Music Therapy to Address Patients' Journeys With Chronic Illness, Outcomes, and Readmission
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Number of participants report daily music exercise use
研究概览
简要总结
Conduct a pilot study (n = 20) to explore the feasibility and acceptability of the MAJOR CHORD music therapy (MT) intervention (i.e., two in-person MT sessions prior to discharge and two virtual MT sessions post-discharge) and collection of patient-reported outcomes through 30 days after hospital discharge. The investigators will uncover any potential modifications that need to be made to the intervention and data collection process prior to initiating the randomized trial.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 89 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age range: ≥40 to ≤89 years
- •Hospitalized at UH Cleveland Medical Center (UHCMC) with anticipated length of stay following recruitment ≥ 2 days as documented in electronic health record (EHR)
- •Diagnosed (i.e., ICD-10 code within the EHR) with either COPD (J44) or HF (I50) with confirmed ICD-10 code in EHR
- •Able to read and understand English
- •Screening positive for depression and/or anxiety as evidenced by: GAD-7 anxiety score ≥ 10 and PHQ-9 depression score ≥ 10
- •Access to WiFi, active email address & laptop, tablet, and/or PC with videoconferencing capabilities
- •Has reliable support person who can be available to respond in case of a medical emergency at any time
- •Has reliable access to a mobile device with active data plan
排除标准
- •Significant hearing and/or visual impairment as documented in EHR
- •Unable to independently provide consent (i.e., no proxy consent)
- •Active suicidal ideation documented in inpatient psychiatry note during current hospital admission or expressed at any point verbally or in writing to study staff
- •Severe psychological comorbidity (e.g., psychosis, schizophrenia) that would prevent patient from engaging fully in intervention as documented in EHR
- •Currently admitted to intensive care unit
- •Receiving active cancer treatment (e.g., chemotherapy, radiation, immunotherapy) as documented in EHR
- •Diagnosed with medical condition likely to be terminal within 24 weeks as documented in EHR
- •On wait list for heart transplantation or ventricular assist device (VAD) as documented in EHR
- •NYHA Stage IV HF or end-stage COPD as documented in EHR
- •Receiving hospice care as documented in EHR
- •Active substance abuse as documented in EHR
结局指标
主要结局
Number of participants report daily music exercise use
时间窗: 30 days post discharge
At least 60% of participants in the music therapy arm reporting use of music exercises at least once every other day.
Acceptance of music therapy intervention
时间窗: 37 days post discharge
Favorable responses to qualitative interviews
Comparison of actual and anticipated recruitment rates
时间窗: 30 days post discharge
Actual rates of recruitment as compared to the anticipated recruitment rate of at least 35% of those approached for the study.
Comparison of actual and anticipated retention rates
时间窗: 30 days post discharge
Actual rates of retention as compared to the anticipated retention rate of 70% of participants until the final survey time point.
Comparison of actual and anticipated completion rates
时间窗: 30 days post discharge
Actual rates of completion rates as compared to the anticipated at least 70% of 15-day and 30-day follow-up measures.
Comparison of actual and anticipated attendance rates
时间窗: 30 days post discharge
Actual rates of attendance rates as compared to the anticipated 3/4 sessions among at least 70% of participants in the music therapy arm.
次要结局
未报告次要终点
研究者
Samuel Rodgers-Melnick
Integrative Health Research & Data Specialist
University Hospitals Cleveland Medical Center