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Trial registered on ANZCTR
Registration number
ACTRN12614001034628
Ethics application status
Approved
Date submitted
16/09/2014
Date registered
25/09/2014
Date last updated
14/10/2016
Type of registration
Prospectively registered
Titles & IDs
Public title
Rapid Induction Analgesia: Audio recordings of hypnosis for induced pain in a student sample
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Scientific title
Effect of rapid induction analgesia by hypnosis recording compared to relaxing music on pain intensity and distress associated with acute pain in a sample of university students
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Secondary ID [1]
285332
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Pain
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Condition category
Condition code
Anaesthesiology
293335
293335
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0
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Pain management
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Rapid Induction Analgesia is a 20-minute hypnosis procedure with suggestions for relaxation and pain mediation. The intervention will be given as an audio recording that lasts for 20 minutes. There will be two experimental conditions, one where participants listen to the recording two days, then one day before and during a testing session and one where they just listen during the testing session. In the testing session pain will be induced using capsaicin applied to their forearms. Participants will then listen to the recording, or relaxing music, and then rate pain distress and intensity in response to several mechanical stimuli applied to the forearm. Mechanical stimulation will be applied using an algometer which measures pressure, a temperature simulator that will apply heat of approximately 43C and a Neuropen that will produce a sharp pricking sensation. The testing session will take approximately one hour.
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Intervention code [1]
290244
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Treatment: Other
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Comparator / control treatment
The control group will listen to relaxing music for 20 minutes after capsaicin has been applied and before rating pain distress and intensity in response to mechanical stimulation.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain intensity associated with physical stimuli on capsaicin application site in experimental group versus control group as assessed on a scale of 1-10.
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Assessment method [1]
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Timepoint [1]
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Before capsaicin application and 30 minutes after capsaicin application
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Primary outcome [2]
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Psychological distress associated with physical stimuli on capsaicin application site in experimental group versus control group as assessed on a scale of 1-10.
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Assessment method [2]
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Timepoint [2]
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Before capsaicin application and 30 minutes after capsaicin application
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Secondary outcome [1]
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Sharpness, using a neuropen applied to the forearm, with participant ratings of sharpness on a 1-10 scale
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Assessment method [1]
310529
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Timepoint [1]
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Before capsaicin application and 30 minutes after capsaicin application
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Secondary outcome [2]
310561
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Pressure pain threshold will be measured using an algometer
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Assessment method [2]
310561
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Timepoint [2]
310561
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Before capsaicin application and 30 minutes after capsaicin application
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Secondary outcome [3]
310562
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Heat intensity will be assessed using a thermal simulator applied to the forearm. Participants will rate heat intensity on a scale from 1-10
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Assessment method [3]
310562
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Timepoint [3]
310562
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Before capsaicin application and 30 minutes after capsaicin application
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Eligibility
Key inclusion criteria
Adults 18 and over
Generally good physical and mental health
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Diagnosis of a dissociative disorder, major depression, any anxiety condition with severe anxiety symptoms, schizophrenia
Diagnosis of a chronic pain condition
Pregnancy
Breastfeeding
Identified allergy to chilli or capsaicin
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be recruited through poster advertisements placed on notice boards throughout the campus. The student researcher will attend psychology lectures as approved to personally recruit participants, and hand out poster advertisements. Poster advertisements will outline the process for signing up for the study, which will involve an email or telephone call to the student researcher and/or signing up to the Murdoch Psychology Subject Pool website.
Willing participants will contact the researcher and go through a brief screening interview to rule out exclusion criteria. They will then be randomly allocated to the experimental or control condition. Allocation will not be concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random number generator
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
In a similar study using hypnosis for pain management (Wright and Drummond, 2001), 58 participants were recruited for three conditions (attention control, assessment during rapid induction analgesia, assessment after rapid induction analgesia). As this sample size (approximately 20 per condition) was sufficient to identify significant effects of rapid induction analgesia in that study (indicating a large effect size), we will also recruit approximately 20 subjects in each condition in the present study.
Differences in the mean values of several measures of the three groups on several measures of pain experience will be compared using analysis of variance.
Wright, B. & Drummond, P. (2001). The effect of rapid induction analgesia on subjective pain ratings and pain tolerance. International Journal of Clinical and Experimental Hypnosis. 49:2. 109-122
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
2/10/2014
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Actual
10/01/2015
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Date of last participant enrolment
Anticipated
30/06/2015
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Actual
30/04/2015
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Date of last data collection
Anticipated
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Actual
30/04/2015
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Sample size
Target
60
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Accrual to date
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Final
60
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment postcode(s) [1]
8696
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6150 - Murdoch
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Funding & Sponsors
Funding source category [1]
289960
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Self funded/Unfunded
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Name [1]
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Address [1]
289960
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Country [1]
289960
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Primary sponsor type
University
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Name
Murdoch University
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Address
90 South Street
Murdoch WA 6150
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Country
Australia
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Secondary sponsor category [1]
288651
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None
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Name [1]
288651
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Address [1]
288651
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Country [1]
288651
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291666
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Murdoch University Human Research Ethics Committee
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Ethics committee address [1]
291666
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Chancellery Building South Street MURDOCH WA 6150
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Ethics committee country [1]
291666
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Australia
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Date submitted for ethics approval [1]
291666
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Approval date [1]
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22/08/2014
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Ethics approval number [1]
291666
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2014/164
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Summary
Brief summary
A Variety of research suggests that hypnosis can be used successfully to treat acute pain (Patterson and Jensen, 2003; Wright and Drummond, 2001). Specifically, it has been demonstrated that hypnosis can reduce the intensity of pain experienced by patients with burn injuries during treatment (Wright and Drummond, 2000). Hypnosis also appears to have unique effects above and beyond other pain management treatments, such as opioid analgesics and relaxation training (Patterson, 2010). Despite this, it appears that hospitals do not routinely use hypnosis or other psychological pain management strategies with their patients. One reason for this may be that hospitals are not well resourced with clinical psychology staff, and thus their time is taken up with high priority issues such as post trauma psychological symptoms. Another reason may be a lack of education amongst medical staff of the benefits of hypnosis for pain management. It has been suggested that nurses are well positioned within a hospital environment to use hypnosis for pain management (Valente, 2006). Nurses spend more time with patients than other clinicians, and are often present during painful procedures. However, nurses have a demanding role and may not have time amongst their general duties, or specialist training, to work through hypnosis protocols with patients. It has been suggested that nurses may have time to administer and reinforce an audio recording of a hypnosis protocol, and that this may have similar benefits to protocols administered directly by a practitioner. The aim of this study is to trial an audio recording of a Rapid Induction Analgesia (RIA) hypnosis protocol with a student sample, as a pilot study, to determine if a larger scale study at the burns unit at Fiona Stanley hospital may be worthwhile in 2015. The effects of hypnosis on students’ experience of pain will be examined. References Patterson, D (2010). Clinical Hypnosis for Pain Control. Washington: American Psychological Association. Patterson, D., & Jensen, M. (2003). Hypnosis and clinical pain. Psychological Bulletin, 129:4, 495-521 Valente, S. (2006). Hypnosis for pain management. Journal of Psychosocial Nursing, 44:2, 2-9 Wright, B. & Drummond, P. (2000). Rapid induction analgesia for the alleviation of procedural pain during burn care. Burns, 26, 275-282 Wright, B. & Drummond, P. (2001). The effect of rapid induction analgesia on subjective pain ratings and pain tolerance. International Journal of Clinical and Experimental Hypnosis. 49:2. 109-122
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Peter Drummond
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Address
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Social Sciences Building room 1.020
Murdoch University
90 South Street
Murdoch WA 6150
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Country
51426
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Australia
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Phone
51426
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+61 8 9360 2415
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Fax
51426
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Email
51426
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[email protected]
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Contact person for public queries
Name
51427
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Kathryn James
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Address
51427
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Social Sciences Building room 1.020
Murdoch University
90 South Street
Murdoch WA 6150
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Country
51427
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Australia
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Phone
51427
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+61 458620032
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Fax
51427
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Email
51427
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[email protected]
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Contact person for scientific queries
Name
51428
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Peter Drummond
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Address
51428
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Social Sciences Building room 1.020
Murdoch University
90 South Street
Murdoch WA 6150
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Country
51428
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Australia
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Phone
51428
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+61 8 9360 2415
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Fax
51428
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Email
51428
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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