Massage Therapy Versus Music Therapy Pilot Study

NCT02227680 | Completed

• 1 other identifier: H-32796
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

This project studies the feasibility of (1) implementing massage therapy and music therapy onto a busy medical inpatient unit at Boston Medical Center, and (2) evaluating massage therapy and music therapy's impact on patient satisfaction, patient outcomes, and cost. The investigators will conduct a randomized controlled trial comparing massage therapy, music therapy, and usual care to collect preliminary data on critical outcomes for patients (satisfaction, symptom control) and for the hospital (pain medication use and length of stay, both critical drivers of cost). The investigators anticipate using these preliminary data to apply for a future larger and longer adequately powered randomized controlled trial to definitively answer the following research questions: does implementation of an inpatient massage therapy and/or music therapy service (a) improve patient satisfaction; (b) reduce symptoms such as pain; and (c) lower health care costs through less pain medication and reduced length of stay?

Conditions

ALL

Keywords

music therapy; massage therapy

Outcome Measures

Primary Outcomes (1)

• Patient satisfaction

  Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey questions

  within 7 days after discharge

Secondary Outcomes (5)

• Pain medication use

  duration of hospital stay, an expected average of 4 days

• Sedative use

  duration of hospital stay, an expected average of 4 days

• Length of stay

  duration of hospital stay, an expected average of 4 days

• Number of re-admissions 30 days after initial discharge

  30 days post-discharge

• Pain level

  duration of hospital stay, an expected average of 4 days

Study Arms (3)

Music Therapy

ACTIVE COMPARATOR

Patients randomized to the music therapy group will receive 1-3 10-40 minute music therapy sessions during each of the days of their stay on the inpatient unit. Each participant randomized to the music therapy intervention will be given a personalized CD and one portable CD player with headphones which they may keep after the study has ended.

Other: Music Therapy

Massage Therapy

ACTIVE COMPARATOR

Patients randomized to the massage therapy group will receive 1-3 10-40 minute massage treatments during each of the days of their stay on the inpatient unit.

Other: Massage Therapy

Usual Care

NO INTERVENTION

The control group will continue to receive usual care while on the Family Medicine Inpatient Unit.

Interventions

Music Therapy OTHER

Each music therapy session will begin with a brief description of the protocol, a musical introduction, a discussion of music preferences, and an informal assessment of participant needs to determine target goals, e.g., management of pain, anxiety, and other symptoms; breath control; emotional support and regulation. After the initial visit, the music therapist will create a playlist, based on participant preferences, and burn it onto a CD for the participant. The participant will be encouraged to use the book and listen to the CDs as often as he/she would like. After the initial visit, follow up visits will include techniques like music-facilitated breathing, music and imagery, music and relaxation/meditation, song writing, improvisation, singing, lyric substitution, lyric analysis, musical reminiscence, passive listening. There will be the opportunity to create music and write songs across multiple sessions, if these activities are indicated.

Music Therapy

Massage Therapy OTHER

Working with experts in hospital-based massage therapy, we have developed a semi-standardized inpatient massage protocol that utilizes Swedish techniques and acupressure. The protocol was adapted from our successful previous study of massage for perioperative care of patients undergoing implantation of permanent intravenous access devices. Massage therapists will focus on hands, feet, arms, and neck, as able, during the treatments.

Massage Therapy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years or older
• Inpatient on the Boston Medical C enter Family Medicine inpatient service

You may not qualify if:

• Inability to provide informed consent
• Contagious skin disease or infection
• Hemophilia
• Thrombocytopenia
• Encephalopathy
• Dementia
• Altered mental status
• :1 status (requiring constant supervision)
• Any condition, as determined by the attending physician, which would prevent participation in the study.
• Observation status

Sponsors & Collaborators

• Boston Medical Center: lead
• Muscular Therapy Institute Foundation, Inc.: collaborator
• Berklee College of Music: collaborator

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

MeSH Terms

Interventions

Music Therapy; Massage

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities; Therapy, Soft Tissue; Musculoskeletal Manipulations; Physical Therapy Modalities

Study Officials

• Robert B Saper, MD, MPH

  Boston Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 21, 2014
• First Posted: August 28, 2014
• Study Start: July 1, 2014
• Primary Completion: December 1, 2014
• Study Completion: January 1, 2015
• Last Updated: January 28, 2015

Record last verified: 2015-01

Locations

US (1)