Mood Clinical Trial
Official title:
The Impact of Music Therapy on Mood Control in Hospitalized Patients for Transplantation of Hematopoietic Stem Cells
ABSTRACT The transplant allogeneic hematopoietic stem cell transplantation (HSCT Alo) is a
therapeutic medical treatment carried out in combat various neoplastic hematologic disorders,
congenital, genetic or acquired. In this procedure, which combines high-dose chemotherapy and
or radiation and has a degree of high cytotoxicity, the patient goes for a social solitary
confinement, which causes psychological distress, pain, anxiety, mood disorders and can lead
to depression. The music therapy was applied and the purpose of decreasing the insulation.
This is a randomized controlled study.
Method: Apply the intervention of live music sessions through the techniques of music
therapy; assess and quantify through the visual analog scale (VAS) and numeric. The dependent
variables, pain, anxiety and mood of the participants selected randomly for the experimental
group music therapy (EGM) n=50, and compare with the control group (CG) n=50, which received
only the standard treatment.
METHODOLOGY Study Design. It is a randomized controlled experimental study Place: Clinical
Hospital Complex of the Federal University of Parana, Bone Marrow Transplant Service. The
research was developed in the period Jan/2014 to November/2015.
Population: Adult patients undergoing hematopoietic stem cell transplantation (HSCT)
Allogeneic. Approved by the Ethics Committee in Research of the University Federal of Paraná
Clinical Hospital Complex, Presentation certificate for consideration Ethics:
26404414.9.0000.0096 Sample Calculation: The calculation of sample size was based on a
previous pilot study for which was identified an average of 5.4 for the score of humor with
standard deviation of 1.9. It was felt that this group corresponds to the control group of
the new study and a minimal difference in the score of humor 1 point higher in the
experimental group would be clinically relevant. For a significance level of 5% and a 80%
test power, would take at least 45 cases in each group (Control and Experimental). Depending
on the evaluation of mood score is given by an ordinal scale, it is suggested a 10% increase
in the sample size in each group. Thus, 50 patients were needed in each group. the
calculation of the sample was done by statistical.
Randomization: It was made random and concealed allocation of participants in the groups as
follows: A Contributor not involved with the research played a given and communicated the
number randomly selected to the researcher, the number was pair, and would compose the
experimental group of music therapy. If it was odd participant would make up the control
group. The evaluation was done by an external student of psychology. For musical intervention
was not possible to apply the principle of double blind but, the evaluator did not know what
kind of intervention was applied. The interventions were applied twice a week on Tuesdays and
Thursdays from 9:00 am to 12:00 pm. in the morning and the assessment on the same day but the
afternoon.
METHOD Apply live music through the music therapy techniques such as re-creation,
improvisation and rhythmic production, the experimental group of music therapy (EGM).
Implement and measure through the visual analog scale (VAS) and numeric the level of mood,
anxiety and pain in the experimental group music therapy (EGM).
Apply the visual analog scale (VAS) and numeric to measure the levels of Mood, Anxiety and
Pain Control Group (GC) that received only the standard treatment.
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