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Trial registered on ANZCTR
Registration number
ACTRN12619001751167
Ethics application status
Approved
Date submitted
15/08/2019
Date registered
10/12/2019
Date last updated
10/12/2019
Date data sharing statement initially provided
10/12/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Audiovisual distraction in nasal upper gastrointestinal endoscopy.
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Scientific title
Audiovisual distraction vs No audiovisual distraction for managing anxiety in nasal upper gastrointestinal endoscopy.
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Secondary ID [1]
298920
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None
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Universal Trial Number (UTN)
U1111-1238-0807
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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:
chronic refractory gastroesophagical reflux
313902
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Condition category
Condition code
Oral and Gastrointestinal
312315
312315
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
A video consisting of various images and audio that stimulates patient relaxation will be reproduced by the operator and co-investigator of the study, during the nasal endoscopic procedure, which lasts around 40 minutes.
For the reproduction of the video, a virtual reality viewer, called Oculus Go (Facebook Technologies, LLC), will be used, in addition to hearing aids with surround sound. The video and sound content were created with copyright-free audiovisual material, in which landscape images and relaxation music are played throughout the whole procedure.
Also, the explanation video will be reproduced before the nasal endoscopy procedure.
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Intervention code [1]
315202
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Treatment: Other
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Comparator / control treatment
Brief explanation of the nasal endoscopy procedure, with video images and audio-guided description, will be reproduced before the nasal endoscopy procedure.
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Control group
Active
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Outcomes
Primary outcome [1]
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To compare the anxiety score, measured by Beck Anxiety Scale in the interventional vs control group during the nasal endoscopy procedure.
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Assessment method [1]
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Timepoint [1]
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30 minutes post nasal endoscopy procedure.
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Primary outcome [2]
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To compare the anxiety score, measured by Patient Health Questionnaire (PCSQ-9), in the interventional vs control group during the nasal endoscopy procedure.
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Assessment method [2]
321828
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Timepoint [2]
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30 minutes post nasal endoscopy procedure.
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Secondary outcome [1]
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To compare the number of successful completed nasal endoscopy procedures assessed by localization and reaching the esophagus, stomach and duodenal portions of the gastrointestinal tract during the nasal endoscopy, in the interventional vs control group 30 minutes post nasal endoscopy procedure.
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Assessment method [1]
373478
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Timepoint [1]
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30 minutes post nasal endoscopy procedure.
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Eligibility
Key inclusion criteria
Patients with the following criteria will be included in the study:
Male or female, 18-65 years of age,
Globus,
Symptomatology of chronic refractory reflux to pharmacological therapy,
Dyspeptic syndrome without alarm data,
Non-cardiac chest pain.
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Minimum age
18
Years
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Maximum age
65
Years
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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
Patients with the following criteria will be excluded from the study:
Dysphagia,
Alarm signs (weight loss, etc.),
History of food impact,
Previous use of aspirin or anticoagulants (3 months),
History of recurrent epistaxis,
History of nasal trauma,
Chronic sinusitis,
Previous nasal surgeries,
Highly anxious patients.
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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)
Sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software generated by radioactive decay.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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
The calculated sample was determined by the ratio difference formula resulting in 54 patients, taking as reference a power of 80% and alpha of 5. The data will be reported as mean and standard deviation or median and range, accordingly to data normality distribution. To compare the standard deviation, a Fischer test will be applied in the correlation of coefficients. Confidence intervals of 95% will be used. Evaluation of qualitative variables through Chi square (tables 2x2 or 2x3) where the difference was established when the p was less than or equal to 0.05.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/01/2020
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Actual
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Date of last participant enrolment
Anticipated
2/03/2020
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Actual
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Date of last data collection
Anticipated
27/03/2020
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Actual
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Sample size
Target
54
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
21742
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Mexico
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State/province [1]
21742
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Nuevo Leon
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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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Hospital Universitario, Dr. José E. González, Universidad Autónoma de Nuevo León
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Address [1]
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Av. Madero and Av. Gonzalitos n/n, Mitras Centro, Monterrey, Nuevo León, México, postal code 64460.
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Country [1]
303467
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Mexico
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Primary sponsor type
Hospital
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Name
Hospital Universitario, Dr. José E. González, Universidad Autónoma de Nuevo León
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Address
Av. Madero and Av. Gonzalitos n/n, Mitras Centro, Monterrey, Nuevo León, México, postal code 64460.
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Country
Mexico
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Secondary sponsor category [1]
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None
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Name [1]
303525
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Address [1]
303525
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Country [1]
303525
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Hospital Universitario and Medicine Faculty Ethics Committee
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Ethics committee address [1]
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Av. Gonzalitos y Av. Madero n/n, Mitras Centro, Monterrey, Nuevo León, México, PC 64460, phone. +528381891111.
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Ethics committee country [1]
303997
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Mexico
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Date submitted for ethics approval [1]
303997
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01/03/2019
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Approval date [1]
303997
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13/05/2019
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Ethics approval number [1]
303997
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G19-0001
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Summary
Brief summary
Upper gastrointestinal endoscopy is commonly performed procedure for the diagnostic approach of gastrointestinal diseases. Authors design a randomized clinical trial with adult patients who required a diagnostic upper gastrointestinal endoscopy, to compare the anxiety score, in the interventional vs control group, 30 minutes post nasal endoscopy procedure. In the intervention and control group a brief explanation before the nasal endoscopy procedure, with video images and audio-guided description will be reproduced. In addition, the intervention group, a second video with images and audio that stimulates patient relaxation, will be reproduced during the nasal endoscopic procedure. The study hypothesis is relaxation video and images effectively decreases the anxiety in patients who undergo nasal endoscopy.
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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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Dr Daniel Eduardo Benavides Salgado
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Address
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Hospital Universitario, "Dr Jose E. Gonzalez", Facultad de Medicina, Universidad Autónoma de Nuevo Leon, Av. Madero and Av. Gonzalitos n/n, Mitras Centro, Monterrey, Nuevo León, México, postal code 64460.
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Country
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Mexico
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Phone
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+52 81 8389 1111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Hector Raul Ibarra Sifuenets
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Address
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Hospital Universitario, "Dr Jose E. Gonzalez", Facultad de Medicina, Universidad Autónoma de Nuevo Leon, Av. Madero and Av. Gonzalitos n/n, Mitras Centro, Monterrey, Nuevo León, México, postal code 64460.
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Country
95499
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Mexico
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Phone
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+52 81 8389 1111
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Fax
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Email
95499
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[email protected]
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Contact person for scientific queries
Name
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Hector Raul Ibarra Sifuentes
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Address
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Hospital Universitario, "Dr Jose E. Gonzalez", Facultad de Medicina, Universidad Autónoma de Nuevo Leon, Av. Madero and Av. Gonzalitos n/n, Mitras Centro, Monterrey, Nuevo León, México, postal code 64460.
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Country
95500
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Mexico
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Phone
95500
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+52 81 8389 1111
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Fax
95500
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Email
95500
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Anxiety scores and successful competition nasal endoscopy procedures in the control and intervention group.
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When will data be available (start and end dates)?
From January 30th 2020 to December 30th 2020.
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Available to whom?
Researchers who contact the corresponding author.
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Available for what types of analyses?
Statistical
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How or where can data be obtained?
Access subject to approvals by by emailing the principal investigator at
[email protected]
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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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