DOCSLIB.ORG

A Randomised Controlled Trial

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Randomised Controlled Trial Listening to music prior to bronchoscopy reduces anxiety – a randomised controlled trial Jeppesen, Elisabeth; Pedersen, Carsten M.; Larsen, Klaus R.; Walsted, Emil S.; Rehl, Anne; Ehrenreich, Julie; Schnoor, Sascha; Backer, Vibeke Published in: European Clinical Respiratory Journal DOI: 10.1080/20018525.2019.1583517 Publication date: 2019 Document version Publisher's PDF, also known as Version of record Document license: CC BY-NC Citation for published version (APA): Jeppesen, E., Pedersen, C. M., Larsen, K. R., Walsted, E. S., Rehl, A., Ehrenreich, J., Schnoor, S., & Backer, V. (2019). Listening to music prior to bronchoscopy reduces anxiety – a randomised controlled trial. European Clinical Respiratory Journal, 6(1), 1-10. [1583517]. https://doi.org/10.1080/20018525.2019.1583517 Download date: 01. Oct. 2021 European Clinical Respiratory Journal ISSN: (Print) 2001-8525 (Online) Journal homepage: https://www.tandfonline.com/loi/zecr20 Listening to music prior to bronchoscopy reduces anxiety – a randomised controlled trial Elisabeth Jeppesen, Carsten M. Pedersen, Klaus R. Larsen, Emil S. Walsted, Anne Rehl, Julie Ehrenreich, Sascha Schnoor & Vibeke Backer To cite this article: Elisabeth Jeppesen, Carsten M. Pedersen, Klaus R. Larsen, Emil S. Walsted, Anne Rehl, Julie Ehrenreich, Sascha Schnoor & Vibeke Backer (2019) Listening to music prior to bronchoscopy reduces anxiety – a randomised controlled trial, European Clinical Respiratory Journal, 6:1, 1583517, DOI: 10.1080/20018525.2019.1583517 To link to this article: https://doi.org/10.1080/20018525.2019.1583517 © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. Published online: 17 Mar 2019. Submit your article to this journal Article views: 403 View related articles View Crossmark data Full Terms & Conditions of access and use can be found at https://www.tandfonline.com/action/journalInformation?journalCode=zecr20 EUROPEAN CLINICAL RESPIRATORY JOURNAL 2019, VOL. 6, 1583517 https://doi.org/10.1080/20018525.2019.1583517 Listening to music prior to bronchoscopy reduces anxiety – a randomised controlled trial Elisabeth Jeppesena, Carsten M. Pedersenb, Klaus R. Larsena, Emil S. Walsted c, Anne Rehla, Julie Ehrenreicha, Sascha Schnoora and Vibeke Backer a,c aDepartment of Respiratory Medicine, Bispebjerg Hospital, Copenhagen, Denmark; bDepartment of Cardiothoracic Anaesthesiology, Rigshospitalet, Copenhagen, Denmark; cRespiratory Research Unit, Bispebjerg Hospital, Copenhagen, Denmark ABSTRACT ARTICLE HISTORY Background: Listening to music as a means of relieving anxiety before and during endoscopy has Received 16 December 2018 been examined in several studies but results so far are contradictory and inconclusive. Accepted 7 February 2019 Aims: We aimed to determine whether listening to music could reduce anxiety prior to and KEYWORDS during bronchoscopy, and whether it is influenced by the patient’s preference in music. Bronchoscopy; lung cancer; Methods: 300 patients undergoing bronchoscopy for suspected lung cancer were randomly anxiety; music; self-selected assigned to: self-selected music, specially-designed music (MusiCureTM), or control (no sound). music; MusiCure Spielberger’s State-Trait Anxiety Inventory (STAI) was administered three times: at admission, after 20 min with or without music (preceding bronchoscopy), and shortly before discharge. The primary outcome was STAI state score after 20 min, with or without exposure to music prior to bronchoscopy. Results: On average, music reduced the STAI score by 2.5 points (95% CI, 1.1 to 4.0; p < 0.001) compared with the control group. This reduction was largest in the self-selected music group (3.4; 95% CI, 1.5 to 5.3; p < 0.001). In contrast, specially designed music did not significantly reduce STAI score (1.7; 95% CI, −0.3 to 3.6; p = 0.1). Conclusion: Listening to music reduces anxiety in patients undergoing bronchoscopy, provided that the music complies with the patient’s preferences. Introduction Colt et al. Patients were exposed to pre-recorded piano improvisations versus no music during bronchoscopy, Bronchoscopy is an important invasive tool in the diag- and STAI was used as primary outcome. It was con- nosis of lung cancer. Fear and anxiety related to broncho- cluded that there was no significant effect of music on scopy are quite common in patients, much like emotions anxiety [8]. observed in patients facing other invasive procedures A major limitation in both studies is the use of [1–3]. Since anxiety is an unpleasant sensation, which investigator-selected music. While some evidence exists negatively affects patients’ tolerance of the procedure, it that music influences anxiety, further research is is important that healthcare staff address and seek to needed to establish the effect of patient-selected music relieve anxiety [2]. With administration of sedatives in relation to investigator-selected music [9,10]. comes an increased risk of respiratory depression [4–6]. The aim of this study was to investigate the anxiety- In a previous randomised investigator-blinded study, reducing effect of self-selected and investigator-selected we examined the effect of specially designed music music, played for a period of 20 min prior to bronchoscopy. (MusiCureTM), played for 10 min before bronchoscopy and throughout the procedure. Anxiety was measured by Spielberger’s State-Trait Anxiety Inventory (STAI) on Material and methods arrival, after 10 min with or without music, and at dis- Subjects charge. We found no significant effect of music when adjusting for baseline anxiety and sex [7]. The study was approved by the Danish Ethics Anxiety and music in relation to bronchoscopy have Committee (Protocol no. H-3–2014-065), and patients also been studied in a randomised controlled trial by were consecutively included in the study among CONTACT Elisabeth Jeppesen [email protected] Department of Respiratory Medicine, Bispebjerg Hospital, Bispebjerg Bakke 23, DK-2400 Copenhagen NV, Denmark Take home message: Listening to music prior to bronchoscopy reduces anxiety if it complies with patients’ preferences. © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 2 E. JEPPESEN ET AL. patients referred for examination for pulmonary to randomisation and the 300 patients included in the nodules in the period between October 2016 and study. The excluded patients were older, had lower November 2017. In total, 1162 patients were assessed weight and height and lower levels of lung function. for eligibility, 671 patients were excluded, due to exclu- There was, however, no significant difference regarding sion criteria, and a further 191 eligible patients refused gender. to participate, leaving 300 patients to be included in the study and randomised to three groups (Figure 1). Study design Baseline characteristics were not significantly different between the three groups (Table 1), and no clinically Randomisation was performed by block randomisation significant differences were observed between those in blocks of 15 patients, using Statistical Package for 266 who were analysed per protocol, and those 34 the Social Sciences (SPSS) version 22.0. Patients were who were not. There is no difference in conclusions assigned to one of three treatment groups: when analysing data as intention-to-treat and per- protocol analysis. (1) self-selected genre of music (Table 2) However, there were significant differences in some (2) specially-designed music (MusiCure™) baseline values between those who were excluded prior (3) control (no sound) Flowchart of the trial Assessed for eligibility (n = 1162) Excluded (n = 862) -hearing impairment n=181 nemllornE -memory impairment n=66 -does not understand Danish n=93 -not able to operate an Ipad n=67 -other sedation than midazolam/fentanyl n=4 -other invasive examination planned alongside bronchoscopy n=146 -earlier history of bronchoscopy n=108 -refused to participate n = 191 -other reasons n = 6 Randomized (n = 300) Allocated to control Allocated to MusiCure Allocated to self- group (n =100) selected music (n = 100) (n =100) Received allocated no i intervention (n =100) t Received allocated Received allocated a co intervention (n = 100) intervention (n =100) l l Did not receive allocated At Did not receive allocated intervention (n = 0) Did not receive allocated intervention (n = 0) intervention (n = 0) Lost to follow-up Lost to follow-up Lost to follow-up puwolloF (n = 9) (n = 13) (n = 4) Discontinued intervention Discontinued intervention Discontinued intervention (n = 2) (2 patients withdrew (n = 5) (2 patients withdrew (n = 1) (patient withdrew consent) consent and 3 got their consent) bronchoscopy cancelled) sis Analysed (n = 99) Analysed (n = 100) Analysed (n = 100) y lanA Excluded from analysis Excluded from analysis Excluded from analysis (n =1) because of no values (n = 0) (n = 0) Figure 1. Flowchart of the trial (CONSORT flow diagram, www.consort-statement.org). EUROPEAN CLINICAL RESPIRATORY JOURNAL 3 Table 1. Baseline characteristics. All (n = 300) Controls (n = 100) MusiCure (n = 100) Self-selected (n = 100) p Female/male 154/146 48/52 51/49 55/45 0.6 Age in years 61 (12) 61 (14) 61(12) 61 (12)
Load more

Recommended publications
  • ABSTRACT Title of Thesis: RESEARCH ON
    ABSTRACT Title of Thesis: RESEARCH ON MUSIC AND HEALING IN ETHNOMUSICOLOGY AND MUSIC THERAPY May May Chiang, Master of Arts, 2008 Directed By: Professor J. Lawrence Witzleben Department of Musicology and Ethnomusicology, Chair. This thesis examines current developments in the research and discourse on music and healing. Ethnomusicology has involved extensive work on documenting traditional music and healing traditions; however, ethnomusicologists have neglected to contribute their knowledge and effort to healthcare-oriented research. Music therapy, on the other hand, has been focusing on the benefit of the patient, but rarely relates its practices to traditional music and healing traditions or non-Western music. Despite the recent establishment of the Medical Ethnomusicology Special Interest Group in the Society for Ethnomusicology and increasing awareness of world music and cultural diversity in music therapy, scholars in the two fields have not yet collaborated with each other extensively. The motivations for this thesis are: to review previous developments in research on music and healing, to find out the reasons for the changes in the research trends of the past decade, and to see possible research directions in the future. RESEARCH ON MUSIC AND HEALING IN ETHNOMUSICOLOGY AND MUSIC THERAPY By May May Chiang Thesis submitted to the Faculty of the Graduate School of the University of Maryland, College Park, in partial fulfillment of the requirements for the degree of Master of Arts 2008 Advisory Committee: Professor J. Lawrence Witzleben, Chair Professor Robert Provine Professor Jonathan Dueck © Copyright by May May Chiang 2008 Acknowledgements I would like to show my appreciation to the ethnomusicologists and music therapists with whom I have communicated, especially to Dr.
    [Show full text]
  • Summary of Project Ataraxia
    Summary of project Ataraxia. By Karin Schou Music therapist, MA, teacher Background In 1997, a group of music therapy students at Aalborg University (AAU) investigated the effects of music on body and mind in traditional medicine and in an alternative treatment, in a music psychology project entitled “the Healing Power of Music”. The project included interviews with Dr. Lars Heslet, a specialist at Rigshospital, Copenhagen, and composer Niels Eje, who initiated a music environment project involving intensive care patients. On the basis of this project, and for practical (geographical) reasons, Aalborg Hospital (North) and the group of music therapy students began working together. In 1999, this cooperation resulted in the project, Ataraxia – between music and medicine, a project report about scientific theory. Ataraxia was a two-part project: The first part was a pilot project (described in the project report just mentioned), which had the aim of investigating how a mixed group of individuals from the humanities and scientific disciplines could work together. The project also involved the specific design and implementation of a patient and staff trial relating to the sound environment, employing both qualitative and quantitative methods. This pilot project was viewed as quality assurance and was approved by the hospital’s ethical committee. The second part of the Ataraxia project involved a continuation of the trial relating to the sound environment in the recovery ward of Aalborg Hospital North, using the same design, until the number of participants had exceeded 100 and the collected data thus showed statistical significance (total number of patients: 200). In 2000, the project was extended to Western Denmark and involved post-operative wards at Skejby Hospital, Odense University Hospital (VITA and COPA) and Aalborg Hospital (South and North), and was continued under the name Musica Humana.
    [Show full text]
  • Jean-Marc Doumenc
    L’ Jean-marc Doumenc University of Technology, Sydney Faculty of Humanities and Social Sciences Work submitted for a DCA by Research 2007 Supervisor: Professor Stephen Muecke i STATEMENT OF ORIGINAL AUTHORSHIP: “The work contained in this thesis has not been previously submitted for a degree or diploma at any other higher education institution. To the best of my knowledge and belief, the thesis contains no material previously published or written by another person except where due reference is made. Signed: Date: 20 April 2007 “ ii AKNOWLEDGEMENTS: I would like to thank my supervisor, Dr Stephen Muecke, for the freedom he let me enjoy while working on the project, and especially for reading my French! Many thanks to the group of friends, Rebecca, Elvan, David and Andrew, who provided me with a couple of lists of constraints at the beginning of my work. Thanks a lot to Jean- Philippe, who from Bruxelles and through email has always been keen to give ideas and references, and many thanks to Marguerite Scaife for helping out with the English in my dissertation. I will be for ever grateful for the scholarship which during more than two years allowed me to write full time. Thanks to the many people who have built online in only a few months a great tool of reference, Wikipedia, which I used a lot. iii TABLE OF CONTENTS: P.ii Statement of original authorship. P. iii Acknowledgements. P. iv Table of contents. P. v List of illustrations and tables. P. vi Keywords, Abstract. P. 1 L’€ (novel in French) P.
    [Show full text]
  • Robin Hood4ver Van Tirol Gratis Epub, Ebook
    ROBIN HOOD4VER VAN TIROL GRATIS Auteur: Turk Aantal pagina's: 48 pagina's Verschijningsdatum: none Uitgever: Dargaud-Lombard 1||9789064210754 EAN: nl Taal: Link: Download hier Home deco - Snippers en stroken Signed USD Hefte EUR Flore des calcaires de Célas. Lego system EUR 4. Lego EUR 2. Zes Nietsjes. Schiftsels XVI. Schaatsseizoen 26e jaargang EUR 3. Little Dorrit EUR Initiation à sa philosophie. Troisième édition. Lezers in de lijst EUR 8. Jonathan Swift. Southern Living Magazine, July Vol. Revue du théâtre n°67 mars EUR Conradi a Saxonia sec. Castigatum et denuo editum EUR Assyrisches Beamtentum nach Briefen aus der Sargonidenzeit. Lowell USD November bis Februar De verhelderende kracht van handlezen. Een speurtocht naar ons diepste zelf. L'équilibre entre corps et esprit. Een verhaal van mensen en dingen gelezen in de Geldersche Volksalmanak De verborgen wereld van Democriet. Een kolderiek en dichtlievend genootschap te Haarlem Friese vrijheid in ondernemersland. Een studie naar de externe kontrole in de industrie. Per traditie vernieuwend. Anwendung EUR Immagini a confronto tra la realtà d'oggi e le incisioni di Grianfrancesco Costa. Fotografie di Paolo Tieto.. De Brabantse ziel. Gelijk een bron. Kunstformen der Natur. Plate Uit het Engels vertaald door ds. Leven en werk van Dr. Kohlbrugge door P. De ondergang van het rijk der Wederdopers te Munster door T. Voltooid door Ds. Donkersloot EUR De grondbeginselen van de NBCD-beveiliging kadercursus. Foreign Policy USD Populorum progressio , encyclique du 26 mars Philosophie et révolution. Textes et critique. Beskrifning öfver Köpenhamn och dess nejder. Het passiespel van Tegelen. Pianeta perduto. L'uccello dipinto. Cargo Aircraft, - to the Present.
    [Show full text]
  • Niels Eje Was Educated at the Carl Nielsen Academy of Music In
    BIOGRAPHY Composer & oboist Niels Eje Niels Eje is educated at the Carl Nielsen Academy of Music in Denmark, and received further oboe training by Lothar Koch (Berlin Philharmonic). From 1979 to 1990 Principal Oboe in the Danish Radio Symphony Orchestra. Founder and member of the chamber music ensembles: Selandia, Solisti Pro Musica and Trio Rococo. Composed and arranged a large repertoire for all ensembles. As a recording artist (oboist) Niels Eje has participated on more than 30 CD recordings with various artists, including Miles Davis (Aura) and Niels‐ Henning Oersted Pedersen/Palle Mikkelborg (Hommage/Once Upon a Time). Touring and concerts outside Denmark: USA, Japan, England, Sweden, Mexico, Germany, France. Niels Eje has composed music for concerts, theater, TV and documentaries and has received several awards as a musician and composer, including the “Jacob Gade Grant” Established in 1998, together Professor Lars Heslet, the research project “Musica Humana” (www.musicahumana.com), a interdisciplinary research organization aimed at creating and scientifically documenting a new healing sound and music environment in hospitals in Denmark and abroad. The music and research documentation is now being published under the name “MusiCure”. (www.musicure.com) Awards: • Jacob Gade Grant • Børge Schrøder og hustru Herta Finnerups musiklegat for special achievements in music • The “Jante Knuser Cultural Award” 2001 for best entrepreneur activity in the field of “cultural business” idea in Denmark ‐ given to Niels by the ministry of trade and business • Gold Award for the Trio Rococo recording “Classical Mystery Tour/Norwegian Wood” • 2007 Blair L. Sadler International healing arts competition: First price professional award USA Selected list of works: Fairies and Tales Dedicated to James Galway and Safri Duo Pip’s Theme* Oboe, cello, harp and electronics Biddy* Violin/Flute and piano Ms.
    [Show full text]
  • Niels-Eje-Biografi-2014.Pdf
    Niels Eje – biografi Født 1954 i København og opvokset i en familie af kunstnere (malere, grafikere, emalje-kunstnere, billedhuggere etc.), og bror til skuespiller og entertainer Thomas Eje. Begyndte i en tidlig alder at spille klaver og guitar, og blev i 1961 optaget på en skole, hvor eleverne fik musikundervisning på et meget tidligt tidspunkt i skoleforløbet. Stifter og medlem af flere bands i skoletiden, bl.a. på guitar og saxofon, men skiftede herefter til obo - som sidenhen blev hovedinstrumentet. Modtog fra 1971 oboundervisning på "Dansk Musikakademi" (en privat musikskole i København), med solooboist Bjørn Carl Nielsen som lærer, og påbegyndte i 1974 studier hos professor Jørgen Hammergaard på Det Fynske Musikkonservatorium. Blev i 1978 tildelt "Jacob Gades Legat" for unge musikere. Videregående obostudier hos Lothar Koch (Berlinerfilharmonikerne) på The International Summer Academy "Mozarteum" i Salzburg, med diplom (1984). Tiltrådte efter konkurrence stillingen som solooboist i DR UnderholdningsOrkestret i 1979 og var de følgende fire år beskæftiget i denne orkester. I 1983 blev Niels Eje ansat i stillingen som alternerende solooboist i det danske Radiosymfoniorkester (DR Symfoniorkestret), men valgte i 1990 at fratræde sin stilling i orkestret og fokusere på komposition, solist- og kammermusik virksomhed som selvstændig. Deltager som oboist i Palle Mikkelborg opførelse af 'AURA "med Danmarks Radios Big Band, ved Sonningprisoverrækkelsen til Miles Davis 1984, og den efterfølgende indspilning af værket, hvor satsen 'White' er skrevet for trompet, obo og elektronik (Miles Davis og Niels Eje). Som medstifter af flere ensembler: ”Trio Rococo", Blæserensemblet ”Selandia" og "Solisti Pro Musica" har Niels Eje arrangeret og komponeret meget materiale til specielt Trio Rococo, hovedsagelig inden for et repertoireområde der krydser de musikalske genregrænser - såkaldt ’crossover' musik , bl.a.
    [Show full text]
  • A Bibliography of Chamber Music and Double Concerti Literature for Oboe and Clarinet
    A BIBLIOGRAPHY OF CHAMBER MUSIC AND DOUBLE CONCERTI LITERATURE FOR OBOE AND CLARINET DOCUMENT Presented in Partial Fulfillment of the Requirements for The Degree of Doctor of Musical Arts in the Graduate School of The Ohio State University By Anthony J. Costa, M.M. ***** The Ohio State University 2005 Document Committee: Professor James Pyne, Adviser Approved by: Professor Richard Blatti Dr. Timothy Gerber _____________________ Adviser Professor Christopher Weait Graduate Program in Music Copyright by Anthony J. Costa 2005 ABSTRACT Research on heterogeneous wind duo groupings is rare, even though a representative collection of repertoire exists for several pairing combinations in both chamber music and double concerti. In the case of woodwind chamber music, composers first began writing for Harmonie wind ensembles comprised of two oboes, two clarinets, two bassoons and two French horns in the late 1700’s. Composers, however, have largely ignored a repertoire featuring the two highest voices of this genre (oboe and the clarinet) as a duo or wind combination paired with strings and/or piano until the late nineteenth and early twentieth centuries. Surprisingly, the instruments were used in conjunction much earlier in the eighteenth century in sinfonia concertantes, double concerti and other orchestral literature. This document will deal with often-neglected chamber works that utilize oboe and clarinet as the sole wind instruments. This repertoire includes works for: 1) oboe and clarinet, 2) oboe and clarinet with piano (including orchestral reductions as noted), 3) oboe and clarinet with one or more string instruments with and without piano, percussion, and voice, and 4) oboe and clarinet as double soloists with orchestra or wind ensemble.
    [Show full text]