Primary Objective:Is a prevention program, based on principles of health behavior change, education about playing-related musculoskeletal disorders and postural training, more effective in preventing and/ or reducing disabilities from…
ID
Source
Brief title
Condition
- Musculoskeletal and connective tissue disorders NEC
Synonym
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Main study parameter is disability.
Secondary outcome
Secondary endpoints are pain and quality of life.
A mediator and moderator analysis will be performed. Supposed mediators are
self-efficacy, depression/anxiety/stress, coping, pain catastrophizing and
perfectionism. Supposed moderators are expectancy & credibility, experiences
with musculoskeletal complaints, hypermobility, and physical activity.
Parameters to measure behaviour change are based on awareness of
musculoskeletal complaints in musicians, motivation for change, and effect
factors such as disability.
Background summary
Up to 87% of professional classical musicians develop work-related complaints
of the musculoskeletal system during their career. Previous research has
identified several risk factors associated with music playing related
complaints in physical, psychological and behavioral domains. Conservatory
students are at specific risk for developing musculoskeletal complaints and
disabilities. Specific risk factors in the first study year are stress
resulting from a new environment and a sudden increase in playing time.
Prevention programs seem to be a promising development, although research on
specific programs is insufficient.
Study objective
Primary Objective:
Is a prevention program, based on principles of health behavior change,
education about playing-related musculoskeletal disorders and postural
training, more effective in preventing and/ or reducing disabilities from
musculoskeletal complaints in conservatory students when compared with a
physical activity program based on health behavior change?
Secondary Objectives:
1. Is a prevention program, based on principles of health behavior change,
education and postural training, more cost effective than a
physical activity program?
2. Do credibility & expectation, hypermobility, and physical activity moderate
the effect of a prevention program on reducing or preventing disabilities from
musculoskeletal complaints in conservatory students?
3. Do self-efficacy, depression/ anxiety/ stress, perfectionism, coping, and
pain catastrophizing mediate the effect of a prevention program on reducing or
preventing disabilities from musculoskeletal complaints in conservatory
students?
4. What are barriers and facilitators (feasibility) of both interventions in
Dutch conservatories, as assessed by students, therapists, conservatory staff,
and researchers?
Study design
Multicentre, single-blinded, randomized controlled trial.
Intervention
*Presto-Play* is a prevention course based on theoretical models of behavior
change, which comprises education about music playing-related health problems,
evidence-based prevention strategies and postural training. *Presto-Fit* is a
physical activity program, directed at behavior change regarding physical
activity behavior. In the latter program activity monitoring (by pedometry) is
used to increase physical activity. Total duration of both programs is 18 hours
over 11 lessons in 8 months; lessons will start at beginning of year 1.
Study burden and risks
Burden is participation in a health program that in total lasts 20 hours over 8
months. *Presto-Play* comprises 10 group lessons of 1.5 hours in 20 weeks with
in total 1.5 hours homework. *Presto-Fit* comprises 3 group lessons of in 1
hour, in a period of 20 weeks. Additionally 15 hours of activity monitoring
will be included on an individual basis in order to fulfil physical activity
norms according Dutch guideline values.
Both groups receive a refresher course at the end of the first school year.
Measurements are performed using questionnaires. Minors are included in this
study because of the group-relatedness to first year conservatory students.
Risks associated with participation are negligible.
Universiteitssingel 40
Maastricht 6229 ER
NL
Universiteitssingel 40
Maastricht 6229 ER
NL
Listed location countries
Age
Inclusion criteria
1st year conservatory student (bachelor), major classical music, historical music or music teacher
Exclusion criteria
-Singers
-Jazz/pop/musical students
-Students with a specific comorbidity as: Rheumatoid Arthritis, Ankylosing Spondylitis, Multiple Sclerosis.
-Non Dutch or English speakers
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| Other | Het onderzoek is op 7-8 ingediend bij het NTR, nummer is heden nog niet bekend. |
| CCMO | NL39564.101.12 |