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Id | 770 | |
Author | Perkins R.S., Boyce M., Byrtek M.C., Ellis R.C., Hill C., Fitzpatrick P.S., Demirel S. | |
Title | Roadmap to wellness: Exploring live customized music at the bedside for hospitalized children | |
Reference | Perkins R.S., Boyce M., Byrtek M.C., Ellis R.C., Hill C., Fitzpatrick P.S., Demirel S.; Roadmap to wellness: Exploring live customized music at the bedside for hospitalized children ;Frontiers in Oncology vol:8.0 issue: FEB page: |
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Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042107067&doi=10.3389%2ffonc.2018.00021&partnerID=40&md5=5bfa2e2570b1910b2d5671ca0ea31373 |
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Abstract | Background: Randomized trials on clinical outcomes of music are conflicting, with few performed in the postoperative pediatric population. We aimed to determine if there was a benefit of a live, customized bedside music delivery program (MyMusicRx®) for children hospitalized after pediatric surgery. We present our perspective on the utility of music medicine, review others work in this area, and discuss future directions. Methods: All admitted postsurgical patients aged between 5 and 18 years were considered. One live, customized music session was delivered by a MyMusicRx® music specialist to intervention participants, and compared with matched controls who did not receive music intervention. Pain, cumulative analgesia dosage, and vital signs within 12 h after unit arrival were compared between groups. Results: Thirty-two participants (16 intervention, 16 controls; 8:8 females:males per group) were enrolled. No differences in age, surgery length, or duration of music intervention were found between groups. No differences in pain scores (p = 0.73), heart rate (p = 0.82), respirations (p = 84), narcotic (p = 0.92) or non-narcotic medication usage (p = 0.88, 0.86, 0.95; ibuprofen, acetaminophen, and ketorolac, respectively), or time to first narcotic dose (p = 0.64) were found. Conclusion: A single music intervention in the acute postoperative period did not appear to be adequate to augment traditional methods of pain and hemodynamic control. Prior studies have similar outcome measures but conflicting results. We did not evaluate psychological well-being, patient engagement, or family perception in this pilot study. Future directions include developing and validating a tool that explores the observable impact of music medicine on childrens emotions and behaviors. © 2018 Perkins, Boyce, Byrtek, Ellis, Hill, Fitzpatrick and Demirel. |
We present our perspective on the utility of music medicine, review others work in this area, and discuss future directions. We did not evaluate psychological well-being, patient engagement, or family perception in this pilot study. Finally in a paper commissioned by the Musical Connections Program of Carnegie Halls Weill Music Institute the authors note: In the field of music and health research has focused away from the global and toward the highly particular. Our pilot study was designed to explore the short-term effects of one short music interaction on physiologic parameters standardized pain scores and the amount of medication given in the immediate postoperative period and not how MyMusicRx transforms the moment for children and their families on a daily basis. PF made substantial contributions to the acquisition of data for the work drafting it for important intellectual content final approval of the version to be published and agreed to be account- able for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.