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Poke and a Placebo

Not Applicable
Recruiting
Conditions
Anesthesia
Interventions
Behavioral: Negative Connotation Langauge
Behavioral: Positive Connotation Language
Registration Number
NCT04497220
Lead Sponsor
University of Minnesota
Brief Summary

To discover if a positive description of the procedure for an epidural can reduce the overall pain score associated with the procedure.

Detailed Description

The study intervention consists of two separate scripts read to the patient by the anesthesiologist performing their labor epidural. One script will contain the wording "Poke and a burn" prior to subcutaneous local anesthetic administration for the epidural placement and one will contain "this is numbing medication, which will make the rest of the procedure go easier". There will be no difference in the epidural placement, medications, or the rest of the script.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
30
Inclusion Criteria
  • pregnancy
  • requesting an epidural for the first time
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Exclusion Criteria
  • previous epidural (either for labor or for surgery)
  • BMI greater than 40 kg/m^2
  • previous lumbar spine surgery
  • inability to speak English
  • a history of chronic pain or are on chronic opioids
  • a history of opioid drug abuse
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Nocebo GroupNegative Connotation LangaugeParticipants in this group will receive the control treatment
Positive Connotation GroupPositive Connotation LanguageParticipants in this group will receive the experimental treatment.
Primary Outcome Measures
NameTimeMethod
Max pain score during the epidural procedure1 hour

Maximum pain score will be measured using a single 11-point Numeric Rating Scale 0-10, where 0 is no pain and 10 is maximum imaginable pain.

Secondary Outcome Measures
NameTimeMethod
Overall satisfaction during the epidural procedure1 hour

Overall satisfaction during the epidural procedure will be measured used a 5-point likert scale: 5=very satisfied, 4=satisfied, 3=neither satisfied or dissatisfied, 2=dissatisfied, 1=very dissatisfied.

Trial Locations

Locations (1)

University of Minnesota

🇺🇸

Minneapolis, Minnesota, United States

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