Music Therapy During Dental Procedures in Adults With Intellectual and Developmental Disabilities
2026年9月14日 更新者：Adela Planerova、University of Rochester
Music Therapy to Improve Dental Procedure Tolerance and Reduce Distress in Adults With Intellectual and Developmental Differences
Adults with intellectual and developmental disabilities may experience behavioral distress, sensory sensitivity, and difficulty tolerating dental procedures.
This pilot randomized controlled trial will compare live music therapy delivered by a board certified music therapist with recorded music during non emergency dental procedures performed under local anesthesia.
Approximately 50 participants will be enrolled to obtain 40 evaluable participants randomized in a 1:1 ratio.
The study will evaluate the feasibility and acceptability of live music therapy and its preliminary effects on behavioral cooperation, procedural distress, physiological responses, completion of dental treatment without escalation to sedation, and procedure duration.
調査の概要
研究の種類
介入
入学 (推定)
50
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究連絡先
- 名前：Dana Benoit, MBA
- 電話番号：585-273-3797
- メール：dana_benoit@urmc.rochester.edu
研究場所
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New York
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Rochester、New York、アメリカ、14620
- Eastman Institute for Oral Health Complex Care Clinic
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コンタクト：
- Dana Benoit
- 電話番号：585-273-3797
- メール：dana_benoit@urmc.rochester.edu
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-
参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Adults (≥18 years) with a documented I/DD, including Autism Spectrum Disorder (ASD), Intellectual Disability, ADHD, or other DSM-5-defined neurodevelopmental conditions.
- Frankl Behavioral Rating Scale score of Negative (3) or Definitely Negative (4) at baseline assessment.
- English as primary language.
- Scheduled for non-emergency dental procedure with local anesthesia.
Exclusion Criteria:
- Unwillingness to participate or refusal to provide informed consent
- Legal inability to consent
- Disinterest in or refusal of music therapy intervention
- Scheduled for pharmacological sedation
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Live Music Therapy
Participants assigned to this arm will receive live music therapy delivered by a board certified music therapist during a scheduled non emergency dental procedure performed under local anesthesia.
The intervention may include passive music listening, active music listening, guided breathing synchronized with music, sung procedural cues, live singing with guitar accompaniment, improvisation, tempo entrainment to breathing or heart rate, and participant directed instrument playing or singing.
The intervention will be individualized according to participant preferences, responsiveness, and functional abilities.
Sessions will be audio recorded to support intervention fidelity and characterization.
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Live music therapy will be delivered by a board certified music therapist before, during, and after the dental procedure as appropriate.
Techniques may include live singing with guitar accompaniment, improvisation, music entrainment to breathing or heart rate, guided breathing synchronized with music, sung procedural cues, and participant engagement through instrument playing, singing, or vocal or instrumental improvisation.
The intervention will be adapted in real time based on the participant's preferences, behavioral responses, physiological cues, and functional abilities.
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アクティブコンパレータ：Recorded Music
Participants assigned to this arm will receive prerecorded music through a portable Bluetooth speaker during a scheduled non emergency dental procedure performed under local anesthesia.
Music will begin before administration of local anesthesia and continue throughout the dental procedure unless the participant requests discontinuation.
Participants may select music from the study music library or select a preferred available genre.
Music selection, duration of exposure, and interruptions will be documented.
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Prerecorded music will be delivered through a portable Bluetooth speaker positioned within the dental operatory.
Music will begin before administration of local anesthesia and continue throughout the procedure unless discontinued at the participant's request.
Participants may select relaxation oriented music or a preferred available genre.
Volume will be adjusted for participant comfort while maintaining communication with the dental team.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Percentage of Eligible Participants Who Consent to Participate
時間枠：Throughout the recruitment period
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Recruitment feasibility is calculated as the number of eligible participants who provide informed consent divided by the total number of eligible participants approached for participation, multiplied by 100.
Possible values range from 0 to 100 percent.
Higher percentages indicate greater recruitment feasibility.
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Throughout the recruitment period
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Mean Total Caregiver Acceptability Questionnaire Score After the Dental Procedure
時間枠：Immediately after the dental procedure
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Caregiver reported acceptability is assessed using a 10 item questionnaire administered after the dental procedure.
Each item is scored from 1 to 5. Items 1 through 9 range from 1, Not at all, to 5, Very much.
Item 10 ranges from 1, Definitely no, to 5, Definitely yes.
The 10 item scores are summed to produce a total score ranging from 10 to 50.
Higher total scores indicate greater caregiver reported acceptability and perceived benefit of the music intervention.
The outcome is the mean total score across caregiver respondents.
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Immediately after the dental procedure
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Percentage of Participants With Successful Physiological Monitoring During the Dental Procedure
時間枠：From initiation of physiological monitoring through completion of the dental procedure
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Physiological monitoring feasibility is calculated as the number of participants who successfully wear the required physiological monitoring device or devices as instructed throughout the dental procedure divided by the total number of participants undergoing physiological monitoring, multiplied by 100.
Possible values range from 0 to 100 percent.
Higher percentages indicate greater feasibility of physiological monitoring.
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From initiation of physiological monitoring through completion of the dental procedure
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Mean Frankl Behavioral Rating Scale Score During the Dental Procedure
時間枠：During the dental procedure
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Behavioral cooperation is assessed using the Frankl Behavioral Rating Scale.
Scores range from 1 to 4: 1 indicates Definitely Negative behavior, 2 indicates Negative behavior, 3 indicates Positive behavior, and 4 indicates Definitely Positive behavior.
Higher scores indicate more positive behavior and greater cooperation during dental treatment.
The outcome is the mean Frankl Behavioral Rating Scale score for each treatment group.
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During the dental procedure
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Mean Total Categorical Rating Scale Score During the Dental Procedure
時間枠：During administration of local anesthesia and throughout the dental procedure
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Procedural behavior and distress are assessed using the Categorical Rating Scale, which includes four domains: crying, cooperation, apprehension, and sleep.
Each domain is scored from 1 to 4. For crying, scores range from 1, screaming, to 4, no crying.
For cooperation, scores range from 1, violently resisting or disrupting treatment, to 4, no movement.
For apprehension, scores range from 1, hysterical and disobeying instructions, to 4, calm, relaxed, and following instructions.
For sleep, scores range from 1, fully awake, to 4, sound asleep.
Scores for the four domains are summed at each assessment to produce a total score ranging from 4 to 16.
When multiple assessments are obtained during the procedure, total scores are averaged across assessment time points to generate one procedure level score for each participant.
The outcome is the mean procedure level total score for each treatment group.
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During administration of local anesthesia and throughout the dental procedure
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Mean Heart Rate During the Dental Procedure
時間枠：Approximately every 10 minutes during the dental procedure
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Heart rate is measured by pulse oximetry approximately every 10 minutes during the dental procedure and recorded in beats per minute.
For each participant, heart rate measurements collected during the procedure are averaged to generate one mean procedural heart rate.
The outcome is the mean participant level heart rate for each treatment group.
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Approximately every 10 minutes during the dental procedure
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Mean Peripheral Oxygen Saturation During the Dental Procedure
時間枠：Approximately every 10 minutes during the dental procedure
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Peripheral oxygen saturation is measured by pulse oximetry approximately every 10 minutes during the dental procedure and recorded as percent oxygen saturation.
For each participant, oxygen saturation measurements collected during the procedure are averaged to generate one mean procedural oxygen saturation value.
The outcome is the mean participant level oxygen saturation for each treatment group.
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Approximately every 10 minutes during the dental procedure
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Mean BioDot Skin Temperature During the Dental Procedure
時間枠：Approximately every 10 minutes during the dental procedure
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Peripheral skin temperature is assessed using a BioDot skin thermometer approximately every 10 minutes during the dental procedure.
The BioDot changes color according to skin temperature.
Manufacturer reference values include amber at approximately 89.6 degrees Fahrenheit, yellow at 90.6 degrees Fahrenheit, green at 91.6 degrees Fahrenheit, turquoise at 92.6 degrees Fahrenheit, blue at 93.6 degrees Fahrenheit, and violet at 94.6 degrees Fahrenheit.
Black indicates a temperature outside the measurable color range.
Quantifiable readings collected during the procedure are averaged for each participant.
The outcome is the mean participant level skin temperature for each treatment group.
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Approximately every 10 minutes during the dental procedure
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Percentage of Participants Who Complete the Planned Dental Procedure Without Escalation to Sedation
時間枠：During the dental procedure
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Procedural completion is defined as completion of the planned dental procedure without escalation to pharmacological sedation.
The outcome is calculated as the number of participants who complete the planned dental procedure without escalation to sedation divided by the total number of participants who undergo the study dental procedure, multiplied by 100.
Possible values range from 0 to 100 percent.
Higher percentages indicate a greater rate of procedural completion without escalation to sedation.
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During the dental procedure
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Mean Total Dental Procedure Duration
時間枠：During the dental procedure
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Total dental procedure duration is recorded in minutes for each participant from the start of the planned dental procedure through procedure completion.
The outcome is the mean total procedural duration in minutes for each treatment group.
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During the dental procedure
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
捜査官
- 主任研究者：Adela Planerova、University of Rochester
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年9月30日
一次修了 (推定)
2027年5月1日
研究の完了 (推定)
2027年5月1日
試験登録日
最初に提出
2026年9月2日
QC基準を満たした最初の提出物
2026年9月2日
最初の投稿 (実際)
2026年9月8日
学習記録の更新
投稿された最後の更新 (実際)
2026年9月16日
QC基準を満たした最後の更新が送信されました
2026年9月14日
最終確認日
2026年8月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。