Does Actively Listening to Binaural Music Immediately Prior to Mammography Reduce a Patient's Pain Score From Applied Compression During the Procedure
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Tameside General Hospital
- Enrollment
- 57
- Locations
- 1
- Primary Endpoint
- Pain score from previous mammography compared with pain score reported at current mammography appointment
Study Overview
Brief Summary
To evaluate client experience relating to mammography and pain scores for patients attending for annual surveillance mammography with a family history of breast cancer. It will involve face to face patient interviews with clients that have had previous mammography at the study site (Tameside and Glossop Integrated Care Trust). The data will be specific to the study site and gathered by the PI only. This is a feasibility study, the data will be used to inform further study across additional sites and application for a College of Radiographers grant. The study is a quantitative assessment of pain following the intervention of binaural music, the mammogram will be undertaken by the same mammographer to standardise technique. Pain will be assessed using a validated numerical 11 point pain score for ease of use as per previous published research.
Each client will feedback twice during the care event:
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Retrospectively from previous experience
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Actual pain, if any, during planned mammogram Patients will be randomised to the following groups;
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Control 2. Binaural music 3. Non binaural music If the feasibility study is successful the study will proceed to a second phase and the number of participants extended to 60 patients per group (180 in total) and the study ceased when the number reached.
If there is an indication to extend to another Trust (multi-site trial). A new IRAS application will be submitted following the feasibility study, if successful.
Detailed Description
Principal aim of the study: To investigate whether the experience of mammography-related pain can be improved by listening to binaural music prior to the examination.
The research aims to improve patient experience for patients undergoing annual mammography with moderate or high risk of breast cancer. These patients can commence annual mammography at 40 years of age until entering the National Health Service Breast Screening Program (NHSBSP), (NICE, 2013). Reduction in pain or anxiety for these patients may improve compliance, reduce DNA rates which is a cost saving to the NHS.
Previously, mammography-related pain scores have been evaluated within the study institution in these groups of women by measuring pain using a VAS/NRS pain tool three times; before, immediately after and 1-week post mammography. The results of this study showed that expectation of pain by the patient was the only significant predictor for pain r=0.79. Breast size, compression force, menopausal status and breast density were not found to be significant indicators for pain (Nelson et al., 2018).
One of the action points for this research was to repeat the study within the introduction of a series of pain interventions to improve pain scores for all patients in the low, moderate and severe pain categories.
f. Methodology The feasibility study will be a prospective, randomised controlled trial enabling comparisons based on current pain measurements, for patients attending family history screening at Tameside and Glossop Integrated Care NHS Foundation Trust. If the results are significant then a larger scale study across 2-3 sites is planned.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Basic Science
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to 100 Years (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Bilateral mammogram.
- •Asymptomatic patients only.
- •Patients attending for family history follow up mammography.
- •Patients that have had a mammogram within 2 years at the trust to compare to on the same equipment.
- •Patients with language barriers if an interpreter or relative is available.
Exclusion Criteria
- •Patients with mammography elsewhere including screening units or in the private sector.
- •Family history patients having their 1st mammogram. Patients with breast implants. Patients with inability to consent due to mental incapacity. Patients with hearing impairments Patients with a history of epilepsy Patients with ongoing mental health illness Patients with heart arrhythmia and pacemakers Patients taking prescribed pain medication
Arms & Interventions
Control
participant will receive standard care only
Binaural music
Participants will listen to binaural music whilst having a routine mammogram
Intervention: music (Other)
Non-binaural music
Participants will listen to non-binaural music whilst having a routine mammogram
Intervention: music (Other)
Outcomes
Primary Outcomes
Pain score from previous mammography compared with pain score reported at current mammography appointment
Time Frame: pain score collected within 10 minutes post mammograph
Reported pain score for previous mammography experience compared with the pain score reported for current mammography appointment. Pain will be measured using a validated numerical 11 point pain score scale.
Secondary Outcomes
- comparison of pain scores reported for each study group(comparison to take place within 3 months post mammography visit)