Effects of Complementary Therapies Delivered Via Mobile Technologies

University of San Francisco

Status: Completed

Conditions: Self Efficacy; Anxiety; Acute Pain

Treatments: Behavioral: Medical Music Intervention; Behavioral: Nature Therapy with Music; Behavioral: Nature Therapy without Music; Behavioral: Audio Relaxation Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT02236455

S5862

Details and patient eligibility

About

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.

Full 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.

Enrollment: 105 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: None (Open label)

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105 participants in 4 patient groups

Audio Relaxation technique

Experimental group

Description:

Relaxation is a process that decreases the effects of stress on your mind and body. Relaxation techniques can help you cope with everyday stress and with stress related to various health problems, such as cancer and pain.

Treatment:

Behavioral: Audio Relaxation Technique

Medical Music Intervention

Experimental group

Description:

Music intervention is use to assist with relaxation and reduce stress levels in patients.

Treatment:

Behavioral: Medical Music Intervention

Nature Therapy without Music

Experimental group

Description:

Ecotherapy is the use of nature to reduce stress and to increase levels of well-being in patients.

Treatment:

Behavioral: Nature Therapy without Music

Nature Therapy with Music

Experimental group

Description:

Nature therapy videos were produced with and without music for surgical patients.

Treatment:

Behavioral: Nature Therapy with Music