- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03948984
Assessing the Impact of LIve Music in the Intensive Care Unit (ICU) to Improve Care for Critically Ill Patients
September 20, 2023 updated by: Joseph Schlesinger, Vanderbilt University Medical Center
Assessing the Impact of LIve Music in the Intensive Care Unit (ICU) to Improve Care for Critically Ill Patients: A Pilot, Prospective, Single-center Study of Therapeutic Music
Noise in the ICU can worsen patient outcomes through factors such as increased cardiovascular stress, alteration in sleep, and increased discomfort or pain The purpose of this study is to determine the benefit of therapeutic music in the ICU on patients, their families, and ICU staff.
Study Overview
Status
Enrolling by invitation
Conditions
Intervention / Treatment
Detailed Description
Noise in the ICU can worsen patient outcomes through factors such as increased cardiovascular stress, alteration in sleep, and increased discomfort or pain.
The purpose of this study is to determine the benefit of therapeutic music in the ICU on patients, their families, and ICU staff.
The results of this study will inform clinicians on best practices for redesigning, implementing and evaluating a patient and family focused therapeutic music program in the ICU.
Study Type
Interventional
Enrollment (Estimated)
300
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Tennessee
-
Nashville, Tennessee, United States, 37212
- Vanderbilt University Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Patient Inclusion Criteria:
- Current hospitalization in adult ICU at Vanderbilt University Medical Center
Patient Exclusion Criteria:
- Airborne or special contact isolation
- Unstable hypotension or bradycardia
- Pregnancy
- Current prisoner status
- The inability to communicate either verbally or in writing in English to complete the therapeutic music evaluations
- Refusal to participate
Family Member Inclusion Criteria
- Family member of ICU patient
Family Member Exclusion Criteria
- The inability to communicate either verbally or in writing English to complete the therapeutic music evaluations
- Refusal to participate
ICU Clinical Staff Inclusion Criteria
- ICU clinical staff who are in the patient's room during the music session
ICU Clinical Staff Exclusion Criteria
- Refusal to participate
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Therapeutic Music Session
|
The 20 minute therapeutic music session will consist of classical music performed by a pianist with or without flute accompaniment with an individual patient's ICU room.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in perceived pain visual analog score
Time Frame: Immediately before and after therapeutic music session (about 20 minutes long)
|
Comparison of patient reported perceived pain visual analog score using an 11-point numerical rating scale ranging from 0 (no pain) to 10 (worst possible pain).
|
Immediately before and after therapeutic music session (about 20 minutes long)
|
Change in perceived anxiety visual analog score
Time Frame: Immediately before and after therapeutic music session (about 20 minutes long)
|
Comparison of patient reported perceived anxiety visual analog score using an 11-point numerical rating scale ranging from 0 (no anxiety) to 10 (worst possible anxiety).
|
Immediately before and after therapeutic music session (about 20 minutes long)
|
Change in perceived relaxation visual analog scale
Time Frame: Immediately before and after therapeutic music session (about 20 minutes long)
|
Comparison of patient reported perceived relaxation visual analog score using an 11-point numerical rating scale ranging from 0 (not relaxed at all) to 10 (completely relaxed).
|
Immediately before and after therapeutic music session (about 20 minutes long)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Acceptability of Intervention Measure (AIM)
Time Frame: After conclusion of therapeutic music session (about 20 minutes)
|
Assessment of acceptability of therapeutic music session using the AIM which is a 4-item survey where each item is scored on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree).
Higher total AIM scores indicate greater implementability.
This assessment will be completed by patients, family members, and ICU clinical staff.
|
After conclusion of therapeutic music session (about 20 minutes)
|
Patient Perceived Impact
Time Frame: After conclusion of therapeutic music session (about 20 minutes)
|
Patient and family member perceived impact will be assessed using the Patient Music Evaluation Form.
Patient and family member participants will complete this 2-item word choice question form to assess how live music made them feel (26 word choices offered eg., happy, sad, hopeful, energized) and whether the music performance made them do anything (20 word choices offered eg., laugh, smile, sing).
|
After conclusion of therapeutic music session (about 20 minutes)
|
Feasibility of Intervention (FIM)
Time Frame: After conclusion of therapeutic music session (about 20 minutes)
|
ICU clinical staff perceived feasibility of therapeutic music session intervention will be assessed with the FIM, a 4-item, 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree).
Higher total scores indicate greater feasibility.
|
After conclusion of therapeutic music session (about 20 minutes)
|
Intervention Appropriateness Measure (IAM)
Time Frame: After conclusion of therapeutic music session (about 20 minutes)
|
Assessment of appropriateness of therapeutic music session using the IAM which is a 4-item survey where each item is scored on a 5-point Likert scale ranging from 1 (completely disagree) to 5 (completely agree).
Higher total AIM scores indicate greater implementability.
This assessment will be completed by ICU clinical staff.
|
After conclusion of therapeutic music session (about 20 minutes)
|
Perceived Barriers
Time Frame: After conclusion of therapeutic music session (about 20 minutes)
|
Perceived barriers will be assessed using qualitative analysis of a 2-item multiple response option and open-ended questions asking for feedback about facilitation and barriers to implementation of therapeutic music in ICU.
|
After conclusion of therapeutic music session (about 20 minutes)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Joseph J. Schlesinger, Vanderbilt University Medical Center
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 31, 2022
Primary Completion (Estimated)
December 1, 2024
Study Completion (Estimated)
December 1, 2024
Study Registration Dates
First Submitted
May 6, 2019
First Submitted That Met QC Criteria
May 13, 2019
First Posted (Actual)
May 14, 2019
Study Record Updates
Last Update Posted (Actual)
September 21, 2023
Last Update Submitted That Met QC Criteria
September 20, 2023
Last Verified
September 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 190812
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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