COMPLETED

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

Conditions

Heart Failure Chronic Obstructive Pulmonary Disease Music Therapy In-person Virtual

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Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Conduct a randomized trial (n = 60: with n = 30 receiving music therapy and n = 30 receiving usual care) to investigate the feasibility, acceptability, and preliminary efficacy of the MAJOR CHORD music therapy intervention compared to usual care on (a) health-related quality of life (e.g., physical function, depression, anxiety, fatigue, and pain interference), (b) perceived stress, (c) self-efficacy, and (d) 30-day readmission rates

Official Title

Music Therapy to Address Patients' Journeys With Chronic Illness, Outcomes, and Readmission (MAJOR CHORD RCT): A Randomized Controlled Trial

Quick Facts

Study Start:2024-08-26

Study Completion:2025-06-17

Study Type:Not specified

Phase:Not Applicable

Enrollment:Not specified

Status:COMPLETED

Study ID

NCT06546319

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:30 Years to 89 Years

Sexes Eligible for Study:ALL

Accepts Healthy Volunteers:No

Standard Ages:ADULT, OLDER_ADULT

Inclusion Criteria	Exclusion 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, \&amp; 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

Inclusion Criteria

Exclusion 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, \&amp; 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

Contacts and Locations

Principal Investigator

Samuel Rodgers-Melnick, MPH, MT-BC

PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center

Study Locations (Sites)

University Hospitals Cleveland Medical Center

Cleveland, Ohio, 44106

United States

Collaborators and Investigators

Sponsor: Samuel Rodgers-Melnick

Samuel Rodgers-Melnick, MPH, MT-BC, PRINCIPAL_INVESTIGATOR, University Hospitals Cleveland Medical Center

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-08-26

Study Completion Date2025-06-17

Study Record Updates

Study Start Date2024-08-26

Study Completion Date2025-06-17

Terms related to this study

Keywords Provided by Researchers

Music Therapy
Chronic Obstructive Pulmonary Disease
Heart Failure
In-person
Virtual

Additional Relevant MeSH Terms

Heart Failure
Chronic Obstructive Pulmonary Disease