ICU PatientsNCT07845734
Music-Accompanied Nature Imagery on Blood Pressure and Pain in Intensive Care Unit Patients
A study testing Viewing Nature Imagery Accompanied by Music in people with ICU Patients, run by Cumhuriyet University.
Trial summary
The aim of this study is to evaluate the effect of viewing nature imagery accompanied by music on blood pressure and pain in intensive care unit patients compared with standard care. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- ICU Patients
- What is being tested?
- Viewing Nature Imagery Accompanied by Music
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 70 participants
- Where
- No sites listed yet
- Study dates
- 30 Sep 2026to 1 Mar 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Being 18 years of age or older,
- Having a Glasgow Coma Scale (GCS) score of ≥14,
- Being hemodynamically stable,
- Having adequate hearing and visual functions,
- Being able to verbally express pain,
- Having a stay in the intensive care unit of at least 5 days,
- Having no speech or communication problems.
Who cannot join
- Being under the age of 18,
- Having a diagnosis of delirium,
- Presence of hemodynamic instability,
- Receiving high-dose vasopressor therapy,
- Being under sedation,
- Having severe hearing or visual impairment,
- Declining to participate in the study.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
Official title: The Effect of Viewing Nature Imagery Accompanied by Music on Blood Pressure and Pain in Intensive Care Unit Patients: A Randomized Controlled Trial
The aim of this study is to evaluate the effect of viewing nature imagery accompanied by music on blood pressure and pain in intensive care unit patients compared with standard care.
The questions to be answered within the scope of the research are:
Read more
Does viewing nature imagery accompanied by music affect blood pressure in intensive care unit patients compared with standard care? Does viewing nature imagery accompanied by music affect pain levels in intensive care unit patients compared with standard care?
Participants will:
The patients will be divided into two groups: an intervention group and a control group.
The intervention group will Patients in the intervention group will be exposed to nature imagery accompanied by music once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before, during, and after each session.
The control group will continue with routine intensive care unit follow-up treatments.
Read the detailed description
Patients in the intervention group will be administered a questionnaire Demographic Information Form and Visual Analog Scale (VAS). Blood pressure will be measured using a bedside patient monitor. Patients will be shown nature scenery accompanied by music once a day for five days; the scenery will be displayed on a tablet, and the music will be played via headphones. The intervention will consist of nature-themed visuals-such as forests, seas, lakes, and waterfalls-paired with relaxing, instrumental, wordless music played at a tempo of 60-80 beats per minute (BPM). Vivaldi's classical compositions will be selected for the music. This procedure will be administered by an intensive care nurse. Measurements will be taken prior to the intervention, at the 15th minute of the intervention, at the end of the intervention (30th minute), and 15 minutes after the intervention has concluded. Measurements will be taken over a period of 5 days.
Control Group Patients in the control group will also be administered the Demographic Information Form and VAS. Blood pressure measurements and pain assessments for patients in the control group will be performed concurrently with those for patients in the intervention group. Patients in the control group will not undergo any intervention during the study period, and their routine intensive care treatment and care will continue. Blood pressure and pain levels in the patients in the control group will be evaluated over a period of five days.
- Conditions
- ICU Patients
- Being tested
- Viewing Nature Imagery Accompanied by Music
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Viewing Nature Imagery Accompanied by MusicOther
As part of the non-invasive intervention to be administered to the intervention group, patients will be shown nature and landscape visuals accompanied by music once daily for 30 minutes over a total of five consecutive days. The intervention will consist of nature-themed visuals-such as forests, seas, lakes, and waterfalls-paired with relaxing, instrumental, and wordless music played at a tempo of 60-80 beats per minute (BPM). Classical music compositions by Vivaldi will be selected for the musical component.
| Study group | Role | What they receive |
|---|---|---|
| Intervention Group: Viewing Nature Imagery Accompanied by Music | Experimental | Patients in the intervention group will complete a Demographic Information Form and the Visual Analog Scale (VAS). Blood pressure will be measured using a bedside patient monitor. Patients will view nature scenery (e.g., forests, seas, lakes, and waterfalls) displayed on a tablet while listening to relaxing, wordless instrumental music through headphones. Vivaldi's classical compositions with a tempo of 60-80 beats per minute will be used. The intervention will be administered by an intensive care nurse once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before the intervention, at the 15th minute, immediately after the intervention, and 15 minutes after completion on each of the five days. Receives: Other: Viewing Nature Imagery Accompanied by Music |
| Control Group: Usual care | No intervention | atients in the control group will complete the Demographic Information Form and VAS. Blood pressure and pain levels will be assessed at the same time points as in the intervention group over five consecutive days. No additional intervention will be provided, and routine intensive care treatment and nursing care will continue. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Visual Analog Scale
The study by Hayes and Patterson (1921) is considered a foundational source for the widespread adoption of the VAS in modern clinical pain measurement. Its clinical use in pain assessment was subsequently popularized, particularly by Huskisson (1974). It represents pain on a scale ranging from 0 (no pain) to 10 (severe pain). The patient indicates the intensity of the pain they are experiencing by marking a point on the line. The measurement can be scored on a 0-10 scale or a 0-100 mm scale.
Measured: VAS measurements: Before the nature imagery and music viewing session (baseline value) At the 15th minute of the session At the end of the session (30th minute) 15 minutes after the nature imagery and music viewing session
Blood Pressure
Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) will be evaluated as primary physiological variables in the study. The values will be measured using a bedside monitor.
Measured: Before the nature imagery and music viewing session (baseline value) • At the 15th minute of the session • At the end of the session (30th minute) • 15 minutes after the nature imagery and music viewing session
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Sep 2026
- Study start30 Sep 2026 (estimated)
- Primary completion28 Feb 2027 (estimated)
- Study completion1 Mar 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for ICU PatientsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Care provider
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cumhuriyet University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Esra Baser Akin, Cumhuriyet University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07845734
- Sponsor's protocol ID
- 06.08.2026-2026/11-29
- Status last verified
- Oct 2026
- First submitted
- 22 Sep 2026
- Last updated
- 5 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Viewing Nature Imagery Accompanied by Music on Blood Pressure and Pain in Intensive Care Unit Patients: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07845734
- Acronym / sponsor ID
- 06.08.2026-2026/11-29
- Conditions
- ICU Patients
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Cumhuriyet UniversityUniversity, hospital or other
- Study start
- 30 Sep 2026 (estimated)
- Primary completion
- 28 Feb 2027 (estimated)
- Study completion
- 1 Mar 2027 (estimated)
- First posted
- 29 Sep 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to evaluate the effect of viewing nature imagery accompanied by music on blood pressure and pain in intensive care unit patients compared with standard care.
The questions to be answered within the scope of the research are:
Does viewing nature imagery accompanied by music affect blood pressure in intensive care unit patients compared with standard care? Does viewing nature imagery accompanied by music affect pain levels in intensive care unit patients compared with standard care?
Participants will:
The patients will be divided into two groups: an intervention group and a control group.
The intervention group will Patients in the intervention group will be exposed to nature imagery accompanied by music once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before, during, and after each session.
The control group will continue with routine intensive care unit follow-up treatments.
Detailed description
Patients in the intervention group will be administered a questionnaire Demographic Information Form and Visual Analog Scale (VAS). Blood pressure will be measured using a bedside patient monitor. Patients will be shown nature scenery accompanied by music once a day for five days; the scenery will be displayed on a tablet, and the music will be played via headphones. The intervention will consist of nature-themed visuals-such as forests, seas, lakes, and waterfalls-paired with relaxing, instrumental, wordless music played at a tempo of 60-80 beats per minute (BPM). Vivaldi's classical compositions will be selected for the music. This procedure will be administered by an intensive care nurse. Measurements will be taken prior to the intervention, at the 15th minute of the intervention, at the end of the intervention (30th minute), and 15 minutes after the intervention has concluded. Measurements will be taken over a period of 5 days.
Control Group Patients in the control group will also be administered the Demographic Information Form and VAS. Blood pressure measurements and pain assessments for patients in the control group will be performed concurrently with those for patients in the intervention group. Patients in the control group will not undergo any intervention during the study period, and their routine intensive care treatment and care will continue. Blood pressure and pain levels in the patients in the control group will be evaluated over a period of five days.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (care provider)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention Group: Viewing Nature Imagery Accompanied by Music | Experimental | Other: Viewing Nature Imagery Accompanied by MusicPatients in the intervention group will complete a Demographic Information Form and the Visual Analog Scale (VAS). Blood pressure will be measured using a bedside patient monitor. Patients will view nature scenery (e.g., forests, seas, lakes, and waterfalls) displayed on a tablet while listening to relaxing, wordless instrumental music through headphones. Vivaldi's classical compositions with a tempo of 60-80 beats per minute will be used. The intervention will be administered by an intensive care nurse once daily for 30 minutes over five consecutive days. Blood pressure and pain levels will be assessed before the intervention, at the 15th minute, immediately after the intervention, and 15 minutes after completion on each of the five days. |
| Control Group: Usual care | No intervention | –atients in the control group will complete the Demographic Information Form and VAS. Blood pressure and pain levels will be assessed at the same time points as in the intervention group over five consecutive days. No additional intervention will be provided, and routine intensive care treatment and nursing care will continue. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Being 18 years of age or older,
- Having a Glasgow Coma Scale (GCS) score of ≥14,
- Being hemodynamically stable,
- Having adequate hearing and visual functions,
- Being able to verbally express pain,
Key exclusion criteria (7 listed)
- Being under the age of 18,
- Having a diagnosis of delirium,
- Presence of hemodynamic instability,
- Receiving high-dose vasopressor therapy,
- Being under sedation,
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Viewing Nature Imagery Accompanied by MusicAs part of the non-invasive intervention to be administered to the intervention group, patients will be shown nature and landscape visuals accompanied by music once daily for 30 minutes over a total of five consecutive days. The intervention will consist of nature-themed visuals-such as forests, seas, lakes, and waterfalls-paired with relaxing, instrumental, and wordless music played at a tempo of 60-80 beats per minute (BPM). Classical music compositions by Vivaldi will be selected for the musical component. | Other | Intervention Group: Viewing Nature Imagery Accompanied by Music |
Primary outcome
Visual Analog Scale
Time frame: VAS measurements: Before the nature imagery and music viewing session (baseline value) At the 15th minute of the session At the end of the session (30th minute) 15 minutes after the nature imagery and music viewing session
The study by Hayes and Patterson (1921) is considered a foundational source for the widespread adoption of the VAS in modern clinical pain measurement. Its clinical use in pain assessment was subsequently popularized, particularly by Huskisson (1974). It represents pain on a scale ranging from 0 (no pain) to 10 (severe pain). The patient indicates the intensity of the pain they are experiencing by marking a point on the line. The measurement can be scored on a 0-10 scale or a 0-100 mm scale.
Blood Pressure
Time frame: Before the nature imagery and music viewing session (baseline value) • At the 15th minute of the session • At the end of the session (30th minute) • 15 minutes after the nature imagery and music viewing session
Systolic blood pressure (SBP), diastolic blood pressure (DBP), and mean arterial pressure (MAP) will be evaluated as primary physiological variables in the study. The values will be measured using a bedside monitor.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Viewing Nature Imagery Accompanied by Music in people with ICU Patients, run by Cumhuriyet University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 5 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Esra Başer Akın, PhD (+90 538 478 06 60, esra_baser568@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Visual Analog Scale (time frame: VAS measurements: Before the nature imagery and music viewing session (baseline value) At the 15th minute of the session At the end of the session (30th minute) 15 minutes after the nature imagery and music viewing session). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Oct 2026.