Clinical trial NCT04514432: Mindful Melody: Feasibility of Implementing Music Listening on an Inpatient Psychiatric Unit and Its Relation to the Use of As Needed Medications for Acute Agitation
Official title: Mindful Melody: Feasibility of Implementing Music Listening on an Inpatient Psychiatric Unit and Its Relation to the Use of As Needed Medications for Acute Agitation
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Agitated; State, Acute Reaction to Stress
Agitation,Psychomotor
Keywords: Agitation
Music
Inpatient
Lead sponsor: State University of New York - Upstate Medical University
Sponsor class: OTHER
First posted: 2020-08-17
Enrollment: 172
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: OTHER
Sampling method: NON_PROBABILITY_SAMPLE
Study population: inpatients on an acute psychiatric unit

Brief summary: In this quality improvement project, our objectives were to assess the feasibility and effectiveness of using music as an adjunct to or replacement of pharmacological interventions for patient agitation on an inpatient psychiatric unit. We hypothesized that music availability would help to reduce agitation and reduce the amount of as-needed medications used for cases of patient agitation.

Detailed description: The number of as-needed medications for agitation was quantified during a three month period during which patients had the option of listening to music in cases of agitation. This was compared to the number of medications needed for agitation during another 3 month period during which music was not available. The medications used were quantified using pharmacy records. Patients and nurses were surveyed to determine how effective and feasible they thought the music intervention was. The study was conducted at the SUNY Upstate University Hospital inpatient psychiatric unit, which is a 24-bed unit. 172 patients were included in the project.

Before starting to offer music, a basic training meeting was held with nursing staff to understand the purpose of the project. Patients participating had the option of selecting a preferred musical genre and they listened to music using wireless headphones. The playlists used were genre playlists automatically generated by Spotify music application. If patients did not like the song that was generated, they had an option to skip the song using their bluetooth headphone controls. Headphones were collected after 30 minutes of listening unless they were return prior to completion of the listening session.

Eligibility criteria: Inclusion Criteria:

* Any patient 18 years or older admitted to the inpatient psychiatric unit

Exclusion Criteria:

* Patients who did not want to listen to music or be included in the project were excluded

Primary outcomes:
measure: The number of medications used for agitation
timeFrame: 5/18/2018 until 11/13/2018
Secondary outcomes:
measure: Scales administered to nursing staff
timeFrame: 5/18/2018 until 11/13/2018
measure: Scales administered to patients
timeFrame: 5/18/2018 until 11/13/2018
Other outcomes:
Locations:
city: Syracuse
country: United States
facility: Upstate University Hospital
state: New York
Study officials:
References:
citation: Scudamore T, Liem A, Wiener M, Ekure NS, Botash C, Empey D, Leontieva L. Mindful Melody: feasibility of implementing music listening on an inpatient psychiatric unit and its relation to the use of as needed medications for acute agitation. BMC Psychiatry. 2021 Mar 6;21(1):132. doi: 10.1186/s12888-021-03127-z.