Nature in Harmony: Music and Nature-based Self-care for Individuals With Acquired Brain Injuries and Their Care Partners

NCT07568301 | Enrolling By Invitation

• 1 other identifier: 2025/11/22
• Study Type: interventional
• Target: 10
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this pilot study is to determine the initial impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature \& music-based program facilitated by occupational therapy and music therapy. The main questions it aims to answer are:

• Primary Question: What is the impact on wellbeing for clients with acquired brain injury and their care partner after engaging in a nature \& music-based program facilitated by occupational therapy and music therapy?
• Secondary Question: What is the feasibility of a four-session nature \& music-based wellness program for clients with acquired brain injury and care partner dyads?
• Attendance
• Satisfaction
• Accessibility
• Carryover of Strategies Participants will complete self-reported surveys before and after completing 4 sessions of a nature \& music-based program facilitated by occupational therapy and music therapy.

Conditions

Acquired Brain Injury (Including Stroke); Caregivers

Keywords

music therapy; dyad intervention; nature-based

Outcome Measures

Primary Outcomes (1)

• EUROHIS-QOL 8-item index

  EUROHIS-QOL 8 is a standardized assessment of general quality of life that assesses four domains of QOL: physical, psychological, social, and environmental. This assessment has been validated for persons with traumatic brain injury (Balalla et al., 2019). This is 5-point scale from "not at all" to "completely." A high total point value indicates a better quality of life rating.

  First session to end of program approximately 4 weeks.

Secondary Outcomes (6)

• The Connor-Davidson Resilience Scale

  First session to end of program approximately 4 weeks.

• Dyadic Relationship Scale

  First day to end of program approximately 4 weeks

• Client Satisfaction Questionnaire (CSQ-8)

  Last session, approximately 4 weeks after first session

• Attendance

  Every week for 4 weeks.

• Accessibility of the strategies

  Every week of the program for four weeks.

Study Arms (1)

Nature In Harmony

EXPERIMENTAL

The Nature in Harmony program involves four in-person sessions held at Duquesne University's campus using the outdoor pavilion and community garden with the final session occurring at Frick Park at their Environmental Center located in Pittsburgh, PA, between May and June of 2026. Each session will have a minimum of two principal investigators to lead the activities. Graduate assistants will be at each session to provide additional hands-on support for safety, mobility, and participant engagement. Participants will be instructed to complete carryover activities between sessions: one to be completed together dyadically (person with ABI \& care partner) and one to be completed individually. Dyads will reflect on the experience in their activity journal and share and the beginning of sessions 2-4.

Behavioral: Nature in Harmony

Interventions

Nature in Harmony BEHAVIORAL

* Session 1- Duquesne University -120 minutes- Building Rapport: Psychoeducation on Music \& Nature * Session 2 - Duquesne University - 90 minutes - Using the Senses for Wellness * Session 3 - Duquesne University - 90 minutes - Connections \& Community * Session 4 - Frick Park Environmental Center - 4 Hours including Lunch - Self Care Immersion in Nature Retreat

Nature In Harmony

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All participants must be above the age of 18 to participate.
• Able to communicate in English
• A person with an ABI can include persons with a diagnosis of traumatic brain injury, stroke, aneurysm, brain infection, and/or brain cancer.
• A care partner is broadly defined as a social support person who has been identified as a family member or friend of the person with the acquired brain injury.
• Capacity for consent - Person must be their own medical power of attorney
• Capacity for Self-Reflection (have a score of 23/35 on the MOCA or have a 5/6 on the Design Memory Test sub test of Cognition and Language Quick Test)

You may not qualify if:

• Self-reported severe-to profound hearing loss with the use of hearing aid(s)
• Cannot communicate in English
• Have a diagnosis of a progressive neurological disorder, such as Amyotrophic lateral sclerosis, Parkinson's disease, Dementia, Multiple Sclerosis
• Have a severe aphasia

Sponsors & Collaborators

• Duquesne University: lead

Study Sites (1)

Duquesne University

Pittsburgh, Pennsylvania, 15228, United States

Location

MeSH Terms

Conditions

Brain Injuries

Condition Hierarchy (Ancestors)

Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 21, 2026
• First Posted: May 5, 2026
• Study Start: March 4, 2026
• Primary Completion (Estimated): May 21, 2026
• Study Completion (Estimated): June 1, 2026
• Last Updated: May 5, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)