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Joke Bradt, PhD, MT-BC

Music, Creativity and Wellness Lab

Our lab is focused on researching the impact of music therapy interventions on chronic pain and symptom management and investigating underlying mechanisms. Chronic pain is a major health problem that affects

approximately 100 million Americans and amounts to a cost of approximately $635 million a year. The Centers for Disease Control and Prevention recently issued recommen­dations to move away from opioids and toward non-pharmacological therapies for the treatment of chronic pain. Music-based interventions such as music listening and music-guided relaxation have been extensively researched for the management of acute pain such as lab-induced pain, procedural pain and postoperative pain. However, to date, few studies have examined the effects of music interventions on chronic pain management. Moreover, intervention studies on music for pain management have focused predominantly on listening to pre-recorded music. A major objective of our lab is to study the impact and underlying mechanisms of interactive music therapy interventions that capitalize on creative music engagement by people with chronic pain and other chronic health conditions.

The lab is led by Joke Bradt, PhD, MT-BC who is an Associate Professor in the Department of Creative Arts Therapies and a board-certified music therapist.

Principal Investigator

Joke Bradt, PhD, MT-BC

Joke Bradt, PhD, MT-BC
Associate Professor - PhD Program in Creative Arts Therapies
View Faculty Profile

Post-Docs

post-docs-2019

 



  • Katherine Myers-Coffman, PhD, MT-BC
  • Karolina Bryl, PhD

Doctoral Students

Clarissa Karlsson, MA, MT-BC

Clarissa Karlsson, MA, MT-BC

Ming Yuan Low, MA, MT-BC

Ming Yuan Low, MA, MT-BC

Jacelyn Biondo, MA, BC-DMT, LPC

Jacelyn Biondo, MA, BC-DMT, LPC

 student
 

Carrie Cottone, MA, ATR-BC

 sutton  

Brigette Sutton, MA, MT-BC

Students

Erin Williams, BA, RBT

Erin Williams, BA, RBT

Mingyue (Terence) Xu, BA

Mingyue (Terence) Xu, BA

Medical Students, Residents and Fellows

Matthew A. Murphy, MD, Palliative Care Fellow, PGY-4, Thomas Jefferson University Hospitals

Matthew A. Murphy, MD, Palliative Care Fellow, PGY-4, Thomas Jefferson University Hospitals

Taylor Jones, Medical Student, Sidney Kimmel Medical College, Thomas Jefferson University

Taylor Jones, Medical Student, Sidney Kimmel Medical College, Thomas Jefferson University

 

Jennifer Ayoub, MS in Molecular Medicine, Drexel University College of Medicine

Intervention Facilitators

 Allison Millstein, MS, MT-BC  

Allison Millstein, MS, MT-BC

Amy Kesslick, MA, MT-BC

Amy Kesslick, MA, MT-BC

Alumni

  • Noah Potvin, PhD, MT-BC, Assistant Professor of Music Therapy, Mary Pappert School of Music | School of Nursing, Duquesne University (PA)
  • Minjung Shim, PhD, BC-DMT, postdoc, Department of Psychiatry and Behavioral Science, Stony Brook University (NY)
  • Donna Radl, PhD, ATR-BC, LPC, Expressive Counseling Associations, owner

 

List of internal collaborators

  • John Bethea, PhD, Department of Biology
  • Kara Spiller, PhD, Department of Biology
  • Juan Muniz, PhD, Department of Nutrition Sciences
  • Sheri Silfies, PhD, Department of Physical Therapy and Rehabilitation Sciences
  • Sarah Wenger, DPT, Department of Physical Therapy and Rehabilitation Sciences
  • Fengqing Zhang, PhD, Department of Psychology
  • Lydia Komarnicky-Kocher, MD, Department of Radiation Oncology
  • Cynthia Gifford-Hollingsworth, DrNP, Department of Surgery

 

List of external collaborators

  • Andrea Barsevick, PhD, Department of Medical Oncology, Thomas Jefferson University
  • Amy Leader, PhD, Department of Medical Oncology, Thomas Jefferson University
  • Brooke Worster, MD, Department of Family and Community Medicine Jefferson Medical College
  • Rebecca Vaudreuil, EdM, MT-BC, National Endowment for the Arts (NEA) Creative Forces Military Healing Arts Network, Camp Pendleton
  • Hannah Bronson, MT-BC, NEA Creative Forces Military Healing Arts Network, Intrepid Spirit Center, Fort Hood
  • Nathaniel Mclaughlan, MA, MT-BC, NEA Creative Forces Military Healing Arts Network, Intrepid Center of Excellence, Walter Reed National Military Medical Center
  • John Hughes, MD, Walter Reed National Military Medical Center
  • Sunil Iyengar, National Endowment for the Arts
  • Bill O’Brien, National Endowment for the Arts
  • Stefan Koelsch, PhD, University of Bergen, Norway
  • Debra Burns, PhD, Indiana University-Purdue University Indiana
  • John Creswell, PhD, University of Michigan

 

 

 

Research on Music Therapy for Chronic Pain Management

Mechanism of Music Therapy to Palliate Pain in Patients with Advanced Cancer (2017-2020)

Funded by the National institute of Nursing Research (R01NR016681)

The purpose of this multisite mechanistic study is to examine mediators and moderators hypothesized to account for pain-reducing effects of interactive music therapy (IMT) in people with advanced cancer who experience chronic pain. Study innovation includes: 1) first music therapy mediation study for chronic cancer pain; 2) use of biomarkers in addition to self-report measures to examine the mediation model; and 3) use of mixed methods research (self-report surveys, biomarkers, and qualitative interviews) to validate and enhance understanding of IMT's theory of action. This study takes places at Hahnemann University Hospital and the Jefferson University Sidney Kimmel Cancer Center, both located in Philadelphia.

The impact of music therapy on opioid use in cancer survivors with chronic pain (2018-2019)

Funded by the National institute of Nursing Research (R01NR016681, administrative supplement)

The purpose of the administrative supplement is to test the effects of interactive music therapy versus a social attention control on opioid use in cancer survivors with chronic pain who are chronic opioid users. This study takes places at Hahnemann University Hospital and the Jefferson University Sidney Kimmel Cancer Center.

The Impact of Vocal Music Therapy on Neuro-Inflammatory Markers in People with Chronic Pain (2017-2018)

This study is part of the Neuro-Inflammation and Gender Research Program, funded by the Drexel Areas of Research Excellence (DARE). This exploratory study examines the impact of Vocal Music Therapy on neuro-inflammatory markers (TNFα, IL-1b, IL6 and IL10) in people with chronic pain.

The Effects of Vocal Music Therapy on Core Outcomes on Chronic Pain Management (2012-2014)

Funded by the National institute of Nursing Research (R03NR013551).

This feasibility study was aimed at determining the feasibility and obtaining preliminary efficacy data for an 8-week vocal music therapy treatment protocol for chronic pain management.

Research on Music Therapy for Symptom Management

The Impact of Music Therapy on Psychological Outcomes and Pain in Cancer Patients: A Mixed Method Study (2012)

Funded by the Drexel University College of Medicine

This comparative pilot study examined the impact of interactive music therapy versus listening to prerecorded music on management of symptoms in cancer patients during active cancer treatment.

Music Listening for Emotional Regulation in US Service Members with Posttraumatic Stress Disorder (2015-2018)

Funded by the Grammy Foundation

This project is the first neuroimaging investigation of the impact of music listening on cortical brain structures associated with emotional regulation in military service members with PTSD. This study furthermore includes qualitative data on service members' use of music listening for emotional regulation.

Research on Music Therapy for Active Duty Military Service Members with PTSD and TBI (2015-current)

Funded by the National Endowment for the Arts

During the past few years, we have collaborated with the National Endowment for the Arts and music therapy clinicians in their Creative Forces Military Healing Arts Network to conduct retrospective analyses of music therapy session data obtained at military sites served by Creative Forces. In addition, we have conducted program evaluations on the impact of the Creative Forces art therapy and music therapy programs.


ARTS RESEARCH on CHRONIC STRESS (ARCS) NEA Research Labs 

National endowment for the arts logo

 

The NEA Research Lab is a project of the National Endowment for the Arts in cooperation with Drexel University. Drexel University is the recipient of an inaugural cooperative agreement under the National Endowment for the Arts’ Research Labs initiative. The lab at Drexel—Arts Research on Chronic Stress (ARCS)—will examine the intersection of the arts, health, and social/emotional well-being. The goal is to connect creative arts therapies with community-based arts organizations to enhance social engagement and overall well-being in those who have been affected by prolonged stressors such as chronic pain, extended caregiving, academic stress, and trauma. In the future we will feature findings from the studies including short-term/interim deliverables; working drafts/final versions of policy briefs, literature reviews, white papers, technical guide for the field

The lead investigators for the studies are Dr. Kaimal, EdD, MA (PI, Assistant Professor, PhD program in Creative Arts Therapies and Dr. Bradt, PhD, MT-BC (Co-PI, Associate Professor, PhD program in Creative Arts Therapies).

Girija Kaimal  

Girija Kaimal, EdD, MA

  

Joke Bradt, PhD, MT-BC

 

Study 1: Health outcomes of visual self-expression for caregivers of patients with cancer

Girija Kaimal, EdD, MA will lead the study on arts-based approaches to promoting health and well-being for caregivers of patients with cancer. The study will compare outcomes from two brief visual self-expressive approaches with family caregivers and professional healthcare providers. The study is being conducted in collaboration with the Radiation Oncology Department at the University of Pennsylvania. Caregivers of patients receiving treatment at the center, as well as health care providers, will be recruited to participate. The variables to be examined in the study include affect, mood, perceived stress and indicators of physiological health. The community partner for the study will contribute to transformations in the space of the hospital with murals and exhibitions of artwork created during the study. The aim is to examine how integration of arts into different aspects of healthcare can impact both quality of life and quality of care.

Research Team 

Dr. William Levin, MD: Penn Medicine
Juan Muniz, PhD, Lab analyst, Drexel University
Janell L. Mensinger, PhD, Statistician, Drexel University
Ms. Jess Drass, Graduate Research Fellow, Drexel University
Ms. Rebekka Dieterich-Hartwell, Graduate Research Assistant, Drexel University
Ms. Katrina Carroll, Graduate Research Fellow, Drexel University

 

Study 2: Creative music engagement to improve core outcomes in chronic pain

Joke Bradt, PhD, MT-BC will lead a mixed methods study that examines the effects of a 12-week music therapy treatment (MT) program followed by participation in community-based music groups compared to a waitlist control group on chronic pain management. The following outcomes will be measured: pain-related self-efficacy, pain interference, pain intensity, emotional distress, physical functioning and participation in social activities. The feasibility of post-intervention community music engagement in people with chronic pain will be tracked. Semi-structured interviews will be conducted with study participants about their experiences of the MT intervention and their participation in community-based music groups. The purpose of these interviews is to help explain treatment outcomes and enhance understanding of possible barriers and facilitators of treatment success. Our community partner for this project is the Settlement Music School (www.settlementmusic.org), one of the largest nonprofit community schools of the arts in the U. S. The School provides 10,000 weekly services of individual lessons, classes and activities in music, dance and visual arts to children and adults throughout Philadelphia.

Research team:

Fenqing Zhang, PhD, Statistician, Drexel University
Amy Kesslick, MA, MT-BC, music therapy clinician, Stephen and Sandra Sheller 11th Street Family Health Services, Drexel University
Mark Bottos, MCAT, Zausmer Program Director of the Kardon Center for Arts Therapy, Settlement Music School
Ming Yuan Low, MT-BC, Graduate Research Fellow, Drexel University
Clarissa Karlsson, MT-BC, Graduate Research Fellow, Drexel University

 

Reflections

Challenges related to conducting clinical studies in community healthcare settings [PDF]

Online Bibliography

Selected Publications

Peer-Reviewed Publications

Shim, M., Goodill, S., & Bradt, J. (2019). Mechanisms of Dance/Movement Therapy for Building Resilience in People Experiencing Chronic Pain. American Journal of Dance Therapy. Online First. https://doi.org/10.1007/s10465-019-09294-7.

Bradt, J., Biondo, J., & Vaudreuil, R. (2019). Songs created by military service members in music therapy: A retrospective analysis. The Arts in Psychotherapy, https://doi.org/10.1016/j.aip.2018.11.004.

Vaudreuil, R., Bronson, H., & Bradt, J. (2019). Bridging the clinic to community: Music performance as social transformation for military service members. Frontiers in Psychology, Special Issue ‘The impact of Music on Human Development and Well-Being’. https://doi.org/10.3389/fpsyg.2019.00119


Cheever, T., Taylor, A., Finkelstein, R., Edwards, E., Thomas, L., Bradt, J., Holochwost, S., Johnson, J. K., Limb, C., Patel, A. D., Tottenham, N., Iyengar, S., Rutter, D., Fleming, R., & Collins, F. S. (2018). NIH/Kennedy Center workshop on Music and the Brain - Finding harmony. Neuron, 97(6), 1214-1218. 

Radl, D., Vita, M., Gerber, N., Gracely, E. J., & Bradt, J. (2018). The Effects of Self-Book© Art Therapy on Cancer-Related Distress in Female Cancer Patients during Active Treatment: A Randomized Controlled Trial. Psycho‐Oncology, 1–9. https://doi.org/10.1002/pon.4758.

Bronson, H., Vaudreuil, R., & Bradt, J. (2018) Music therapy programs for treatment of active duty military populations: An overview of long and short-term care models. Music Therapy Perspectives, Online First, https://doi.org/10.1093/mtp/miy006 

Wenger, S., Drott, J., Fillipo, R., Findlay, A., Genung, A., & Bradt, J. (2018). Reducing opioid use for patients with chronic pain: An evidence based perspective. Physical Therapy, 98(5), 424–433.

Vaudreuil, R., Avilla, L., Bradt, J., & Pasquila (2018). Music therapy applied to complex blast injury in interdisciplinary care: A case report. Disability and Rehabilitation. Apr 24:1-10. doi: 10.1080/09638288.2018.1462412.

Potvin, N., Bradt, J., & Ghetti, C. (2018). A theoretical model of resource-oriented music therapy with pre-bereaved informal hospice caregivers. Journal of Music Therapy,55(1), 27-61. https://doi.org/10.1093/jmt/thx019

Shim, M., Johnson, B., Bradt, J., & Gasson, S. (under revisions). Using mixed methods grounded theory to generate and test a theoretical model of dance/movement therapy for pain resilience. Journal of Mixed Methods Research.

Hohmann, L., Bradt, J., Stegemann, T., & Koelsch, S. (2017). Effects of music therapy and music-based interventions in the treatment of substance use disorders: A systematic review. PLoS ONE 12(11): e0187363. https://doi.org/10.1371/journal.pone.0187363

Shim, M., Johnson, R. B., Gasson, S., Goodill, S., Jermyn, R., Bradt, J. (2017). A model of dance/movement therapy for resilience-building in people living with chronic pain. European Journal of Integrative Medicine, 9, 27-40. http://dx.doi.org/10.1016/j.eujim.2017.01.011

Bradt, J., Norris, M., Shim, M., Gracely, E. J., & Gerrity, P. (2016). Vocal music therapy for chronic pain management in inner-city African Americans: A mixed methods feasibility study. Journal of Music Therapy, 53(2), 178-206, doi:10.1093/jmt/thw004. PubMed PMID: 27090149

Bradt, J., Potvin, N., Kesslick, A., Shim, M., Radl, D., Schriver, E., Gracely, E., & Komarnicky-Kocher, L. T. (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.  doi: 10.1007/s00520-014-2478-7. PubMed PMID: 25322972

Potvin, N., Bradt, J., & Kesslick , A. (2015). Expanding perspective on music therapy for symptom management in cancer care. Journal of Music Therapy, 52(1), 135-167. doi: 10.1093/jmt/thu056. PubMed PMID: 25755121

Bradt, J. (2010). The effects of music entrainment on postoperative pain perception in pediatric patients. Music and Medicine, 2(3), 150-157.

Brooks, D. M., Bradt, J., Eyre, L., & Hunt, A. (2010). Creative approaches for reducing burnout in medical personnel. The Arts in Psychotherapy, 37(3), 255-263.

Dileo, C. & Bradt, J. (2009). On creating the discipline, profession, and evidence in the field of arts and healthcare. Arts & Health, 1(2), 219-233.

Argstatter, H, Hillecke, K., Bradt, J., & Dileo, C. (2007): Der Stand Der Wirksamkeitsforschung - Ein Systematisches Review Musiktherapeutischer Meta-Analysen.  Verhaltenstherapie & Verhaltensmedizin, 28 (1), 27-49.

Schwoebel, J., Coslett, H. B., Bradt, J., Friedman, R. & Dileo, C. (2002). Pain and the body schema: Effects of pain severity on mental representations of movement. Neurology, 59(5), 775-777. PubMed PMID: 12221179


Bradt, J. (1997).  Ethical issues in multicultural counseling: Implications for the field of music therapy.  The Arts in Psychotherapy, 24(2), 137-143.

Invited Articles

Bradt, J., & Teague, A. (2018). Music interventions for dental anxiety. Oral Diseases, 24, 300-306. doi:10.1111/odi.12615 I

Bradt, J., & Dileo, C. (2015). Music interventions for mechanically ventilated patients. Journal of Evidence Based Medicine, 8(1), 56.

Bradt, J., Burns, D. & Creswell, J.  (2013). Mixed methods research in music therapy [Featured article].  Journal of Music Therapy, 50(2), 123 – 148. PubMed PMID: 24156190

Bradt, J. (2012). Randomized controlled trials in music therapy: Guidelines for design and implementation [Featured article]. Journal of Music Therapy, 49 (2), 120-149.

Cochrane Systematic Reviews Magee, W. L, Clark, I., Tamplin, J., & Bradt, J. Music interventions for acquired brain injury [update]. Cochrane Database of Systematic Reviews 2017, Issue 1. Art. No.: CD006787. DOI: 10.1002/14651858.CD006787.pub3.

Bradt. J., Dileo, C., Magill, L., & Teague A. (2016). Music interventions for improving psychological and physical outcomes in cancer patients [update]. Cochrane Database of Systematic Reviews, 2016(8). Art. No.: CD006911.doi: 10.1002/14651858.CD006911.pub3.

Bradt, J., Shim, M., & Goodill, S. W. (2015). Dance/movement therapy for improving psychological and physical outcomes in cancer patients [update]. Cochrane Database of Systematic Review, 2015(1). Art. No.: CD007103. doi: 10.1002/14651858.CD007103.pub3. PMID:25565627

Bradt, J. & Dileo C. (2014). Music interventions for mechanically ventilated patients [update]. Cochrane Database of Systematic Reviews, 2014(12). Art. No.: CD006902. doi: 10.1002/14651858.CD006902.pub3. Pubmed PMID: 25490233

Bradt, J., Dileo, C., & Potvin, N. (2013). Music for stress and anxiety reduction in coronary heart disease patients [update]. Cochrane Database of Systematic Reviews, 2013(12). Art. No.: CD006577. doi: 10.1002/14651858.CD006577.pub3. PMID: 24374731

Bradt, J., Dileo, C., & Shim, M. (2013). Music interventions for preoperative anxiety. Cochrane Database of Systematic Reviews, 2013(6). Art. No.: CD006908. doi: 10.1002/14651858.CD006908.pub2. PubMed PMID: 23740695

Bradt, J., Goodill, S.W., & Dileo, C. (2011). Dance/movement therapy for improving psychological and physical outcomes in cancer patients. Cochrane Database of Systematic Reviews, 2011(10). Art. No.: CD007103. doi: 10.1002/14651858.CD007103.pub2.  PubMed PMID: 21975762

 

Bradt, J., Dileo, C., Grocke, D., & Magill, L. (2011). Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database of Systematic Reviews,  2011(8). Art. No.: CD006911. doi: 10.1002/14651858.CD006911.pub2. PubMed PMID: 21833957


Bradt, J., Dileo, C., & Grocke, D. (2010).  Music for Anxiety Reduction in Mechanically Ventilated Patients. Cochrane Database of Systematic Reviews, 2010(12). Art. No.: CD006902. doi: 10.1002/14651858.CD006902.pub2.  Pubmed PMID: 25490233

Bradt, J., Magee, W. L., Dileo, C., Wheeler, B. L., & McGilloway, E.  (2010). Music therapy for acquired brain injury. Cochrane Database of Systematic Reviews, 2010(7). Art. No.: CD006787. doi: 10.1002/14651858.CD006787.pub2.  PubMed PMID: 20614449

Bradt, J. & Dileo, C. (2010). Music therapy for end-of-life care. Cochrane Database of Systematic Reviews, 2010(1). Art. No.: CD007169. doi: 10.1002/14651858.CD007169.pub2. PubMed PMID: 20091619

Bradt, J. & Dileo, C.  (2009). Music for stress and anxiety reduction in coronary heart disease patients. Cochrane Database of Systematic Reviews, 2009(2). Art. No.: CD006577. doi: 10.1002/14651858.CD006577.pub2.  Pubmed PMID: 24374731. PubMed PMID: 24374731

Book Chapters

Bradt, J. (2016). Systematic reviews and meta-analysis. In B. Wheeler (Ed.), Music therapy research (3rd Ed).  Gilsum, NH: Barcelona Publishers.


Bradt, J. (2013).  Pain management with children. In Bradt, J. (Ed.), Guidelines for music therapy practice in pediatric care (pp.15-65). Gilsum, NH: Barcelona Publishers.

Bradt, J., Dileo, C., & Grocke, D. (2011).  Music Therapy, Part III; Section 6. In European Society of Intensive Care Medicine (ESICM) Systematic Review Group (Eds), Clinical evidence in intensive care (143-149). Berlin: Medizinisch Wissenschaftliche Verlagsgesellschaft.

Bradt, J. (2009). Music for breathing regulation. In J. Loewy (Ed.), Music, the breath & health: Advances in integrative music therapy.  New York: Louis Armstrong Center for Music & Medicine.

Dileo, C. & Bradt, J. (2009). A perspective on evidence-based medicine.  In R. Haas, & V. Brandes (Eds.), Music that works: Contributions of biology, neurophysiology, psychology, sociology, medicine and musicology. New York: Springer.

Dileo, C. & Bradt, J. (2009). Medical music therapy: Evidence-based principles and practice. In Soderback, Daykin, & Bunt (Eds), International handbook of occupational therapy intervention.

Dileo, C. & Bradt, J. (2007).  Music therapy: Applications to Stress Management. In P. Lehrer & Woolfolk (Eds.), Principles and practice of stress management (3rd ed.). NY: Guilford Press.


Bradt, J. (2006).  The voice of women suffering from chronic pain. In S. Hadley (Ed.), Music therapy: Feminist perspectives and critiques. Gilsum, NH: Barcelona Publishers.


Bradt, J. (2006). The history of music therapy.  In S.L. Brooke (Ed.), Creative arts therapies manual: A guide to the history, theoretical approaches, assessment, and work with special populations of art, play, dance, music, drama, and poetry therapies.  Springfield, IL: Charles C. Thomas.

Dileo, C. & Bradt, J. (2005).  Meta-Analysis.  In B. Wheeler (Ed.), Music therapy research (2nd Ed).  Gilsum, NH: Barcelona Publishers.


Dileo, C. & Bradt, J. (1999).  Entrainment, resonance and pain-related suffering.  In C. Dileo (Ed.), Music therapy & medicine: Theoretical and clinical approaches.  Silver Spring, MD: American Music Therapy Association

Joke Bradt, PhD, MT-BC

Associate Professor
Drexel University
PhD Program in Creative Arts Therapies
Department of Creative Arts Therapies

Three Parkway Building
1601 Cherry Street
7th Floor, Room 7112
Philadelphia, PA 19102
Desk: 267-359-5508
jbradt@drexel.edu