Music Therapy Intervention to Reduce Caregiver Distress at the End of Life

Music Therapy Intervention to Reduce Caregiver Distress at the End of Life: A Feasibility Study

This is a study to assess the feasibility and acceptability of implementing a music therapy intervention for caregivers of hospitalized patients who are referred to inpatient hospice.

Study Overview

• Status: Completed
• Conditions: Depression; Quality of Life; Stress; Anxiety
• Intervention / Treatment: Other: Music Therapy

Detailed Description

Caregivers are at high risk for stress, poor quality of life (QOL), and burnout. As a patient nears death, common themes for caregivers include anxiety and emotional distress from impending death, anticipatory grief, and acceptance of loss, which negatively impact the caregiver QOL. Investigators propose to conduct a pilot project to investigate music therapy impact on caregiver distress for caregivers of imminently dying hospitalized patients referred to hospice. Upon enrollment, caregivers will be provided a music therapy intervention with legacy-building components, and will be asked to complete 3 brief questionnaires on distress and quality of life before and after the music therapy to assess their response to the intervention. The overall aim is to reduce caregiver distress and optimize QOL.

• Study Type: Interventional
• Enrollment (Actual): 20
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Minnesota
    • Rochester, Minnesota, United States, 55905
      • Mayo Clinic

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

1. Age > 18 years
2. Self-identified caregiver
3. English-speaking

Exclusion Criteria:

1. Unable to provide consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: SUPPORTIVE_CARE
• Allocation: NA
• Interventional Model: SINGLE_GROUP
• Masking: NONE

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Music Therapy; 1 music therapy session, lasting approximately 45 min-1 hr	Other: Music Therapy; Music therapy is tailored to subject preference. Examples are active music-making, supportive listening, and includes opportunities for legacy building to decrease caregiver distress and promote self-care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pearlin role overload measure (ROM)	4-item self-administered measure of caregiver stress	Baseline to 6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Linear Analogue Self-Assessment (LASA)	10-item self-report of general measures of quality of life (QOL)	Baseline to 6 months
Patient Health Questionnaire for Depression and Anxiety (PHQ-4)	4-item self-administered screening tool that combined two validated two-item screeners for depression and anxiety	Baseline to 6 months
Music Therapy Program Survey	Survey to assess satisfaction regarding the therapy service provided	Up to 72 hours after intervention

Collaborators and Investigators

• Sponsor: Mayo Clinic

Publications and helpful links

Helpful Links

• Mayo Clinic Clinical Trials

Study record dates

Study Major Dates

• Study Start (ACTUAL): October 5, 2017
• Primary Completion (ACTUAL): August 31, 2020
• Study Completion (ACTUAL): August 31, 2020

Study Registration Dates

• First Submitted: October 13, 2017
• First Submitted That Met QC Criteria: October 24, 2017
• First Posted (ACTUAL): October 26, 2017

Study Record Updates

• Last Update Posted (ACTUAL): November 24, 2020
• Last Update Submitted That Met QC Criteria: November 20, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Keywords: Caregiver; Palliative Care; Integrative Medicine; Music Therapy; Inpatient; Hospice
• Additional Relevant MeSH Terms: Pathologic Processes; Death
• Other Study ID Numbers: 17-005811

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No