{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:46:35Z","timestamp":1792035995682,"version":"4.4.0"},"reference-count":42,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T00:00:00Z","timestamp":1778716800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effects of three different music\u2010based interventions on anxiety and fatigue levels in patients undergoing hemodialysis, compared to a concurrent control group receiving standard care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This randomized controlled trial involved 64 patients receiving maintenance hemodialysis. They were randomly assigned to four equal groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916 each): live music, live ney sound therapy (using a traditional reed flute known for its soothing, breath\u2010like tones), a music\u2010repeating robotic parrot therapy (an interactive robotic parrot that repeats music or sounds provided by the patient), or a control group (no intervention). The experimental groups received 30\u2010min sessions 3\u2009days per week for 2\u2009months. The \u201cBeck Anxiety Scale\u201d and \u201cFatigue Severity Scale\u201d were used to measure anxiety and fatigue, respectively. Assessments were performed before the intervention, immediately after the 2\u2010month intervention period, and at 2\u2009months after the end of the intervention period.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Before the intervention, there were no significant differences in anxiety or fatigue scores across the four groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). After the interventions, all three groups exposed to music therapy showed significant reductions in both anxiety and fatigue scores compared to the control group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>All three therapies were effective in managing anxiety and fatigue symptoms in hemodialysis patients. Among them, music\u2010repeating robotic parrot therapy demonstrated the most superior and longest\u2010lasting effects in reducing both anxiety and fatigue levels.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      ClinicalTrials.gov identifier: NCT07238374\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70075","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T02:55:49Z","timestamp":1778813749000},"page":"605-616","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Music\u2010Repeating Robotic Parrot Therapy and Different Instrumental Live Music Therapies on Anxiety and Fatigue Levels in Hemodialysis Patients: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2393-563X","authenticated-orcid":false,"given":"Hatice","family":"Demira\u011f","sequence":"first","affiliation":[{"name":"Department of Medical Services and Techniques, Kelkit Sema Do\u011fan Vocational School of Health Services G\u00fcm\u00fc\u015fhane University  G\u00fcm\u00fc\u015fhane Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5861-0421","authenticated-orcid":false,"given":"Aynur","family":"Cin","sequence":"additional","affiliation":[{"name":"Department of Medical Services and Techniques, Kelkit Sema Do\u011fan Vocational School of Health Services G\u00fcm\u00fc\u015fhane University  G\u00fcm\u00fc\u015fhane Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3567-6057","authenticated-orcid":false,"given":"Dilan","family":"Aktepe 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