Study Area
This observational, cross-sectional study was conducted on the student population of the Delta State University, Abraka, Delta State, Nigeria. Abraka is one of the 25 Urhobo kingdoms in Delta State, Nigeria, with geographical co-ordinates of 50 47` 0 North, 60 6` 0 East.
Ethical Clearance
Prior to investigation, Ethical clearance, dated 16/11/2020 was sourced from and approved (REC/FBMS/DELSU/20/78) [12] by the research and ethics committee of the Delta State University, Abraka. In this study, the procedures for dealing with human subjects was in accordance with the ethical standards stipulated by the National Health Research Ethics Committee of Nigeria (NHREC); a national organization that provides guidance on research ethics to Federal and State Health Ministries in Nigeria; setting guidelines and criteria for the conduct of human and animal experiments. The protocols adopted was in accordance with the Helsinki Declaration of 1975, as revised in 2008 [13].
Informed Consent
Before selection for participation, a carefully structured consent form was issued to participants to seek their permission to partake in the study. Only subjects who consented to cooperate (haven been briefed on the rules and nitty gritty of the study) were included into the study. The consent form was written in plain language, free from unnecessary words, granting allowance for eligible participants only after clearly responding to each of the following points;
1. that He / She (Participants) has been briefed, read and understands key information about the study.
2. that He / She has been given the opportunity to ask questions whenever and however they dim fit, relating to the study.
3. that He / She (Participants) voluntarily agrees to oblige the researcher with relevant supports and/or access to procedural rules relating to the study in accordance with the briefing
4. that He / She (Participants) understands that they can withdraw at any time of their choice with no compulsion, and without facing any penalty.
5. that confidentiality issues were firmly explained to them before actual participation (using no actual names but pseudonyms for purpose of data anonymization)
6. that the use of obtained data in research, publications, sharing and archiving were explained; even though the public will be blurred from assessing their private information
Participants
The study was targeted at the young student population of the institution. Ages fell between 16 – 35 years. This population was 19,657 for the 2019/2020 academic year as obtained from the office of the Director of Academic Planning, Delta State University, Abraka, Delta State, Nigeria (Academic Planning Unit, 2020) [12].
Study Design
Simple randomization was used to select eligible participants into four (4) groups of hundred (n = 100) subjects each. Each group were first assessed (in a strictly controlled sound-proof studio) for baseline values of their brainwave, using the electroencephalogram (EEG) to served as control. Thereafter, participants were fed with incremental doses of pre-recorded pitch notes [30 Hz, 40 Hz, 50 Hz, and 60 Hz] for 5 minutes.
Participants’ Eligibility
To be eligible for participation, only subjects without medical record(s) of ear loss (partial or total deafness) were included in the study. This was necessary because the number of auditory hair cells (kinecilia) in the inner ear (organ of corti) reportedly decreases at about 37-40 years [14]. Subjects undergoing treatments with ear medications were also excluded from the study.
Protocol
Technically, the electronic musical rhythm / bits synchronization device (metronome – 9 type: rhythm 410-460 Hertz, A4 frequency; falling tone selection; 1 * Tuner; 1* Booklet; 1* pickup peg and ± 0.5 % Accuracy) with LCD display feature was used to generate sound pitch of aforesaid frequencies, while saving on electronic mp3 player and administration on subjects’ ear with a mini headphone (wireless) of Bluetooth V4.1 Stereo Binaural earpiece (Model: Freeheat_001; Impedance: 32 ohms; Frequency 2.4 Giga Hertz; Temp 10-550C; input 5V).
To assess the brain’s electrical activities due to fluctuations in intracranial ionic currents, EEG electrodes (Figure 1) were first connected to the Cyton Bioseng Board of the open BCI, next interfaced with participants’ scalp and then tracked via the open BCI graphical user interface (GUI) in accordance with the OpenBCI guidelines. In any case, participants’ data were logged to a notepad file with other relevant details over the period of listening for subsequent sorting and analysis.
Statistical Methods
All parameters were reported as means ± standard deviation in accordance with statistical analyses carried out with the Graph Pad Prism version 8.1 software. At p < 0.05, means were deemed to be statistically significant. The Kolmogorov-Smirnov test was used to determine whether all definite parameters had a normal distribution. The Log transformation was used to evaluate variables with non-Gaussian distributions. Our data collection included repeated measures with various numbers of repeats for each individual. Analysis of variance (ANOVA) was used to compare the means after data collection, and the Pearson product moment correlation coefficient was employed to establish the relationship (correlation).