Musicians United for Seniors to Improve Care (MUSIC) Study

NCT03328793 | Completed

• 1 other identifier: SMHC 14-31B
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Music has a potential role in health care. In the geriatric population, music presents a non-pharmacological intervention which is easy to implement. Also, music has a potential role in order to improve patient's mobility. For example, it was also shown that the rhythmic component of music combined with physical exercise can improve gait variability which has been identified as a marker of gait instability and a fall predictor. This effect was previously shown in older community dwellers as a music-based intervention significantly improved gait and balance stability. Considering that music was shown to have a positive impact on communication, emotions and depressive symptoms this intervention has the potential to make our patients more conscious of their environment, leading to an improved mobility. Thus, the investigators hypothesize that patients who attend live music sessions (compared to controls) will demonstrate an improvement in their mobility measures. This effect could potentially be explained by the rhythmic effect of music and by the fact that live music sessions lead to an improved mood, communication, emotions, and an improved mobility.

• The primary objective of this study will be to determine if participation to live music sessions will be associated with an improvement in mobility which will be measured using the Times Up and Go (TUG) and gait speed when compared to a control group.
• The second objective of this study will be to determine if patients participating in live music sessions compared to a control group demonstrate an increase/improvement at the end of their music session in their mood (the Visual Analog Mood Scale (VAMS) will be used), in their positive emotions (the Observed Emotion Rating Scale (OERS) will be used) and communication behaviour (the CODEM (tool to assess communication behavior in dementia) instrument will be used).
• The third objective of this study will be to perform a "feasibility study". By measuring the variation in the different scales which will be used (see the third objective), the investigators will be able to determine how many participants will be necessary for an eventual larger scale study. This will be a prospective open-label randomized control trial. The patients will be randomly assigned to a musical intervention or to a television intervention (control group). The patients will only attend one session in the context of this research project. Pre and post measures will be done.

Conditions

Music; Gait; Emotions; Communication

Keywords

music; gait; emotions; communication

Outcome Measures

Primary Outcomes (2)

• Change from baseline Timed up and Go (measured in seconds) compared to after completion of the session.

  Measure of mobility, uses the time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down. Has excellent interrater (intraclass correlation coefficient \[ICC\] = .99) and intrarater reliability (ICC = .99)

  At baseline (T0), and within 5 minutes of completion of the intervention session (T1)

• Change from baseline Gait speed (measured in seconds) compared to after completion of the session.

  Measure of mobility, measures time that a person takes to walk 3 meters at their comfortable pace in a quiet, well-lit corridor wearing their own footwear. In order to avoid acceleration and deceleration effects, participants will start walking one meter before the "start line" and will walk one meter beyond the "finish line".

  At baseline (T0), and within 5 minutes of completion of the intervention session (T1)

Secondary Outcomes (3)

• Change from baseline Visual Analog Mood Scale compared to after completion of the session.

  At baseline (T0), and within 5 minutes of completion of the intervention session (T1)

• Change in the Observed Emotional Rating Scale at the beginning of the session compared to the end of the session.

  Start of intervention session and end of intervention session (i.e the first 10 minutes and last 10 minutes of videotaped sessions)

• Change in Communication Skills at the beginning of the session compared to the end of the session.

  Start of intervention session and end of intervention session (i.e the first 10 minutes and last 10 minutes of videotaped sessions)

Study Arms (2)

Music Intervention (Intervention Group)

EXPERIMENTAL

The patients will assist to a live music session of 30 minutes which will be given by musicians (volunteers) and will undergo: * mood assessment * emotion assessment * mobility assessment * communication assessment

Behavioral: Mood Assessment; Behavioral: Emotion Assessment; Behavioral: Communication Assessment; Other: Mobility assessment; Other: Music Intervention

Documentary watching (Control Group)

ACTIVE COMPARATOR

The patients will watch a documentary for 30 minutes in the presence of a volunteer and will undergo: * mood assessment * emotion assessment * mobility assessment * communication assessment

Behavioral: Mood Assessment; Behavioral: Emotion Assessment; Behavioral: Communication Assessment; Other: Mobility assessment; Other: Documentary watching

Interventions

Mood Assessment BEHAVIORAL

Prior to and after the session, the patients will be asked to fill a VAMS (Visual Analog Mood Scale).

Documentary watching (Control Group); Music Intervention (Intervention Group)

Emotion Assessment BEHAVIORAL

During the sessions, the patients will be videotaped and the videotapes will be reviewed by 2 independent research assistants. With the use of the Observed Emotional Rating Scale (OERS), the research assistants will be able to assess the patients's emotions at the beginning and at the end of the session (they will analyse the first 10 and the last 10 minutes of the sessions).

Documentary watching (Control Group); Music Intervention (Intervention Group)

Communication Assessment BEHAVIORAL

During the sessions, the patients will be videotaped and the videotapes will be reviewed by 2 independent research assistants. With the use of the CODEM Scale, the research assistants will be able to assess the patients's emotions at the beginning and at the end of the session (they will analyse the first 10 and the last 10 minutes of the sessions).

Documentary watching (Control Group); Music Intervention (Intervention Group)

Mobility assessment OTHER

If deemed to be safe, the patients will undergo a gait speed assessment as well as a TUG (timed-up-and-go) prior to and after the sessions

Documentary watching (Control Group); Music Intervention (Intervention Group)

Music Intervention OTHER

The participants will listen to a 30 minute live music sessions which will be given by musicians (who is a volunteer)

Music Intervention (Intervention Group)

Documentary watching OTHER

The patients will watch a documentary for 30 minutes in the presence of a volunteer

Documentary watching (Control Group)

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Patients admitted to the Geriatric Assessment Unit of St. Mary's Hospital.
• Patients interested in participating in this research (recreational) study

You may not qualify if:

• Patients who are medically unstable to attend the music or television-watching sessions will be excluded from the study.
• Also, if patients are deemed to be unsafe by the medical team to undergo a TUG or a gait speed assessment, those measures will not be collected. Those patients would therefore only fill a pre- and post VAMS and attend the musical or television session.
• Finally, the investigators will only consider the first participation to a session in our analysis. In other words, patients who have already participated to a music session prior to the initiation of this study will be excluded (will not be recruited into the study).

Sponsors & Collaborators

• McGill University: lead

Study Sites (1)

St. Mary's Hospital Center

Montreal, Quebec, H3T 1M5, Canada

Location

MeSH Terms

Conditions

Communication

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The research assistant who will be doing the Visual Analog Mood Scale (VAMS) with the patients pre and post intervention will be blinded in regards to the group attribution of the patient.
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: October 13, 2017
• First Posted: November 1, 2017
• Study Start: June 26, 2017
• Primary Completion: November 30, 2017
• Study Completion: November 30, 2017
• Last Updated: April 5, 2018

Record last verified: 2018-04

Locations

CA (1)