Music in the Emergency Department (ED): Phase II

NCT ID: NCT02363179

Last Updated: 2017-07-06

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 1107 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-05-31
• Study Completion Date: 2017-06-30

Brief Summary

The investigators will conduct a prospective quasi-experimental design study of patients in the University of Florida Health Emergency Department. Live preferential music will be performed for patients in the emergency department on alternating days over 20 weeks, and subjects exposed to the music intervention will be matched to a cohort that present to the emergency department on days with no music to assess impact on patient and healthcare provider satisfaction, pain medication utilization, length of stay, and cost of care.

Detailed Description

Every year, over 130 million patients access emergency care in the US. Emergency Departments are high stress environments and are one of the significant drivers of high costs in healthcare. The prevalence of anxiety experienced by patients in the emergency department (ED) is abundant and substantial. Anxiety negatively affects the patient, the ED healthcare environment, and ED healthcare staff. Additionally, anxiety routinely results in the administration of medication that would be otherwise unnecessary, and contributes to the overall cost of healthcare and the stress of clinicians, particularly nursing staff. The University of Florida (UF) Department of Emergency Medicine, in partnership with the UF Center for Arts in Medicine, has recently completed phase one, and is proposing phase two, of a three-phase study to assess the impact of live preferential music on emergency department operations, including pain medication utilization and cost of care. The investigators propose to expand on the phase one pilot study to conduct a full randomized controlled study utilizing a group of highly talented musicians to provide live preferential music in our ED and level one trauma center setting. The project, the first systematic investigation of its kind, seeks to demonstrate that live preferential music in an emergency and trauma care setting can positively impact quality and cost of care.

Conditions

Music Therapy; Patient Satisfaction

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: SINGLE

Study Groups

Non Music Group

500 non-intervention patients will be consented to serve as the control group

Group Type: NO_INTERVENTION

No interventions assigned to this group

Music Intervention Group

500 intervention patients will be consented to participate in the live preferential music intervention

Group Type: EXPERIMENTAL

Live preferential music

Intervention Type: BEHAVIORAL

Live preferential music will be performed for patients in the emergency department.

Interventions

Live preferential music

Live preferential music will be performed for patients in the emergency department.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Language: english
• Cognitive skill/education: grade 2 reading level or above

Exclusion Criteria

• Language: Non-english speaking
• Age: Less than 18
• Cognitive skill/education: lower than grade 2 reading level

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Florida Department of State Division Of Cultural Affairs

UNKNOWN

Sponsor Role: collaborator

National Endowment for the Arts, United States

FED

Sponsor Role: collaborator

University of Florida

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Joseph A Tyndall, MD

Role: PRINCIPAL_INVESTIGATOR

University of Florida

Locations

UF Health

Gainesville, Florida, United States

Countries

United States

References

Rothrock SG, Johnson NE. Pain management in the pediatric emergency department. Pediatr Emerg Care. 1989 Dec;5(4):298. No abstract available.

Reference Type: BACKGROUND

PMID: 2602211 (View on PubMed)

Bengtsson SL, Ullen F, Ehrsson HH, Hashimoto T, Kito T, Naito E, Forssberg H, Sadato N. Listening to rhythms activates motor and premotor cortices. Cortex. 2009 Jan;45(1):62-71. doi: 10.1016/j.cortex.2008.07.002. Epub 2008 Oct 30.

Reference Type: BACKGROUND

PMID: 19041965 (View on PubMed)

Gallagher LM. The role of music therapy in palliative medicine and supportive care. Semin Oncol. 2011 Jun;38(3):403-6. doi: 10.1053/j.seminoncol.2011.03.010.

Reference Type: BACKGROUND

PMID: 21600370 (View on PubMed)

Good M. A comparison of the effects of jaw relaxation and music on postoperative pain. Nurs Res. 1995 Jan-Feb;44(1):52-7.

Reference Type: BACKGROUND

PMID: 7862546 (View on PubMed)

Good M, Stanton-Hicks M, Grass JA, Anderson GC, Lai HL, Roykulcharoen V, Adler PA. Relaxation and music to reduce postsurgical pain. J Adv Nurs. 2001 Jan;33(2):208-15. doi: 10.1046/j.1365-2648.2001.01655.x.

Reference Type: BACKGROUND

PMID: 11168704 (View on PubMed)

Other Identifiers

15-8503

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

IRB201500083

Identifier Type: -

Identifier Source: org_study_id