Trial Outcomes & Findings for Music Therapy in Sickle Cell Pain Mixed Methods Study (NCT NCT02270060)

NCT ID: NCT02270060

Last Updated: 2019-08-21

Results Overview

Visual analog scale of pain intensity. The minimum score is 0. The maximum score is 10. Higher scores represent worse pain intensity.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Baseline and at end of 20-minute intervention, up to 120 minutes following randomization

Results posted on

2019-08-21

Participant Flow

Following verbal consent on the day of an ACC visit, an RN escorted the participant into the ACC to receive standard care that included vital signs, a lab draw, assessment by a nurse practitioner, and scheduled analgesics. The assigned study condition occurred one hour after participants' first dose of analgesics.

Participant milestones

Participant milestones
Measure
Music Therapy Group
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Overall Study
STARTED
20
20
20
Overall Study
COMPLETED
20
20
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Music Therapy in Sickle Cell Pain Mixed Methods Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
20 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
60 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
30.85 years
STANDARD_DEVIATION 9.49 • n=5 Participants
33.25 years
STANDARD_DEVIATION 11.23 • n=7 Participants
30.60 years
STANDARD_DEVIATION 7.44 • n=5 Participants
31.57 years
STANDARD_DEVIATION 9.43 • n=4 Participants
Sex: Female, Male
Female
12 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
35 Participants
n=4 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
9 Participants
n=7 Participants
8 Participants
n=5 Participants
25 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
20 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
60 Participants
n=4 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
20 participants
n=5 Participants
60 participants
n=4 Participants
Type of Sickle Cell Disease
HbSS
10 Participants
n=5 Participants
15 Participants
n=7 Participants
12 Participants
n=5 Participants
37 Participants
n=4 Participants
Type of Sickle Cell Disease
HbSC
6 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
15 Participants
n=4 Participants
Type of Sickle Cell Disease
HbSbeta+ Thalassemia
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
6 Participants
n=4 Participants
Type of Sickle Cell Disease
HbSbeta0 Thalassemia
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline and at end of 20-minute intervention, up to 120 minutes following randomization

Population: All participants who participated in the music therapy intervention.

Visual analog scale of pain intensity. The minimum score is 0. The maximum score is 10. Higher scores represent worse pain intensity.

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Change (Post - Pre) From Baseline in Visual Analog Scale of Pain Intensity (VASPI) of Memorial Pain Assessment Card
-1.92 score on a scale
Standard Deviation 1.88
-1.92 score on a scale
Standard Deviation 2.50
-1.19 score on a scale
Standard Deviation 1.69

SECONDARY outcome

Timeframe: Baseline and at end of 20-minute intervention, up to 120 minutes following randomization

Population: All participants who participated in the music therapy intervention.

Visual analog scale of Pain Relief. The minimum score is 0. The maximum score is 10. Higher scores represent greater pain relief.

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Change (Post - Pre) From Baseline in Visual Analog Scale of Pain Relief (VASPR) of Memorial Pain Assessment Card
2.05 score on a scale
Standard Deviation 2.33
.86 score on a scale
Standard Deviation 4.01
.45 score on a scale
Standard Deviation 1.97

SECONDARY outcome

Timeframe: Baseline and at end of 20-minute intervention, up to 120 minutes following randomization

Population: All participants who participated in the music therapy intervention.

Visual analog scale of mood. The minimum score is 0. The maximum score is 10. Higher scores represent better mood.

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Change (Post- Pre) From Baseline in Visual Analog Scale of Mood (VASMOOD) of Memorial Pain Assessment Card
2.33 score on a scale
Standard Deviation 2.10
.96 score on a scale
Standard Deviation 2.38
.74 score on a scale
Standard Deviation 1.98

SECONDARY outcome

Timeframe: Baseline and at end of 20-minute intervention, up to 120 minutes following randomization

Population: All participants who participated in the music therapy intervention.

Pain adjectives scale. The minimum score is 1. The maximum score is 7. Higher scores represent worse pain.

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Change (Post - Pre) From Baseline in Tursky Scale of Memorial Pain Assessment Card
-0.80 score on a scale
Standard Deviation 1.20
-0.35 score on a scale
Standard Deviation 2.23
-0.50 score on a scale
Standard Deviation 1.00

SECONDARY outcome

Timeframe: From time of admission into acute care clinic to time of discharge, up to 8 hours.

Population: All participants who participated in the music therapy intervention.

Length of stay (in minutes) in acute care clinic

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Length of Stay in Minutes
272.95 minutes
Standard Deviation 72.84
286.80 minutes
Standard Deviation 116.74
287.45 minutes
Standard Deviation 119.75

SECONDARY outcome

Timeframe: From time of admission into acute care clinic to time of discharge, up to 8 hours.

Population: All participants who participated in the music therapy intervention and received hydromorphone.

Amount of Hydromorphone received in acute care clinic following intervention

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=19 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=18 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=18 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Amount of Hydromorphone
10.30 milligrams
Standard Deviation 7.84
8.10 milligrams
Standard Deviation 6.70
10.00 milligrams
Standard Deviation 8.25

SECONDARY outcome

Timeframe: From time of admission into acute care clinic to time of discharge, up to 8 hours.

Population: All participants who participated in the music therapy intervention.

Numeric pain rating between 0-10 before and after admission to acute care clinic. The minimum score is 0. The maximum score is 10. Higher scores represent worse pain.

Outcome measures

Outcome measures
Measure
Music Therapy Group
n=20 Participants
Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad. Music Therapy: Patient receives a single 20-minute music therapy session with a music therapist. Patient will interact with specially composed music tailored to the patient's preferences using an iPad.
Music Listening Group
n=20 Participants
Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist. Music Listening: Patient listens to his/her preferred music on an iPod touch for 20 minutes without the presence of a music therapist.
Control Group
n=20 Participants
Patient receives standard care and waits in treatment room/bay for twenty minutes.
Change (Post - Pre) From Baseline in Numeric Pain Rating (NPR)
-2.70 score on a scale
Standard Deviation 1.63
-2.95 score on a scale
Standard Deviation 1.68
-3.10 score on a scale
Standard Deviation 1.97

Adverse Events

Music Therapy Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Music Listening Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Samuel Rodgers-Melnick, MT-BC, music therapist

University Hospitals Connor Integrative Health Network

Phone: 216-844-7727

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place