The Effectiveness of Information and Relaxation on Pre-procedural Block Anxiety and Procedural Discomfort During Medial Branch Block: a Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Louise Lamb
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Change in the anxiety level prior to the nerve block as per the state trait anxiety questionnaire
Overview
Brief Summary
Patient presenting to chronic pain clinics frequently undergo diagnostic and therapeutic spinal injections as part of their treatment. These procedures can cause significant level of apprehension in patients, which can lead to increased procedural times, increased procedural pain and reluctance to continue with the treatment program. It appears that certain interventions could reduce the anxiety and catastrophization levels and modify pain perception during medical procedures. The investigators therefore sought to evaluate the effect of a single 30 minutes information session which includes relaxation training administered 5 to 6 days before the nerve block procedure on patient's anxiety and catastrophization levels prior to the procedure and pain scores during the procedure, as well as the overall level of satisfaction with care received.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Care Provider)
Eligibility Criteria
- Ages
- 18 Years to 70 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •patient scheduled to have a medial branch block
- •over 18 years of age
Exclusion Criteria
- •adult able to give their own consent
- •patients who had a previous nerve block
- •patients who have a major psychiatric illness
- •patients who do not understand English or French
Outcomes
Primary Outcomes
Change in the anxiety level prior to the nerve block as per the state trait anxiety questionnaire
Time Frame: 5-7 days (Second visit and Day of block)
Secondary Outcomes
- Ease of performing the nerve block(Day of block)
- Perceived pain as measured by NRS (numerical rating scale)(Throughout the study (Baseline, day of block and 1 month after))
- Satisfaction level of the overall experience(Day after the block)
- Unchanged catastrophization level(Baseline and day of block)
Investigators
Louise Lamb
Nurse
McGill University Health Centre/Research Institute of the McGill University Health Centre