Critical Illness Clinical Trial
Official title:
Feasibility of a Music Therapy Intervention to Decrease Stress During Pediatric Critical Care
Verified date | February 2022 |
Source | University of Pittsburgh |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Admission into a pediatric intensive care unit (PICU) is a highly stressful experience for child and family. High levels of stress can negatively impact outcomes, yet non-pharmacological interventions to decrease stress in the PICU are severely lacking. This is a prospective, single-arm feasibility trial that will explore the feasibility and acceptability of a music therapy intervention to decrease stress in the PICU among families of children receiving invasive or noninvasive mechanical ventilation. Objectives: The aims of this study are to: 1) Assess the feasibility of implementing a music therapy intervention in the PICU among children receiving invasive or non-invasive mechanical ventilation; 2) Determine the acceptability of the music therapy intervention in the ICU among caregivers, patients, and pediatric and cardiac ICU staff; 3) Explore the variability in child and caregiver stress outcomes throughout ICU admission. Hypothesis: The music therapy intervention will be feasible, as determined by recruitment, retention, protocol adherence, and data collection rates, and will be acceptable to participants and to PICU staff. Sample: This study will recruit 20 families that include children aged 2 months - 17 years old admitted with an expected length of ICU stay greater than 72 hours. Of these 20 families, the investigators will specifically recruit 10 families whose child is admitted for a hypoxic brain injury. Eligible children are receiving either noninvasive mechanical ventilation (i.e., continuous or bilevel positive airway pressure), invasive mechanical ventilation, or have an established tracheostomy tube and with escalated support settings. One primary caregiver will be enrolled along with the child admitted into the ICU.
Status | Completed |
Enrollment | 38 |
Est. completion date | February 1, 2022 |
Est. primary completion date | February 1, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Months to 17 Years |
Eligibility | Inclusion Criteria: - Parent/caregiver aged 18 years or older. - Children aged 2 months - 17 years admitted to the PICU with an expected length of stay greater than 72 hours - Child is receiving either noninvasive mechanical ventilation (i.e., continuous or bilevel positive airway pressure), invasive mechanical ventilation, or have an established tracheostomy tube and with escalated support setting Exclusion Criteria: - The legal guardian is unclear, - Caregiver does not read, write, and speak English - Child is not expected to survive that PICU stay or has care limitations in place - Child has deafness in both ears, in foster care or justice system, or experiences musicogenic epilepsy. |
Country | Name | City | State |
---|---|---|---|
United States | UPMC Children's Hospital of Pittsburgh | Pittsburgh | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pittsburgh | University of Pittsburgh Medical Center |
United States,
Bradt J, Dileo C. Music interventions for mechanically ventilated patients. Cochrane Database Syst Rev. 2014;(12):CD006902. doi: 10.1002/14651858.CD006902.pub3. Epub 2014 Dec 9. Review. — View Citation
Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, Savik K. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. JAMA. 2013 Jun 12;309(22):2335-44. doi: 10.1001/jama.2013.5670. — View Citation
Liu MH, Zhu LH, Peng JX, Zhang XP, Xiao ZH, Liu QJ, Qiu J, Latour JM. Effect of Personalized Music Intervention in Mechanically Ventilated Children in the PICU: A Pilot Study. Pediatr Crit Care Med. 2020 Jan;21(1):e8-e14. doi: 10.1097/PCC.0000000000002159. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility of participant recruitment | Feasibility of participant recruitment will be determined via recruitment rate | Throughout study completion, anticipated 1 year | |
Primary | Feasibility of participant retention | Feasibility of participant retention will be determined via retention | Post-intervention completion, anticipated 2 weeks | |
Primary | Feasibility of protocol | Feasibility of protocol will be determined via percentage of sessions that adhere to protocol | Throughout study completion, anticipated 1 year | |
Primary | Feasibility of data collection | Feasibility of data collection will be determined via percentage of participants with complete data capture | Throughout study completion, anticipated 1 year | |
Primary | Acceptability of intervention among participants | Acceptability will be assessed via interviews with participants (caregivers and children 8 years and older) to ascertain intervention benefits, barriers, and potential optimizations. | Post-intervention, anticipated 2 weeks | |
Secondary | Change in heart rate | Change in child participant heart rate during intervention | Throughout intervention completion, anticipated 2 weeks | |
Secondary | Change in oxygen saturation | Change in child participant oxygen saturation during intervention | Throughout intervention completion, anticipated 2 weeks | |
Secondary | Change in blood pressure | Change in child participant blood pressure during intervention | Throughout intervention completion, anticipated 2 weeks | |
Secondary | Change in saliva cortisol | Change in child and caregiver participant saliva cortisol levels pre-post intervention | Throughout intervention completion, anticipated 2 weeks | |
Secondary | Change in saliva inflammatory biomarkers | Change in child participant saliva inflammatory biomarker levels pre-post intervention | Throughout intervention completion, anticipated 2 weeks | |
Secondary | Visual Analog Scale - Anxiety | Change in caregiver participant self-reported anxiety pre-post intervention. 0-100, higher score indicates greater anxiety level. | Throughout intervention completion, anticipated 2 weeks |
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