NCT04254965

Brief Summary

Negative symptoms are an important factor in preventing patients from returning to the community, we aim to assess the effect of music therapy on negative symptoms through this study. Participants of integrated music therapy will receive instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process. Other participants will receive passive music listening or regular occupational therapy during the experimental period. Psychiatric symptoms, quality of life, social and interactive skills, and the differences in the physiological signals produced by skin, muscles, and heart will be measured before, after, and two months after the music therapy.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
100

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 5, 2020

Completed
27 days until next milestone

Study Start

First participant enrolled

February 1, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 5, 2020

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2020

Completed
Last Updated

February 10, 2020

Status Verified

February 1, 2020

Enrollment Period

10 months

First QC Date

January 5, 2020

Last Update Submit

February 6, 2020

Conditions

Keywords

music therapychronic psychosisnegative symptomsoccupational therapybiosignal analysis

Outcome Measures

Primary Outcomes (6)

  • Change of negative symptoms of inpatients with psychotic disorders

    Using the Scale for the Assessment of Negative Symptoms (in Traditional Chinese)

    Before and immediately after finishing the music therapy

  • Change of negative symptoms of inpatients with psychotic disorders

    Using the Scale for the Assessment of Negative Symptoms (in Traditional Chinese)

    Before and 2 months after finishing the music therapy

  • Change of quality of life

    Using the World Health Organization Quality of Life-BREF questionnaire (it is a compress name, Traditional Chinese version). The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Potential scores for all domain scores range from 4(worse) to 20(better).

    Before and immediately after finishing the music therapy

  • Change of quality of life

    Using the World Health Organization Quality of Life-BREF questionnaire (it is a compress name, Traditional Chinese version). The WHOQOL-BREF was derived from data collected using the WHOQOL-100. It produces scores for four domains related to quality of life: physical health, psychological, social relationships and environment. It also includes one facet on overall quality of life and general health. Potential scores for all domain scores range from 4(worse) to 20(better).

    Before and 2 months after finishing the music therapy

  • Change of social and interactive skills

    Using the Assessment of Communication and Interaction Skills scale (in Traditional Chinese)

    Before and immediately after finishing the music therapy

  • Change of social and interactive skills

    Using the Assessment of Communication and Interaction Skills scale (in Traditional Chinese)

    Before and 2 months after finishing the music therapy

Secondary Outcomes (6)

  • Change of facial expression by action landmarks

    Two months

  • Heart Rate Variability in Psychiatric Disorders analysis

    Two months

  • Total sleeping time

    Two months

  • Sleep schedule

    Two months

  • Sleep pattern

    Two months

  • +1 more secondary outcomes

Study Arms (3)

Group 1

EXPERIMENTAL

Participants of integrated music therapy (integration of active and passive music therapy) includes instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process. The four stages of activities are warm-up, main activities, secondary activities, and the ending section.

Other: Music therapyDevice: Biosignal analysis

Group 2

ACTIVE COMPARATOR

Participants of the music listening group will receive background music listening, music selection based on the musical preference and background of subjects, for relax or boost the spirit of the subjects.

Other: Music therapyDevice: Biosignal analysis

Group 3

SHAM COMPARATOR

Participants in the control group receive their regular occupational therapy during the experimental period.

Device: Biosignal analysis

Interventions

Treatment including instrument playing, singing, lyrics modification/music organized play, listening to music and discussing each treatment process.

Group 1Group 2

Measurement of facial expression emotion recognition, electrodermal activity, heart rate variability, sleep pattern, blood pressure, and electromyogram.

Also known as: iMotions, GSR-Shimmer Module, Dailycare, Fitbit, DELYSYS TrignoTM Flex
Group 1Group 2Group 3

Eligibility Criteria

Age20 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Chronic patient in rehabilitation ward without compulsory hospitalization.
  • Patients with mental, behavioral and neurodevelopmental disorders, including schizophrenia, schizotypal personality disorders, delusional disorders, affective disorders, and organic mental disorders.

You may not qualify if:

  • Patients with hearing impairments.
  • Patients with no capacity to make juridical acts.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

National Taiwan University Hospital

Hsinchu, Hsinchu County, 31064, Taiwan

Location

Related Publications (14)

  • Gold C, Rolvsjord R, Aaro LE, Aarre T, Tjemsland L, Stige B. Resource-oriented music therapy for psychiatric patients with low therapy motivation: protocol for a randomised controlled trial [NCT00137189]. BMC Psychiatry. 2005 Oct 31;5:39. doi: 10.1186/1471-244X-5-39.

    PMID: 16259626BACKGROUND
  • Buccheri R, Trygstad L, Dowling G, Hopkins R, White K, Griffin JJ, Henderson S, Suciu L, Hippe S, Kaas MJ, Covert C, Hebert P. Long-term effects of teaching behavioral strategies for managing persistent auditory hallucinations in schizophrenia. J Psychosoc Nurs Ment Health Serv. 2004 Jan;42(1):18-27. doi: 10.3928/02793695-20040101-09.

    PMID: 14768276BACKGROUND
  • Acil AA, Dogan S, Dogan O. The effects of physical exercises to mental state and quality of life in patients with schizophrenia. J Psychiatr Ment Health Nurs. 2008 Dec;15(10):808-15. doi: 10.1111/j.1365-2850.2008.01317.x.

    PMID: 19012672BACKGROUND
  • Cook JD. Music as an intervention in the oncology setting. Cancer Nurs. 1986 Feb;9(1):23-8. No abstract available.

    PMID: 3518914BACKGROUND
  • Wiersma D, Jenner JA, Nienhuis FJ, van de Willige G. Hallucination focused integrative treatment improves quality of life in schizophrenia patients. Acta Psychiatr Scand. 2004 Mar;109(3):194-201. doi: 10.1046/j.0001-690x.2003.00237.x.

    PMID: 14984391BACKGROUND
  • Morgan KA, Harris AW, Luscombe G, Tran Y, Herkes G, Bartrop RW. The effect of music on brain wave functioning during an acute psychotic episode: a pilot study. Psychiatry Res. 2010 Jul 30;178(2):446-8. doi: 10.1016/j.psychres.2010.04.020. Epub 2010 May 14.

    PMID: 20471105BACKGROUND
  • Silverman MJ. Psychiatric patients' perception of music therapy and other psychoeducational programming. J Music Ther. 2006 Summer;43(2):111-22. doi: 10.1093/jmt/43.2.111.

    PMID: 16897904BACKGROUND
  • Peng SM, Koo M, Kuo JC. Effect of group music activity as an adjunctive therapy on psychotic symptoms in patients with acute schizophrenia. Arch Psychiatr Nurs. 2010 Dec;24(6):429-34. doi: 10.1016/j.apnu.2010.04.001. Epub 2010 May 21.

    PMID: 21111297BACKGROUND
  • Ulrich G, Houtmans T, Gold C. The additional therapeutic effect of group music therapy for schizophrenic patients: a randomized study. Acta Psychiatr Scand. 2007 Nov;116(5):362-70. doi: 10.1111/j.1600-0447.2007.01073.x.

    PMID: 17919155BACKGROUND
  • Hayashi N, Tanabe Y, Nakagawa S, Noguchi M, Iwata C, Koubuchi Y, Watanabe M, Okui M, Takagi K, Sugita K, Horiuchi K, Sasaki A, Koike I. Effects of group musical therapy on inpatients with chronic psychoses: a controlled study. Psychiatry Clin Neurosci. 2002 Apr;56(2):187-93. doi: 10.1046/j.1440-1819.2002.00953.x.

    PMID: 11952923BACKGROUND
  • Chou MH, Lin MF. Exploring the listening experiences during guided imagery and music therapy of outpatients with depression. J Nurs Res. 2006 Jun;14(2):93-102. doi: 10.1097/01.jnr.0000387567.41941.14.

    PMID: 16741859BACKGROUND
  • Talwar N, Crawford MJ, Maratos A, Nur U, McDermott O, Procter S. Music therapy for in-patients with schizophrenia: exploratory randomised controlled trial. Br J Psychiatry. 2006 Nov;189:405-9. doi: 10.1192/bjp.bp.105.015073.

    PMID: 17077429BACKGROUND
  • Hars M, Herrmann FR, Gold G, Rizzoli R, Trombetti A. Effect of music-based multitask training on cognition and mood in older adults. Age Ageing. 2014 Mar;43(2):196-200. doi: 10.1093/ageing/aft163. Epub 2013 Nov 7.

    PMID: 24212920BACKGROUND
  • Tseng PT, Chen YW, Lin PY, Tu KY, Wang HY, Cheng YS, Chang YC, Chang CH, Chung W, Wu CK. Significant treatment effect of adjunct music therapy to standard treatment on the positive, negative, and mood symptoms of schizophrenic patients: a meta-analysis. BMC Psychiatry. 2016 Jan 26;16:16. doi: 10.1186/s12888-016-0718-8. Erratum In: BMC Psychiatry. 2016 May 17;16:150. doi: 10.1186/s12888-016-0846-1.

    PMID: 26812906BACKGROUND

MeSH Terms

Interventions

Music Therapy

Intervention Hierarchy (Ancestors)

Sensory Art TherapiesComplementary TherapiesTherapeuticsRehabilitationAftercareContinuity of Patient CarePatient CarePsychotherapyBehavioral Disciplines and Activities

Study Officials

  • Cheng-Che Chen, MDMPH

    National Taiwan University Hospital Chu-Tung Branch

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

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

Study Record Dates

First Submitted

January 5, 2020

First Posted

February 5, 2020

Study Start

February 1, 2020

Primary Completion

December 1, 2020

Study Completion

December 1, 2020

Last Updated

February 10, 2020

Record last verified: 2020-02

Data Sharing

IPD Sharing
Will not share

Locations