Effects of Preferred Music Listening on Adherence to Upper Extremity Home Programs

Abstract Aims This study investigated the effect of preferred music listening on adherence to home practice. Methods This study implemented a single-subject, reversal design with additional pre/post- measures. Seven participants with chronic hemiparesis and aphasia completed the study. Participants received an individualized, repetitive task practice upper extremity home program and a preferred music playlist to listen to during intervention phases. The primary outcome was adherence to practice as measured by self-reported session duration and number of repetitions recorded in an aphasia-friendly logbook. All logbook data were analyzed visually for within phase and between phase differences. Results Visual analysis revealed no consistent effect of preferred music listening on adherence to home practice for either variable. C-statistic analyses confirmed these findings. Conclusions In this sample, preferred music listening during practice did not modify adherence variables. Future studies should explore other strategies to increase home program adherence. Trial Registration ClinicalTrials.gov NCT02906956