Music in the Emergency Department (ED)
| Status: | Recruiting |
|---|---|
| Conditions: | Anxiety, Anxiety, Hospital |
| Therapuetic Areas: | Psychiatry / Psychology, Other |
| Healthy: | No |
| Age Range: | 65 - Any |
| Updated: | 2/10/2017 |
| Start Date: | June 2016 |
| End Date: | June 2017 |
| Contact: | Ellen D. Sano, DO |
| Email: | eds2149@columbia.edu |
| Phone: | 212-342-2995 |
The Effects of a Music Intervention on Older Adults in the Emergency Department
This will be a randomized controlled study evaluating the effect of a music-listening
intervention compared to standard care (control) during patient visit to the emergency
department (ED). Randomization will be done with consecutive sealed envelopes.
Data collection will be prospective with administration of the State Trait Anxiety Inventory
and collection of physiologic parameters (pain level, heart rate, blood pressure).
Retrospective data will also be collected for covariate analysis (age, race/ethnicity,
emergency severity index (ESI), pain medications administered during the ED visit, pain
scores throughout ED visit, chief complaint, and ED discharge diagnosis).
intervention compared to standard care (control) during patient visit to the emergency
department (ED). Randomization will be done with consecutive sealed envelopes.
Data collection will be prospective with administration of the State Trait Anxiety Inventory
and collection of physiologic parameters (pain level, heart rate, blood pressure).
Retrospective data will also be collected for covariate analysis (age, race/ethnicity,
emergency severity index (ESI), pain medications administered during the ED visit, pain
scores throughout ED visit, chief complaint, and ED discharge diagnosis).
A visit to the emergency department (ED) is anxiety provoking for patients by nature.
Contributing factors may include the sudden timing of the visit, a noisy environment, and
waiting in anticipation of a serious diagnosis or bad news. Studies suggest that nearly 75%
of adult ED patients may experience mild to severe anxiety in relation to the ED visit, but
not directly related to their chief complaint. Anxiety can have deleterious effects on a
patient in the clinical setting. Patients may report excessive pain complaints and manifest
the typical signs and symptoms of anxiety (e.g. anorexia, dry mouth, nausea, chest pain),
which can complicate diagnosis. Patient anxiety can also impose barriers to communication
with ED staff, hindering successful delivery of important medical information. A visit to
the ED may be particularly distressing for older adults (age 65+), for they are more likely
than younger adults to have a greater ED length of stay before discharge home, receive more
diagnostic tests and venipuncture for intravenous (IV) access, and have poorer pain care.
Music listening as an anxiolytic has been shown to be effective across a variety of clinical
settings, however there is a relative paucity of published data on the use of music
listening for adult patients in the ED. No published studies, to the investigators'
knowledge, have evaluated the effect of music listening on older adults in the ED.
Contributing factors may include the sudden timing of the visit, a noisy environment, and
waiting in anticipation of a serious diagnosis or bad news. Studies suggest that nearly 75%
of adult ED patients may experience mild to severe anxiety in relation to the ED visit, but
not directly related to their chief complaint. Anxiety can have deleterious effects on a
patient in the clinical setting. Patients may report excessive pain complaints and manifest
the typical signs and symptoms of anxiety (e.g. anorexia, dry mouth, nausea, chest pain),
which can complicate diagnosis. Patient anxiety can also impose barriers to communication
with ED staff, hindering successful delivery of important medical information. A visit to
the ED may be particularly distressing for older adults (age 65+), for they are more likely
than younger adults to have a greater ED length of stay before discharge home, receive more
diagnostic tests and venipuncture for intravenous (IV) access, and have poorer pain care.
Music listening as an anxiolytic has been shown to be effective across a variety of clinical
settings, however there is a relative paucity of published data on the use of music
listening for adult patients in the ED. No published studies, to the investigators'
knowledge, have evaluated the effect of music listening on older adults in the ED.
Inclusion Criteria:
- Present to the ED
- Aged 65 or over
- Speak English or Spanish
Exclusion Criteria:
- Individuals who are deaf
- Prisoners
- Individuals who cannot give informed consent
We found this trial at
1
site
630 W 168th St
New York, New York
New York, New York
212-305-2862
Phone: 212-342-2995
Columbia University Medical Center Situated on a 20-acre campus in Northern Manhattan and accounting for...
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