Investigating the Effect of Simulated Live Piano Music on Preoperative Cancer Patients, Health Care Providers and Hospital Volunteers Using Validated Questionnaires and Proteomic Analysis

Study Overview
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Brief Summary
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The goal of this research study is to learn if simulated live piano music can change the amount of stress felt in patients with cancer before surgery, health care providers caring for cancer patients, and/or hospital volunteers. This is an investigational study. Up to 304 participants (200 patients, 52 volunteers, and 52 healthcare providers) will be enrolled in this study. All will take part at MD Anderson.

Detailed Description
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If you agree to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. Participants in the first group will wait for 30 minutes in a standard pre-surgery waiting area without music. Participants in the other group will go to a waiting room with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music. A Steinway Spirio grand piano is a special type of piano that plays music by itself (also called a player piano). The music will be chosen by the study staff and pre-recorded on the piano. Although the keys will move on the piano as if someone is playing the piano, you will be alone in the room. You will have an equal chance (50/50) of being assigned to either group. Both you and the person in charge of this study will know to which group you have been assigned. You do not get to choose which group you are in. Study Procedures: Before and about 30 minutes after you either listen to music or stand in the waiting room without music: Blood (about 1½ teaspoons each time) will be drawn to learn how your body is responding to the music or silence by measuring the amount of cortisol in your body (a type of hormone related to stress) and for biomarker testing. Biomarkers are found in the blood and may be related to your reaction to the music or silence. If you are a healthcare provider or volunteer, you will not have these blood draws. You will complete 2 questionnaires about your anxiety and stress levels. It should take about 20-30 minutes to complete. Length of Study: You participation on this study will be over after the last blood draw and questionnaire are completed.

Official Title
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Investigating the Effect of Simulated Live Piano Music on Preoperative Cancer Patients, Health Care Providers and Hospital Volunteers Using Validated Questionnaires, Proteomic Analysis, and Neuroimaging

Conditions
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Symptoms and Signs Involving Cognition Perception Emotion & Behaviour, Abdominal Cancer Patients

Intervention / Treatment
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* Behavioral: Musical Intervention
* Procedure: Blood Draws
* Behavioral: Questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1) Patients: To preserve a homogenous cohort and comply with the departmentally-organized research infrastructure, we will include pPreoperative abdominal cancer patients undergoing surgery, or healthcare provider from all specialties at MDACC or volunteer from MDACC Volunteer Service. Exclusion Criteria: Cannot give informed consent Are deaf or hearing-disabled Less than 18 years in age Profess extreme dislike of music. Wait time is longer than 240 min. Underlying structural brain abnormality or neurologic comorbidity

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Musical Intervention - Control Group<br>Participants wait for 30 minutes in a standard pre-surgery waiting area without music. Blood drawn before, and about 30 minutes after participant stands in the waiting room without music. Participants complete 2 questionnaires about anxiety and stress levels. | Procedure: Blood Draws<br>* No Musical Intervention - Control Group: Blood drawn before, and about 30 minutes after participant stands in the waiting room without music. Musical Intervention Group: Blood drawn before, and about 30 minutes after in waiting room with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music.<br>Behavioral: Questionnaires<br>* Participants complete 2 questionnaires about anxiety and stress levels. It should take about 20-30 minutes to complete.<br>* Other names: Surveys;|
| Musical Intervention Group<br>Participants wait for 30 minutes in waiting area with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music. Blood drawn before, and about 30 minutes after participant in the waiting room with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music. Participants complete 2 questionnaires about anxiety and stress levels. | Behavioral: Musical Intervention<br>* Participants wait for 30 minutes in waiting area with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music.<br>Procedure: Blood Draws<br>* No Musical Intervention - Control Group: Blood drawn before, and about 30 minutes after participant stands in the waiting room without music. Musical Intervention Group: Blood drawn before, and about 30 minutes after in waiting room with a Steinway Spirio grand piano that plays 30 minutes of simulated piano music.<br>Behavioral: Questionnaires<br>* Participants complete 2 questionnaires about anxiety and stress levels. It should take about 20-30 minutes to complete.<br>* Other names: Surveys;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Effect of Defined Musical Intervention on Perceived Stress in Preoperative Cancer Participants | Effect of defined musical intervention on perceived stress measured by the Spielberger State-Trait Anxiety Inventory (STAI-S). | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Symptoms and signs involving cognition perception emotion & behaviour, Abdominal cancer patients, Musical preop intervention, Surveys, Questionnaires, Blood draws