Music in the Emergency Department (ED): Phase II

Study Overview
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Brief Summary
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The investigators will conduct a prospective quasi-experimental design study of patients in the University of Florida Health Emergency Department. Live preferential music will be performed for patients in the emergency department on alternating days over 20 weeks, and subjects exposed to the music intervention will be matched to a cohort that present to the emergency department on days with no music to assess impact on patient and healthcare provider satisfaction, pain medication utilization, length of stay, and cost of care.

Detailed Description
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Every year, over 130 million patients access emergency care in the US. Emergency Departments are high stress environments and are one of the significant drivers of high costs in healthcare. The prevalence of anxiety experienced by patients in the emergency department (ED) is abundant and substantial. Anxiety negatively affects the patient, the ED healthcare environment, and ED healthcare staff. Additionally, anxiety routinely results in the administration of medication that would be otherwise unnecessary, and contributes to the overall cost of healthcare and the stress of clinicians, particularly nursing staff. The University of Florida (UF) Department of Emergency Medicine, in partnership with the UF Center for Arts in Medicine, has recently completed phase one, and is proposing phase two, of a three-phase study to assess the impact of live preferential music on emergency department operations, including pain medication utilization and cost of care. The investigators propose to expand on the phase one pilot study to conduct a full randomized controlled study utilizing a group of highly talented musicians to provide live preferential music in our ED and level one trauma center setting. The project, the first systematic investigation of its kind, seeks to demonstrate that live preferential music in an emergency and trauma care setting can positively impact quality and cost of care.

Official Title
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Music in Urgent and Emergent Settings (MUES) Trial: Phase Two

Conditions
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Music Therapy, Patient Satisfaction

Intervention / Treatment
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* Behavioral: Live preferential music


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Language: english Cognitive skill/education: grade 2 reading level or above Exclusion Criteria: Language: Non-english speaking Age: Less than 18 Cognitive skill/education: lower than grade 2 reading level

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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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Non Music Group<br>500 non-intervention patients will be consented to serve as the control group | |
| Experimental: Music Intervention Group<br>500 intervention patients will be consented to participate in the live preferential music intervention | Behavioral: Live preferential music<br>* Live preferential music will be performed for patients in the emergency department.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Medication Utilization | Pain Medication Usage | 20 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cost of Care | Assessment of the chart associated cost per patient | 20 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Emergency Service, Hospital