Music Therapy as a Pain Modifying Intervention in Children With Life-limiting Neurological Impairments and Metabolic Conditions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 13
- 试验地点
- 2
- 主要终点
- Behavioural Pain Scores
研究概览
简要总结
The purpose of this within-subjects randomized controlled trial is to determine whether two music therapy interventions are efficacious in reducing pain symptoms, in order to improve the quality of care for children in pediatric hospice. The investigators hypothesize that both music therapy interventions, live guitar and vocal intervention and vibroacoustic intervention, will reduce behavioural pain scores and that behavioural pain scores will correlate with physiological outcome measures.
详细描述
Effective pain management in pediatric palliative care is a quality of life issue for patients, families and professionals. Current research supports the use of music therapy to assist with pain management in pediatric medical settings. However, little research has been done to explore the use of music therapy for reducing pain in children with life-limiting neurological impairments or metabolic conditions.
As the first known project to examine the effects of music therapy on pain symptoms with children who have life-limiting neurological impairments or metabolic disorders, this study will expand the evidence-base for practice with this population. It is imperative that an evidence base for music therapy in this area be established, so that the most effective interventions can be provided to these vulnerable children.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 12 Months 至 19 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children, ages 1-19, who have been diagnosed with life-limiting neurological impairments and metabolic conditions
- •Cognitive functioning level of one year or less will be enrolled in the study
- •Receiving respite or symptom management care at the time of admission to the Canuck Place Children's Hospice
- •Guardians must be able to provide written consent in English; interpreters will be available if a guardian needs clarification on specific points.
排除标准
- •Children who are actively dying (i.e. admitted for end-of-life care or determined by physicians to require immediate end-of-life care)
- •Any history of adverse responses to live or recorded music or to vibroacoustic stimulation
- •Severe to profound hearing impairment will be excluded.
研究组 & 干预措施
Live - Vibroacoustic
Treatment order A: live guitar and vocal music therapy on day one, vibroacoustic music therapy on day two.
干预措施: Live guitar and vocal music therapy (Behavioral)
Live - Vibroacoustic
Treatment order A: live guitar and vocal music therapy on day one, vibroacoustic music therapy on day two.
干预措施: Vibroacoustic Music Therapy (Behavioral)
Vibroacoustic - Live
Treatment order B: vibroacoustic music therapy live guitar on day one, and vocal music therapy on day two.
干预措施: Live guitar and vocal music therapy (Behavioral)
Vibroacoustic - Live
Treatment order B: vibroacoustic music therapy live guitar on day one, and vocal music therapy on day two.
干预措施: Vibroacoustic Music Therapy (Behavioral)
结局指标
主要结局
Behavioural Pain Scores
时间窗: Participants will be observed for a total of 3 hours during one hospice admission, an expected average of one week
Non-communicating children's pain checklist scores.
次要结局
- Physiological measures(Participants will be observed for a total of 3 hours during one hospice admission, an expected average of one week)
研究者
Liisa Holsti
Principle Investigator
University of British Columbia