The effectiveness of live music in reducing anxiety and depression among patients undergoing haemodialysis. A randomised controlled pilot study.

BACKGROUND: Anxiety and depression are highly prevalent disorders among individuals undergoing chronic haemodialysis. For patients with kidney disease, the haemodialysis process often exacerbates these conditions. This study aims to investigate the effects of listening to live classical music on anxiety and depression scales during haemodialysis sessions. METHODS: A randomised clinical trial was conducted with a group of patients who listened to live classical music during haemodialysis sessions, while the control group received treatment as usual. Anxiety and depression levels were assessed at baseline and after 4 weeks of listening to live music. The study comprised 90 patients. RESULTS: The results demonstrated a significant decrease in anxiety and depression among the intervention group, who listened to music, compared to the control group, who did not receive this intervention. Specifically, the intervention group, presented a decrease in score on the anxiety scale of -5.35 (p < 0.001) points on average and a decrease in score on the depression scale of -5.88 (p < 0.001) points on average, while in the control group the levels worsened with the progression of time. CONCLUSION: It is concluded that listening to live classical music during haemodialysis sessions reduces anxiety and depression levels in HD patients. This conclusion adds value to listening to live music in the hospital context, specifically in this case, in haemodialysis rooms.

Market segmentation and consumer motivations in protected natural parks: A study from Spain.

There has been an increase in the interest of tourists in the environment and enjoying it in recent years. This research aims to: a) Identify the motivational dimensions in the protected natural parks and b) Analyze the different segments in the protected natural parks. The research was conducted in the Posets-Maladeta protected area in Spain. The sample comprises 422 surveys got in situ. Data analysis involved the execution of factor analysis and non-hierarchical K-means segmentation. The findings suggest the presence of nine motivational dimensions in the protected natural park studied: self-development, interpersonal relationships, security measures, establishing personal bonds, escape, ego-defensive function, nature, entertainment, and rewards. In addition, within this protected natural park is confirmed the presence of two distinct segments: one focused on nature and the other encompassing multiple motives. The results contribute management guidelines for natural park managers for the benefit of communities and visitors. Additionally, this work can serve as a valuable addition to the academic literature concerning ecotourism.