Change Process Research in Music Therapy: Introducing a Transdisciplinary Framework

Music therapy is conceptualized as a systematic process of interventions and shared experiences that promote change in individualized health and wellbeing contexts. Change processes are crucial in music therapy, but little is known about certain factors, mediators, and mechanisms that cause or lead toward such change processes. There is a strong need for developments of theoretical and methodological frameworks of change in music therapy to achieve this goal. The current body of knowledge shows a lack of research on this topic, particularly on how to strategize and study change, how to understand research design and statistical analysis of change, and how to support and strengthen what is known today about change processes in music therapy. This article is grounded in theories that address complex interventions that cause a change in music and creative arts therapies as a means of guiding a dialogue about the potential for influencing research strategies and methods that investigate change processes. The review of the literature shows that although new studies about the efficacy of music therapy have been made in recent years, literature is extremely limited about predictors, moderators, shapes of change, stages of changes, processes, and mechanisms of change. There is strong evidence that music therapy works. However, it is not entirely known how, when, and why music therapy produces a change. Based on the findings in the current body of knowledge, further studies are needed to investigate every aspect of change with a pluralistic and interdisciplinary approach, which integrates methods from across the natural sciences, mathematics, arts, behavioral, and social sciences. This article introduces a framework addressing these issues, attempts to bridge current gaps in knowledge, expand capacity in the field of music therapy research, and equip clinicians, researchers, and professionals with tools and knowledge on change process research.