Meditation Monologue can Reduce Clinical Injection-Related Anxiety: Randomized Controlled Trial
| Autor: | William P. Meehan, Dai Sugimoto, Cynthia J. Stein, Emily Pluhar, Joana Fraser, Gianmichel D. Corrado, David L. Mendel, Nathalie R. Slick |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty media_common.quotation_subject Original Manuscript Anxiety law.invention Other systems of medicine 03 medical and health sciences 0302 clinical medicine Randomized controlled trial relaxation law Heart Rate Intervention (counseling) medicine Humans Meditation Prospective Studies media_common 030222 orthopedics clinical injection Relaxation (psychology) business.industry RX1-681 Homeopathy 030229 sport sciences mental status Anxiety Disorders Complementary and alternative medicine Physical therapy medicine.symptom business RZ201-999 |
| Zdroj: | Journal of Evidence-based Integrative Medicine Journal of Evidence-Based Integrative Medicine, Vol 26 (2021) |
| ISSN: | 2515-690X |
| Popis: | Background. Strategies to reduce anxiety prior to injection procedures are not well understood. The purpose is to determine the effect of a meditation monologue intervention delivered via phone/mobile application on pre-injection anxiety levels among patients undergoing a clinical injection. The following hypothesis was tested: patients who listened to a meditation monologue via phone/mobile application prior to clinical injection would experience less anxiety compared to those who did not. Methods. A prospective, randomized controlled trial was performed at an orthopedics and sports medicine clinic of a tertiary level medical center in the New England region, USA. Thirty patients scheduled for intra- or peri-articular injections were randomly allocated to intervention (meditation monologue) or placebo (nature sounds) group. Main outcome variables were state and trait anxiety inventory (STAI) scores and blood pressure (BP), heart rate, and respiratory rate. Results. There were 16 participants who were allocated to intervention (meditation monologue) while 14 participants were assigned to placebo (nature sounds). There was no interaction effect. However, a main time effect was found. Both state anxiety (STAI-S) and trait anxiety (STAI-T) scores were significantly reduced post-intervention compared to pre-intervention (STAI-S: p = 0.04, STAI-T: p = 0.04). Also, a statistically significant main group effect was detected. The pre- and post- STAI-S score reduction was greater in the intervention group (p = 0.028). Also, a significant diastolic BP increase between pre- and post-intervention was recorded in the intervention group (p = 0.028), but not in the placebo group (p = 0.999). Conclusion. Listening to a meditation monologue via phone/mobile application prior to clinical injection can reduce anxiety in adult patients receiving intra- and peri-articular injections. Registration: ClinicalTrials.gov NCT02690194 |
| Databáze: | OpenAIRE |
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