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Clinical Trials/NCT07298031
NCT07298031Not yet recruitingNot Applicable

How Can We Help? Wellbeing Interventions for Choral Music Ensembles

Jess Walls2 sites in 1 country200 target enrollmentStarted: January 1, 2026Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Status
Not yet recruiting
Sponsor
Enrollment
200
Locations
2
Primary Endpoint
Change in Anxiety

Study Overview

Brief Summary

The goal of this clinical trial is to learn if psychology and music based interventions can impact anxiety and overall wellbeing in adolescents enrolled in choral music classes. The main questions it aims to answer are:

Do specific psychology and music based breathing interventions impact anxiety and overall wellbeing in adolescents? Do specific psychology and music based performance anxiety reduction interventions impact anxiety and overall wellbeing in adolescents? Do specific psychology and music based emotion regulation interventions impact anxiety and overall wellbeing in adolescents? Researchers will compare results of pre-test data, post-test data, qualitative interviews, and surveys of adult choral directors to see if there is a measurable impact on adolescent anxiety and overall wellbeing.

Participants will:

  • Use box breathing during choral music warm-ups to connect choral breathing to breathing for anxiety reduction
  • Use "magnify" technique to compare cognitive distortions regarding an upcoming performance that may cause anxiety to the most likely realistic outcome
  • Use emotion regulation through song lyrics technique to connect lyrics of choral music repertoire to participants experienced emotions

Detailed Description

The research design is experimental mixed-methods, designed to determine the effectiveness of specific breathing and mindfulness techniques and specific emotion regulation techniques. These techniques are hypothesized to be useful in reducing anxiety and improving overall emotion regulation and wellbeing when integrated into choral music ensemble rehearsal practices, with additional determinations made regarding the effectiveness of these techniques in improving the quality of musical performance. This project incorporates techniques many music educators already employ, but with a better understanding of the psychology involved and specific wellbeing goals, to measure the effectiveness of these interventions and provide both evidence of effectiveness and a standard way to provide training on these interventions to music educators.

Participants are middle school and high school students in grades 6 through 12 who are currently enrolled in a choir class in Fort Bend ISD, Texas. One high school and one middle school campus will serve as a control group, with that group only taking the pre-test and receiving no interventions, and a second high school and middle school will serve as the primary experimental study sites. Individual schools were chosen due to administration and choral music educators who support educational research, with the experimental school sites and control school sites as closely matched demographically as possible, with all 4 sites having strong choral music programs. The experimental middle school is the experimental high school feeder, and the control middle school is the control high school feeder.

The instrument for the initial pre-test survey includes 21 items on a 4-point Likert scale ranging from "A bit like me" to "A lot like me" in three categories: Emotion, Music and Emotions, and Music and Anxiety, along with basic demographic information. Student information was anonymized by identifying individuals exclusively by choir folder number, to correlate pre- and post-test data. Example survey items include "I know what to do when I feel a difficult emotion." and "I have had a strong emotional reaction to one or more songs we have performed or sung in choir." This 21-item rating scale was pilot tested in an educational methods survey design course. The pre-test survey also included questions from the GAD-7, WEMWBS, and DERS-SF. The pre-test survey will be administered to both the control group and the experimental group.

The post-test survey contains all questions from the pre-test survey, with an additional five rating scale questions and one open-ended question for participants to add information regarding anxiety, positive emotions, emotion regulation, and the intervention techniques in their own words. This survey will be given only to the experimental group and will be administered twice: once immediately after the intervention, and once a week later.

Participants and their parents will self-identify willingness to participate in a follow-up interview on the consent/assent form, with two to three participants per class period selected at random by folder number from the self-identified willing participants. These interviews will be scheduled at the end of the initial research administration day to occur one week later at the follow up, will be approximately 15-20 minutes long, and will be conducted immediately after the second administration of the post-test. The parents of the minor participants will be invited to join the interview either via zoom or in person and have the option of their choir director attending the interview in their place. Parents and participants can opt out of the interview at any time with no penalties, with one or two extra participants selected on a stand by basis per class in case of absence or the choice to opt out of the interview.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
10 Years to 20 Years (Child, Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • Enrolled in 6th through 12th grade at selected schools
  • Enrolled in choir at the selected schools

Exclusion Criteria

  • Not provided

Outcomes

Primary Outcomes

Change in Anxiety

Time Frame: From enrollment to choir director survey 4 weeks later

Measured quantitatively through: -pre-test and post-test data Measured qualitatively through: * Student interview questions exploring experiences of anxiety and use of breathing and "Magnify" techniques * Qualitative responses to open-ended post-test survey items * Choir director observations of anxiety and performance anxiety (open-ended director survey)

Change in Emotion Regulation

Time Frame: From enrollment to the choir director survey 4 weeks post intervention

Measured quantitatively through: -pre-test and post-test data Measured qualitatively through: * Student interview questions exploring emotional processing during the music-based intervention * Post-test open-ended responses regarding emotion regulation * Choir director survey reporting observed changes in students' emotion regulation

Change in Well-Being

Time Frame: From enrollment to second post-test administration one week after intervention

Measured quantitatively through: -pre-test and post-test data Measured qualitatively through: * Interview comments about perceived overall well-being changes * Open-ended post-test items about intervention effectiveness

Secondary Outcomes

  • Change in Musicality and Emotional Engagement in Music(From enrollment to choir director survey 4 weeks after intervention)

Investigators

Sponsor
Jess Walls
Sponsor Class
Other
Responsible Party
Sponsor Investigator
Principal Investigator

Jess Walls

Principal Investigator

Auburn University

Study Sites (2)

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