Measuring the effects of listening for leisure on outcome after stroke (MELLO): A pilot randomized controlled trial of mindful music listening
Baylan S, Haig C, MacDonald M, Stiles C, Easto J, Thomson M, Cullen B, Quinn TJ, Stott D, Mercer SW, Broomfield NM, Murray H, Evans JJ
International journal of stroke : official journal of the International Stroke Society · 24 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Posiblemente financiado por la industria
- Organización sin fines de lucro
- Stroke Association
- Organización sin fines de lucro
- Dunhill Medical Trust
- Empresa
- Dr Mortimer and Theresa Sackler Foundation
- Organización sin fines de lucro
- Vivensa Foundation
- Gobierno
- Scottish Executive Chief Scientist Office
- Subvenciones
- Dunhill Medical Trust (R432/0214)
Según 5 financiadores declarados y la declaración de financiación del texto completo.
Publicación
- Publicado
- 2019-04-02 · Int J Stroke · vol. 15 · número 2 · págs. 149–158
- Editorial
- SAGE Publishing
- Citado
- 38 citas · más que el 94% de estudios similares · 4.3× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 27 trabajos
- Acceso
- Acceso abierto (revista híbrida) · CC-BY
- Áreas de investigación
- Music Therapy and Health · Stroke Rehabilitation and Recovery · Mindfulness and Compassion Interventions
- Palabras clave
- Medicine, Active listening, Randomized controlled trial, Stroke (engine), Outcome (game theory), Physical therapy, Physical medicine and rehabilitation, Audiology, Psychotherapist, Psychology, Internal medicine
- MeSH
- humans, treatment outcome, pilot projects, affect, cognition, recovery of function, leisure activities, music, aged, middle aged, female, male, stroke, mindfulness, stroke rehabilitation, cognitive dysfunction
13 autores
- Satu Baylan🇬🇧University of Glasgow
- Caroline E. Haig🇬🇧University of Glasgow
- Maxine MacDonald🇬🇧University of Glasgow
- Ciara Stiles🇬🇧NHS Greater Glasgow and Clyde; University of Glasgow
- Jake Easto🇬🇧NHS Greater Glasgow and Clyde; University of Glasgow
- Meigan Thomson🇬🇧University of Glasgow
- Breda Cullen🇬🇧University of Glasgow
- Terence J. Quinn🇬🇧University of Glasgow
- David J. Stott🇬🇧University of Glasgow
- Stewart William Mercer🇬🇧University of Glasgow; University of Edinburgh
- Niall M. Broomfield🇬🇧University of East Anglia; NHS Greater Glasgow and Clyde
- Heather M. Murray🇬🇧University of Glasgow
- Jonathan J. Evans🇬🇧 · autor de correspondenciaUniversity of Glasgow
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
Cognitive deficits and low mood are common post-stroke. Music listening is suggested to have beneficial effects on cognition, while mindfulness may improve mood. Combining these approaches may enhance cognitive recovery and improve mood early post-stroke.
Aims
To assess the feasibility and acceptability of a novel mindful music listening intervention.
Methods
A parallel group randomized controlled feasibility trial with ischemic stroke patients, comparing three groups; mindful music listening, music listening and audiobook listening (control group), eight weeks intervention. Feasibility was measured using adherence to protocol and questionnaires. Cognition (including measures of verbal memory and attention) and mood (Hospital Anxiety and Depression Scale) were assessed at baseline, end of intervention and at six-months post-stroke.
Results
Seventy-two participants were randomized to mindful music listening (n = 23), music listening (n = 24), or audiobook listening (n = 25). Feasibility and acceptability measures were encouraging: 94% fully consistent with protocol; 68.1% completing ≥6/8 treatment visits; 80-107% listening adherence; 83% retention to six-month endpoint. Treatment effect sizes for cognition at six month follow-up ranged from d = 0.00 ([-0.64,0.64], music alone), d = 0.31, ([0.36,0.97], mindful music) for list learning; to d = 0.58 ([0.06,1.11], music alone), d = 0.51 ([-0.07,1.09], mindful music) for immediate story recall; and d = 0.67 ([0.12,1.22], music alone), d = 0.77 ([0.16,1.38]mindful music) for attentional switching compared to audiobooks. No signal of change was seen for mood. A definitive study would require 306 participants to detect a clinically substantial difference in improvement (z-score difference = 0.66, p = 0.017, 80% power) in verbal memory (delayed story recall).
Conclusions
Mindful music listening is feasible and acceptable post-stroke. Music listening interventions appear to be a promising approach to improving recovery from stroke.
Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial (CC BY).
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