- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04471857
Hypnosis for Children Undergoing Anorectal Manometry
July 10, 2020 updated by: Frederick Woodley, Nationwide Children's Hospital
Using Medical Hypnotherapy in Children With Defecation Disorders
Partially blinded randomized controlled trial investigating the effect of a brief session of hypnosis prior to anorectal manometry in children
Study Overview
Study Type
Interventional
Enrollment (Actual)
34
Phase
- Not Applicable
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
4 years to 18 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Children aged 4-18 who are scheduled to undergo anorectal manometry testinf.
- ASA classification I to II.
- Both parents and children have sufficient English language proficiency.
- Both parents and children are willing to fill out the questionnaires involved in this study.
Exclusion Criteria:
- ASA classification III, IV (children with a chronic or severe disease).
- Children with a metabolic, endocrine or neuromuscular disorder or mental illness.
- Children with anorectal malformations or previous anorectal surgery.
- Children with developmental delay
- Children with diagnosed emotional or behavioral disorders
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 Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Hypnosis
A brief session of hypnosis just before child starts with anorectal manometry
|
|
No Intervention: Control
No hypnosis session, standard care
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The primary outcome of this study will be the assessment of distress as measured by the non-blinded observer.
Time Frame: Periprocedural
|
The non-blinded observer will use the Observation Scale of Behavioral Distress (OSBD) to assess the periprocedural distress of the child.
The OSBD records the presence or absence of thirteen operationally-defined behaviors, which indicate discomfort (e.g.
cry, verbal resistance, information seeking) at 15-second intervals throughout the procedure.
The behaviors are given a score ranging from 1 to 4 according to the severity of distress that is expressed by that behavior.
The recorded score during a 15-second interval can range from zero (no distress) to 33.5 (extreme distress).
The total scores will be summed up and then divided by the number of 15-second intervals to obtain a mean distress score.
|
Periprocedural
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Periprocedural distress as measured by the blinded observer
Time Frame: Periprocedural
|
The blinded observer rates the child's distress on a 4-point Likert scale ranging from 0 (not anxious at all) to 3 (extremely anxious).
Ratings are based on facial features, crying, and physical movements.
The blinded observer reports the highest (i.e.
peak), most common (i.e.
typical),and the lowest level of distress.
We will compare the highest and most common levels of distress between groups, as we believed these levels of distress are most clinically relevant.
|
Periprocedural
|
Child-reported levels of distress
Time Frame: Right after anorectal manometry (same day)
|
The child will be asked to rate the amount of distress experienced (unpleasantness, nervousness, and anxiety) during the manometry on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
They are also asked to rate the pain of the procedure on an analogous scale of 0 (no pain) to 10 (extremely painful).
Children who received hypnosis are asked if they believed that it helped them to relax on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
|
Right after anorectal manometry (same day)
|
Parent-reported levels of distress
Time Frame: Right after anorectal manometry (same day)
|
The parent accompanying the child will be asked to rate the amount of distress of the child (unpleasantness, nervousness, and anxiety) during the manometry on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
They are also asked to rate the pain of the procedure on an analogous scale of 0 (no pain) to 10 (extremely painful).
Parents of children who received hypnosis are asked if they believed that it helped the child to relax on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
|
Right after anorectal manometry (same day)
|
Difficulty of procedure
Time Frame: Right after anorectal manometry (same day)
|
The motility nurse will report if all parts of the procedure could be performed properly and rates the degree of difficulty of the procedure on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
|
Right after anorectal manometry (same day)
|
Difficulty of hypnosis
Time Frame: Right after anorectal manometry (same day)
|
The hypnotherapist rates the degree of difficulty of the hypnosis on a similar 5-point Likert scale ranging from 0 (not at all) to 4 (very much).
|
Right after anorectal manometry (same day)
|
Manometry outcomes
Time Frame: Periprocedural
|
Procedural outcomes of the children undergoing anorectal manometry will be recorded and compared between groups.
This includes: resting pressure, squeeze pressure, squeeze duration, push test, duration of procedure.
|
Periprocedural
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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)
January 9, 2017
Primary Completion (Actual)
March 4, 2020
Study Completion (Actual)
March 4, 2020
Study Registration Dates
First Submitted
June 30, 2020
First Submitted That Met QC Criteria
July 10, 2020
First Posted (Actual)
July 15, 2020
Study Record Updates
Last Update Posted (Actual)
July 15, 2020
Last Update Submitted That Met QC Criteria
July 10, 2020
Last Verified
July 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB15-00864
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
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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