Music Interventions for Patients Undergoing Hemodialysis

Summary

Fatigue is found to be one of the most persistent problems among patients in treatment with hemodialysis, and associated with impaired health-related quality of life. A few, non-randomized controlled trials have found positive effects on fatigue by offering pre-recorded music intra-dialytic, however, without conclusive results. So far, no studies have investigated the feasibility of integrating person-tailored live music interventions performed by professional musicians into a hemodialysis setting. This leaves a deficit in knowledge for intervention planning, understanding and effectiveness of live music on fatigue, wellbeing and feelings of meaningfulness in this group of patients.

Methods: A pilot randomized controlled trial combined with qualitative methods. The data collection will involve recruitment of 24 patients from an outpatient clinic over a six-week period. The patients will be randomized into either an intervention group or a control group. Patients in the intervention group will be offered a 30-minute session of patient-tailored live music intervention per week for six consecutive weeks. Patients in the control group will receive standard care.

Quantitative analysis on immediate post-dialysis fatigue (VAS), and long-term fatigue (MFI-20), anxiety, depression (HADS) and treatment satisfaction (VAS) will show the potential effectiveness of intervention. Qualitative analysis of informal-interviews (patients/staff), observational data (patients) and focus group interviews (staff/musicians) will explore an in-depth understanding of whether music will improve wellbeing and create feelings of meaningfulness among this group of patients as well as to assess feasibility acceptability among patients, musicians and staff.

Perspectives: This trial will ensure a firm methodological approach for the development of a future definitive randomized controlled trial of music intervention for fatigue reduction and wellbeing among hemodialysis patients.

Conditions

• Renal Failure

Interventions

OTHER

Music Intervention

After rating levels of fatigue and relaxation, the professional health care musicians will play 30 minutes of patient-tailored, pleasant instrumental music with a combination of relaxing (on average 60-80 bpm) and lively, slightly more up-beat tempo to regulate arousal-levels

Sponsors & Collaborators

• The Royal Academy of Music Aarhus/Aalborg

  collaborator UNKNOWN

• Aarhus University Hospital

  collaborator OTHER

• University of Aarhus

  collaborator OTHER

• Hanze University of Applied Sciences Groningen

  collaborator OTHER

• University of Music and Performing Arts, Vienna

  collaborator UNKNOWN

• University Hospital of Southern Denmark

  collaborator UNKNOWN

• University of Southern Denmark

  lead OTHER

Principal Investigators

• Pia Dreyer, PhD · Institute of Public Health, University of Aarhus

• Bibi Gram, PhD · Regional Health Research, University of Southern Denmark

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2021-04-21

Primary Completion

2021-08-19

Completion

2021-08-19

Countries

• Denmark

Study Locations