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Trial registered on ANZCTR
Registration number
ACTRN12617001198314
Ethics application status
Approved
Date submitted
10/08/2017
Date registered
16/08/2017
Date last updated
20/07/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Does triggering an Autonomic Sensory Meridian Response (ASMR) reduce pre-operative anxiety?
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Scientific title
Effect of a video designed to illicit the Autonomous Sensory Meridian Response on preoperative anxiety: A Randomized Placebo Controlled Trial
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Secondary ID [1]
292510
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None
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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:
Preoperative Anxiety
304313
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Condition category
Condition code
Anaesthesiology
303668
303668
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0
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Other anaesthesiology
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Mental Health
303700
303700
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0
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Anxiety
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Surgery
303701
303701
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention involved showing the preoperative patient in the preoperative ward a 6 minute video which provides information about the anesthetic procedure that they will receive. The video was shown to the patient around 1 - 2 hours prior to the induction of anesthetic. The video incorporated techniques known to illicit an Autonomous Sensory Meridian Response (ASMR). The patients' anxiety was assessed before and after the intervention.
ASMR is an alternative approach to relaxation and is currently very popular. The technique itself involves incorporating visual and acoustic stimuli delivered via video to elicit a low-grade euphoric response.
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Intervention code [1]
298846
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Behaviour
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Intervention code [2]
298873
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Prevention
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Intervention code [3]
298874
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Treatment: Other
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Comparator / control treatment
The control involved having the patient watch a video providing information about the anesthetic procedure that they were going to receive. The content of the video is the same as the intervention video but was delivered normally without any ASMR elements.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Change from baseline value in preoperative anxiety as measured by the Visual Analogue Scale (VAS).
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Assessment method [1]
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Timepoint [1]
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Visual Analogue Scale (VAS) was completed immediately prior to and after watching the intervention or the control video.
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Primary outcome [2]
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Change from baseline value in preoperative anxiety as measured by the Amsterdam Preoperative Anxiety and Information Scale (APAIS).
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Assessment method [2]
303081
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Timepoint [2]
303081
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Amsterdam Preoperative Anxiety and Information Scale (APAIS) questionnaire was completed immediately prior to and after watching the intervention or the control video.
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Primary outcome [3]
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Change from baseline value in preoperative anxiety as measured by the State-Trait Anxiety Inventory (STAI).
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Assessment method [3]
303082
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Timepoint [3]
303082
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State-Trait Anxiety Inventory (STAI) questionnaire was completed immediately prior to and after watching the intervention or the control video.
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Secondary outcome [1]
337757
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Change in heart rate as measured by a Vital Signs Monitor.
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Assessment method [1]
337757
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Timepoint [1]
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Heart rate was recorded immediately before and after watching the intervention or control video.
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Secondary outcome [2]
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Blood pressure measured manually using a sphygmomanometer.
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Assessment method [2]
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Timepoint [2]
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Blood pressure recorded immediately before and after watching the intervention or control video.
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Secondary outcome [3]
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Respiratory rate measured by counting a patient's breaths over 15 seconds and multiplying the number by 4 to get a value over 1 minute.
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Assessment method [3]
349775
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Timepoint [3]
349775
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Respiratory rate recorded immediately before and after watching the intervention or control video.
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Eligibility
Key inclusion criteria
Preoperative patients at the Sydney Adventist Hospital preparing to undergo a procedure requiring an anesthetic.
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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?
No
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Key exclusion criteria
- Minors under 18 years old
- Inability to speak English
- Vision impaired (unable to view video)
- Hearing impaired (unable to hear video)
- Acutely unwell
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Study design
Purpose of the study
Educational / counselling / training
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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)
Allocations were concealed. The sequence was generated beforehand using a random number generator. The intervention video and the control video was named by a third party so that the assessor did not know the allocation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomization was done using computer software.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people administering the treatment/s
The people analysing the results/data
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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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/09/2017
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Actual
16/01/2018
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Date of last participant enrolment
Anticipated
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Actual
6/02/2018
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Date of last data collection
Anticipated
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Actual
6/02/2018
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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Sydney Adventist Hospital - Wahroonga
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Recruitment postcode(s) [1]
16874
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2076 - Wahroonga
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Sydney Adventist Hospital
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Address [1]
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185 Fox Valley Rd, Wahroonga NSW 2076
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Country [1]
297080
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Australia
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Primary sponsor type
Individual
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Name
David Ng
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Address
Sydney Adventist Hospital Clinical School
Sydney Medical Program
185 Fox Valley Rd, Wahroonga NSW 2076
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Kirsten Carlaw
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Address [1]
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Sydney Adventist Hospital Clinical School
Sydney Medical Program
185 Fox Valley Rd, Wahroonga NSW 2076
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Country [1]
296084
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298258
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Adventist HealthCare Limited Human Research Ethics Committee (HREC)
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Ethics committee address [1]
298258
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185 Fox Valley Road Wahroonga NSW 2076
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Ethics committee country [1]
298258
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Australia
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Date submitted for ethics approval [1]
298258
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Approval date [1]
298258
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05/04/2017
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Ethics approval number [1]
298258
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2017-011
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Summary
Brief summary
The purpose of this study is to test whether a video designed to trigger the Autonomous Sensory Meridian Response (ASMR) will have an effect on preoperative anxiety. Preoperative anxiety is a significant phenomenon that negatively impacts patients that are preparing to undergo a procedure. In this study, we showed preoperative patients an informational video that told them about the anesthetic procedure that they were going to undergo. This video was either one specially designed to trigger an ASMR, or a normal video with the same information. ASMR is an alternative approach to relaxation and is currently very popular. You-Tube channels dedicated to producing ASMR videos have large followings and achieves significant viewership. Despite its rising popularity in society, only a few studies have been conducted to scientifically evaluate the effects of ASMR. We measured preoperative anxiety using standardized questionnaires that have been proven to be effective in many other studies. The questionnaires that we chose are the Visual Analogue Scale (VAS), the State-Trait Anxiety Inventory (STAI) and the Amsterdam Preoperative Anxiety and Information Scale (APAIS). We compared the results from the patients that watched the ASMR video with the results from patients that watched a normal video. Our aim is to assess the effects of ASMR on preoperative anxiety and determine if it yielded any clinically significant effects.
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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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A/Prof Stephanie Phillips
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Address
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Northern Specialist Anaesthetics
San Clinic Tulloch, Suite 101, 185 Fox Valley Road
WAHROONGA
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Country
76502
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Australia
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Phone
76502
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+61418250280
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Fax
76502
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Email
76502
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[email protected]
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Contact person for public queries
Name
76503
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Kirsten Carlaw
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Address
76503
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Sydney Adventist Hospital Clinical School
Sydney Medical Program
185 Fox Valley Rd, Wahroonga NSW 2076
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Country
76503
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Australia
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Phone
76503
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+61415831995
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Fax
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Email
76503
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[email protected]
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Contact person for scientific queries
Name
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David Ng
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Address
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Sydney Adventist Hospital Clinical School
Sydney Medical Program
185 Fox Valley Rd, Wahroonga NSW 2076
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Country
76504
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Australia
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Phone
76504
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+61401281663
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Fax
76504
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Email
76504
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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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