The Effectiveness of Music on Pain and Anxiety in IUD Insertion

McMaster University

Status: Unknown

Conditions: Anxiety Acute; IUD Insertion Complication; Pain, Acute

Treatments: Behavioral: Music listening

Study type: Interventional

Funder types: Other

Identifiers

NCT03828760

Tuning Out

Details and patient eligibility

About

Although intrauterine devices (IUDs) are a highly effective contraceptive method, fear of pain during insertion is one barrier to use. A review of literature reveals little investigation of interventions for anxiety management during the procedure. Furthermore, evidence of non-pharmacological interventions for both anxiety and pain management is limited. Music has been shown to be effective at reducing anxiety and pain in a variety of contexts, however to the investigators' knowledge, its effectiveness for anxiety and pain relief during the IUD insertion procedure has not been formally examined. This study will therefore examine the effectiveness of listening to music on anxiety and pain during IUD insertion.

Full description

The study is a randomized controlled trial of patients at least 16 years of age undergoing an IUD insertion. The experimental group will receive music, self-selected, with a music-playing device prior and during the procedure and the control group will receive standard care. Data for pain and anxiety will be collected prior to the procedure, and during, and after IUD insertion. In addition, a post-procedure questionnaire will be given to patients and providers to ask about satisfaction and acceptability of the intervention.

Enrollment: 80 estimated patients

Sex: Female

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Sufficient understanding of English to complete questionnaires
• Women who will attend the clinic for an IUD insertion and accept to participate in the study

Exclusion criteria

• Women with chronic pain

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Music Listening

Experimental group

Description:

Patients will receive music of choice to listen to using a music-playing device in the waiting room prior to IUD insertion, as well as during the procedure.

Treatment:

Behavioral: Music listening

Standard Care

No Intervention group

Description:

Patients will receive standard care (excluding the use of music) from providers at the clinic to minimize pain and anxiety during the procedure.