Assessing the Impact of LIve Music in the Intensive Care Unit (ICU) to Improve Care for Critically Ill Patients

Vanderbilt University Medical Center111 enrolled

Overview

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.

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

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

111

Conditions

Anxiety Pain Critical Illness Relaxation

Interventions

Therapeutic Music SessionBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Outcomes

Primary Outcomes

Change in perceived pain visual analog score

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).

Time frame: Immediately before and after therapeutic music session (about 20 minutes long)

Change in perceived anxiety visual analog score

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).

Time frame: Immediately before and after therapeutic music session (about 20 minutes long)

Change in perceived relaxation visual analog scale

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).

Time frame: Immediately before and after therapeutic music session (about 20 minutes long)

Secondary Outcomes

Acceptability of Intervention Measure (AIM)

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.

Time frame: After conclusion of therapeutic music session (about 20 minutes)

Patient Perceived Impact

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).

Data from ClinicalTrials.gov

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