Music Therapy to Address Patients' Journeys with Chronic Illness, Outcomes, and Readmission - MAJOR CHORD RCT

Eligibility Criteria

• 1. Age range: ≥30 to ≤89 years
• 2. Primary indication for current hospitalization is either COPD or HF with confirmed ICD-10 code in the electronic health record (EHR)
• 3. Able to read and understand English
• 4. Hospitalized at UH Cleveland Medical Center (UHCMC) with anticipated length of stay following recruitment ≥ 2 days as documented in electronic health record (EHR) and confirmed by the clinical care team
• 5. Access to Wi-Fi, active email address, \& laptop, tablet, smartphone, and/or PC with videoconferencing capabilities at home or the facility in which they will be discharged
• 6. Has reliable access to a mobile device with an active data plan at the hospital and at home and is comfortable accessing the internet and their email with this device
• 1. Active confirmed or suspected COVID-19, or under droplet, contact, MRSA, and/or C.diff precaution notification as documented in the EHR
• 2. Included on the Music Therapy Referral patient list in the EHR
• 3. Significant hearing and/or visual impairment as documented in EHR
• 4. Unable to independently provide consent (i.e., no proxy consent)
• 5. Active suicidal ideation as documented in EHR during current hospital admission
• 6. Severe psychological comorbidity (e.g., psychosis, schizophrenia) that would prevent patient from engaging fully in intervention as documented in EHR
• 7. Receiving active cancer treatment (e.g., chemotherapy, radiation, immunotherapy) as documented in EHR
• 8. Diagnosed with medical condition likely to be terminal within 24 weeks as documented in EHR
• 9. On wait list for heart transplantation or ventricular assist device (VAD) as documented in EHR
• 10. NYHA Stage IV HF or end-stage COPD as documented in EHR
• 11. Receiving hospice care as documented in EHR
• 12. Active substance abuse as documented in EHR
• 13. Has end stage renal disease or is currently receiving dialysis
• 1. Randomized to the control arm