Canine-Assisted ANxiety Reduction IN Emergency Care IV (CANINE IV)
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 试验地点
- 2
- 主要终点
- Change in salivary cortisol in ED patients with chronic pain
研究概览
简要总结
Prior literature demonstrates that human stress can be reduced with exposure to animals. This study challenges current dogma by introducing a widely available, low cost method of dog therapy to reduce patient and provider stress. The objectives of this study are to determine if interaction with a certified therapy dog and handler can;
- decrease reported anxiety levels in emergency department (ED) patients,
- decrease salivary cortisol in ED patients,
- decrease total morphine equivalent dosing in the emergency department or at discharge and/or,
- decrease reported stress levels in emergency department providers caring for participating patients
when compared to usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-89 years
- •Chronic pain, defined as pain on most days for >6 weeks
- •Triage pain score >6 out of 10
- •Age 18-89 years
- •Currently experience crisis, including suicidality, or
- •Meet the standard of a provider assessment of "severe stress" defined by their identification that the patient meets a score of greater than six on the FACES stress scale
- •Faculty, residents, advanced practitioners, and nurses who work in the ED and identify themselves as being the nurse or physician of record for the enrolled patients.
- •Therapy Dog Handlers
- •Handler of a certified therapy dog and volunteer of Eskenazi's Therapy Dog Program
排除标准
- •Violent behavior
- •Overt intoxication
- •Non-English speaking
- •Any reported prior fear or adverse reaction to dogs
- •Any reported prior fear or adverse reaction to dogs
- •Therapy Dog Handlers
结局指标
主要结局
Change in salivary cortisol in ED patients with chronic pain
时间窗: Baseline and T1 (~45 minutes after baseline)
Change in salivary cortisol levels in emergency department patients between baseline and T1
Number of narcotic, sedative and/or neuroleptic doses administered in ED patients with emotional crisis
时间窗: Date of enrollment until emergency department discharge, up to 72 hours
Number of narcotic, sedative and/or neuroleptic doses administered in ED patients with emotional crisis
Change in reported stress levels in ED patients with chronic pain using Wong-Baker FACES Scale (10 = worst)
时间窗: Baseline and T1 (~45 minutes after baseline)
Change in self reported stress levels of emergency department patients using a Wong-Baker FACES Scale for anxiety between baseline and T1
Morphine equivalent narcotic administration in emergency department patients with chronic pain
时间窗: Date of enrollment until emergency department discharge, up to 72 hours
Total morphine equivalent narcotic administration while in the emergency department or as a discharge prescription will be recorded for enrolled patients.
Change in salivary cortisol in ED patients with emotional crisis
时间窗: Baseline and T1 (~45 minutes after baseline)
Change in salivary cortisol levels in emergency department patients between baseline and T1
Change in reported stress levels in ED patients with emotional crisis using Wong-Baker FACES Scale (10 = worst)
时间窗: Baseline and T1 (~45 minutes after baseline)
Change in self reported stress levels of emergency department patients using a Wong-Baker FACES Scale for anxiety between baseline and T1
次要结局
- Change in salivary cortisol levels in emergency department patients(Baseline and T1 (~45 minutes after baseline))
研究者
Nicholas Pettit
Assistant Professor of Emergency Medicine
Indiana University