREDES) guidelines. The Delphi survey items were derived from a previous scoping review, which identified 42 PROMs and 97 self-management strategies for preprofessional\n and professional musicians, and from relevance\/usefulness ratings provided by music students and teachers. In Round 1, experts rated each item\u2019s relevance\/usefulness on 5-point Likert scales. In Round 2, retained items and refined additional proposals were re-rated; consensus was defined\n as \u226550% of experts ranking an item among the top 50% most relevant\/useful within their individual set of rated items. RESULTS: Fourteen experts participated in Round 1 (4 clinicians, 2 researchers, 8 clinician-researchers) and 12 in Round 2. After two rounds, experts reached consensus on\n 10 PROMs, 30 self-management strategies (e.g., advice on physical exercise, individual work organization, and balance\/postural control exercises), and 7 health-knowledge topics, spanning physical, psychocognitive, behavioral, and professional domains. Experts supported structured, curriculum-embedded\n delivery and formal academic credit at both Bachelor\u2019s and Master\u2019s levels. CONCLUSION: Numerous self-management strategies are considered relevant for improving health management in the daily lives of music students. The results highlight strong consensus in favor of incorporating\n PROMs-based health monitoring, health knowledge, and self-management strategies into higher-education music curricula to support music students\u2019 health management in daily life across physical, psychocognitive, behavioral, and professional domains.<\/jats:p>","DOI":"10.21091\/mppa.2026.03014","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T04:31:45Z","timestamp":1787891505000},"page":"143-172","source":"Crossref","is-referenced-by-count":0,"title":["Patient-Reported Outcome Measures and Self-Management Strategies to Promote Health in Higher-Education Classical Music Performance Students: A Delphi Study"],"prefix":"10.21091","volume":"41","author":[{"given":"Fran\u00e7ois","family":"Tharin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara E","family":"James","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Violette","family":"Bruyneel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"8662","container-title":["Medical Problems of Performing Artists"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/scimed\/mppa\/2026\/00000041\/00000003\/art00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T04:30:58Z","timestamp":1788237058000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.21091\/mppa.2026.03014"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6,1]]}},"alternative-id":["0885-1158(20260601)41:3L.143;1-"],"URL":"https:\/\/doi.org\/10.21091\/mppa.2026.03014","relation":{},"ISSN":["0885-1158"],"issn-type":[{"value":"0885-1158","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6,1]]}}}