Preoperative Music to Ease Anxiety Before Hip or Knee Replacement
Official title: Does Listening to Music Immediately Before Hip and Knee Arthroplasty Significantly Decrease Peri-op Anxiety and Related Outcomes?
Run by Columbia University · NCT07845695 · Data updated 2026-11-12
Patients awaiting hip or knee replacement listen to their own music through noise‑canceling headphones to see if it lowers preoperative anxiety.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 52 (estimated) |
| Sponsor | Columbia University Academic / other |
| Locations | 1 site (New York, New York) |
| Status | Recruiting |
| Started | September 22, 2026 |
| Main results expected | March 21, 2027 |
| Study ends | March 21, 2027 |
| Registry record updated | November 4, 2026 |
| Trial ID | NCT07845695 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years or older with osteoarthritis scheduled for primary THA, TKA, or UKA under spinal anesthesia who are able to consent and speak English.
✕Probably not a fit
Patients who do not listen to music, have hearing impairment affecting listening, or have conditions limiting benefit from anxiolysis may not experience a reduction in anxiety.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized trial tests whether patient-selected music delivered via noise‑cancelling headphones during the preoperative holding period reduces acute anxiety in adults undergoing primary total hip, knee, or unicompartmental knee arthroplasty under spinal anesthesia. Fifty-two participants are randomized 1:1 to either music plus standard care or standard preoperative care alone at a single center. The study focuses on osteoarthritis patients and uses validated measures to assess anxiety levels before surgery. The trial aims to provide evidence on a simple, nonpharmacologic approach to improve the perioperative experience and potentially influence postoperative outcomes.
Why it matters
Potential benefit: If successful, patients could experience less preoperative anxiety and possibly better early postoperative pain management and satisfaction.
How similar studies have gone: Prior research supports music as a nonpharmacologic option to reduce perioperative anxiety in various surgeries, though this is one of the first focused on patient-selected music for hip and knee procedures.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults 18 years or older undergoing primary THA, TKA, or UKA for osteoarthritis * Planned spinal/regional anesthesia * Willingness to undergo randomization * Ability to provide informed consent in English Exclusion Criteria: * Chronic opioid use prior to surgery * Revision TJA * Primary diagnosis other than osteoarthritis (e.g., fracture, posttraumatic arthritis, AVN) * Hearing impairment precluding music listening * Active psychiatric disorder requiring current pharmacotherapy * Pregnancy * Inability to provide informed consent in English
Where it's running
-
Columbia University Irving Medical Center - Milstein Hospital
New York, New York, United States Recruiting
Study contacts
- Principal investigator: Roshan P Shah, MD — Columbia University
- Study coordinator: Rishi Vas
- Email: rkv2107@cumc.columbia.edu
- Phone: 214-603-1931
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.