Anxiety, Pain
Conditions
Brief summary
The objective of this research is to assess the effects of engaging in coloring activities on patients' self-reported pain and anxiety scores while they wait to be seen by a physician in an emergency department (ED). The current literature on patient visits in the ED highlights the significance of anxiety, stress, and frustration in patient experiences, especially when accounting for long wait times before the physician-patient encounter. The study will address this common problem by looking at the potential impact of nature-themed or geometric shape coloring activities on the ED patient experience as it relates to self-reported anxiety and pain scores. Given that long wait times are increasingly being reported across the country, this study may offer a possible meaningful low-budget, low-resource intervention which could be offered to patients.
Interventions
BEHAVIORALNature Coloring Packet
Coloring packet containing nature scenes
BEHAVIORALGeometric Shape Coloring Packet
Coloring packet containing geometric shapes
BEHAVIORALActivity Book
Pages containing word searches, connect the dots, etc.
BEHAVIORALBlank Paper and Pencil
Blank sheets of paper and a pencil.
Sponsors
Stony Brook University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
This is a randomized, four-armed prospective interventional study that will test the effect of nature-based coloring activities on patients' pain and anxiety scores during their ED visit. The study will consist of three intervention groups and one active control group.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Triage Pain Score \> 3 * Age \>18 * Able to provide informed consent * English-speaking * without concern for aggressive behavior * Glasgow Coma Scale (GCS) of 15 * Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score \> 6
Exclusion criteria
* Concern for aggression risk, including active concern for suicidal or homicidal ideations * Glasgow Coma Scale (GCS) \<15 * triage acuity requiring critical care evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score | 8 hours | Change in self-reported Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score following art therapy intervention (0-21, 21 = most anxious) |
| Numerical Pain Score | 8 hours | Change in self-reported numerical pain score following art therapy intervention (0-10, 10 = the worst pain) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Color Selection | 8 hours | Correlation between Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score or pain score and colors selected by patient to use during art therapy |
| Patient impression of activities | 8 hours | Patient engagement (reported time packet used, recommendation for others to use) |
Countries
United States
Contacts
CONTACTLauren M Maloney, MD
Outcome results
None listed