Download Title of the study

Good morning
Welcome to
all
Syed Imran
117/Jan 2014
Guide
Dr M S Moosabba
Professor
Co-guide
Yenepoya Medical College Dr. Sr. Alphonsa Ancheril
Professor
Mangalore
Athena College of Nursing
Mangalore
Introduction
• Person with cancer experience a range of symptoms related
to both the disease and its treatment.
• Spending time in the hospital and undergoing for many
investigations and numerous treatment modalities can be
highly upsetting particularly chemotherapy.
• This
experience
can
influence
physiological
and
psychosocial aspects that can impact the physical and
mental health of the patient with cancer.
Cont…
• Increased anxiety and enhanced pain perception
are self-reported psychosocial and physiological
measures respectively that also may be affected.
• The efforts of the patients to different treatment
options can be observed through changes in
these physiological and psychosocial measures.
Cont…
• Listening to music can positively benefit
neurophysiologic and emotional responses as
well as promote relaxation, which may be
especially beneficial for cancer patients
undergoing painful and anxiety inducing
treatments.
Title of the study
Interventional effect of Receptive Music
Therapy on physiological and psychological
outcomes
during
chemotherapy
among
patients with cancer in a selected oncology
centers of Dakshina Kannada.
Aim of the study
The aim of the study is to evaluate the
effectiveness of receptive music therapy on
physiological (pain, blood pressure, heart rate)
and psychological (anxiety, stress, depression)
conditions.
Objectives
1. To assess the physiological and psychological
outcomes before and after the music therapy.
2. To find out the effectiveness of music therapy
on physiological and psychological outcomes
in process of chemotherapy.
Cont…
3. To find out the relationship between
physiological and psychological outcome and
music therapy.
4. To find out the association between
physiological and psychological outcome and
music therapy.
Hypotheses
H1:The
mean
post-test
physiological
and
psychological outcome will be significantly
lower than the mean pre-test score.
H2:There will be significant relationship between
physiological and psychological outcome and
music therapy.
Cont…
H3:There will be significant association between
physiological and psychological outcome and
the selected demographic variables.
Literature Review
• 1. Anne Horne T, Denise G. The Effect of Music Therapy
on Anxiety in Patients who are terminally ill. Journal of
Palliative Medicine 2008; 11(4): 582-90.
• This study was conducted in Australia to examine the
“effectiveness of a single music therapy session in
reducing anxiety for terminally ill patients”. Results
demonstrated a significant reduction in anxiety for the
experimental group (Anne Horne et al 2008).
Cont…
• Fulvia L, Carla C, Francesco G, Vittorio M. Music
therapy and emotional expression during
chemotherapy. How do breast cancer patients feel?
European Journal of Integrative Medicine.
http://dx.doi.org/10.1016/j.eujim.2013.04.001
• The results showed in this study the experimental
group had significant reductions in stress, anxiety,
depression and anger (Fulvia Et al 2013)
Cont…
• Zhou KN, Li XM, Yan H, Dang SN, Wang DL. Effects of music
therapy on depression and duration of hospital stay of
breast cancer patients after radical mastectomy. Chin Med J
2011; 124(15):2321-7.
• In this study, After music therapy, depression scores of the
experimental group were lower than that of the control
group in the three post-tests, with significant differences
(Zhou et al 2011).
Cont…
• Li XM, Zhou KN, Yan H, Wang DL, Zhang YP. Effects of music
therapy on anxiety of patients with breast cancer after radical
mastectomy: a randomized clinical trial. J Adv Nurs 2012;
68(5):1145-55.
• . The repeated-measure ANCOVA model analysis indicated
that the mean state anxiety score was significantly lower in
the experimental group than those in the control group at
each of the three post-test measurements (Li Xm et al. 2012).
Methods
Research Design
True experimental Solomon four group design
Sample and sampling technique
Purposive sampling technique will be used to
select 60 patients with any type of cancer.
Cont…
Exclusion criteria
Patients who are,
1. Having hearing problems.
2. Having cancer of ear.
Cont…
Data Collection Instrument
1. In vivo biophysiological tools for assessment
of pain, BP, heart rate
2. Psychological scales for assessment of stress,
depression, anxiety and quality of life.
Data Collection method
• The investigator will obtain written permission
from the directors of the respected hospitals
prior to the data collection.
• The purpose of the study will be explained to the
patients and informed consent will be obtained.
• Patients will be randomly assigned to the four
groups (two experimental and two controls) by
using random number table.
Cont…
• Physiological and psychological assessment will be
done by using the tools before starting (pre test) the
chemotherapy treatment for A and B group.
• Physiological and psychological assessment will not be
done by using the tools before starting (pre test) the
chemotherapy treatment for C and D group.
• Music will be given to the patients of A and C group
with the help of an iPods and ear phone.
Cont…
• Music will not be provided to the patients of B and D group.
Only standard routine care will be provided during
chemotherapy.
• Post-tests will be done for all the four groups (A, B, C and D)
soon after the chemotherapy, to record the physiological
and psychological parameters.
• Data will be analyzed by using descriptive (mean, median
and standard deviation) and inferential (repeated measure
ANOVA, Chi Square) statistics.
Proposed budget
• Direct expenses= 18000/• Personnel expenses= 35000/• Travel expenses= 10000/• Total expenses= 63000/-
Clearance certificates, Health & Safety Requirements
(list the necessary permits, e.g. Human ethics, Animal
Ethics, Biosafety permission, Validation of tools if any,
etc. (NO SAMPLE COLLECTION / DATA COLLECTION
CAN BE DONE TILL ETHICAL CLEARANCE CERTIFICATE
IS OBTAINED)
Prior permission will be taken from the concerned authorities
of the hospitals before starting the data collection.
References
1. Nightingale CL, Rodriguez C, Carnaby G. The Impact of Music Interventions
on Anxiety for Adult Cancer Patients: A Meta-Analysis and Systematic
Review; 2013 Apr 26. [Epub ahead of print]
2. Kristine L. Kwekkeboom, Catherine H. Cherwin, Jun W. Lee, Britt Wanta,
Mind-Body Treatments for the Pain-Fatigue- Sleep Disturbance Symptom
Cluster in Persons with Cancer. Journal of Pain and Symptom Management
2010; 39 (1):126-38
3. Anne Horne T, Denise G. The Effect of Music Therapy on Anxiety in Patients
who are terminally ill. Journal of Palliative Medicine 2008; 11(4): 582-90.
4. Chih-Yuan C, Wei-Ru H, Pei-Chun L, Shuenn-Tsong Y. Effects of music
therapy on subjective sensations and heart rate variability in treated
cancer survivors: A pilot study. Complementary Therapies in Medicine
2010; 18(5): 224–6
Thank you