Randomized controlled trial2014

The effects of a designer music intervention on patients' anxiety, pain, and experience of colonoscopy: a short report on a pilot study

Martindale F, Mikocka-Walus AA, Walus BP, Keage H, Andrews JM

Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates · 19 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
2014-09-01 · Gastroenterol Nurs · vol. 37 · issue 5 · pp. 338–342
Publisher
Lippincott Williams & Wilkins
Cited
28 citations · more than 83% of similar papers · 1.5× the field average
References
20 works
Access
Paywalled
Research areas
Music Therapy and Health · Neuroscience and Music Perception · Hearing Loss and Rehabilitation
Keywords
Anxiety, Colonoscopy, Sedation, Midazolam, Medicine, Headphones, Music therapy, Anesthesia, Active listening, Psychology, Physical therapy, Colorectal cancer, Psychiatry, Internal medicine, Psychotherapist, Cancer
MeSH
humans, pain, colonoscopy, music therapy, pilot projects, anxiety, female, male, pain management, procedural sedation

5 authors

From AU

  • Fiona MartindaleUniversity of South Australia; The University of Adelaide
  • Antonina A Mikocka‐Walus · correspondingUniversity of South Australia
  • Bartlomiej P. Walus · corresponding
  • Hannah A. D. KeageUniversity of South Australia
  • Jane Mary Andrews

Abstract

There is a controversy on whether listening to music before or during colonoscopy reduces anxiety and pain and improves satisfaction and compliance with the procedure. This study aimed to establish whether specifically designed music significantly affects anxiety, pain, and experience associated with colonoscopy. In this semirandomized controlled study, 34 patients undergoing a colonoscopy were provided with either muted headphones (n = 17) or headphones playing the investigator-selected music (n = 17) for 10 minutes before and during colonoscopy. Anxiety, pain, sedation dose, and overall experience were measured using quantitative measures and scales. Participants' state anxiety decreased over time (P < .001). However, music did not significantly reduce anxiety (P = .441), pain scores (P = .313), or midazolam (P = .327) or fentanyl doses (P = .295). Despite these findings, 100% of the music group indicated that they would want music if they were to repeat the procedure, as compared with only 50% of those in the nonmusic group wanting to wear muted headphones. Although no significant effects of music on pain, anxiety, and sedation were found, a clear preference for music was expressed, therefore warranting further research on this subject.

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

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