The Role of Traditional Music Therapy on Burnout Syndrome Among Healthcare Workers: Psycho-Neuro-Immuno-Endocrine Aspects

Study Overview
=================
Brief Summary
-----------------
The goal of this clinical trial study is to learn about the role of traditional music therapy on burnout syndrome among healthcare workers, based on psychology, neurology, immunology, and endocrinology aspects. The main questions it aims to answer are : How traditional music therapy can improve psychological aspects (emotional exhaustion, depersonalisation, and personal accomplishment) among healthcare workers with burnout syndrome? How traditional music therapy can improve neuroautonom aspects (heart rate variability) among healthcare workers with burnout syndrome? How traditional music therapy can improve immunology aspects (IgA and T cell regulator) among healthcare workers with burnout syndrome? How traditional music therapy can improve endocrinology aspects (cortisol and endorphine) among healthcare workers with burnout syndrome?

Detailed Description
-----------------
The goal of this clinical trial is to learn about the role of traditional music therapy on burnout syndrome among healthcare workers. The investigators will collected about 80 participants, which eventually get divided into intervention (40 participants) and control (40 participants) group. Participants will get examined using Maslach Burnout Inventory-Human Service Survey for rating their burnout sydnrome. Before starting the intervention, both group will get assessed for their heart rate variability, IgA and T cell regulator level, and cortisol and endorphine level. After that, Intervention group will get traditional music therapy and educational video 3 session a week for about 4 weeks. And control group will only get educational video. Both group will be assessed for their heart rate variability and their laboratory markers three times, 2 weeks after starting the intervention, right after finishing all intervention session on week 4, and 2 weeks after the intervention is done. Investigators will compare the results between control group (educational video only without any music therapy) and intervention group (traditional music therapy and educational video) to see if there are any role of traditional music therapy on burnout syndrome based on psychology-neuroautonom-immunology-endocrinology aspects.

Official Title
-----------------
The Role of Traditional Music Therapy on Burnout Syndrome Among Healthcare Workers: Psycho-Neuro-Immuno-Endocrine Aspects

Conditions
-----------------
Burnout, Professional

Intervention / Treatment
-----------------
* Behavioral: Traditional Music Therapy


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Agreed to participate in this study by signing an informed consent sheet Above 18 years old Doctors or nurses working in RSUP dr Kariadi Semarang MBI-HSS score show intermediate-severe burnout Meet the requirements for an HRV examination Have been working for minimum one year on each instalation Exclusion Criteria: Above 60 years old Have history of chronic illness such as cancer, thyroid, and cardiovascular disease Taking drugs that affect central nervous system Hearing loss and disorder Psychosis, anxiety,depression and any other psychological disorder Pregnant women Does not like music

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: randomized control trial using pre and post test control group design¸
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Interventional Group<br>Participants who will be given both educational video and traditional music therapy 3 times a week for 4 weeks in a row. This group will get Maslach Burnout Inventory, Heart Rate Variability, IgA, T cell regulator, cortisol, and endorphine score evaluated before, in the middle, right after finishing intervention, and 2 weeks after intervention. | Behavioral: Traditional Music Therapy<br>* Intervention using traditional music therapy as an alternative therapy for burnout syndrome<br>|
| No Intervention: Control group<br>Participants who will be given only educational video. This group will get Maslach Burnout Inventory, Heart Rate Variability, IgA, T cell regulator, cortisol, and endorphine score evaluated before, in the middle, right after finishing intervention, and 2 weeks after intervention. | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Maslach Burnout Inventory Human Services Survey | an instrument developed to capture burnout for health professionals The Maslach Burnout Inventory (MBI) is a measuring tool that is generally used to assess whether you are at risk of burnout. To explain the risk of burnout, the MBI assesses three components, namely fatigue, depersonalization and self-achievement. Each statement shows a score that explains your response. Put a check mark (√) on each number that you think represents your opinion about the statement listed in the column below. 0 : never : Several times a year : Less than or once a month : Several times a month : Once a week 5: Several times a week 6 : Every day A participant can be categorized as burnout if he has an exhaustion score ≥ 24, a cynicism score ≥ 9, and a (reversed) accomplishment score ≥ 19. | one month | 
| Heart Rate Variability | Heart rate variability (HRV) is the fluctuation in the time intervals between adjacent heartbeats. HRV indexes neurocardiac function and is generated by heart-brain interactions and dynamic non-linear autonomic nervous system (ANS) processes. | one month | 
| Immunoglobulin A level | Evaluate Immunoglobulin A level using saliva | one month | 
| T cell regulator | Evaluate T cell regulator level using blood | one month | 
| Cortisol | Evaluate cortisol level on saliva | one month | 
| Endorphine | Evaluate endorphine level on saliva | one month | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
burnout syndrome, music therapy, healthcare workers, maslach burnout inventory, heart rate variability, T cell regulator, IgA, cortisol, endorphine