The Effect of Music Therapy and Progressive Muscle Relaxation Exercise on Anxiety Before the First Clinical Practice

Sponsor

Istanbul Saglik Bilimleri University (Other)

Overall Status

Completed

CT.gov ID

NCT04540172

Collaborator

(none)

Enrollment

Location

Arms

Actual Duration (Months)

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study was carried out to evaluate the effect of music therapy and progressive muscle relaxation exercise on the state and trait anxiety levels before their first clinical practice in nursing students.

Condition or Disease	Intervention/Treatment	Phase
Anxiety Stress	Behavioral: Music Therapy Behavioral: Progressive Muscle Relaxation Exercise	N/A

Detailed Description

This randomized controlled experimental study sample consisted of 86 nursing students who will be firstly applied to clinical practice. The students were randomly assigned to music (n=30), exercise (n=28), and control (n=28) groups. The data of the study were collected with Student Information Form and State-Trait Anxiety Scale. The music therapy intervention was applied to the experimental groups three times a week for the first 2 weeks.

Study Design

Study Type:

Interventional

Actual Enrollment :

96 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Prevention

Official Title:

Music Therapy and Progressive Muscle Relaxation Exercise

Actual Study Start Date :

Aug 1, 2019

Actual Primary Completion Date :

Oct 1, 2019

Actual Study Completion Date :

Dec 1, 2019

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Music Therapy music therapy was applied in the practice room. Environmental noise was reduced as much as possible; the room was dimly lit. The students were asked to close their eyes after sitting comfortably in a chair and focus on the music by asking them to imagine a different memory and place that would relax them instead of the thoughts that occupied their minds. The music was played through a portable computer for 15 minutes under the supervision of the researchers using an mp3 player program on the computer.	Behavioral: Music Therapy "Mahur tune," one of the nonverbal instruments of the Traditional Turkish Music Authorities, was selected for the study with the opinion of a music therapy specialist.
Experimental: Progressive Muscle Relaxation Exercise In this study, the steps of applying progressive muscle relaxation exercises were created with the guidance of the "Relaxation Exercises " materials of the Turkish Psychological Association. Warning messages were hung on the door of the room, environmental noise was reduced as much as possible, and the room was provided with dim lighting. The students were asked to close their eyes and breathe deeply after sitting comfortably in a chair. After taking two deep breaths, they were told to dangle their arms and relax as much as possible. The hands, shoulders, neck, chest, abdomen, hips, legs, feet, toes, and facial muscles were made to relax while they breathed and relaxed while exhaling. They were asked to store the experience into their memories thoroughly so that they could recall this feeling for comfort during the day.	Behavioral: Progressive Muscle Relaxation Exercise In this study, the steps of applying progressive muscle relaxation exercise were created with the guidance of the "Relaxation Exercises " materials of the Turkish Psychological Association.
No Intervention: Control No additional method was applied in the control group.

Arm

Intervention/Treatment

Experimental: Music Therapy

music therapy was applied in the practice room. Environmental noise was reduced as much as possible; the room was dimly lit. The students were asked to close their eyes after sitting comfortably in a chair and focus on the music by asking them to imagine a different memory and place that would relax them instead of the thoughts that occupied their minds. The music was played through a portable computer for 15 minutes under the supervision of the researchers using an mp3 player program on the computer.

Behavioral: Music Therapy

"Mahur tune," one of the nonverbal instruments of the Traditional Turkish Music Authorities, was selected for the study with the opinion of a music therapy specialist.

Experimental: Progressive Muscle Relaxation Exercise

In this study, the steps of applying progressive muscle relaxation exercises were created with the guidance of the "Relaxation Exercises " materials of the Turkish Psychological Association. Warning messages were hung on the door of the room, environmental noise was reduced as much as possible, and the room was provided with dim lighting. The students were asked to close their eyes and breathe deeply after sitting comfortably in a chair. After taking two deep breaths, they were told to dangle their arms and relax as much as possible. The hands, shoulders, neck, chest, abdomen, hips, legs, feet, toes, and facial muscles were made to relax while they breathed and relaxed while exhaling. They were asked to store the experience into their memories thoroughly so that they could recall this feeling for comfort during the day.

Behavioral: Progressive Muscle Relaxation Exercise

In this study, the steps of applying progressive muscle relaxation exercise were created with the guidance of the "Relaxation Exercises " materials of the Turkish Psychological Association.

No Intervention: Control

No additional method was applied in the control group.

Outcome Measures

Primary Outcome Measures

Anxiety [Change from baseline in 1 week]
The level of Anxiety was evaluated with the State-Trait Anxiety Inventory (STAI). STAI consists of 20 items for assessing trait anxiety and 20 for state anxiety. All items are rated on a 4-point scale (None" (1), "A little" (2), "Very" (3), and "Completely" (4). Higher scores indicate greater anxiety.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

being 18 years or older,
being enrolled in the Nursing Fundamentals theoretical course,
participating fully in the attempts being applied in the study,
volunteering to participate in the study.

Exclusion Criteria:

be graduating from Health Vocational High School
not being in the field of application determined on the first clinical application day.

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Demet İnangil	Istanbul		Turkey	34668

Sponsors and Collaborators

Istanbul Saglik Bilimleri University

Investigators

Study Chair: Merdiye Şendir, PhD, Saglik Bilimleri University

Study Documents (Full-Text)

None provided.

More Information

Publications

Responsible Party:

Demet İnangil, PhD, Asistant Professor, Istanbul Saglik Bilimleri University

ClinicalTrials.gov Identifier:

NCT04540172

Other Study ID Numbers:

46418926

First Posted:

Sep 7, 2020

Last Update Posted:

Sep 9, 2020

Last Verified:

Sep 1, 2020

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Anxiety Disorders

Study Results

No Results Posted as of Sep 9, 2020