The Effects of Music Therapy on Adult Patients Requiring Mechanical Ventilation in the ICU

Conditions

• Acute Hypercapnic Respiratory Failure
• Acute Hypoxemic Respiratory Failure
• Acute Respiratory Distress Syndrome

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• Toning — OTHER
  Music therapist will begin gentle breathing and toning on a descending "Ah" vowel to stimulate vibration in the chest and increase awareness of the breath. The patient will be encouraged to join the music therapist as is comfortable
• Ocean drum & SOK melody — OTHER
  Music therapist will introduce ocean drum to mimic breathing sounds and will hum the melody of Song of Kin to begin entrainment process. Patient will be invited to join the music therapist in humming as is comfortable
• SOK — OTHER
  Music therapist will introduce sung lyric content of Song of Kin accompanied on guitar. Patient will be invited to sing with music therapist as is comfortable.
• Process — BEHAVIORAL
  Music therapist will process patient experience and provide psycho-education on strategies for using music to promote comfort and enhance breath.
• Holding Harmonic Container — OTHER
  Music therapist will provide a holding harmonic container of IM7 - IVM7 and will improvise a repeating melody on "ah" based on the ambient sounds in the patient's immediate environment

Study Details

While most studies in the medical literature that indicate "music" as an intervention may recognize its impact and capacity to decrease pain perception, anxiety, and/or its role in the regulation of cardiac and respiratory function in ICU patients, no identifiable studies have implemented entrained live music therapy protocols into clinical trials. Music therapy treatment is a non-pharmacological intervention that is individually tailored to the patient's needs and focuses on the assessment and intervention of a specific music application that is provided by a certified music therapist. Entrained music therapy focuses on a dynamic interaction between the patient and music therapist in which the music therapist attempts to promote relaxation and comfort through the patient's identified Song of Kin (SOK). This study measures the effects of live music therapy entrained to the vital signs of adult patients on duration of mechanical ventilation.

Key Dates

Start date

Dec 12, 2018

Status verified

Apr 2025

Primary completion

Apr 30, 2027

Completion

Dec 31, 2028

Study Design

Enrollment

178 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Arms

• Experimental: Toning
  Vocal Tonal Holding
• Other: Ocean drum & SOK melody
  Ocean drum followed by melody of song of kin
• Experimental: SOK
  Song of kin with lyric content
• Experimental: Process
  Processing of experience
• Experimental: Holding Harmonic Container

Primary Outcome Measure

Cumulative Length of Time on Ventilator [ Time Frame: average 14 days ]

Central Contacts

• Joanne Loewy, DA, LCAT, MT-BC
  (212) 420-3484
  [email protected]
• Christopher Pizzute, MA, LCAT-LP, MT-BC
  (212) 636-3112
  [email protected]

Locations (3)

Find similar trials in New York, NY

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