Perioperative Music Listening on Anxiety, Analgesia Use and Patient Satisfaction

Pain Clinical Trial

Official title:

The Effect of Perioperative Music Listening on Anxiety, Analgesia Use and Patient Satisfaction

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT03226028
• Other study ID #: MT2017
• Status: Active, not recruiting
• Phase: N/A
• Start date: May 4, 2017
• Est. completion date: December 31, 2023

Study information

• Verified date: January 2023
• Source: KK Women's and Children's Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The capacity of music to relieve pain has been used in many forms of medicines and has been proven to reduce anxiety, pain and need for analgesia in perioperative setting. However, music listening as an inexpensive and duplicable method has not been studied in the local context. The investigators hereby propose a prospective study to recruit women who undergo surgery to evaluate the effectiveness of music in pain relief and post-operative recovery in KKH; as well as the possibility of implementing music listening in perioperative setting.

The patients will be offered to listen to one out of several pre-determined lists of music of different genres before, and after surgery. Data including pain score, Hospital Anxiety and Depression Scale (HADS) score, EuroQol-Five Dimensions questionnaire-using Three Levels (EQ-5D-3L), vital signs, analgesia usage and patient satisfaction will be collected in the perioperative period. The collected data shall also be assessed if they are affected by the presence of music, duration of music listening, and the genre chosen by the patients.

The investigators believe that this study could help determine the clinical relevance of music for pain relief in local setting, which potentially could reduce patient pain and anxiety caused by surgery. This in turn could allow music listening to be adopted as a non-invasive pain relief intervention in local healthcare settings and further improve patient outcome with lower cost and greater convenience as well as safety.

Description:

Some tissue injury is unavoidable during surgery, but pain and anxiety are (nearly as often) also unavoidable in the perioperative period. Acute post-operative pain and anxiety have been managed via pharmacological interventions such as opioid-based analgesia for over a century. However, non-pharmacological interventions - such as music - have also been shown to safe and cost-effective, to improve the overall patient experience, and improve outcomes across a variety of surgical settings. Music has been shown to decrease pain in the perioperative period, to reduce plasma, urine, and salivary cortisol levels, modulate the inflammatory response (natural killer lymphocytes), blood pressure, and heart rate.Additionally, anxiety scores and pain scores (measured using the visual analog scale (VAS)) have shown statistically significant reductions in the perioperative period, when music therapy was available.

From 1 April 2015 to 31 March 2016, there were 31,871 surgeries done in KK Women's and Children's Hospital (KKH). While music therapy in the hospital has been offered as a part of cognitive rehabilitation services or end of life care, there is little investigation found on its effect if used perioperatively in adult patients who undergo surgeries, especially in local setting. Based on the above rationale, the investigators shall therefore investigate the feasibility and practicability of deploying music listening in pain management in KKH, and further determine the nature of the music (duration, genre) by fitting the local context in order to improve the patient outcome in perioperative settings.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 100
• Est. completion date: December 31, 2023
• Est. primary completion date: August 31, 2023
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 21 Years to 70 Years

Eligibility

Inclusion Criteria:

• Healthy participants who are American Society of Anesthesiologists (ASA) 1 and 2 (with well-controlled medical problems);

• Undergo day surgery or same-day-admission gynecologic surgery;

• No hearing impairment.

Exclusion Criteria:

• Patients with significant respiratory disease and obstructive sleep apnea;

• Patients who are unable to read and understand the hospital anxiety questionnaire;

• Obstetric patients.

Related Conditions & MeSH terms

• Analgesia
• Anxiety
• Anxiety Disorders
• Music
• Pain
• Patient Satisfaction

Intervention

Procedure:
• Music listening
Patient is given an ipod with earphone and with saved playlists of different music genres. Music listening session will be given for 30 minutes before and after surgery. Questionnaires will be asked to fill in. All the earphones will be disinfected following the hospital's infection control guideline.

Locations

Country	Name	City	State
Singapore	KK Women's and Children's Hospital	Singapore

Sponsors (1)

Lead Sponsor	Collaborator
KK Women's and Children's Hospital

Country where clinical trial is conducted

Singapore, 

References & Publications (1)

Tan DJA, Polascik BA, Kee HM, Hui Lee AC, Sultana R, Kwan M, Raghunathan K, Belden CM, Sng BL. The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study. Anesthesiol Res Pract. 2020 Feb 7;2020: — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Pain score	Difference of Pain score before and after surgery	Baseline and 1 day
Secondary	Change in Analgesia usage	Analgesia usage before and after surgery	Baseline and 1 day
Secondary	Change in Patient's satisfaction with the use of music listening	Patient's satisfaction on music listening before and after surgery	Baseline and 1 day
Secondary	Change in Hospital Anxiety and Depression Scale (HADS) score	HADS Anxiety and Depression score before and after surgery	Baseline and 1 day
Secondary	Change in EQ-5D-3L score	EQ-5D-3L score before and after surgery	Baseline and 1 day

External Links

•   The Effect of Perioperative Music Listening on Patient Satisfaction, Anxiety, and Depression: A Quasiexperimental Study