Effect of Music and Lighting on Anxiety During Urodynamic Study (CALM-UDS)

July 11, 2026 updated by: Mehmet Eflatun Deniz, Baskent University Ankara Hospital

Effect of Environmental Factors on Patient Anxiety During Urodynamic Study: A Prospective Randomized Trial

This study is designed to evaluate the effects of environmental modifications, specifically music and lighting conditions, on anxiety in patients undergoing urodynamic study (UDS). Approximately 220 adult participants are planned to be randomly assigned to one of four intervention groups. Anxiety levels before and after the procedure will be assessed using the State-Trait Anxiety Inventory (STAI). The study aims to determine the independent and combined effects of music and lighting on patient anxiety during UDS.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

Urodynamic study (UDS) is an important diagnostic procedure for evaluating lower urinary tract dysfunction. Because UDS requires urethral and rectal catheterization, many patients experience anxiety before and during the procedure. This study is designed to evaluate whether environmental modifications, including relaxing music and dim lighting, reduce anxiety during UDS.

Approximately 220 adult participants are planned to be enrolled and randomly assigned in a 1:1:1:1 ratio to one of four groups: standard lighting without music, standard lighting with music, dim lighting without music, and dim lighting with music. Anxiety will be assessed before and after the procedure using the State-Trait Anxiety Inventory (STAI). Secondary outcome measures will include heart rate and blood pressure changes. The study will evaluate the independent and combined effects of music and lighting using a 2 × 2 factorial design.

Study Type

Interventional

Enrollment (Estimated)

220

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

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

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Adults aged 18 years or older.
  • Scheduled to undergo urodynamic study (UDS) for clinical indications.
  • Persistent lower urinary tract symptoms despite previous medical treatment or surgery.
  • Able to understand the study procedures and complete the State-Trait Anxiety Inventory (STAI).
  • Provided written informed consent.

Exclusion Criteria:

  • Use of anxiolytic medications.
  • Use of antiarrhythmic medications.
  • Use of antihypertensive medications.
  • Visual or hearing impairment that could interfere with the environmental interventions or completion of the questionnaire.
  • Refusal or inability to complete the STAI questionnaire.
  • Inability or unwillingness to provide informed consent.

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: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Standard Lighting Without Music
Participants undergo urodynamic study under standard lighting without music.
Other: Standard Lighting
Standard lighting (500 lux) during the urodynamic study.
Experimental: Standard Lighting With Music
Participants undergo urodynamic study under standard lighting while listening to relaxing instrumental music.
Other: Standard Lighting
Standard lighting (500 lux) during the urodynamic study.
Other: music
Relaxing instrumental Zen-style music played during the urodynamic study.
Experimental: Dim Lighting Without Music
Participants undergo urodynamic study under dim lighting without music.
Other: Dim lighting
Ambient lighting is reduced to approximately 50 lux throughout the urodynamic study to provide a dimly lit examination environment.
Experimental: Dim Lighting With Music
Participants undergo urodynamic study under dim lighting while listening to relaxing instrumental music.
Other: music
Relaxing instrumental Zen-style music played during the urodynamic study.
Other: Dim lighting
Ambient lighting is reduced to approximately 50 lux throughout the urodynamic study to provide a dimly lit examination environment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in State-Trait Anxiety Inventory (STAI) Score
Time Frame: Immediately before and immediately after the urodynamic study
The primary outcome is the change in State-Trait Anxiety Inventory (STAI) score from before to after the urodynamic study. The STAI is a validated questionnaire used to assess anxiety, with higher scores indicating greater anxiety. The change in score will be compared between the four intervention groups.
Immediately before and immediately after the urodynamic study

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Baskent University Ankara Hospital

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 (Estimated)

July 6, 2026

Primary Completion (Estimated)

September 6, 2026

Study Completion (Estimated)

September 7, 2026

Study Registration Dates

First Submitted

July 6, 2026

First Submitted That Met QC Criteria

July 6, 2026

First Posted (Actual)

July 10, 2026

Study Record Updates

Last Update Posted (Actual)

July 14, 2026

Last Update Submitted That Met QC Criteria

July 11, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • KA25/238

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be publicly shared because the study contains potentially identifiable clinical information. De-identified aggregate data may be available from the corresponding investigator upon reasonable request, subject to institutional and ethical approval.

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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