Music-assisted relaxation during transition to non-invasive ventilation in people with motor neuron disease

Abstract

Background: Motor Neuron Disease (MND) is a progressive neurological disease causing muscle weakening and wastage, leading ultimately to respiratory failure. Non-Invasive Ventilation (NIV) is recommended to help patients manage respiratory insufficiency. Objective: To examine the feasibility and effectiveness of a Music-Assisted Relaxation (MAR) intervention on anxiety, quality of life, and NIV-use during the first 3 months of using NIV. Methods: Using a cohort mixed-methods design, data were collected at baseline, 7-days and 3-months for 18 participants who self-selected MAR or standard care. Measures included: Hospital Anxiety and Depression Scale, Assessment of Quality of Life–8D, and NIV-use data from participants’ machines. Qualitative interviews were conducted with a subgroup of participants. Conclusions: MAR may be an useful intervention to promote relaxation, address anxiety, and distract from effects of NIV for patients commencing NIV use. MAR may have a role in alleviating the distress of NIV initiation.