52 Participants NeededMy employer runs this trial

Music for Anxiety

RV
Overseen ByRishi Vas
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines whether listening to music can reduce anxiety in patients about to undergo hip or knee replacement surgery. By comparing patients who listen to music with those who do not, researchers aim to determine if music can calm patients before surgery and potentially reduce pain and medication use afterward. This simple, non-drug method, known as music intervention, could benefit patients undergoing these common surgeries. The trial targets adults with osteoarthritis scheduled for hip or knee replacement surgery who agree to be randomly assigned to either group. As an unphased trial, it offers a unique opportunity to explore a non-drug approach that could enhance the surgical experience.

What prior data suggests that this music intervention is safe for reducing anxiety before surgery?

Research has shown that music can safely and effectively reduce anxiety before surgery. Many studies have found that listening to music calms patients without harmful side effects. A recent analysis found that music can work as well as anti-anxiety medicine for some surgery patients, helping about 1 in 4 people feel less anxious. Since music doesn't involve new chemicals or drugs, it poses very low risk. Participants usually listen to their favorite music, making the experience personal and enjoyable. Overall, music is a well-tolerated way to ease anxiety.12345

Why are researchers excited about this trial?

Researchers are excited about the music intervention for anxiety because it offers a non-invasive, drug-free approach to managing anxiety levels. Unlike standard treatments like medication or therapy, this method uses patient-selected music played through noise-canceling headphones, which could provide a calming effect without side effects. Additionally, this approach is unique because it can be easily integrated into pre-surgical routines, potentially reducing anxiety without the need for additional medications.

What evidence suggests that music intervention is effective for reducing anxiety before joint replacement surgery?

Research has shown that music can help reduce anxiety. In this trial, participants in the music intervention arm will listen to patient-selected music through noise-canceling headphones for at least 20 minutes. Anxiety levels will be measured before administration, before surgery, and after surgery. A recent review of 20 studies found that music is about as effective as anti-anxiety medication in calming patients before surgery, with about 1 in 4 patients experiencing a noticeable benefit. Another study found that music therapy, which uses music as a treatment, significantly lowered anxiety and stress. Patients reported their anxiety levels dropped by an average of 2.80 units. Music has demonstrated a moderate effect on reducing anxiety in different situations. These findings suggest that listening to music might be a simple and effective way to help patients feel less anxious before surgery.678910

Who Is on the Research Team?

RP

Roshan P Shah, MD

Principal Investigator

Columbia University

Are You a Good Fit for This Trial?

This trial is for adults scheduled to have hip or knee replacement surgery. It aims to help those who may feel anxious before their operation. There are no detailed inclusion or exclusion criteria listed, so most patients having these surgeries could be eligible.

Inclusion Criteria

Ability to provide informed consent in English
I am willing to be randomly assigned to a treatment group.
I am 18 or older and having my first hip or knee replacement for osteoarthritis.
See 1 more

Exclusion Criteria

I am currently taking medication for a psychiatric disorder.
Hearing impairment precluding music listening
Pregnancy
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preoperative Intervention

Participants listen to patient-preferred music through noise-cancelling headphones for at least 20 minutes before surgery

Approximately 20 minutes to 2 hours
1 visit (in-person)

Surgery and Immediate Postoperative

Participants undergo hip or knee arthroplasty and are monitored for anxiety and pain in the post-anesthesia care unit

Day of surgery
1 visit (in-person)

Follow-up

Participants are monitored for postoperative anxiety, pain, and overall surgical experience

Within 24 hours after surgery

What Are the Treatments Tested in This Trial?

Interventions

  • Music Intervention

Trial Overview

The study compares two groups: one listens to music of their choice through noise-cancelling headphones before surgery, and the other receives standard care without music. Patients are randomly assigned to each group.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Music InterventionExperimental Treatment1 Intervention
Group II: Control groupActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Columbia University

Lead Sponsor

Trials
1,529
Recruited
2,832,000+

Citations

Effectiveness of music therapy: a summary of systematic ...

Bradt et al indicated that music interventions may have beneficial effects on anxiety, pain, mood, and quality of life (QoL) in people with ...

Effects of music interventions on stress-related outcomes

Results showed that music interventions had an overall significant effect on stress reduction in both physiological (d = .380) and psychological (d = .545) ...

Music therapy found to significantly reduce pain, stress and ...

In this study, patients reported clinically significant mean reductions in pain (2.04 units), anxiety (2.80 units), and stress (3.48 units) in ...

Music therapy for the treatment of anxiety: a systematic ...

Results showed an overall medium effect of music therapy across all anxiety and combined receptive-active formats showed greater effectiveness ...

"Comparing Three Music Therapy Interventions For Anxiety ...

Statistically significant changes were found in anxiety and relaxation outcomes across all interventions provided.

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