Roadmap to Wellness: Exploring Live Customized Music at the Bedside for Hospitalized Children

R Serene Perkins1, Maura Boyce2, Megan C Byrtek2

  • 1Legacy Research Institute, Legacy Health, Portland, OR, United States.

Frontiers in Oncology
|February 24, 2018
PubMed

Insights

A single music session did not significantly reduce pain or analgesic use in postsurgical children. Further research is needed to explore music medicine

Area of Science:

  • Pediatric Surgery
  • Music Medicine
  • Pain Management

Background:

  • Clinical outcomes of music interventions in pediatric surgery are not well-established.
  • Existing research on music's effect on clinical outcomes is conflicting.
  • Few studies have specifically investigated music interventions in the postoperative pediatric population.

Purpose of the Study:

  • To determine the benefit of a live, customized bedside music program (MyMusicRx) for children after surgery.
  • To assess the impact of music intervention on pain, analgesia, and vital signs in postsurgical pediatric patients.
  • To present a perspective on music medicine utility and discuss future research directions.

Main Methods:

  • A randomized controlled trial comparing a live, customized music session (MyMusicRx) with a control group.
  • Participants were postsurgical children aged 5–18 years.
  • Outcomes measured included pain scores, cumulative analgesia dosage, and vital signs within 12 hours of unit arrival.

Main Results:

  • No significant differences were found between the music intervention group and the control group in pain scores, analgesic use, or vital signs.
  • Thirty-two participants (16 per group) were enrolled, with no demographic or surgical differences between groups.
  • Specific medications analyzed included narcotics, ibuprofen, acetaminophen, and ketorolac.

Conclusions:

  • A single music intervention in the acute postoperative period was insufficient to improve pain and hemodynamic control.
  • Prior studies show conflicting results regarding music's impact on clinical outcomes.
  • Future research should focus on developing tools to assess music medicine's effect on children's emotions and behaviors, as psychological well-being was not evaluated.
Abstract

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