The Effects of a Designer Music Intervention on Patients' Anxiety, Pain, and Experience of Colonoscopy: A Short Report on a Pilot Study


Gastroenterology Nursing




There is a controversy on whether listening to music before or during colonoscopy reduces anxiety and pain and improves satisfaction and compliance with the procedure. This study aimed to establish whether specifically designed music significantly affects anxiety, pain, and experience associated with colonoscopy. In this semirandomized controlled study, 34 patients undergoing a colonoscopy were provided with either muted headphones (n = 17) or headphones playing the investigator-selected music (n = 17) for 10 minutes before and during colonoscopy. Anxiety, pain, sedation dose, and overall experience were measured using quantitative measures and scales. Participants' state anxiety decreased over time (P < .001). However, music did not significantly reduce anxiety (P = .441), pain scores (P = .313), or midazolam (P = .327) or fentanyl doses (P = .295). Despite these findings, 100% of the music group indicated that they would want music if they were to repeat the procedure, as compared with only 50% of those in the nonmusic group wanting to wear muted headphones. Although no significant effects of music on pain, anxiety, and sedation were found, a clear preference for music was expressed, therefore warranting further research on this subject.

Music and Health Institute Terms

Anxiety; Anxiety Scales; Hospital Setting; Hospitalized Patients; Invasive Medical Procedures; Medication Use; Music Listening; Music Medicine; Pain; Pain Management and Control; Pain Score or Rating; Patient Experience; Procedural Pain; Recorded Music Listening; Sedative Intake; Self-Report Measures; Willingness to Undergo Procedure

Indexed Terms

Anxiety; Colonoscopy; Conscious Sedation; Pain; Pain Management; Pilot Projects

Study Type

Quasi-Experimental Study; Quantitative Methods

PubMed ID


Document Type