Evaluation of a Preventive Intervention for Student Musicians, Independently Achievable, to Improve Good Health Behaviors: A Randomized Controlled Pilot and Feasibility Study.
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Participant Satisfaction with the App-Based Intervention
研究概览
简要总结
Student musicians are particularly vulnerable to both physical and psychological health issues, with studies showing that 38% report pain from musical practice and over 50% experience high stress. Despite these risks, health resources tailored specifically to student musicians remain limited. This study aims to address this gap by testing a preventive, digital intervention to improve the well-being of this population. The intervention, delivered via a smartphone or tablet app, is designed to accommodate the unique demands of student musicians, such as frequent travel and time constraints. It includes health education, self-assessment tools, preventive health behavior advice, and interactive games designed to promote healthier work habits, daily routines, and overall health knowledge.
详细描述
Student musicians are significantly affected by physical and psychological health issues. Previous studies highlighted that 38% of student musicians experience pain related to their musical practice over a 12-month period, and more than 50% report high levels of stress (general and specific to musical performance).
Despite these concerning trends, tailored health resources and advice specific to student musicians remain rare. Improved work habits and daily health behaviors are crucial for primary prevention and could enhance both learning conditions and long-term health despite the high level of musical practice. Digital, evidence-based interventions, tailored to the specific needs of musicians, could offer a practical solution given their unique constraints, which include frequent travel, limited resources, and demanding schedules.
This study aims to evaluate the feasibility and effectiveness of a smartphone/tablet-based preventive intervention for student musicians. The intervention is designed to improve their physical, psychological, and social well-being, as well as health knowledge. Given the health risks associated with pre-professional and professional music practice, these issues impact not only the well-being of student musicians but also their self-fulfillment and learning capacity. These issues justify the need for health support in music studies. It is currently recommended to develop health promotion approaches that integrate knowledge about health, self-assessment of risk factors, and the adoption of good daily habits. These approaches are most effective when tailored to the specific needs of musicians.
This study will assess a preventive, digital intervention for student musicians over a 12-week period. The three groups involved are: GAppE (stand-alone app intervention plus 5 educational group sessions), GApp (app intervention used independently), and GC (no intervention).
Health knowledge, physical, psychological, and social well-being, as well as daily life and work habits, will be assessed at three time points: 1) before the intervention, 2) 6 months after the start of the intervention, and 3) 12 weeks after the start of the intervention in all 3 groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
盲法说明
Blinded, Single
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age: Over 18 years old
- •Enrollment at the Geneva University of Music (HEM) as a Bachelor (1st, 2nd, or 3rd year) or Master (1st or 2nd year) student.
- •Primary discipline: Must be in musical performance (instrumental or vocal).
- •Physical ability to play an instrument or sing (no physical disabilities that prevent participation in musical practice).
- •Must be able to follow academic activities as planned.
排除标准
- •Unable to play their instrument or participate in singing.
- •Underwent surgery in the past 12 months that affects their ability to practice music (e.g., musculoskeletal surgeries).
- •Suffering from pain or medical conditions that are not related to musical practice (e.g., non-musical injuries or pathologies).
- •Unable to follow the planned academic schedule (e.g., missing classes or major academic constraints that would prevent full participation in the study).
研究组 & 干预措施
GApp
Preventive advice with digital support
干预措施: GApp (Behavioral)
GC
Control group with no intervention.
GappE
Preventive advice with digital support + 5 educational sessions
干预措施: GappE (Behavioral)
结局指标
主要结局
Participant Satisfaction with the App-Based Intervention
时间窗: 6 and 12 weeks after the start of intervention.
Participant satisfaction is measured using a Visual Analog Scale (VAS), where participants rate their overall satisfaction from 0 (not satisfied) to 10 (fully satisfied).
Participant Interest in the App-Based Intervention
时间窗: At baseline.
As part of the feasibility assessment guided by the CONSORT extension for pilot and feasibility trials, this outcome evaluates the attractiveness of the application-based intervention, measured by the number of participants who will express interest in the intervention at baseline.
Participant Engagement with and Frequency of Use of the App - Based Intervention
时间窗: From the start of the intervention to 12 weeks.
This outcome measures the use of the app-based intervention as part of the feasibility assessment. Use is evaluated by tracking the frequency of mobile app access by each participant throughout the intervention period.
System Usability of the App-Based Intervention Using SUS
时间窗: 6 and 12 weeks after the start of intervention.
This outcome assesses the usability of the mobile app-based intervention using the System Usability Scale (SUS), which is a validated 10-item questionnaire designed to evaluate perceived ease of use. The total SUS score ranges from 0 to 100, with higher scores indicating better perceived usability. This measure is part of the feasibility assessment guided by the CONSORT extension for pilot and feasibility trials.
次要结局
- Assessment of the prevalence of Playing-related Muscoskeletal Disorders by using the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM).(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in Health-Related Quality of Life as Measured by the SF-36 Health Survey(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in Psychosocial Adaptation Scores on the Health Interview for Musicians (HIL) Scale(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in Psychological Distress Scores on the Kessler Psychological Distress Scale (K10)(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in Music Performance Anxiety Scores on the Kenny Music Performance Anxiety Inventory (K-MPAI-R)(Baseline, 6 weeks, 12 weeks after start of intervention)
- General Fatigue Rating(Baseline, 6 weeks, 12 weeks after the start of the intervention.)
- Fatigue Change and Recovery as Measured by the McCrary Fatigue Scale(Baseline, 6 weeks, 12 weeks after the start of the intervention.)
- Occupational Balance as Measured by OBQ(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in Musicians' Health Literacy Scores Measured by the MHL-Q19 Questionnaire(Baseline, 6 weeks, 12 weeks after start of intervention)
- Change in the Self-Perceived Musical Performance Quality Assessed by a Visual Analog Scale(Baseline, 6 weeks, 12 weeks after start of intervention)
- General Self-Efficacy (GSES)(Baseline, 6 weeks, 12 weeks after start of intervention)
研究者
Anne-Violette Bruyneel
Professor
School of Health Sciences Geneva