The Effect of Music on Postoperative Anxiety

The Effect of Patient Preferred Music on Postoperative Anxiety

In this study, it is planned to learned the effect of listening to the music preferred by the patient on postoperative anxiety.

Study Overview

• Status: Completed
• Conditions: Quality of Recovery; Anxiety Postoperative
• Intervention / Treatment: Other: No Music; Other: Patient preferential music

Detailed Description

Preoperative anxiety can be detected via structured and standardized screening by the State-Trait Anxiety Inventory (STAI) I and II. 80 patients scheduled for total knee arthroplasty surgery for will be included in our study. Preoperative STAI I and II score (anxiety questionnaire) will be applied to each patient. The patients will be divided into two groups as listening patient preferential music, and control. The patient favorite music track and singer without limiting the kind of music or classical music will be played through the headphones.Secondary aim is to assess the effect of listening patient preferred music on Quality of recovery, postoperative pain, MCID (minimal clinically important diffirence), patient and surgeon satisfaction.

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Ankara, Turkey
    • Ankara City Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Undergo Total Knee Arthroplasty Under Spinal Anesthesia

Exclusion Criteria:

• Poor vision
• Significant hearing loss
• Dementia
• Active opioid use
• Regular use of anxiolytics or discontinuation of them on the day of surgery
• Unwillingness to participate in the study
• Unwillingness to listening to music

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Patient preferential music; The preference of the patients will be listened to preoperatively through the headphones.	Other: Patient preferential music; Patients will listen to their preferred music through the headphones before surgery and intraoperative period.
Placebo Comparator: No Music; Patients will not listen to music.	Other: No Music; Patients will not listen to music.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Spielberg State-Trait Anxiety Inventory (STAI) score	The test scores between 20 and 80, with higher scores indicating more generalized and stronger anxiety. Preoperative and postoperative STAI I score questions will be asked.	Preoperative 1st hour and Postoperative 4th hour

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical Rating Scale (NRS)	11-point numerical rating scale for pain (0='no pain' and 10='worst pain possible pain') were explained.	Postoperative 4th, 12th and 24th hours
The quality of postoperative functional recovery (QoR-15) score	The patient-reported Turkish QoR-15 score includes 15 questions that evaluate the patient's postoperative recovery. The QoR-15 score is grouped under two groups, A and B. A high QoR-15 score, a score between 0 (poor) and 10 (excellent) for each item, and a total score of 150 indicate better quality of recovery.	Preoperative 1st hour and Postoperative 24th hour
Patient satisfaction score	Patients were asked about their satisfaction levels with a number between 0-10.	Postoperative 24th hour
MCID of STAI score	Calculation of the MCID of the STAI score	24 hour
MCID of QoR-15 score	Calculation of the MCID of the QoR-15 score	24 hour

Collaborators and Investigators

• Sponsor: Ankara City Hospital Bilkent

Publications and helpful links

General Publications

• Bradt J, Dileo C, Shim M. Music interventions for preoperative anxiety. Cochrane Database Syst Rev. 2013 Jun 6;2013(6):CD006908. doi: 10.1002/14651858.CD006908.pub2.
• Kavak Akelma F, Altinsoy S, Arslan MT, Ergil J. Effect of favorite music on postoperative anxiety and pain. Anaesthesist. 2020 Mar;69(3):198-204. doi: 10.1007/s00101-020-00731-8. Epub 2020 Feb 11.

Study record dates

Study Major Dates

• Study Start (Actual): January 9, 2025
• Primary Completion (Actual): March 3, 2025
• Study Completion (Actual): April 1, 2025

Study Registration Dates

• First Submitted: January 2, 2025
• First Submitted That Met QC Criteria: January 2, 2025
• First Posted (Actual): January 8, 2025

Study Record Updates

• Last Update Posted (Actual): May 28, 2025
• Last Update Submitted That Met QC Criteria: May 27, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Mental Disorders; Anxiety Disorders
• Other Study ID Numbers: 33

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