Evidence map›Paper›PMID 33676455›Full record

ArticleBMC psychiatry2021

Mindful Melody: feasibility of implementing music listening on an inpatient psychiatric unit and its relation to the use of as needed medications for acute agitation.

Trevor Scudamore, Annette Liem, Mark Wiener, Nekpen Sharon Ekure, Christopher Botash, Derek Empey, Luba Leontieva

Registry-linked trialAbstract read
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In one paragraph

Article in BMC psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04514432 (Mindful Melody), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04514432 completednot on this map

Mindful Melody: Feasibility of Implementing Music Listening on an Inpatient Psychiatric Unit and Its Relation to the Use of As Needed Medications for Acute Agitation

TypeobservationalSponsorState University of New York - Upstate Medical UniversityRan2018 to 2018Enrolled172ConditionsAgitated, State, Acute Reaction to Stress, Agitation,PsychomotorArmsMusic
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Safe Spaces: Mitigating Potential Aggression in Acute Care Psychiatry.Focus (American Psychiatric Publishing) · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Trevor ScudamoreSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.
Annette LiemSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.
Mark WienerSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.
Nekpen Sharon EkureSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA. ekure42@gmail.com.ORCID 0000-0002-8386-7739
Christopher BotashSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.
Derek EmpeySUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.
Luba LeontievaSUNY Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA.

Funding

State University of New York Upstate Medical University N/A
6 · The paper itself

Abstract

backgroundIn this quality improvement project, we set out to study the effectiveness and feasibility of using music as an adjunct or replacement for pharmacologic agitation management on an inpatient psychiatric unit. We hypothesized music intervention would not only assist in de-escalation/calming of agitated patients, but also reduce overall administration of PRN medications on the unit.

methodThe project included 172 volunteer participants over 6 months: Three months without music available and 3 months with a music de-escalation option. During the latter period, patients were given the option of selecting a preferred music genre and provided with wireless headphones for up to 30 min. The number of as needed (PRN) medications administered for agitation and anxiety (including oral, sublingual, and intramuscular routes) was compiled from raw data using pharmacy records. Patients and nurses were provided with self-report surveys regarding the music intervention.

resultsThe average weekly PRN medication administrations decreased significantly during the 3 months with music for both haloperidol (8.46 [+/- 1.79, p < 0.05] to 5.00 [+/- 1.44, p < 0.05] administrations/week) and olanzapine (9.69 [+/- 2.32, p < 0.05] to 4.62 [+/- 1.51, p < 0.05] administrations/week), compared to the 3 months prior to music implementation. There was a non-significant increase in administration of lorazepam (3.23 [+/- 1.09, p < 0.05] to 6.38 [+/- 2.46, p < 0.05] average administrations/week). The patient survey responses were 96% positive (non-neutral; either agree or strongly agree with calming effect). Nurses agreed that the project was easy to implement; 56% agreed that music helped to calm patients down. Other exploratory outcomes included observed reductions in average length of hospital stay and number of seclusion events.

conclusionMusic may play a significant role in reducing the utilization of PRN agitation medications on acute inpatient psychiatric units. More studies are needed to expand on these findings and explore the effect of PRN music on other therapeutic outcomes.

trial registrationProtocol registration NCT04514432 , retrospectively registered on 08/13/2020.

Indexed as

InpatientsMusicAnxietyFeasibility StudiesHaloperidolHumansPsychomotor AgitationHaloperidolAgitationAs needed medications (PRN)Coping skillsInpatient psychiatric unitMusicRestraintsSeclusions

Identifiers

PMID33676455
PMCPMC7937203

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.