There was inconsistent evidence regarding music's effectiveness in lowering blood pressure, heart rate and respirations in anxious patients. However, music intervention can still be used by nurses to create a calm, relaxing atmosphere geared towards reducing anxiety in preoperative patients.
The purpose of this study was to evaluate feasibility and acceptability, obtain preliminary efficacy data, and evaluate predictors of improvement with iDOVE, a technology-augmented violence and depression prevention intervention for high-risk adolescents seen in the emergency department (ED). We conducted a pilot randomized controlled trial with 116 English speaking adolescents (ages 13 to 17), presenting to the ED for any reason, who reported past-year physical peer violence and current depressive symptoms. The CBT- and MI-based intervention consisted of a brief in-ED intervention session and 8 weeks of automated text-message daily mood queries and tailored responses. The control was a brief in-ED presentation and twice-weekly text messages on healthy behaviors. Follow-up was conducted at 8 and 16 weeks. Descriptive statistics, bivariate comparisons, mixed effects longitudinal regression models, and latent class models were calculated. iDOVE had high acceptability and feasibility, with 86% of eligible youth consenting (n=116), 95% completing 8-week follow-up, and 91% completing 16-week follow-up. High quantitative and qualitative satisfaction was reported by participants in both intervention and control groups. Comparing intervention to control, improved depressive symptoms (p=0.07) and physical peer violence (p=0.01) were observed among the more symptomatic youth in the intervention group (but no difference in symptoms between the full intervention and control groups). Latent class modeling showed that intervention responsiveness correlated with lower mood (measured through daily text-messages) at day 7 of the intervention. This randomized control trial of a technology-augmented intervention shows high feasibility and acceptability, and a promising signal of reduced violence among the highest-risk participants.
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