Clinical trial NCT06119451: The Role of Traditional Music Therapy on Burnout Syndrome Among Healthcare Workers: Psycho-Neuro-Immuno-Endocrine Aspects
Official title: The Role of Traditional Music Therapy on Burnout Syndrome Among Healthcare Workers: Psycho-Neuro-Immuno-Endocrine Aspects
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Burnout, Professional
Keywords: burnout syndrome
music therapy
healthcare workers
maslach burnout inventory
heart rate variability
T cell regulator
IgA
cortisol
endorphine
Lead sponsor: Indonesia University
Sponsor class: OTHER
First posted: 2023-11-07
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomized control trial using pre and post test control group design¸
Primary purpose: TREATMENT

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 :

1. How traditional music therapy can improve psychological aspects (emotional exhaustion, depersonalisation, and personal accomplishment) among healthcare workers with burnout syndrome?
2. How traditional music therapy can improve neuroautonom aspects (heart rate variability) among healthcare workers with burnout syndrome?
3. How traditional music therapy can improve immunology aspects (IgA and T cell regulator) among healthcare workers with burnout syndrome?
4. 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.

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

Primary outcomes:
measure: Maslach Burnout Inventory Human Services Survey
timeFrame: one month
measure: Heart Rate Variability
timeFrame: one month
measure: Immunoglobulin A level
timeFrame: one month
measure: T cell regulator
timeFrame: one month
measure: Cortisol
timeFrame: one month
measure: Endorphine
timeFrame: one month
Secondary outcomes:
Other outcomes:
Locations:
city: Semarang
country: Indonesia
facility: RSUP dr. Kariadi Semarang
state: Jawa Tengah
Study officials:
References:
citation: de Witte M, Pinho ADS, Stams GJ, Moonen X, Bos AER, van Hooren S. Music therapy for stress reduction: a systematic review and meta-analysis. Health Psychol Rev. 2022 Mar;16(1):134-159. doi: 10.1080/17437199.2020.1846580. Epub 2020 Nov 27.
citation: Rahayu DS, Atmoko A, Muslihati M, Setyowati AJ, Mudjijanti F. Establishing Music Therapy as an Alternative to Reducing Compassion Fatigue among Health Workers. Prehosp Disaster Med. 2023 Aug;38(4):546-547. doi: 10.1017/S1049023X2300599X. Epub 2023 Jul 5.
citation: Matthew J, Mike L, Huang HC, Wang CH, Shih CY, Chen YC, Chiu HY. Effects of personalized music intervention on nurse burnout: A feasibility randomized controlled trial. Nurs Health Sci. 2022 Dec;24(4):836-844. doi: 10.1111/nhs.12984. Epub 2022 Oct 9.
citation: Kacem I, Kahloul M, El Arem S, Ayachi S, Hafsia M, Maoua M, Ben Othmane M, El Maalel O, Hmida W, Bouallague O, Ben Abdessalem K, Naija W, Mrizek N. Effects of music therapy on occupational stress and burn-out risk of operating room staff. Libyan J Med. 2020 Dec;15(1):1768024. doi: 10.1080/19932820.2020.1768024.