Anxiety, Cataract, Intraoperative Hypertension
Conditions
Brief summary
This study investigates whether television viewing or music listening can reduce pre-operative anxiety and improve surgical outcomes for patients undergoing cataract surgery. It aims to determine the effectiveness of these interventions compared to a control group and assess their impact on physiological markers of anxiety as well as the incidence of intra-operative hypertensive events. The key questions that are to be answered are: 1. Does watching television before cataract surgery decrease intraoperative hypertensive events and/or pre-operative anxiety in patients? 2. Does listening to music before cataract surgery decrease intraoperative hypertensive events and/or pre-operative anxiety in patients?
Detailed description
The study addresses the gap in literature regarding TV viewing's efficacy in ophthalmic surgery anxiety reduction. It aims to provide insights into cost-effective methods for stress reduction and surgical optimization. Through voluntary participation and rigorous methodology, it seeks to enhance patient experience and outcomes in ophthalmic surgery. * Study Design: Randomized controlled design with three groups: control, television intervention, or music intervention. * Objective: Investigate effects of TV viewing and music listening on pre-operative anxiety in ophthalmic surgery. * Comparison: Compare relaxation effects of TV and music. * Participants: Aim to recruit 200 per intervention arm from Montefiore Medical Center. * Baseline Assessment: Measure anxiety levels pre-intervention. * Interventions: Administer TV or music for 20 minutes pre-surgery. * Assessment: Evaluate anxiety levels and physiological markers pre- and post-intervention. * Monitoring: Monitor vital signs during surgery and post-operative period. * Data Collection: Document demographic info, medical history, and baseline anxiety. * Measurement Tools: Use Visual Analog Scale (VAS) for subjective assessment and physiological markers. * Analysis: Compare outcomes across intervention arms using statistical tests.
Interventions
OTHERMusic Intervention
Participants assigned to 20 minutes of music listening
OTHERTelevision Intervention
Participants assigned to 20 minutes of television viewing
Sponsors
Montefiore Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
Participants assigned to one of three groups: music listening, tv viewing, or control (waiting with ambient noise)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Participants undergoing cataract surgery at Montefiore Medical Center
Exclusion criteria
* Participants with severe hearing loss or speech impairment * Participants with vision loss greater than count fingers * Participants with uncontrolled hypertension (defined as \>160/\>100 despite use of antihypertensive medication) * Participants who do not have the capacity to provide consent or who require a surrogate to provide consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative hypertensive event | From beginning of cataract surgery to the completion (approximately 15 minutes) | The primary outcome of this study is the occurrence of one hypertensive event (defined as BP \>160/\>100) during the procedure (cataract surgery). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in VAS-A measurements for Anxiety | From participant enrollment to after 20 minute intervention | The Visual Analog Scale for Anxiety (VAS-A) will be used to assess anxiety. The VAS-A is a validated tool for evaluating preoperative anxiety. Visual anxiety analog scale is used to score patient's anxiety levels. The scale ranges from 0 to 10, where 0 represents not anxious and 10 represents extreme anxiety. Participants have baseline measurements of VAS-A scores before 20 minute intervention, and after 20 minute intervention. |
| Change in Heart Rate measurements for Anxiety | From participant enrollment to after 20 minute intervention | A physiological marker of anxiety is increased heart rate. As such, participants' heart rates will be measured (as heart beats per minute, bpm) and included in the data analysis. Participants have baseline measurements of heart rate before 20 minute intervention, and after 20 minute intervention. |
| Change in Blood pressure measurements for Anxiety | From participant enrollment to after 20 minute intervention | A physiological marker of anxiety is increased blood pressure. As such, participants' blood pressures will be measured (systolic and diastolic pressure in mmHg) and included in the data analysis. Participants have baseline measurements of blood pressure before 20 minute intervention, and after 20 minute intervention. |
Countries
United States
Outcome results
None listed