PO01 - My Song Project: Music as a Patient Education and Motivation Strategy to Improve Adherence to Medication and Lifestyle Modifications

Wednesday, June 28, 2023

13:00 – 14:00 ET

Room: 10

Co-Author(s)

AM

Andres Mata

Internal Medicine Resident, Primary investigator, Music Producer
Texas Tech University Health Sciences Center, Department of Medicine
Odessa, Texas, United States
LD

Luis Diaz-Quintero

Cardiology Fellow
Northwestern University, department of medicine, division of cardiology
Chicago, Illinois, United States
LG

Laura Gonzales

Internal Medicine Resident
Texas Tech University Health Science Center, Department of Medicine
Odessa, Texas, United States
JS

Juan Salazar

Cardiology Fellow
NorthShore University HealthSystem, Cardiovascular Institute
Evanston, Illinois, United States
JM

Jehangir Malik

Internal Medicine Resident
Texas Tech University Health System Center, Department of Medicine
Odessa, Texas, United States
GD

Gabriela Da Silva

Neurology Resident
Saint Louis University, Department of Neurology
St. Louis, Missouri, United States
KE

Kale Ewing

Music Producer
Northwestern University, School of Professional Studies
Chicago, Illinois, United States

Presenting Author(s)

AT

Alfonso Tafur, MD, MS, MBA (he/him/his)

Attending Physician, Senior Author
Northshore University HealthSystem, Cardiovascular Institute
Evanston, Illinois, United States

Background: Medication and lifestyle modification non-adherence represents a major challenge in healthcare. It is associated with poor outcomes and higher readmission rates. In the US, the cost of non-adherence escalates to over 300 billion USD annually. Although it affects all social classes, the problem exacerbates among vulnerable communities like Hispanics. Non-adherence becomes more evident in chronic diseases requiring daily care, such as heart failure and its complications. In heart failure, blood stasis, increased pulmonary pressure, and higher levels of prothrombotic molecules, predispose to thrombotic complications in up to 30% of patients. Despite all the efforts to improve educational tools, patients often lack the motivation to adhere to their new regime. Music has proven to be a great educational and motivational aid in many aspects of human life and has not yet been tried in this setting.

Aims: To evaluate adherence to medical treatment and lifestyle modifications in Hispanic patients with CHF when using music and lyrics with patient’s treatment versus standard brochures. To compare the rates of re-admission and thrombotic complications between the two groups.

Methods: A prospective, dual cohort study will be performed in Hispanic patients with HFrEF on GMDT. Cohorts will be defined by EF above or below 35%. The sample will be randomized. Both groups will receive standardized educational brochures. The experimental group will also receive a medical song as part of their educational tools. A questionnaire will be applied on day one and after six months. Said survey will assess the grade of memorization, adherence, and motivation they experienced with the resources they received. Also, both groups will be monitored for readmission and thrombotic complications.

Results: Ongoing

Conclusion(s): We anticipate that, compared to standardized educational brochures, medical music will enhance education and motivation, and decrease the readmission rates in Hispanic patients with HFrEF, as well as associated complications such as thromboembolism