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CTRI Number  CTRI/2023/04/052003 [Registered on: 26/04/2023] Trial Registered Prospectively
Last Modified On: 19/01/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To check the effect of Bhaktivedanta mantra audio therapy on critically ill patients in intensive care unit of tertiary care centre. 
Scientific Title of Study   A two arm, prospective, single centre, randomized, controlled, interventional study to assess effect of Bhaktivedanta mantra audio therapy on outcome of critically ill patients in intensive care unit of tertiary care centre. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Komal Dalal 
Designation  Consultant Acupuncturist, Associate Professor-Spiritual Care 
Affiliation  Bhaktivedanta Hospital and Research Institute, Medical Research Department, 
Address  3rd Floor,Quality Assurance Office, Medical Research Department, Srishti Complex, Bhaktivedanta Swami Marg, Mira road east, Thane,401107, Maharashtra, India.

Thane
MAHARASHTRA
401107
India 
Phone  9324611434   
Fax    
Email  drkomal.d@bhaktivedantahospital.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Komal Dalal 
Designation  Consultant Acupuncturist, Associate Professor-Spiritual Care 
Affiliation  Bhaktivedanta Hospital and Research Institute 
Address  3rd Floor,Quality Assurance Office, Medical Research Department, Srishti Complex, Bhaktivedanta Swami Marg, Mira road east, Thane,401107, Maharashtra, India.

Thane
MAHARASHTRA
401107
India 
Phone  9324611434   
Fax    
Email  drkomal.d@bhaktivedantahospital.com  
 
Details of Contact Person
Public Query
 
Name  Dr Komal Dalal 
Designation  Consultant Acupuncturist, Associate Professor-Spiritual Care 
Affiliation  Bhaktivedanta Hospital and Research Institute 
Address  3rd Floor,Quality Assurance Office, Medical Research Department, Srishti Complex, Bhaktivedanta Swami Marg, Mira road east, Thane,401107, Maharashtra, India.

Thane
MAHARASHTRA
401107
India 
Phone  9324611434   
Fax    
Email  drkomal.d@bhaktivedantahospital.com  
 
Source of Monetary or Material Support  
Bhaktivedanta Hospital and Research Institute,Srishti Complex,Bhaktivedanta Swami Marg,Mira Road(East),Thane-401107 
 
Primary Sponsor  
Name  Bhaktivedanta Hospital and Research Institute 
Address  Srishti Complex,Bhaktivedanta Swami Marg, Mira Road(East),Thane-401107  
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Komal Dalal  Bhaktivedanta Hospital and Research Institute  1st Floor,OPD No. 6, General Medicine Dept,Srishti Complex,Bhaktivedanta Swami Marg, Mira Road(East),Thane-401107
Thane
MAHARASHTRA 
9324611434

drkomal.d@bhaktivedantahospital.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bhaktivedanta Hospital Ethics Committe for Biomedical and Health Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I469||Cardiac arrest, cause unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Spiritual Care Intervention   Mantras to be heard as an intervention includes the following: •Aditya Hriday kavacha•Dhanvantari mantra•Hare Krishna mantra• Narasimha kavacha•Varaha kavacha The above mentioned mantras will be made heard to the patients everyday for 10 hours till the time patient is admitted in the ICU 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1.All Genders, Age >18 years
2.Reason for hospitalization; Primarily Sepsis, Congestive Heart Failure, Acute respiratory distress syndrome, cerebrovascular episodes with complications, CKD with concurrent complications, respiratory failures admitted to ICU, post operative patients, acute pancreatitis, polytrauma patients admitted to ICU.
3.Critically ill patients under the support of ventilator.
4.SOFA score > 6
5.If SOFA is less than 6 but if Acute Physiologic Assessment and Chronic Health Evaluation with GCS (Glasgow Coma Scale) < 8
 
 
ExclusionCriteria 
Details  1.Patients with impaired hearing.
2.Age < 18
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To observe the impact of Bhaktivedanta mantra audio therapy in critically ill patients in number of ICU days and number of ventilator days.
2.To observe the changes in SOFA, GAD, FACIT, WHO-QOL score. 
The timepoint is of once in 3 days (i.e., baseline,3,6,9,12days …) till the time patient is admitted in the ICU. 
 
Secondary Outcome  
Outcome  TimePoints 
To observe the changes in blood sugar level and blood pressure level of the patients.  The timepoint is of once in 3 days (i.e., baseline,3,6,9,12days …) till the time patient is admitted in the ward 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/05/2023 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

       This study is designed to be a two arm, prospective, single center, randomized, controlled, interventional study.

       The Primary Objective of this study is to observe the effect of Bhaktivedanta mantra and music audio therapy on number of ICU days and Ventilator Days.
The Secondary Objective of this study is to observe the Change in SOFA score and Blood Pressure fluctuation in the patients.

      1.     The eligible patient will be assigned to either control or interventional group using simple randomization technique.
2.     If the patient is assigned to a control group, they will receive only standard of care.
3.     If the patient is assigned to an interventional group, they will receive standard of care along with it the patients will be made to hear recorded mantras which are prerecorded in a radio device for minimum of 12 hours.
4.     The following Mantras will be heard as an intervention: 
·       Aditya Hriday kavacha
·       Dhanvantari mantra
·       Hare Krishna mantra
·       Narasimha kavacha
·       Varaha kavacha 
5.     The patient development will be assessed by the Sequential Organ Failure Assessment (SOFA) score in the timepoint of once in 3 days (i.e., 0,3,6,9,12days …) till the time patient is admitted in the ICU.
6.     After the patients are shifted to the ward, the music therapy will continue for 12 hrs.
7.     WHO-QOL, GAD and FACIT-spiritual questionnaire to be assessed in the following timepoints:
a.     When the patient gets admitted in ICU.
b.     When the patient shifts from ICU to ward.
c.     When the patient gets discharged from the hospital.
8.     After patient gets shifted or admitted to the ward following parameters as well as questionnaires will be evaluated:
a.     GAD Score
b.     WHO-Quality of Life
c.     Blood Pressure
d.     Blood Sugar Levels
The Endpoints of this study are:
1.     To observe the impact of Bhaktivedanta mantra audio therapy in critically ill patients in number of ICU days and number of ventilator days.
2.     To observe the changes in SOFA, GAD, FACIT, WHO-QOL score.
3.     To observe the changes in blood sugar level and blood pressure level of the patients.

 
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