Enhancing Quality of Patient Experience Via an Innovative Reduction of Pre-Operative Anxiety
Summary
This clinical trial tests how well guided meditation, compared to silence, works to reduce pre-operative anxiety in patients undergoing cancer-directed surgery. Pre-operative anxiety affects patient experience and has been found to be a predictor of severe post-operative pain and chronic pain after surgery, influencing the success and quality of a patient's recovery. While medication is often prescribed to improve anxiety symptoms, research has showed that mindfulness techniques can be used to decrease anxiety, improve comfort, and can impact both psychological and physiologic symptoms. Completing pre-operative guided meditation may work well to reduce pre-operative anxiety in patients undergoing cancer directive surgery.
Detailed description
PRIMARY OBJECTIVE: I. To improve is pre-operative patient anxiety in surgical settings. OUTLINE: Patients are randomized to 1 of 2 arms. ARM I: Patients listen to 10 minutes of guided meditation prior to surgery. ARM II: Patients wear noise cancelling headphones for 10 minutes prior to surgery. After completion of study intervention, patients are followed up for up to 6 months.
Arms & interventions
- BehavioralBehavioral Intervention
Listen to guided meditation
- BehavioralBehavioral Intervention
Wear noise cancelling headphones
- OtherElectronic Health Record Review
Ancillary studies
- OtherSurvey Administration
Ancillary studies
Outcome measures
Primary
Pre-operative anxiety (PROMIS Anxiety scale)
Measured with the Patient Reported Outcome Measurement Information System Anxiety. PROMIS Anxiety short form is an 8-item scale used to assess anxiety in individuals 18 years or older. Each item is on a 5-point scale to be summed, with higher scores indicating greater anxiety.
Time frame: Pre and post intervention, approximately 10 minutes
Pre-operative anxiety (single-item visual analog scale)
Measured by a single-item visual analog scale. The single-item visual analog scale will be used to assess momentary anxiety. The item will ask, "On a scale of 1 to 10, how anxious do you feel right now?" and patients will rate the level of anxiety on a scale of 0 to 10 (0=not at all anxious, 10=extremely anxious).
Time frame: Pre and post intervention, approximately 10 minutes
Secondary
Post-operative opiate use
Time frame: Up to 6 months post intervention
Post-operative morphine equivalent dose
Time frame: Up to 6 months post intervention
Post-operative average daily morphine
Time frame: Up to 6 months post intervention
Length of stay
Time frame: Up to 6 months post intervention
Eligibility criteria
Study locations (1)
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210