Randomized controlled trial2012

Effects of a music intervention on patients undergoing cerebral angiography: a pilot study

Vanderboom TL, Arcari PM, Duffy ME, Somarouthu B, Rabinov JD, Yoo AJ, Hirsch JA

Journal of neurointerventional surgery · 10 citations

Review labels

Funding not disclosed

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Randomized controlled trial (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Funding not disclosed

Publication

Published
2011-06-02 · J Neurointerv Surg · vol. 4 · issue 3 · pp. 229–233
Publisher
BMJ
Cited
15 citations · more than 69% of similar papers · 0.4× the field average
References
24 works
Access
Paywalled
Research areas
Music Therapy and Health · Intensive Care Unit Cognitive Disorders · Neuroscience and Music Perception
Keywords
Medicine, Intervention (counseling), Cerebral angiography, Angiography, Neurovascular bundle, Radiology, Surgery
MeSH
humans, intracranial arteriovenous malformations, hypnotics and sedatives, observer variation, cerebral angiography, music therapy, data interpretation, statistical, prospective studies, pilot projects, reproducibility of results, stress, psychological, anxiety, neuropsychological tests, blood pressure, heart rate, socioeconomic factors, adult, aged, middle aged, female, male, young adult, procedural sedation

7 authors

From US

  • Teresa L Vanderboom · correspondingMassachusetts General Hospital
  • Patricia Martin ArcariMassachusetts General Hospital; Benson-Henry Institute
  • Mary E. DuffyMassachusetts General Hospital
  • Bhanusupriya SomarouthuMassachusetts General Hospital
  • James David RabinovMassachusetts General Hospital
  • Albert J. YooMassachusetts General Hospital

Abstract

Purpose

To test the effect of a music intervention on procedural anxiety, stress response and medication requirements in participants with a cerebral aneurysm or arteriovenous malformation (AVM) undergoing cerebral angiography.

Method and materials

A prospective pilot study was conducted using an experimental two group pre-test, post-test design. 48 participants were randomly assigned to a control group (standard care) or experimental group (standard care plus self-selected music via overhead stereo system). The stress response was measured by heart rate (HR) and systolic blood pressure (SBP) at baseline, and during and following the procedure. Anxiety was measured by the State Trait Anxiety Inventory for Adults (STAI) before and after the procedure, and total medications administered periprocedurally were recorded.

Results

24 participants in each group were enrolled. R-ANCOVA revealed non-significant findings for HR (F=1.4; p=0.27; power=0.38) and SBP (F=2.1; p=0.10; power=0.57). The ANCOVA for anxiety revealed significantly lower STAI scores in the control group (F=3.8; p=0.003) compared with the experimental group. Independent t test analysis for the total doses of fentanyl and midazolam were found to be F=0.08, p=0.78 and F=0.38, p=0.54, respectively.

Conclusion

A music intervention on participants with a brain aneurysm or AVM undergoing cerebral angiography did not have a statistically significant impact on reducing the stress response, anxiety or medication requirements. Interestingly, participants in the control group had significantly less anxiety after their angiogram than did participants in the experimental group. This pilot study sets the stage for future research to further examine these findings.

Abstract via Europe PMC. Copyright remains with the authors or publisher.

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