{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T21:20:01Z","timestamp":1776547201894,"version":"3.51.2"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T00:00:00Z","timestamp":1739232000000},"content-version":"vor","delay-in-days":10,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess potential feasibility of a targeted music intervention trial in older ED patients and association with clinical outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective pragmatic trial of adults aged \u226565\u2009years in the ED, with prevalent delirium or increased risk of incident delirium, receiving either 2\u2010h music intervention via headphones or usual care. The primary outcomes were (i) feasibility as assessed by actual use of the intervention (target 70% of offered patients) and (ii) incident delirium in delirium\u2010free patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 211 initially screened patients, 44 were included. The initially planned randomised controlled trial proved difficult due to poor intervention adherence, resulting in a move to patient self\u2010selection to routine care or 2\u2010h music intervention. There were 19 control (13 prevalent delirium) and 25 intervention participants (20 prevalent delirium); 2\u2010h target intervention duration was achieved in 17\/25 (68%) patients (8\/25 achieving &lt;2\u2009h). Among those without prevalent delirium, incident delirium occurred in 1\/6 of control and 4\/5 of intervention (<jats:italic>P<\/jats:italic>\u2009=\u20090.08). There were no between\u2010group differences in terms of improved or resolved delirium, pain scores or agitation\/sedation scores (all <jats:italic>P<\/jats:italic>\u2009&gt;\u20090.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Self\u2010selected use of a targeted music intervention was feasible in a cohort of older ED patients. While we were likely underpowered to detect associations between intervention and outcome, collection of selected outcome measures proved feasible; these may be helpful in larger scale studies. Exploration of barriers and facilitators to use, as well as preferred delivery methods, are likely to be helpful in wider investigations of music therapy in this high\u2010risk cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1742-6723.70004","type":"journal-article","created":{"date-parts":[[2025,2,11]],"date-time":"2025-02-11T10:57:51Z","timestamp":1739271471000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["A pilot trial exploring the use of music in the emergency department and its association with delirium and other clinical outcomes"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7711-9718","authenticated-orcid":false,"given":"Danielle","family":"N\u00ed Chr\u00f3in\u00edn","sequence":"first","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Sydney New South Wales Australia"},{"name":"Department of Geriatric Medicine Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Wang","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Sydney New South Wales Australia"},{"name":"Medicine and Health UNSW Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guruprasad","family":"Nagaraj","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Liverpool Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiquan","family":"Ren","sequence":"additional","affiliation":[{"name":"South Western Sydney Clinical School UNSW Sydney  Sydney New South Wales Australia"},{"name":"The Ingham Institute for Applied Medical Research  Sydney New South Wales Australia"},{"name":"South Western Emergency Research Institute (SWERI)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0760-1098","authenticated-orcid":false,"given":"Paul M","family":"Middleton","sequence":"additional","affiliation":[{"name":"Medicine and Health UNSW Sydney  Sydney New South Wales Australia"},{"name":"Department of Emergency Medicine Liverpool Hospital  Sydney New South Wales Australia"},{"name":"The Ingham Institute for Applied Medical Research  Sydney New South Wales Australia"},{"name":"South Western Emergency Research Institute (SWERI)  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Short","sequence":"additional","affiliation":[{"name":"Medicine and Health UNSW Sydney  Sydney New South Wales Australia"},{"name":"School of Humanities and Communication Arts Western Sydney University  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,2,11]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2023.05.006"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)60688-1"},{"key":"e_1_2_9_4_1","volume-title":"Delirium Clinical Care Standards (2021 Revision)","author":"Australian Commission on Safety and Quality in Healthcare","year":"2021"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49260.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005315.pub2"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1943862112471999"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aenj.2010.10.005"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2017.5.33827"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063\u2010017\u20102324\u20106"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2013.01.007"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1943862110371808"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2010.06.562"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.13313"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2007.06.004"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1093\/jmt\/thw012"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010012759"},{"key":"e_1_2_9_18_1","first-page":"3","article-title":"Evaluation of a systematic development process: relaxing music for the emergency department","volume":"20","author":"Short A","year":"2009","journal-title":"Aust. 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