About this trial
The goal of this clinical trial is to learn whether a music-based intervention can improve mental and physical health and strengthen coping skills among adults living in residential care settings in northern Arizona. The main questions it aims to answer are: Does participation in the music-based intervention reduce stress, anxiety, depression, and pain?, and Does participation increase the use of music as a coping strategy and improve overall well-being?
Researchers will compare participants' pre-intervention and post-intervention responses to determine whether the music classes are associated with improvements in health and coping outcomes. Participants will: Attend a 6-week music class held once per week for one hour; participate in active music activities such as drumming and rhythm exercises; complete a brief survey before and after the intervention. Some participants are also invited to complete a short interview about their experiences.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
residency at one of the two elder care facilities
ability to communicate in English.
Disqualifiers
not a resident at one of the two elder care facilities
inability to communicate in English.
Trial design
Single group
Treatments tested in this trial
Music Based Intervention
BehavioralParticipants will engage in a 6-week culturally grounded music-based intervention consisting of one 60-minute session per week. Sessions include active music participation such as drumming, rhythm exercises, and Indigenous music practices designed to improve stress, anxiety, depression, pain, and coping outcomes among adults in residential care settings.
Treatment groups
Trial outcomes
Primary outcomes
Perceived Stress Scale (PSS-10)
The Perceived Stress Scale (PSS) is a classic stress assessment instrument. The tool, while originally developed in 1983, remains a popular choice for helping us understand how different situations affect our feelings and our perceived stress. The questions in this scale ask about feelings and thoughts during the last month. PSS can range from 0 to 40 with higher scores indicating higher perceived stress.
The Generalized Anxiety Disorder 2-item (GAD-2)
The Generalized Anxiety Disorder 2-item (GAD-2) is an ultra-brief, 2-question screening tool used in primary care to detect generalized anxiety disorder. The total score range for the Generalized Anxiety Disorder 2-item (GAD-2) screening tool is 0 to 6, with a score of 3 or higher identifying possible cases of generalized anxiety disorder (and other common anxiety disorders).
Patient Health Questionnaire-2 (PHQ-2)
The Patient Health Questionnaire-2 (PHQ-2) is a brief, two-question screening tool used to assess depression by measuring the frequency of depressed mood and anhedonia over the past two weeks with a total score ranging from 0 to 6. It assesses the frequency of depressed mood and anhedonia over the past two weeks, with a cut-point of 3 or greater often indicating a need for further evaluation.
Chronic Pain Grade Scale (CPGS)
The purpose of the Chronic Pain Grade Scale (CPGS) was to give doctors a standard with which to work when comparing pain and health. The CPGS classifies pain severity into five hierarchical categories-Grade 0 to Grade IV-based on pain intensity and disability over the past 3-6 months. It typically uses 0-10 Likert scales for individual items, calculating subscores for intensity and disability (0-100) to determine the grade. Higher scores indicate higher intensity and disability related to pain.
Sponsors and contacts
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Northern Arizona University
Lead sponsor
National Institute on Minority Health and Health Disparities (NIMHD)
Collaborator