Measuring the effects of listening for leisure on outcome after stroke (MELLO): A pilot randomized controlled trial of mindful music listening
Baylan S, Haig C, MacDonald M, Stiles C, Easto J, Thomson M, Cullen B, Quinn TJ, Stott D, Mercer SW, Broomfield NM, Murray H, Evans JJ
International journal of stroke : official journal of the International Stroke Society · 24 citations
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
- Possibly industry funded
- Nonprofit
- Stroke Association
- Nonprofit
- Dunhill Medical Trust
- Company
- Dr Mortimer and Theresa Sackler Foundation
- Nonprofit
- Vivensa Foundation
- Government
- Scottish Executive Chief Scientist Office
- Grants
- Dunhill Medical Trust (R432/0214)
Based on 5 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2019-04-02 · Int J Stroke · vol. 15 · issue 2 · pp. 149–158
- Publisher
- SAGE Publishing
- Cited
- 38 citations · more than 94% of similar papers · 4.3× the field average
- Impact
- Top 10% most cited in its field
- References
- 27 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Music Therapy and Health · Stroke Rehabilitation and Recovery · Mindfulness and Compassion Interventions
- Keywords
- Medicine, Active listening, Randomized controlled trial, Stroke (engine), Outcome (game theory), Physical therapy, Physical medicine and rehabilitation, Audiology, Psychotherapist, Psychology, Internal medicine
- MeSH
- humans, treatment outcome, pilot projects, affect, cognition, recovery of function, leisure activities, music, aged, middle aged, female, male, stroke, mindfulness, stroke rehabilitation, cognitive dysfunction
13 authors
From GB
- Satu BaylanUniversity of Glasgow
- Caroline E. HaigUniversity of Glasgow
- Maxine MacDonaldUniversity of Glasgow
- Ciara StilesNHS Greater Glasgow and Clyde; University of Glasgow
- Jake EastoNHS Greater Glasgow and Clyde; University of Glasgow
- Meigan ThomsonUniversity of Glasgow
Abstract
Background
Cognitive deficits and low mood are common post-stroke. Music listening is suggested to have beneficial effects on cognition, while mindfulness may improve mood. Combining these approaches may enhance cognitive recovery and improve mood early post-stroke.
Aims
To assess the feasibility and acceptability of a novel mindful music listening intervention.
Methods
A parallel group randomized controlled feasibility trial with ischemic stroke patients, comparing three groups; mindful music listening, music listening and audiobook listening (control group), eight weeks intervention. Feasibility was measured using adherence to protocol and questionnaires. Cognition (including measures of verbal memory and attention) and mood (Hospital Anxiety and Depression Scale) were assessed at baseline, end of intervention and at six-months post-stroke.
Results
Seventy-two participants were randomized to mindful music listening (n = 23), music listening (n = 24), or audiobook listening (n = 25). Feasibility and acceptability measures were encouraging: 94% fully consistent with protocol; 68.1% completing ≥6/8 treatment visits; 80-107% listening adherence; 83% retention to six-month endpoint. Treatment effect sizes for cognition at six month follow-up ranged from d = 0.00 ([-0.64,0.64], music alone), d = 0.31, ([0.36,0.97], mindful music) for list learning; to d = 0.58 ([0.06,1.11], music alone), d = 0.51 ([-0.07,1.09], mindful music) for immediate story recall; and d = 0.67 ([0.12,1.22], music alone), d = 0.77 ([0.16,1.38]mindful music) for attentional switching compared to audiobooks. No signal of change was seen for mood. A definitive study would require 306 participants to detect a clinically substantial difference in improvement (z-score difference = 0.66, p = 0.017, 80% power) in verbal memory (delayed story recall).
Conclusions
Mindful music listening is feasible and acceptable post-stroke. Music listening interventions appear to be a promising approach to improving recovery from stroke.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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