Pressure Injuries, Pressure Injury, Pressure Ulcer (PU)
Conditions
Keywords
Pressure Ulcer, Pressure Injury, Music, Wound Care, Long-Term Care, Aged, Quality of Life
Brief summary
Pressure injuries (also known as pressure wounds or bed sores) are increasingly common among older adults living in care homes. These wounds often require regular dressing changes, which can be uncomfortable for some. The researchers believe that listening to music during wound care may have an effect on pain, wound healing, and the overall wound care experience, compared with wound care without music. The goal of this clinical study is to test this idea by examining whether listening to music before and during wound care is linked to differences in pain, wound healing, and the overall wound care experience in older adults with pressure injuries. The main questions this study aims to answer are: Does listening to music before and during pressure injury care affect pain during wound care? Does listening to music before and during pressure injury care affect how pressure injuries heal over time? Does listening to music affect the overall experience of pressure injury care? Researchers will compare wound care with music to wound care without music to better understand whether music makes a difference. The study will take place in eleven long-term care homes in Ontario. Participants will be residents aged 60 years and older who have a stage II, III, or IV pressure injury and who are already receiving regular wound care as part of their usual care. This study will not include residents who have infected or necrotic wounds, or who are at the end of life. Participants will continue to receive the same wound care they would normally receive. Some homes will include music during wound care, and some homes will not. Participants in homes using music will: Listen to a playlist of music they personally enjoy for about 15 minutes before wound care begins Continue listening to the music during the wound care procedure Be able to change the volume or stop the music at any time Participants in homes not using music will receive the same standard pressure injury care without music. Information for the study will come from clinical records that nurses already complete during routine wound care, such as notes about pain and wound healing. Staff involved in playing the music will also complete a short questionnaire about their observations of the wound care experience. Photos of wounds that are already taken as part of usual care may be reviewed to look at healing over time. Participants may take part in the study for up to six months or until their wound has healed. Taking part is voluntary, and participants or their decision-makers can choose to stop at any time. The study does not change the medical care participants receive.
Interventions
OTHERMusic listening
Personalized playlists of each individual resident's favourite music will be created. This playlist will be played at the resident's preferred volume, using headphones if requested, 15 min before and during their wound care.
Sponsors
McMaster University
Kindera Living
Room 217 Foundation
Queen's University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Masking description
For one of the outcomes, the photo-based analysis, the outcomes assessors will be blinded. The study is otherwise not blinded.
Intervention model description
One group will listen to music before/during wound care, the other will not.
Eligibility
Sex/Gender
ALL
Age
60 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 60 years or older * Has a stage II, III, or IV pressure injury
Exclusion criteria
* Designated as end of life and/or has a Kennedy terminal pressure injury * Has an unstageable pressure injury * The pressure injury has necrotic tissue or necrotic bone present * The pressure injury is infected * The pressure injury is caused by a medical device in that area * Severe to profound hearing loss that is not corrected by a hearing aid or other assistive hearing device.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence of wound pain during dressing change | At each dressing change (weekly or every 2-3 days, depending on the participant), up to 6 months. | Measured as yes/no. |
| Frequency of wound pain during dressing changes | At each dressing change, up to 6 months. | Measured categorically as none/intermittent/at dressing/ continuous. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Wound area | Measured weekly for up to 6 months. | Wound length and width will be combined to report area in cm\^2. |
| Time to complete healing | Measured for up to 6 months. | Measured as time from the first documented instance of the wound in the individual's electronic medical record, to full epithelization (also reported in their chart). |
| Caregivers' perceptions | Measured weekly for up to 6 months. | Brief post-wound care questionnaire completed by the recreational team members where they will track their perceptions of the overall wound care experience. Responses to Likert-scale items assessing observed comfort, distraction, and overall experience (ranging from strongly disagree to strongly agree, with an option of unable to observe). For the intervention group, was music played (yes/no), and using the same above Likert-scale, whether the music had a positive effect on the resident's comfort and experience during wound care. Space for a comment to elaborate as well. |
Countries
Canada
Contacts
CONTACTSinead George
PRINCIPAL_INVESTIGATORChelsea Mackinnon
McMaster University
Outcome results
None listed