Pain, Procedural Anxiety
Conditions
Brief summary
This study is looking at whether listening to music during a nail biopsy can reduce pain and anxiety. Patients scheduled for a nail biopsy at the Weill Cornell Medicine dermatology clinic will be randomly assigned to either listen to a calming instrumental/classical music playlist during their procedure or receive standard care without music. After the procedure, participants will complete short questionnaires rating their pain, anxiety, and overall satisfaction. The goal is to determine whether a simple, low-cost music intervention can improve the experience of patients undergoing nail biopsies.
Interventions
BEHAVIORALMusic intervention
A standardized playlist of instrumental, classical, and relaxing music delivered to participants beginning 2-3 minutes before local anesthesia administration and continuing throughout the nail biopsy procedure. The music is intended to reduce procedural pain and anxiety as an adjunct to standard care.
PROCEDURELocal anesthesia injections
Local anesthesia injections
Sponsors
Weill Medical College of Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Two parallel arms: music intervention group and standard care control group, randomized 1:1.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Male or female ≥18 years of age * Scheduled to undergo nail biopsy at the Weill Cornell Medicine dermatology clinic * Able to provide informed consent * Able to read and understand English
Exclusion criteria
* Significant hearing impairment that would prevent ability to hear the music intervention * Cognitive impairment that would prevent completion of study questionnaires * Unable or unwilling to provide informed consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean pain intensity measured by Visual Analog Scale | Immediately after the nail biopsy procedure | Total scores range from 0-10 with 10 meaning worst pain imaginable |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean anxiety score measured by short-form State-Trait Anxiety Inventory | Immediately after the nail biopsy procedure | Total scores range from 20 - 80 with scores higher than 34 - 36 indicating anxiety |
| Perceived helpfulness of music intervention (music group only) measured by single-item Likert scale | Immediately after the nail biopsy procedure | Likert scale ranges from 1 (not helpful at all) to 5 (extremely helpful). |
| Patient satisfaction score measured by single-item Likert scale rating overall experience | Immediately after the nail biopsy procedure | 1=very dissatisfied to 5=very satisfied |
| Willingness to undergo future nail biopsy procedures measured by single-item yes/no question | Immediately after the nail biopsy procedure | — |
| Number of participants with adverse events related to the procedure | immediately after the nail biopsy procedure | — |
| Number of participants with adverse events related to the music intervention | Immediately after nail biopsy procedure | — |
Countries
United States
Contacts
CONTACTShari R Lipner, MD, PhD
PRINCIPAL_INVESTIGATORShari R Lipner, MD, PhD
Weill Cornell Medicine, Department of Dermatology
Outcome results
None listed