About this trial
The primary goal of this single-case experimental design study is to investigate the effectiveness of personalised music listening on daily levels of distress after discharge from a critical care ward. The study will also aim to understand the effect of personalised music listening on symptoms of post-traumatic stress, anxiety, depression and health-related quality of life post-discharge.
The main questions the study aims to answer are included below.
After discharge from critical care, does personalised music-listening:
* Reduce psychological distress? * Reduce symptoms of anxiety and depression? * Improve health-related quality of life (HRQoL)?
The study will have 3 phases, allowing for participant data gathered during the baseline phase (treatment as usual) to be compared to data gathered during intervention (music-listening) and follow-up phases.
Participants will:
* rate their distress on a visual analogue scale each day. * listen to a minimum of 30 minutes of self-selected music each day during the intervention phase. * complete measures of mood, anxiety, post-traumatic stress and health-related quality of life at baseline, intervention and follow-up phases.
Eligibility criteria
Qualifiers
18 years or older.
Experienced an admission to an ICU/HDU of any length and not yet participated in InS:PIRE.
Access to an internet-enabled device and internet connection whilst at home.
Experiencing some distress relating to their ICU/HDU admission - a cut-off score of 4 on the VAS 'Distress Thermometer' has been used previously (Hofhuis et al., 2025).
Disqualifiers
Are unable to give informed consent e.g. have a significant cognitive impairment due to illness, injury or neurological condition, or are currently experiencing delirium or acute psychotic illness.
Have significant communication difficulties or limited English and cannot access validated outcome measures or translation services in the given language.
Are experiencing a mental health crisis or have recently attempted suicide, where ongoing significant risk of harm to themselves or others remains.
Have an uncorrected hearing impairment that would prevent them from hearing their music playlist.
Trial design
Treatments tested in this trial
- Music intervention
Treatment groups
Sponsors and collaborators
University of Edinburgh
Lead sponsor
NHS Fife
Collaborator