Do Inflammatory Arthritis Inpatients Receiving Group Music Therapy Improve Pain Compared to Music Listening?

NCT02436785 | Completed

• 1 other identifier: H14-03446
• Study Type: interventional
• Target: 13
• Locations: 1 country
• Sites: 1

Brief Summary

Pain management is rated by patients with inflammatory arthritis as the highest priority in their disease treatment. Past research showed that music therapy is associated with reduced pain and depression. The purpose of this study is to better understand the effectiveness of music therapy for people with inflammatory arthritis. Participants will be randomly assigned to: 1) Music Therapy group facilitated by a music therapist, or 2) Music Listening group that listens to a relaxation CD (compact disc). Standardized tests will determine if participating in music therapy group helps reduce pain and depression, improve physical function and confidence levels in applying self-management strategies.

Conditions

Arthritis, Rheumatoid; Spondylarthropathies; Arthritis, Psoriatic; Inflammatory Arthritis

Keywords

music therapy; pain management; self efficacy; patient education; relaxation

Outcome Measures

Primary Outcomes (1)

• Pain Scale rating (on Routine Assessment of Patient Index Data 3)

  Numeric pain rating from 0 to 10 with 0.5 increment

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

Secondary Outcomes (11)

• Rheumatoid Arthritis Self-efficacy Scale (RASE)

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

• 6 Minute Walk Test (6MWT)

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

• Routine Assessment of Patient Index Data 3 (RAPID-3)

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

• Canadian Occupational Performance Measures (COPM)

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

• Center for Epidemiological Studies Depression Scale (CES-D)

  after attending 8 Music Therapy or Music Listening sessions over 4 weeks

Study Arms (2)

Music Therapy

ACTIVE COMPARATOR

The music therapy group will run for approximately an hour (twice a week) and will involve in-vivo relaxation where the live music is manipulated in terms of speed and intensity to bring on a state of relaxation. There will be a brief therapist-led discussion before and after the relaxation portion to increase a sense of group cohesion. Procedures that will be used are based on evidence-based practice for trained Music Therapists.

Other: Music Therapy

Music Listening

ACTIVE COMPARATOR

The control group will also run for approximately an hour (twice a week) and will involve listening to relaxing music on a CD player.

Other: Music Listening

Interventions

Music Therapy OTHER

In-vivo relaxation where the live music is manipulated in terms of speed and intensity to bring on a state of relaxation for approximately an hour. There will be a brief therapist-led discussion before and after the relaxation portion to increase a sense of group cohesion. Procedures that will be used are based on evidence-based practice for trained Music Therapists.

Music Therapy

Music Listening OTHER

Listening to relaxing music on a CD player for approximately an hour.

Music Listening

Eligibility Criteria

• Age: 16 Years - 85 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Diagnosis of inflammatory arthritis
• Admission to G F Strong Rehabilitation Center Arthritis Inpatient Program from the community or after joint replacement surgery
• Between ages 16 and 85 years
• Can speak, read and write in English

You may not qualify if:

• Self-reported hearing loss
• Clinician judgement of being unable to follow directions

Sponsors & Collaborators

• University of British Columbia: lead
• Mary Pack Research Fund: collaborator
• Vancouver Coastal Health Research Institute: collaborator

Study Sites (1)

G F Strong Rehabilitation Centre

Vancouver, British Columbia, V5Z 2G9, Canada

Location

Related Publications (9)

• Radner H, Ramiro S, Buchbinder R, Landewe RB, van der Heijde D, Aletaha D. Pain management for inflammatory arthritis (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and other spondylarthritis) and gastrointestinal or liver comorbidity. Cochrane Database Syst Rev. 2012 Jan 18;1(1):CD008951. doi: 10.1002/14651858.CD008951.pub2.

  PMID: 22258995 BACKGROUND

• Heiberg T, Kvien TK. Preferences for improved health examined in 1,024 patients with rheumatoid arthritis: pain has highest priority. Arthritis Rheum. 2002 Aug;47(4):391-7. doi: 10.1002/art.10515.

  PMID: 12209485 BACKGROUND

• Cepeda MS, Carr DB, Lau J, Alvarez H. Music for pain relief. Cochrane Database Syst Rev. 2006 Apr 19;(2):CD004843. doi: 10.1002/14651858.CD004843.pub2.

  PMID: 16625614 BACKGROUND

• Garza-Villarreal EA, Wilson AD, Vase L, Brattico E, Barrios FA, Jensen TS, Romero-Romo JI, Vuust P. Music reduces pain and increases functional mobility in fibromyalgia. Front Psychol. 2014 Feb 11;5:90. doi: 10.3389/fpsyg.2014.00090. eCollection 2014.

  PMID: 24575066 BACKGROUND

• Siedliecki SL, Good M. Effect of music on power, pain, depression and disability. J Adv Nurs. 2006 Jun;54(5):553-62. doi: 10.1111/j.1365-2648.2006.03860.x.

  PMID: 16722953 BACKGROUND

• Bagheri-Nesami M, Mohseni-Bandpei MA, Shayesteh-Azar M. The effect of Benson Relaxation Technique on rheumatoid arthritis patients: extended report. Int J Nurs Pract. 2006 Aug;12(4):214-9. doi: 10.1111/j.1440-172X.2006.00568.x.

  PMID: 16834582 BACKGROUND

• Guetin S, Ginies P, Siou DK, Picot MC, Pommie C, Guldner E, Gosp AM, Ostyn K, Coudeyre E, Touchon J. The effects of music intervention in the management of chronic pain: a single-blind, randomized, controlled trial. Clin J Pain. 2012 May;28(4):329-37. doi: 10.1097/AJP.0b013e31822be973.

  PMID: 22001666 BACKGROUND

• Dager TN, Kjeken I, Fjerstad E, Hauge MI. "It is about taking grips and not let myself be ravaged by my body": a qualitative study of outcomes from in-patient multidisciplinary rehabilitation for patients with chronic rheumatic diseases. Disabil Rehabil. 2012;34(11):910-6. doi: 10.3109/09638288.2011.626485. Epub 2011 Nov 8.

  PMID: 22066740 BACKGROUND

• Thabane L, Ma J, Chu R, Cheng J, Ismaila A, Rios LP, Robson R, Thabane M, Giangregorio L, Goldsmith CH. A tutorial on pilot studies: the what, why and how. BMC Med Res Methodol. 2010 Jan 6;10:1. doi: 10.1186/1471-2288-10-1.

  PMID: 20053272 BACKGROUND

MeSH Terms

Conditions

Arthritis, Rheumatoid; Spondylarthropathies; Arthritis, Psoriatic; Arthritis; Agnosia

Interventions

Music Therapy

Condition Hierarchy (Ancestors)

Joint Diseases; Musculoskeletal Diseases; Rheumatic Diseases; Connective Tissue Diseases; Skin and Connective Tissue Diseases; Autoimmune Diseases; Immune System Diseases; Spondylarthritis; Spondylitis; Spinal Diseases; Bone Diseases; Psoriasis; Skin Diseases, Papulosquamous; Skin Diseases; Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Katherine M Wright, MA

  G F Strong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: open label
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: April 8, 2015
• First Posted: May 7, 2015
• Study Start: May 6, 2015
• Primary Completion: December 31, 2017
• Study Completion: January 31, 2018
• Last Updated: January 11, 2019

Record last verified: 2019-01

Data Sharing

• IPD Sharing: Will not share

Locations

CA (1)