Dialysis Access Dysfunction, Endovascular Procedure, Neuromodulation, Patient Experience
Conditions
Keywords
Balloon angioplasty, Dialysis access, Dysfunctional dialysis access, Stent graft, Autologous arteriovenous fistula, Dialysis arteriovenous graft, Neuromodulation, Binaural beats
Brief summary
Peri-procedural stress is a common challenge in interventional radiology that can negatively impact patient tolerance and the overall procedural experience. This randomized controlled trial (RCT) was designed to evaluate the clinical impact of a non-commercially available, newly-developed structured auditory neuromodulation system, designed to optimize patient experience during endovascular procedures for dysfunctional dialysis access.
Detailed description
Following an extensive development phase, a two-center RCT will be conducted at two Interventional Radiology Departments of tertiary university hospitals. Patients fulfilling the study's inclusion criteria will be randomized on a 1:1 basis to undergo endovascular procedures for dysfunctional dialysis vascular access-performed under local anaesthesia without sedation-either with the audio system (Group Sound; S) or without it (Group Control; C). The intervention is utilizing an MP3 audio system and headphones delivering binaural beats, isochronic tones, and music designed to induce relaxation by achieving the alpha brainwave state (8-12Hz). Patient experience will be evaluated via standardized self-reported questionnaires. Patient's demographical data and procedural details will be recorded.
Interventions
An MP3 audio system delivering via headphones, binaural beats, isochronic tones, and music designed to induce relaxation by achieving the alpha brainwave state (8-12Hz).
Sponsors
Study design
Intervention model description
Randomized controlled trial
Eligibility
Inclusion criteria
* Dysfunctional vascular access (AVF or AVG) requiring endovascular treatment. * Balloon Angioplasty procedure * Stent graft procedure * Percutaneous declotting procedure
Exclusion criteria
* Demenzia * Patient not tolerating headphones or music for any reason * Patients less than 18 years old * Patients unable to comprehend and complete the questionnaire
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall patient experience | Within the first hour after the procedure | Completion of a standardized self-reported Stress-orientated questionnaire, with higher values indicating worst outcome. |
Countries
Greece
Contacts
ATTIKO University General Hospital