The Effects of Music Therapy on Adult Patients Requiring Mechanical Ventilation in the ICU

Summary

While most studies in the medical literature that indicate "music" as an intervention may recognize its impact and capacity to decrease pain perception, anxiety, and/or its role in the regulation of cardiac and respiratory function in ICU patients, no identifiable studies have implemented entrained live music therapy protocols into clinical trials. Music therapy treatment is a non-pharmacological intervention that is individually tailored to the patient's needs and focuses on the assessment and intervention of a specific music application that is provided by a certified music therapist. Entrained music therapy focuses on a dynamic interaction between the patient and music therapist in which the music therapist attempts to promote relaxation and comfort through the patient's identified Song of Kin (SOK). This study measures the effects of live music therapy entrained to the vital signs of adult patients on duration of mechanical ventilation.

Conditions

• Acute Respiratory Distress Syndrome
• Acute Hypoxemic Respiratory Failure
• Acute Hypercapnic Respiratory Failure

Interventions

OTHER

Toning

Music therapist will begin gentle breathing and toning on a descending "Ah" vowel to stimulate vibration in the chest and increase awareness of the breath. The patient will be encouraged to join the music therapist as is comfortable

OTHER

Ocean drum & SOK melody

Music therapist will introduce ocean drum to mimic breathing sounds and will hum the melody of Song of Kin to begin entrainment process. Patient will be invited to join the music therapist in humming as is comfortable

OTHER

SOK

Music therapist will introduce sung lyric content of Song of Kin accompanied on guitar. Patient will be invited to sing with music therapist as is comfortable.

BEHAVIORAL

Process

Music therapist will process patient experience and provide psycho-education on strategies for using music to promote comfort and enhance breath.

OTHER

Holding Harmonic Container

Music therapist will provide a holding harmonic container of IM7 - IVM7 and will improvise a repeating melody on "ah" based on the ambient sounds in the patient's immediate environment

Sponsors & Collaborators

• Icahn School of Medicine at Mount Sinai

  lead OTHER

Principal Investigators

• Joanne Loewy, DA, LCAT, MT-BC · Icahn School of Medicine at Mount Sinai

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-12-12

Primary Completion

2027-04-30

Completion

2028-12-31

Countries

• United States

Study Locations