The MUSICare Project: Effects of Differentiated Music Exposure on Exercise-Related Affect Among Cardiac Rehabilitation Inpatients

Elena Tessitore72 enrolled

Overview

Affective phenomena, such as core affect, remembered pleasure, or forecasted pleasure, play a key role in promoting physical activity (PA) behaviour, especially among inpatients. The use of music has been shown to be a particularly cost-effective and low-friction approach to promoting positive affective valence during PA. However, interventions using music to improve exercise-related affective phenomena among inpatients are lacking. This study will aim to investigate an intervention that combines the effects of music with the "peak-end rule" on core affective responses (valence and arousal), remembered pleasure, and forecasted pleasure associated with exercise sessions among cardiac rehabilitation inpatients. The primary objective of the present study will be to examine the effect of differentiated music exposure on core affective responses, ratings of perceived exertion and psychophysiological responses to moderate-intensity continuous training (MICT), as well as on associated remembered pleasure, exercise enjoyment, and forecasted pleasure. A secondary objective will be to assess the potential mediating effect of affective valence at the end of the MICT on remembered pleasure and exercise enjoyment. A third objective will be to assess the effect of MICT with or without music on an emotional rating task, together with pupillometric measures. Finally, the study will examine the influence of remembered pleasure on subsequent forecasted pleasure.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Rehabilitation Exercise

Eligibility

Sex: ALLMin age: 50 YearsMax age: 75 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals enrolled in an inpatient 3-week cardiac exercise-based rehabilitation programme * Age range 50-75 years * Can withstand the study protocol without undue risk * Able to provide written consent Exclusion Criteria: * Contraindication to physical activity in view of the health status * Presence of cognitive or psychological disorder * Hearing impairment with or without hearing aids

Outcomes

Primary Outcomes

Affective valence during the moderate intensity continuous training

Mesured with filling scale (FS)

Time frame: 22 minutes

Secondary Outcomes

Affective arousal during the moderate-intensity continuous training

Affective arousal will be measured at five time points ( Minute 3, Minute 12, Minute 13, Minute 22, and Minute 25) using the Felt Arousal Scale (Svebak \& Murgatroyd, 1985), a single-item bipolar rating scale using the sentence "How aroused do you actually feel?" with possible responses ranging from 1 (low arousal) to 6 (high arousal).

Time frame: 25 minutes

Rating of perceived exertion during the moderate-intensity continuous training

Remembered pleasure will be measured 5 min after each training session using a visual analogy scale presented on a Samsung Galaxy Tab ranging from -100 (very unpleasant) to +100 (very pleasant) in intervals of 1 (Zenko et al., 2016). Participants will be asked to answer the following question: "How did the exercise session make you feel?" (Hutchinson et al., 2023).

Time frame: 5 minutes after each training session