Using Music to Reduce Noise Stress for Patients in the Emergency Department: A Pilot Study

Short, Alison E; Ahern, Nicole; Morris, Jenny; Sidhu, B.

doi:10.1177/1943862110371808

Cited by 19 publications

(34 citation statements)

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“…Music therapy has been shown to alleviate anxiety among adults accompanying children to the ED, 7 but not among adults undergoing laceration repair 8 . One pilot study showed reduced pain 9 among ED patients, and others showed some benefit on self‐rated stress and noise disturbance 10 , 11 . No study has investigated possible anxiolytic effects of sound interventions or binaural beat among adult ED patients.…”

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confidence: 99%

Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial

Weiland

Jelinek

Macarow

et al. 2011

Medical Journal of Australia

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Objective: To determine whether emergency department (ED) patients’ self‐rated levels of anxiety are affected by exposure to purpose‐designed music or sound compositions with and without the audio frequencies of embedded binaural beat. Design, setting and participants: Randomised controlled trial in an ED between 1 February 2010 and 14 April 2010 among a convenience sample of adult patients who were rated as category 3 on the Australasian Triage Scale. Interventions: All interventions involved listening to soundtracks of 20 minutes’ duration that were purpose‐designed by composers and sound‐recording artists. Participants were allocated at random to one of five groups: headphones and iPod only, no soundtrack (control group); reconstructed ambient noise simulating an ED but free of clear verbalisations; electroacoustic musical composition; composed non‐musical soundtracks derived from audio field recordings obtained from natural and constructed settings; sound composition of audio field recordings with embedded binaural beat. All soundtracks were presented on an iPod through headphones. Patients and researchers were blinded to allocation until interventions were administered. State–trait anxiety was self‐assessed before the intervention and state anxiety was self‐assessed again 20 minutes after the provision of the soundtrack. Main outcome measure: Spielberger State–Trait Anxiety Inventory. Results: Of 291 patients assessed for eligibility, 170 patients completed the pre‐intervention anxiety self‐assessment and 169 completed the post‐intervention assessment. Significant decreases (all P < 0.001) in anxiety level were observed among patients exposed to the electroacoustic musical composition (pre‐intervention mean, 39; post‐intervention mean, 34), audio field recordings (42; 35) or audio field recordings with embedded bianaural beats (43; 37) when compared with those allocated to receive simulated ED ambient noise (40; 41) or headphones only (44; 44). Conclusion: In moderately anxious ED patients, state anxiety was reduced by 10%–15% following exposure to purpose‐designed sound interventions. Trial registration: Australian New Zealand Clinical Trials Registry ACTRN 12608000444381.

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confidence: 99%

Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial

Weiland

Jelinek

Macarow

et al. 2011

Medical Journal of Australia

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“…Short et al . () found in their study that listening to music had a relieving effect on the levels of noise and stress in patients who presented to the emergency department, while the negative effect scores of patients decreased and their positive effect scores increased or remained the same. The results of the authors' study are parallel to those of the aforementioned studies.…”

Section: Discussionmentioning

confidence: 94%

“…Short and Ahern () and Short, Ahern, Holdgate, Morris, and Sidhu () found in their research that listening to music had a relieving effect on the levels of noise and stress in patients who presented to the emergency department. Also, Short et al .…”

Section: Pain Anxiety Satisfaction and Musicmentioning

confidence: 97%

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Effect of music on pain, anxiety, and patient satisfaction in patients who present to the emergency department in Turkey

Kılıç

Karadağ

Oyucu

et al. 2014

Japan Journal Nursing Sci

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“…Others found that calming nature sounds were an effective way of reducing stress in an emergency department. Negative affect scores were lower whereas positive affect scores were the same or higher for participants of a nature-sound intervention group [38] on an affect test in comparison with a control group. Vidyarthi et al [39] created a meditative display by connecting respiration to a peaceful soundscape and developed a psychological framework for media immersion.…”

Section: Introductionmentioning

confidence: 99%

Designing, Prototyping and Evaluating Digital Mindfulness Applications: A Case Study of Mindful Breathing for Stress Reduction

Bin¹,

Hedman²,

Feng³

et al. 2017

J Med Internet Res

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BackgroundDuring the past decade, there has been a rapid increase of interactive apps designed for health and well-being. Yet, little research has been published on developing frameworks for design and evaluation of digital mindfulness facilitating technologies. Moreover, many existing digital mindfulness applications are purely software based. There is room for further exploration and assessment of designs that make more use of physical qualities of artifacts.ObjectiveThe study aimed to develop and test a new physical digital mindfulness prototype designed for stress reduction.MethodsIn this case study, we designed, developed, and evaluated HU, a physical digital mindfulness prototype designed for stress reduction. In the first phase, we used vapor and light to support mindful breathing and invited 25 participants through snowball sampling to test HU. In the second phase, we added sonification. We deployed a package of probes such as photos, diaries, and cards to collect data from users who explored HU in their homes. Thereafter, we evaluated our installation using both self-assessed stress levels and heart rate (HR) and heart rate variability (HRV) measures in a pilot study, in order to measure stress resilience effects. After the experiment, we performed a semistructured interview to reflect on HU and investigate the design of digital mindfulness apps for stress reduction.ResultsThe results of the first phase showed that 22 of 25 participants (88%) claimed vapor and light could be effective ways of promoting mindful breathing. Vapor could potentially support mindful breathing better than light (especially for mindfulness beginners). In addition, a majority of the participants mentioned sound as an alternative medium. In the second phase, we found that participants thought that HU could work well for stress reduction. We compared the effect of silent HU (using light and vapor without sound) and sonified HU on 5 participants. Subjective stress levels were statistically improved with both silent and sonified HU. The mean value of HR using silent HU was significantly lower than resting baseline and sonified HU. The mean value of root mean square of differences (RMSSD) using silent HU was significantly higher than resting baseline. We found that the differences between our objective and subjective assessments were intriguing and prompted us to investigate them further.ConclusionsOur evaluation of HU indicated that HU could facilitate relaxed breathing and stress reduction. There was a difference in outcome between the physiological measures of stress and the subjective reports of stress, as well as a large intervariability among study participants. Our conclusion is that the use of stress reduction tools should be customized and that the design work of mindfulness technology for stress reduction is a complex process, which requires cooperation of designers, HCI (Human-Computer Interaction) experts and clinicians.

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Using Music to Reduce Noise Stress for Patients in the Emergency Department: A Pilot Study

Cited by 19 publications

References 0 publications

Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial

Original sound compositions reduce anxiety in emergency department patients: a randomised controlled trial

Effect of music on pain, anxiety, and patient satisfaction in patients who present to the emergency department in Turkey

Designing, Prototyping and Evaluating Digital Mindfulness Applications: A Case Study of Mindful Breathing for Stress Reduction

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