ClinicalTrials.gg
RecruitingNCT07899034Updated Oct 27, 2026

Music Therapy in Post-Stroke Patients: A Clinical Trial

An interventional study of Music therapy in CVA (Cerebrovascular Accident), Ictus and Stroke Acute, sponsored by Universidad de Granada. Recruiting at 1 site in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Universidad de Granada · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Jan 2025, registered Oct 2026).
  • Started Jan 2025; still recruiting 1 year 9 months later.
Updated Oct 27, 2026Newly registeredGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to learn if music therapy works to optimizate sleep quality in patients who have suffered a stroke. The main questions it aims to answer are:

  • What is the effect of music therapy on subjective sleep quality in stroke patients?
  • What is the effect of music therapy on the subjective perception of insomnia in stroke patients?
  • What is the effect of music therapy on levels of hospital anxiety and depression in stroke patients?
  • What is the level of satisfaction with the music therapy intervention?

Researchers will compare an intervention group consisting of patients who will undergo music therapy with a control group of participants receiving standard care without music therapy sessions.

Participants will:

  • Complete some questionaries about sleep quality (Pittsburgh Sleep Quality Index), inmsonia (Insomnia Severity Index), anxiety and depression associated with hospitalization (Hospital Anxiety and Depression Scale) before and after de intervention.
  • Intervention group receive daily 60-minute music therapy sessions at night during their hospitalization, whenever possible.
  • Intervention gruop have to report their perceived level of satisfaction with the music therapy.
Read the detailed description

1. Background Stroke is a major cause of mortality and disability worldwide. Post-stroke patients frequently experience sleep disturbances, which are exacerbated during hospitalization and may negatively affect recovery. Anxiety and depression are also common after stroke.

Music therapy is a promising non-pharmacological intervention, although evidence of its effects on sleep quality in post-stroke patients remains limited. Therefore, this clinical trial aims to assess the effects of music therapy on sleep quality in patients with recent stroke at the Hospital Universitario Clínico San Cecilio (HUCSC) in Granada.

  • Study Design: A randomized clinical trial has been conducted at the Hospital Universitario Clínico San Cecilio (HUCSC) in Granada to investigate the impact of music therapy on subjective sleep quality, insomnia, and hospital anxiety and depression following stroke.
  • Sample Size: The sample size was calculated to detect a clinically significant difference of two points on the Pittsburgh Sleep Quality Index (PSQI), assuming an expected standard deviation of 3.02. Statistical power was set at 80%, with a significance level of 5% (type I error). A 10% dropout rate was also anticipated, resulting in a required sample size of 56 participants per group, with a 1:1 allocation ratio.
  • Intervention Phases:

    1. Pre-intervention: At the beginning of the study, baseline levels of anxiety and depression, subjective sleep quality, sleep latency, sleep duration and sleep efficiency, as well as the subjective perception of insomnia, were assessed.
    2. Before each session: The patient is prepared to receive the music therapy intervention by dimming the ambient lighting in the room and minimizing interruptions as much as possible.
    3. During each session: Music is played at a constant volume. The staff responsible for delivering the intervention adapts the experience according to the patient's needs. All personnel administering the intervention have received specific training to ensure its proper implementation.
    4. After each session: The following morning, the speakers are collected, and the patient's perception of the quality of their night's sleep is assessed.
    5. Post-intervention: Before hospital discharge, all baseline parameters are reassessed, and patient satisfaction with the intervention is evaluated.
  • Ethical Considerations: The study was approved by the Research Ethics Committee and conducted in accordance with Good Clinical Practice, ISO 14155, the Declaration of Helsinki, and the Oviedo Convention. Written informed consent was obtained from all participants, who were informed of their right to withdraw at any time. Data confidentiality and participant anonymity were ensured in accordance with Regulation (EU) 2016/679 and Spanish Law 41/2002, using restricted-access databases and alphanumeric participant codes.
02

Conditions studied

  • CVA (Cerebrovascular Accident)
  • Ictus
  • Stroke Acute
  • Insomnia
  • Anxiety and Depression

Keywords

  • Stroke
  • Music therapy
  • Sleep quality
  • Insomnia
  • Anxiety
  • Depression
03

In context

Stroke

7,448 studies on the registry are indexed under Stroke; 2,013 are open to participants now.

This study's planned enrollment of 84 is above the median of 50 across 5,482 interventional studies indexed under Stroke.

Browse Stroke studies →

Lead sponsor

Universidad de Granada is the lead sponsor of 245 studies on the registry; 42 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
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

  • Diagnosis or suspected diagnosis of stroke.
  • Admission to the Neurology Department of the Hospital Universitario Clínico San Cecilio (HUCSC).
  • Score ≥ 5 on the Canadian Neurological Scale.
  • Preserved cognitive function.
  • Glasgow Coma Scale score ≥ 14.

Exclusion criteria

Exclusion Criteria:

  • Language impairment (aphasia).
  • Significant difficulties understanding the language.
  • Cognitive impairments affecting comprehension.
  • Acute psychiatric disorders and/or states of agitation.
  • Severe hearing impairment or profound deafness.
  • Diagnosis of obstructive sleep apnea.
  • Restless legs syndrome.
  • Chronic obstructive pulmonary disease.
  • Narcolepsy.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
84 participants (estimated)

Study arms

  • Experimental
    Grupo intervención (receptor de musicoterapia)

    Other: Music therapy

  • No intervention
    Grupo control (no receptor de musicoterapia)

Interventions

  • OtherMusic therapy

    Intervention Characteristics: * Duration: each music therapy session will last 60 minutes * Setting: the sessions will be administered during at night shift in the Neurology Department of the Hospital Universitario Clínico San Cecilio (HUCSC). * Frequency: daily sessions will be administered during the participant's hospitalization, whenever the participant's clinical condition allows. * Type of music: the selected music will consist of slow rhythms (60-80 bpm) and soft sounds, avoiding abrupt changes. Pieces in lower pitches and with flowing melodies have been shown to facilitate the transition to sleep, while avoiding elements that may stimulate the listener, such as lyrics or pronounced rythms. * Method of delivery: low-intensity speakers will be used in dimly lit environments to expose participants to the music therapy intervention.

06

What researchers measure

Primary outcomes

  1. Pittsburgh Sleep Quality Index (PSQI)

    This is a validated, self-administered instrument consisting of 19 questions distributed across seven components: subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, use of sleep medication, and daytime dysfunction. The total score ranges from 0 to 21, with scores greater than 5 indicating poor sleep quality. The PSQI has previously been used in studies involving patients diagnosed with stroke.

    Time frame: At study baseline and at the end of the study.

Secondary outcomes

  1. Insomnia Severity Index (ISI)

    This validated scale allows the assessment of insomnia severity and its functional impact. It consists of 7 items assessing difficulties in falling sleep and maintaining sleep, satisfaction with sleep, the impact on daily activities, and the degree of concern associated with sleep difficulties. Each item is scored on a scale from 0 to 4, with a total score ranging from 0 to 28. Based on the total score, the following severity levels are established: * From 0 to 7: absence of clincally significant insomnia. * From 8 to 14: subclinical insomnia. * From 15 to 21: moderate insomnia. * From 22 to 28: severe insomnia.

    Time frame: At study baseline and at the end of the study.

  2. Hospital Anxiety and Depression Scale (HADS)

    This scale consist of 14 items, organized in two subscales: * Anxiety subscale (HADS-A): identifies symptoms associated with anxiety. * Depression subscale (HADS-D): assesses symptoms associated with depression. Each item is scored on a scale from 0 to 3 points, where 0 represents the absence of symptoms and 3 represents the greatest symptom severity. Thus, each subescale can achieve a total score ranging from 0 to 21 points. * From 0 to 7: normal emotional state. * From 8 to 10: mild anxiety or depression. * From 11 to 14: moderate anxiety or depression. * From 15 to 21: severe anxiety or depression.

    Time frame: At study baseline and at the end of the study.

  3. Glasgow Coma Scale (GCS)

    This scale is used to measure the level of consciousness and brain injury. It consists of three components: * Eye opening: scored on a scale of 1 to 4 points, where 1 corresponds to no eye opening anda 4 to spontaneous eye opening. * Verbal response: scored from 1 to 5, with 1 indicating no verbal response and 5 indicatin an oriented and appropiate response. * Motor response: scored from 1 to 6, where 1 indicates no motor response and 6 indicates the ability to follow commands. The sum of the three components yields a total score ranging from 3 to 15 points. Scores of 8 or lower indicate a severe coma and require immediate intervention.

    Time frame: At study baseline

  4. Canadian Neurological Scale (CNS)

    Neurological status in patients with stroke is assessed using this scale. It is structured into three domains, although only two of them were analyzed in this study: * Mental function: * Level of consciousness: distinguishing between alert and drowsy patients, as well as assessing their level of orientation in time and space. * Language: assessed as normal, with impaired expression, or with impaired comprehension. * Motor functions: * Patients without comprehension impairment: facial function and motor function in the upper limb (proximal and distal) and lower limbs are assessed. * Patients with comprehension impairment: the same motor areas are assessed, with evaluations performed periodically accordign to established protocols, generally every four hours.

    Time frame: At study baseline

  5. Patient satisfaction scale

    It consists of a five-item questionnaire assessing the perceived benefits of music therapy, the feeling of relaxation experienced during the sessions, the suitability of the setting in which the intervention was delivered, the appropriateness of the number and duration of the sessions, and whether participants wpuld recommend this intervention.

    Time frame: Immediately after the intervention

  6. Sociodemographic data and clinical variables

    An ad hoc instrument is administered to collect sociodemographic data (age and sex). Clinical variables are obtained from the electronic medical record available throug the Diraya system

    Time frame: Baseline, pre-intervention

07

Study locations

1 of 1 sites recruiting
  • Hospital Universitario Clínico San Cecilio
    Granada, Granada 18007, Spain
    Recruiting
08

References and documents

Publications

  • Yang S, Yan X, Zhang Z, Gao W, Zhang T, Zhang W. Effects of music on post-stroke sleep disorders and treatment perspectives: review and narrative synthesis. Front Hum Neurosci. 2026 Jan 14;19:1710535. doi: 10.3389/fnhum.2025.1710535. eCollection 2025. PubMed 41613158 ↗
  • Serra Vila M, De Luis Molero VJ, Valls I Ballespí J. Evaluación de un programa de musicoterapia en una unidad de cuidados paliativos. La perspectiva de los cuidadores. Medicina Paliativa. 2016 Jul 1;23(3):129-40. doi:10.1016/j.medipa.2014.02.002
  • Alonso Modino D, Perestelo Perez L, Rosa Gonzalez FM, Toledo Chavarri A, Valcarcel Nazco C, Monton Alvarez FI. Quality of life and mental health in young strokes. Neurologia (Engl Ed). 2025 Apr;40(3):229-238. doi: 10.1016/j.nrleng.2025.03.003. Epub 2025 Mar 19. PubMed 40118171 ↗
  • Rodríguez López, A; Iglesias Mohedano, AM; Vales Montero, M; Gil Núñez, A. Código ictus. Manejo en urgencias del ictus en fase aguda. Medicine - Programa de Formación Médica Continuada Acreditado. 2023 Nov 1;13(90):5297-306. doi:10.1016/j.med.2023.10.019
  • Ding B, Yan J, Shan X, Deng M, Qian J, Du C, Zhang Y, Shen L, Ji F, Pan T. Effect of music intervention on preoperative anxiety, a randomised clinical study. Sci Rep. 2025 Oct 1;15(1):34261. doi: 10.1038/s41598-025-16413-7. PubMed 41034371 ↗
  • Li G, Yu L, Yang Y, Deng J, Shao L, Zeng C. Effects of Perioperative Music Therapy on Patients with Postoperative Pain and Anxiety: A Systematic Review and Meta-Analysis. J Integr Complement Med. 2024 Jan;30(1):37-46. doi: 10.1089/jicm.2022.0803. Epub 2023 Aug 30. PubMed 37646752 ↗
  • Dai RS, Wang TH, Chien SY, Tzeng YL. Dose-response analysis of music intervention for improving delirium in intensive care unit patients: A systematic review and meta-analysis. Nurs Crit Care. 2025 Sep;30(5):e13230. doi: 10.1111/nicc.13230. Epub 2025 Jan 24. PubMed 39854127 ↗
  • Fan LP, Quijano-Ruiz A, Wang C, Zhao HW, Wang DN, Wu HM, Liu L, Zhan YH, Zhou XB. Effects of personalized music listening on post-stroke cognitive impairment: A randomized controlled trial. Complement Ther Clin Pract. 2024 Nov;57:101885. doi: 10.1016/j.ctcp.2024.101885. Epub 2024 Jul 22. PubMed 39098085 ↗
  • Zhong K, An X, Kong Y. The effectiveness of five-element music therapy for post-stroke depression: A systematic review and meta-analysis. Heliyon. 2024 Feb 17;10(5):e26603. doi: 10.1016/j.heliyon.2024.e26603. eCollection 2024 Mar 15. PubMed 38444465 ↗
  • Gardener SH, Mukaetova-Ladinska EB, Perera NA. The Effect of Music Therapy on Psychological Outcomes for Neurological Conditions: A Systematic Review. Medicina (Kaunas). 2025 Sep 5;61(9):1611. doi: 10.3390/medicina61091611. PubMed 41011002 ↗
  • Jespersen KV, Pando-Naude V, Koenig J, Jennum P, Vuust P. Listening to music for insomnia in adults. Cochrane Database Syst Rev. 2022 Aug 24;8(8):CD010459. doi: 10.1002/14651858.CD010459.pub3. PubMed 36000763 ↗
  • Yang J, Lin A, Tan Q, Dou W, Wu J, Zhang Y, Lin H, Wei B, Huang J, Xie J. Development of insomnia in patients with stroke: A systematic review and meta-analysis. PLoS One. 2024 Apr 10;19(4):e0297941. doi: 10.1371/journal.pone.0297941. eCollection 2024. PubMed 38598535 ↗
  • Kang J, Cho YS, Lee M, Yun S, Jeong YJ, Won YH, Hong J, Kim S. Effects of nonpharmacological interventions on sleep improvement and delirium prevention in critically ill patients: A systematic review and meta-analysis. Aust Crit Care. 2023 Jul;36(4):640-649. doi: 10.1016/j.aucc.2022.04.006. Epub 2022 Jun 17. PubMed 35718628 ↗
  • Pan EY, Wang W. Elements of music that work to improve sleep, a narrative review. Front Sleep. 2025 Dec 2;4:1707162. doi: 10.3389/frsle.2025.1707162. eCollection 2025. PubMed 41425167 ↗
  • Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983 Jun;67(6):361-70. doi: 10.1111/j.1600-0447.1983.tb09716.x. PubMed 6880820 ↗
  • Cote R, Hachinski VC, Shurvell BL, Norris JW, Wolfson C. The Canadian Neurological Scale: a preliminary study in acute stroke. Stroke. 1986 Jul-Aug;17(4):731-7. doi: 10.1161/01.str.17.4.731. PubMed 3738958 ↗
  • Jennett B. The history of the Glasgow Coma Scale: an interview with professor Bryan Jennett. Interview by Carole Rush. Int J Trauma Nurs. 1997 Oct-Dec;3(4):114-8. doi: 10.1016/s1075-4210(97)90005-5. PubMed 9391355 ↗
  • Fernandez-Mendoza J, Rodriguez-Munoz A, Vela-Bueno A, Olavarrieta-Bernardino S, Calhoun SL, Bixler EO, Vgontzas AN. The Spanish version of the Insomnia Severity Index: a confirmatory factor analysis. Sleep Med. 2012 Feb;13(2):207-10. doi: 10.1016/j.sleep.2011.06.019. Epub 2011 Dec 14. PubMed 22172961 ↗
  • Luo Y, Yu G, Liu Y, Zhuge C, Zhu Y. Sleep quality after stroke: A systematic review and meta-analysis. Medicine (Baltimore). 2023 May 19;102(20):e33777. doi: 10.1097/MD.0000000000033777. PubMed 37335687 ↗
  • Tayade K, Vibha D, Singh RK, Pandit AK, Ramanujam B, Das A, Elavarasi A, Agarwal A, Srivastava AK, Tripathi M. Prevalence and determinants of post-stroke sleep disorders: a cross-sectional hospital-based study. Sleep Breath. 2023 Dec;27(6):2429-2433. doi: 10.1007/s11325-023-02850-z. Epub 2023 May 15. PubMed 37183196 ↗
  • Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989 May;28(2):193-213. doi: 10.1016/0165-1781(89)90047-4. PubMed 2748771 ↗
  • Dadmehr M, Akhtari E, Haqiqi M. The effect of music on the improvement of sleep quality: a report from the viewpoint of Jorjani. Neurol Sci. 2023 May;44(5):1787-1789. doi: 10.1007/s10072-023-06702-2. Epub 2023 Feb 25. PubMed 36840854 ↗
  • Zhao B, Yao Y, Gao T. The effect of psychological intervention on the quality of life and rehabilitation outcome of stroke patients with anxiety and depression: A systematic review. Medicine (Baltimore). 2024 Nov 8;103(45):e40439. doi: 10.1097/MD.0000000000040439. PubMed 39533617 ↗
  • Davis JC, Falck RS, Best JR, Chan P, Doherty S, Liu-Ambrose T. Examining the Inter-relations of Depression, Physical Function, and Cognition with Subjective Sleep Parameters among Stroke Survivors: A Cross-sectional Analysis. J Stroke Cerebrovasc Dis. 2019 Aug;28(8):2115-2123. doi: 10.1016/j.jstrokecerebrovasdis.2019.04.010. Epub 2019 May 23. PubMed 31129108 ↗
  • Garcia-Perez P, Rodriguez-Martinez MC, Gallardo-Tur A, Blanco-Reina E, de la Cruz-Cosme C, Lara JP. Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial. PLoS One. 2024 Aug 19;19(8):e0308800. doi: 10.1371/journal.pone.0308800. eCollection 2024. PubMed 39159190 ↗
  • Urcan Z, Kolcu M. Effect of a Nurse-Led Education Program for Stroke Patients on Sleep Quality and Quality of Life: A Randomized Controlled Study. Clin Nurs Res. 2022 Feb;31(2):340-347. doi: 10.1177/10547738211046138. Epub 2021 Sep 14. PubMed 34519555 ↗
  • Beswick AD, Wylde V, Bertram W, Whale K. The effectiveness of non-pharmacological sleep interventions for improving inpatient sleep in hospital: A systematic review and meta-analysis. Sleep Med. 2023 Jul;107:243-267. doi: 10.1016/j.sleep.2023.05.004. Epub 2023 May 18. PubMed 37257367 ↗
  • Hale E, Gottlieb E, Usseglio J, Shechter A. Post-stroke sleep disturbance and recurrent cardiovascular and cerebrovascular events: A systematic review and meta-analysis. Sleep Med. 2023 Apr;104:29-41. doi: 10.1016/j.sleep.2023.02.019. Epub 2023 Feb 20. PubMed 36889030 ↗
  • Sindorf J, Campagnini S, O'Brien MK, Sunderrajan A, Knutson KL, Zee PC, Wolfe L, Arora VM, Jayaraman A. Sleep Following a Stroke: Multimodal Evaluation of Sleep Health and Disruptions and Impact on Recovery During Acute Inpatient Rehabilitation. Neurorehabil Neural Repair. 2025 Jul;39(7):529-541. doi: 10.1177/15459683251335332. Epub 2025 May 6. PubMed 40326398 ↗
  • Soto A, Guillen-Grima F, Morales G, Munoz S, Aguinaga-Ontoso I, Fuentes-Aspe R. [Prevalence and incidence of ictus in Europe: systematic review and meta-analysis]. An Sist Sanit Navar. 2022 Apr 28;45(1):e0979. doi: 10.23938/ASSN.0979. Spanish. PubMed 34751194 ↗
  • GBD 2021 Stroke Risk Factor Collaborators. Global, regional, and national burden of stroke and its risk factors, 1990-2021: a systematic analysis for the Global Burden of Disease Study 2021. Lancet Neurol. 2024 Oct;23(10):973-1003. doi: 10.1016/S1474-4422(24)00369-7. PubMed 39304265 ↗

Individual participant data

Plan to share: No — Confidential data

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2025 (actual). Primary completion is estimated for Dec 2027, 35 months after the start.

Of 2,859 non-industry interventional studies with no phase under Stroke, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 45. This study's planned 35 months is above that.

Counting every sponsor, half of 2,988 studies reached it within 23 months; a quarter within 10 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 3, 2026
First posted
Oct 27, 2026
StartActual
Jan 15, 2025
Primary completionEst.
Dec 2027
CompletionEst.
Dec 2027
Last update
Oct 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07899034
Collaborators
Fundación Pública Andaluza para la Investigación Biomédica Andalucía Oriental
Responsible party
Raquel Rodriguez Blanque (Associated proffesor in Departament of Nursing at University of Granada, Universidad de Granada) — Principal investigator
First posted
Oct 27, 2026
Start date
Jan 15, 2025
Primary completion
Dec 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

Raquel Rodríguez Blanque Associated Proffesor at University of Granada, Nursing
Contact
rarobladoc@ugr.es
+34697958469

Oversight

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

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