Participatory Music Program for Homeless Veterans

NCT03653130 | Completed

• 1 other identifier: 1802361597
• Study Type: interventional
• Target: 180
• Locations: 1 country
• Sites: 1

Brief Summary

This pilot project evaluates the effectiveness of a participatory music program for Veterans cared for in the Domiciliary Care for Homeless Veterans (DCHV) Program (Indianapolis, IN) in terms of improving quality of life. A secondary goal of this study is to evaluate the effect of the participatory music program on community reintegration and healthcare utilization. The participatory music program entitled the "Crossroads Orchestra" includes both music education and an orchestra experience. The objective of this intervention program is to use an engaging music-based education and group orchestra experience to provide participants with an avocation that will improve their quality of life and facilitate their reintegration into the community. The Crossroads Orchestra pilot project protocol has been grounded on concepts from occupational therapy and recreational therapy; specifically, providing participants with a meaningful new activity that is enjoyable, that can be provided across a spectrum of skill levels (e.g., for participants with no musical training as well as for individuals who are proficient strings musicians), and that can provide participants with a new sense of self.

Conditions

Quality of Life

Keywords

homeless; recreational therapy; community integration; reintegration; Veteran; housing insecurity; Domiciliary; Human Occupation; Occupational therapy; Music

Outcome Measures

Primary Outcomes (1)

• Quality of Life: 20-Item Short Form Health Survey (SF-20)

  We will examine the trajectory of quality of life scores over time utilizing the SF-20. The total score ranges from 0-100, higher values indicate better functioning.

  change from baseline to month-6

Secondary Outcomes (1)

• Community Reintegration: Military to Civilian Questionnaire (M2C-Q)

  1 month post-transition

Other Outcomes (2)

• Healthcare Utilization: Chart Review

  One-year pre-enrollment versus the one-year post-enrollment period

• Flow State (Experience of Total Absorption): Flow State Scale (FSS-2)

  month-6

Study Arms (3)

Intervention Program

EXPERIMENTAL

Participants will receive an instrument (violin, viola, or cello). Intervention sessions will take place twice a week at the Domiciliary and once per week at the Domiciliary or at a community location (Richard L. Roudebush VA Medical Center or Regenstrief Institute). Each session will include: thirty minutes of group music instruction by an experienced music educator with skills in adult music education followed by thirty minutes of weekly adult ensemble experience.

Behavioral: Crossroads Orchestra Participatory Music Program

Usual Care Control

NO INTERVENTION

Usual care at VA Domiciliary including participation in Domiciliary recreational therapy electives (if eligible).

Retrospective Chart Review

NO INTERVENTION

Retrospective chart reviews case-matched to intervention participants for age and biological sex factors.

Interventions

Crossroads Orchestra Participatory Music Program BEHAVIORAL

The intervention is a participatory music program where adults engage in music-making as members of a strings orchestra.

Intervention Program

Eligibility Criteria

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

You may qualify if:

• Residents of the Indianapolis VA Domiciliary who are eligible to participate in elective activities (i.e., they have been Domiciliary residents for a minimum of two weeks and they have not committed any infractions that would place them on restriction status)

You may not qualify if:

• Visual impairment (blindness)
• Profound hearing impairment (deafness)
• Cognitive impairment

Sponsors & Collaborators

• VA Quality Enhancement Research Intiative: lead

Study Sites (1)

VA Domiciliary

Indianapolis, Indiana, 46216, United States

Location

Related Links

• Keiper S, Sandene, B.A., Persky, H.R., and Kuang, M. . The Nation's Report Card: Arts 2008 Music \& Visual Arts (NCES 2009-488). In: National Center for Education Statistics IoES, U.S. Department of Education, ed. Washington, D.C.2009.
• Ending Veteran Homelessness: A Community by Community Tally

Study Officials

• Dawn M Bravata, MD

  VA Quality Enhancement Research Initiative

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Masking Details: No masking
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Medicine and Adjunct Professor of Neurology

Model Details: Parallel Interventional Study Model: Intervention participants (N=40) and usual care controls (N=40) will be eligible if they are residents of the Indianapolis VA Domiciliary who are eligible to participate in elective activities at the time of recruitment. Intervention participants will include eligible Veterans who agree to participate in the intervention. Usual Care Controls will include eligible Veterans who agree to complete the interviews and measures, but do not agree to participate in the participatory music program. Records for retrospective chart review (N=160) will be selected from past Domiciliary residents based on case-matching for gender and biological sex factors with intervention participants.

Study Record Dates

• First Submitted: August 21, 2018
• First Posted: August 31, 2018
• Study Start: July 18, 2018
• Primary Completion: June 18, 2019
• Study Completion: June 18, 2019
• Last Updated: September 10, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)