To reduce the risk of adjustment problems associated with hematopoietic stem cell transplant ( HSCT ) for adolescents/young adults ( AYAs ) , we examined efficacy of a therapeutic music video ( TMV ) intervention delivered during the acute phase of HSCT to : 1 ) increase protective factors of spiritual perspective , social integration , family environment , courageous coping , and hope-derived meaning ; 2 ) decrease risk factors of illness-related distress and defensive coping ; and 3 ) increase outcomes of self-transcendence and resilience .