Implementation of music in the perioperative standard care of colorectal surgery: study protocol of the IMPROVE Study

Kakar, Ellaha; Ista, Erwin; Klimek, Markus; Jeekel, J

doi:10.1136/bmjopen-2021-051878

Cited by 5 publications

(6 citation statements)

References 48 publications

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“…We found high adherence to the music intervention before surgery. High importance of music in daily life, the number of hours listening to music in daily life and the willingness to receive music intervention in case of future surgeries were found in our cohort, which are considered important facilitators for music implementation 41. However, the adherence declined after surgery, due to pain, nausea, logistics (ie, for MRI) or unwillingness.…”

Section: Discussionmentioning

confidence: 79%

“…High importance of music in daily life, the number of hours listening to music in daily life and the willingness to receive music intervention in case of future surgeries were found in our cohort, which are considered important facilitators for music implementation. 41 However, the adherence declined after surgery, due to pain, nausea, logistics (ie, for MRI) or unwillingness. Absence of a near future operation prospect may have reduced the urgent necessity of music, resulting in the postoperative decline in adherence.…”

Section: Discussionmentioning

confidence: 99%

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Music to prevent deliriUm during neuroSurgerY (MUSYC): a single-centre, prospective randomised controlled trial

et al. 2023

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ObjectivesDelirium is a serious complication following neurosurgical procedures. We hypothesise that the beneficial effect of music on a combination of delirium-eliciting factors might reduce delirium incidence following neurosurgery and subsequently improve clinical outcomes.DesignProspective randomised controlled trial.SettingSingle centre, conducted at the neurosurgical department of the Erasmus Medical Center, Rotterdam, the Netherlands.ParticipantsAdult patients undergoing craniotomy were eligible.InterventionsPatients in the intervention group received preferred recorded music before, during and after the operation until day 3 after surgery. Patients in the control group were treated according to standard of clinical care.Primary and secondary outcome measuresPrimary outcome was presence or absence of postoperative delirium within the first 5 postoperative days measured with the Delirium Observation Screening Scale (DOSS) and, in case of a daily mean score of 3 or higher, a psychiatric evaluation with the latest Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria. Secondary outcomes included anxiety, heart rate variability (HRV), depth of anaesthesia, delirium severity and duration, postoperative complications, length of stay and location of discharge.ResultsWe enrolled 189 patients (music=95, control=94) from July 2020 through September 2021. Delirium, as assessed by the DOSS, was less common in the music (n=11, 11.6%) than in the control group (n=21, 22.3%, OR:0.49, p=0.048). However, after DSM-5 confirmation, differences in delirium were not significant (4.2% vs 7.4%, OR:0.47, p=0.342). Moreover, music increased the HRV (root mean square of successive differences between normal heartbeats, p=0.012). All other secondary outcomes were not different between groups.ConclusionOur results support the efficacy of music in reducing the incidence of delirium after craniotomy, as found with DOSS but not after DSM-5 confirmation, substantiated by the effect of music on preoperative autonomic tone. Delirium screening tools should be validated and the long-term implications should be evaluated after craniotomy.Trial registration numberTrialregister.nl: NL8503 and ClinicalTrials.gov:NCT04649450.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Music to prevent deliriUm during neuroSurgerY (MUSYC): a single-centre, prospective randomised controlled trial

et al. 2023

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“…For example, in this phase it was found that the knowledge regarding music intervention in healthcare is low; this is considered a barrier for implementation. The implementation strategy for this would be developing and distributing educational materials, for example pocket cards for nurses with information about how to apply the intervention, in order to handle this barrier [35]. Finally, the implementation strategies will be operationalized by using the seven dimensions proposed by Proctor et al [48].…”

Section: Discussionmentioning

confidence: 99%

“…As mentioned before, this paper addresses the first step only. The complete study phase overview is depicted in Appendix S1 and was extensively described in the previously published protocol paper [35].…”

Section: Methodsmentioning

confidence: 99%

“…The IMPROVE (IMPlementation of music inteRvention in periOperative standard carE) study was set up to achieve a sustainable implementation of music intervention in perioperative standard of care in a systematic manner [35]. This study aimed to identify the barriers and facilitators for implementing perioperative music intervention in colorectal surgery.…”

Section: Introductionmentioning

confidence: 99%

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Implementation of music in colorectal perioperative standard care—barriers and facilitators among patients and healthcare professionals

et al. 2022

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Aim: Perioperative anxiety and pain are still prevalent among patients undergoing surgery. Inflammatory bowel disease and colorectal cancer patients are known to have higher anxiety rates than the general population. Perioperatively applied music intervention has been proven to be effective in reducing perioperative anxiety and pain, resulting in a decrease of intra-operative sedative use, postoperative opioid requirement and neurohormonal stress response. IMPROVE evaluates the adherence to music intervention in colorectal perioperative standard care during systematic implementation. Method:The Consolidated Framework for Implementation Research (CFIR) was used for implementation in three steps. This study addresses the first step in which barriers and facilitators for implementing perioperative music were identified by surveying patients who underwent colorectal surgery and healthcare professionals involved in perioperative care. Also, perioperative anxiety scores were assessed and data on perioperative pain was collected from the patients' medical records.Results: Fifty patients and 69 professionals (response rate 68.3%) were surveyed. For patients, all domains of the CFIR were facilitating implementation. The median reported preoperative and postoperative anxiety scores were 4.5 (1.0-7.0) and 3.0 (1.0-5.75) respectively. The median postoperative pain score on the first postoperative day was 2.8(2.0-3.7). Also, for professionals most domains were facilitating, except for some factors related to work climate and culture among nurses. Conclusions:In this study it was identified that facilitating factors for implementing music in standard perioperative care were more prominent in both patients and healthcare professionals and therefore successful implementation is probable. Also, this study provides a guideline for assessing facilitators and barriers in other settings.

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Application of dissemination and implementation science frameworks to surgical research

Hakimi

Vavra

2022

Seminars in Vascular Surgery

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Implementation of music in the perioperative standard care of colorectal surgery: study protocol of the IMPROVE Study

Cited by 5 publications

References 48 publications

Music to prevent deliriUm during neuroSurgerY (MUSYC): a single-centre, prospective randomised controlled trial

Music to prevent deliriUm during neuroSurgerY (MUSYC): a single-centre, prospective randomised controlled trial

Implementation of music in colorectal perioperative standard care—barriers and facilitators among patients and healthcare professionals

Application of dissemination and implementation science frameworks to surgical research

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