Effects of Complementary Therapies Delivered Via Mobile Technologies on Surgical Patients' Reports of Anxiety, Pain, and Self-Efficacy in Healing: A Pilot Randomized Controlled Trial in Iceland
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Acute Pain
- Sponsor
- University of San Francisco
- Enrollment
- 105
- Locations
- 1
- Primary Endpoint
- Change from baseline state anxiety via the State Trait Anxiety Scale (STAI)
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to determine the effects of complementary therapies delivered via mobile technologies have a therapeutic effect on surgical patients' anxiety, pain, and self-efficacy in healing reports before, following, and at 10-day follow-up.
Detailed Description
Patients scheduled for same-day surgery (SDS) often experience state anxiety, which may result in increased perceptions of pain and lower self-efficacy in healing. Complementary therapies (CT), such as relaxation technique, massage, guided imagery, and acupuncture have been shown to benefit patients undergoing surgery. The aim of this study was to examine the effects of audio relaxation technique (ART), music intervention (MI), nature video application with music (NVAM), and nature video application without music (NVA) delivered via mobile technologies on patients' state anxiety, pain perception, and perceived self-efficacy in healing. Methods A randomized controlled trial (RCT) involving 105 SDS patients, who were assigned to an ART (n = 25), MI (n = 25), NVAM (n = 15), NVA (n = 16), or a control group (n = 24) were assessed for state anxiety via the State Trait Anxiety Inventory (STAI), self-reported pain using the numeric rating scale (NRS), and self-efficacy with the general self-efficacy scale (GSE) four days prior to surgery, immediately prior and following the surgical intervention, and at day five post-operative.
Investigators
Margaret M. Hansen
Associate Professor
University of San Francisco
Eligibility Criteria
Inclusion Criteria
- •Age range 18-75-years
- •English or Icelandic speaking
- •Cognitively alert and oriented to person, place, time, and situation
- •Intact visual and auditory senses
Exclusion Criteria
- •History of substance abuse
- •Chronic pain lasting more than six months
- •Use of narcotic medication for more than six months
- •Major psychiatric disorders
- •Taking prescribed medications for thought disorders
- •Having ophthalmology and/or auditory surgery or impairments
Outcomes
Primary Outcomes
Change from baseline state anxiety via the State Trait Anxiety Scale (STAI)
Time Frame: Ten days
A randomized controlled trial (RCT) involving 105 SDS patients, who were assigned to an ART (n = 25), MI (n = 25), NVAM (n = 15), NVA (n = 16), or a control group (n = 24) were assessed for state anxiety via the State Trait Anxiety Inventory (STAI), self-reported pain using the numeric rating scale (NRS), and self-efficacy with the general self- efficacy scale (GSE) four days prior to surgery, immediately prior and following the surgical intervention, and at day five post-operative.
Secondary Outcomes
- Change in baseline pain level using the Numeric Rating Scale (NRS)(Ten Days)