- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03828760
The Effectiveness of Music on Pain and Anxiety in IUD Insertion
April 12, 2022 updated by: Robin Lennox, McMaster University
Tuning Out: The Effectiveness of Music on Pain and Anxiety in Intrauterine Device Insertion
Although intrauterine devices (IUDs) are a highly effective contraceptive method, fear of pain during insertion is one barrier to use.
A review of literature reveals little investigation of interventions for anxiety management during the procedure.
Furthermore, evidence of non-pharmacological interventions for both anxiety and pain management is limited.
Music has been shown to be effective at reducing anxiety and pain in a variety of contexts, however to the investigators' knowledge, its effectiveness for anxiety and pain relief during the IUD insertion procedure has not been formally examined.
This study will therefore examine the effectiveness of listening to music on anxiety and pain during IUD insertion.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The study is a randomized controlled trial of patients at least 16 years of age undergoing an IUD insertion.
The experimental group will receive music, self-selected, with a music-playing device prior and during the procedure and the control group will receive standard care.
Data for pain and anxiety will be collected prior to the procedure, and during, and after IUD insertion.
In addition, a post-procedure questionnaire will be given to patients and providers to ask about satisfaction and acceptability of the intervention.
Study Type
Interventional
Enrollment (Anticipated)
80
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Robin Lennox, MD
- Phone Number: (905) 525 - 9140
- Email: robin.lennox@medportal.ca
Study Locations
-
-
Ontario
-
Hamilton, Ontario, Canada
- Recruiting
- McMaster Family Practice
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years and older (ADULT, OLDER_ADULT, CHILD)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Sufficient understanding of English to complete questionnaires
- Women who will attend the clinic for an IUD insertion and accept to participate in the study
Exclusion Criteria:
- Women with chronic pain
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Music Listening
Patients will receive music of choice to listen to using a music-playing device in the waiting room prior to IUD insertion, as well as during the procedure.
|
Patients will be asked to either use their personal phones to listen to preferred music which is already on their device, or if they do not have a phone or other personal device capable of playing music of their choice, we will use a device (e.g.
iPod) to load music of their choice.
While in the waiting room, participants will listen to music through headphones/earphones, however they will need to remove their headphones/earphones during the initial consultation with the family physician (explaining risks, etc.), and resume listening to music through the phone speakers once in the examination room as patients will need to be able to hear instructions from the physician during the procedure.
|
NO_INTERVENTION: Standard Care
Patients will receive standard care (excluding the use of music) from providers at the clinic to minimize pain and anxiety during the procedure.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in self-reported anxiety (in the moment)
Time Frame: Baseline, immediately after the procedure, immediately after uterine sounding
|
100 mm visual analog scale (VAS) measures anxiety reported by patients; values range 0-100 with higher values representing higher anxiety.
|
Baseline, immediately after the procedure, immediately after uterine sounding
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in self-reported pain (in the moment)
Time Frame: Baseline, immediately after uterine sounding, immediately after insertion, immediately after the procedure
|
100 mm visual analog scale (VAS) measures pain reported by patients; values range 0-100 with higher values representing higher pain.
|
Baseline, immediately after uterine sounding, immediately after insertion, immediately after the procedure
|
Change in anxiety
Time Frame: Baseline, immediately after the procedure
|
The trait anxiety subscale of the State-Trait Anxiety Inventory (Spielberger et al.,1983) will be used to measure trait anxiety.
It contains 20 items, each item is rated on a 4-point scale (not at all, somewhat, moderately so, very much so), with higher values representing higher anxiety.
Scores range from 20-80 (higher scores represent higher trait anxiety).
|
Baseline, immediately after the procedure
|
Complications related to IUD insertion procedure
Time Frame: Immediately after the procedure
|
Patients and providers are asked to identify any significant adverse reactions experienced (by the patient) during the IUD insertion procedure (e.g., bleeding, vasovagal responses) with open-ended survey developed for the study.
|
Immediately after the procedure
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Perceived facilitators and barriers
Time Frame: At study end, approximately 4 months
|
Open-ended questionnaire developed for the study asking the provider whether there are any methods to help implement listening to music during the IUD insertion procedure.
|
At study end, approximately 4 months
|
Provider satisfaction and acceptability
Time Frame: At study end, approximately 4 months
|
Open-ended questionnaire developed for the study asking provider about their opinions regarding the use of music during IUD insertion, whether they would recommend the intervention to patients.
|
At study end, approximately 4 months
|
Patient satisfaction and acceptability
Time Frame: Immediately after the procedure
|
Open-ended questionnaire developed for the study asking patient about their opinions regarding the use of music during IUD insertion, whether they would recommend the intervention to friends.
|
Immediately after the procedure
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Robin Lennox, MD, McMaster University
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
March 12, 2019
Primary Completion (ANTICIPATED)
December 1, 2022
Study Completion (ANTICIPATED)
December 1, 2022
Study Registration Dates
First Submitted
January 3, 2019
First Submitted That Met QC Criteria
February 1, 2019
First Posted (ACTUAL)
February 4, 2019
Study Record Updates
Last Update Posted (ACTUAL)
April 14, 2022
Last Update Submitted That Met QC Criteria
April 12, 2022
Last Verified
April 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Tuning Out
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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