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CompletedNCT04280744Updated Feb 3, 2022

Feasibility of a Music Therapy Intervention to Decrease Stress During Pediatric Critical Care

An interventional study of Music therapy in Critical Illness and Hypoxia, Brain, sponsored by University of Pittsburgh. Completed at 1 site in United States. Open to participants aged 2 Months to 17 Years. Per ClinicalTrials.gov, last updated 2022-02-03.

Primary conditionHypoxia, BrainRegistry: Critical IllnessReclassifiedWhy we changed it
Registry
Critical Illness — the first condition term the registry derived for this study.
ClinicalTrials.gg
Hypoxia, Brain
Why
  1. Critical Illness is a broad heading, used only when no more specific condition is named.
  2. The study's listed conditions name Hypoxia, Brain.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Pittsburgh · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Not applicable
Ages
2 Months to 17 Years
Sex
All
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Study summary

Admission into a pediatric intensive care unit (PICU) is a highly stressful experience for child and family. High levels of stress can negatively impact outcomes, yet non-pharmacological interventions to decrease stress in the PICU are severely lacking. This is a prospective, single-arm feasibility trial that will explore the feasibility and acceptability of a music therapy intervention to decrease stress in the PICU among families of children receiving invasive or noninvasive mechanical ventilation.

Objectives: The aims of this study are to: 1) Assess the feasibility of implementing a music therapy intervention in the PICU among children receiving invasive or non-invasive mechanical ventilation; 2) Determine the acceptability of the music therapy intervention in the ICU among caregivers, patients, and pediatric and cardiac ICU staff; 3) Explore the variability in child and caregiver stress outcomes throughout ICU admission. Hypothesis: The music therapy intervention will be feasible, as determined by recruitment, retention, protocol adherence, and data collection rates, and will be acceptable to participants and to PICU staff.

Sample: This study will recruit 20 families that include children aged 2 months - 17 years old admitted with an expected length of ICU stay greater than 72 hours. Of these 20 families, the investigators will specifically recruit 10 families whose child is admitted for a hypoxic brain injury. Eligible children are receiving either noninvasive mechanical ventilation (i.e., continuous or bilevel positive airway pressure), invasive mechanical ventilation, or have an established tracheostomy tube and with escalated support settings. One primary caregiver will be enrolled along with the child admitted into the ICU.

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Conditions studied

  • Critical Illness
  • Hypoxia, Brain

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03

In context

Hypoxia, Brain Reclassified

81 studies on the registry are indexed under Hypoxia, Brain; 19 are open to participants now.

This study's enrollment of 38 is below the median of 60 across 55 interventional studies indexed under Hypoxia, Brain.

Browse Hypoxia, Brain studies →

Lead sponsor

University of Pittsburgh is the lead sponsor of 1,419 studies on the registry; 168 are open to participants now.

Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.

Compared within Hypoxia, Brain, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Critical Illness. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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Who can participate

Ages eligible
2 Months to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Parent/caregiver aged 18 years or older.
  • Children aged 2 months - 17 years admitted to the PICU with an expected length of stay greater than 72 hours
  • Child is receiving either noninvasive mechanical ventilation (i.e., continuous or bilevel positive airway pressure), invasive mechanical ventilation, or have an established tracheostomy tube and with escalated support setting

Exclusion criteria

Exclusion Criteria:

  • The legal guardian is unclear,
  • Caregiver does not read, write, and speak English
  • Child is not expected to survive that PICU stay or has care limitations in place
  • Child has deafness in both ears, in foster care or justice system, or experiences musicogenic epilepsy.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Experimental
    Music therapy

    Music listening intervention provided by a board certified music therapist.

    Other: Music therapy

Interventions

  • OtherMusic therapy

    Patient preferred song will be provided in a sedative manor (e.g., 60-80 beats per minute) using live music (singing with guitar accompaniment) by a board certified music therapist.

    Also known as: Music listening

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What researchers measure

Primary outcomes

  1. Feasibility of participant recruitment

    Feasibility of participant recruitment will be determined via recruitment rate

    Time frame: Throughout study completion, anticipated 1 year

  2. Feasibility of participant retention

    Feasibility of participant retention will be determined via retention

    Time frame: Post-intervention completion, anticipated 2 weeks

  3. Feasibility of protocol

    Feasibility of protocol will be determined via percentage of sessions that adhere to protocol

    Time frame: Throughout study completion, anticipated 1 year

  4. Feasibility of data collection

    Feasibility of data collection will be determined via percentage of participants with complete data capture

    Time frame: Throughout study completion, anticipated 1 year

  5. Acceptability of intervention among participants

    Acceptability will be assessed via interviews with participants (caregivers and children 8 years and older) to ascertain intervention benefits, barriers, and potential optimizations.

    Time frame: Post-intervention, anticipated 2 weeks

Secondary outcomes

  1. Change in heart rate

    Change in child participant heart rate during intervention

    Time frame: Throughout intervention completion, anticipated 2 weeks

  2. Change in oxygen saturation

    Change in child participant oxygen saturation during intervention

    Time frame: Throughout intervention completion, anticipated 2 weeks

  3. Change in blood pressure

    Change in child participant blood pressure during intervention

    Time frame: Throughout intervention completion, anticipated 2 weeks

  4. Change in saliva cortisol

    Change in child and caregiver participant saliva cortisol levels pre-post intervention

    Time frame: Throughout intervention completion, anticipated 2 weeks

  5. Change in saliva inflammatory biomarkers

    Change in child participant saliva inflammatory biomarker levels pre-post intervention

    Time frame: Throughout intervention completion, anticipated 2 weeks

  6. Visual Analog Scale - Anxiety

    Change in caregiver participant self-reported anxiety pre-post intervention. 0-100, higher score indicates greater anxiety level.

    Time frame: Throughout intervention completion, anticipated 2 weeks

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Study locations

1 site
  • UPMC Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15224, United States
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References and documents

Publications

  • Bradt J, Dileo C. Music interventions for mechanically ventilated patients. Cochrane Database Syst Rev. 2014;2014(12):CD006902. doi: 10.1002/14651858.CD006902.pub3. Epub 2014 Dec 9. PubMed 25490233 ↗
  • Chlan LL, Weinert CR, Heiderscheit A, Tracy MF, Skaar DJ, Guttormson JL, Savik K. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. JAMA. 2013 Jun 12;309(22):2335-44. doi: 10.1001/jama.2013.5670. PubMed 23689789 ↗
  • Liu MH, Zhu LH, Peng JX, Zhang XP, Xiao ZH, Liu QJ, Qiu J, Latour JM. Effect of Personalized Music Intervention in Mechanically Ventilated Children in the PICU: A Pilot Study. Pediatr Crit Care Med. 2020 Jan;21(1):e8-e14. doi: 10.1097/PCC.0000000000002159. PubMed 31652195 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04280744
Collaborators
University of Pittsburgh Medical Center
Responsible party
Jessica Jarvis (Postdoctoral Scholar, University of Pittsburgh) — Principal investigator
First posted
Feb 21, 2020
Start date
Jun 29, 2020
Primary completion
Feb 1, 2021
Completion
Feb 1, 2022
Last update
Feb 3, 2022

Study contacts

Jessica M Jarvis, PhD
principal investigator · University of Pittsburgh

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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