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Trial registered on ANZCTR
Registration number
ACTRN12615000991516
Ethics application status
Approved
Date submitted
30/08/2015
Date registered
22/09/2015
Date last updated
22/12/2021
Date data sharing statement initially provided
16/05/2019
Date results provided
22/12/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
A Randomised Controlled Trial of Hypnosis for Acute Burn Pain
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Scientific title
Burns Patient use of Hypnosis for Pain Experience
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Secondary ID [1]
287366
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Burn pain
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Condition category
Condition code
Alternative and Complementary Medicine
296311
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hypnosis Recording: The recording is approximately 25 minutes long and is based on a technique called Rapid Induction Analgesia (RIA), first proposed by Barber (1977). The script uses several hypnotic techniques to create a state of deep relaxation and receptivity, making the patient open to suggestions about their pain experience. Participants will listen to the recording 5 times and then they will listen to it again during their next dressing change. Patients will have 2-4 days to listen to the recordings and will listen to them once or twice each day, according to their choice and the time they have available. The procedure will take between 30 and 90 minutes depending on the nature of the burn injury. A nurse will assist participants to schedule listening to the recording.
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Intervention code [1]
292708
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Treatment: Other
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Comparator / control treatment
The study will use one control condition. this will be a "treatment as usual" condition where the participant will receive usual care during dressing changes.
Measurements will also be taken during one dressing change prior to any intervention/control condition, to act as a baseline measure for all participants.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain Intensity
Assessed using Visual Analogue Scales and the McGill Pain Questionnaire
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Assessment method [1]
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Timepoint [1]
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Immediately after the dressing change
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Primary outcome [2]
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Anxiety assessed by Visual Analogue Scales and the Burn Pain Specific Anxiety Index
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Assessment method [2]
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Timepoint [2]
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Immediately after the dressing change
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Secondary outcome [1]
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Medication consumption
Assessed by review of hospital records
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Assessment method [1]
317066
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Timepoint [1]
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From start of procedure until 2 hours post end of procedure
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Eligibility
Key inclusion criteria
Adult - over 18
Burn injury that requires surgery
1-20% TBSA
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Intellectual disability
Psychotic disorders
Extreme emotional distress
Deafness
Muteness
Substance use withdrawal
Non-English speaking
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a table created by computer software
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Results will be analysed using repeated measures ANOVA to investigate the efficacy of the hypnosis recording.
Sample size was calculated using a G Power program, with power set at 0.8, p-value of 0.05 and effect size at 0.2.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2016
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Actual
1/01/2016
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Date of last participant enrolment
Anticipated
31/08/2019
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Actual
30/06/2019
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Date of last data collection
Anticipated
31/08/2019
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Actual
30/06/2019
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Sample size
Target
82
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Accrual to date
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Final
65
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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Fiona Stanley Hospital - Murdoch
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Recruitment postcode(s) [1]
10217
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6150 - Murdoch
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Murdoch University
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Address [1]
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90 South Street
Murdoch 6150 WA
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Country [1]
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Fiona Wood Foundation
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Address
Fiona Stanley Hospital
Level 4, Burns Outpatient Clinic
11 Warren Smith Drive
Murdoch 6150 WA
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Fiona Stanley Hospital
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Address [1]
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11 Warren Smith Drive
Murdoch 6150 WA
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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WA Department of Health Human Research Ethics Committee
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Ethics committee address [1]
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Harry Perkins Institute 11 Warren Smith Drive Murdoch 6150 WA
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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04/09/2015
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Approval date [1]
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28/10/2015
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Ethics approval number [1]
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15-140
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Summary
Brief summary
Burn injuries and treatment often cause excruciating pain for patients. Hypnosis has demonstrated benefits in treating pain in addition to pharmacological pain management. However, psychological pain management techniques are not currently used in standard pain management protocols on burns units. Audio recordings could be an efficient way for patients to access these treatments, and nurses may be well-positioned to assist patients to use them, as they spend more time with the patient than other clinicians and are usually present during wound dressing changes. The aims of this project are: 1. To explore the feasibility of using audio recordings of hypnosis as an adjunct to pharmacological treatment of burn pain. 2. To explore the feasibility of nurses assisting with the administration of hypnosis recordings. Adults over 18 years of age who are admitted to the burns unit with an injury that requires surgery will be screened and those who are eligible will be invited to participate in the study. Pain, anxiety and relaxation will be measured for all participants during a dressing change to give baseline information. Then patients in an experimental group will be asked to listen to a 25 minute recording of hypnosis 5 times to practice before using the recording in a further dressing change. Those in a control group will receive standard care during their dressing changes. After dressing changes patients will be asked to rate their pain, anxiety and relaxation experience. Nurses will administer the recordings. The experiment will follow a repeated-measures between groups design, which means that pain, anxiety and relaxation ratings and personality measures can be compared between the groups before and after treatment. Results will provide information about the benefits of hypnosis and mindfulness audio recordings for patients on the burns unit, and the feasibility of using nurses to administer these. They will also provide valuable information about personality variables that influence how well someone will benefit from either treatment, which will assist with treatment planning.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Ms Kathryn James
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Address
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School of Psychology and Exercise Science
Murdoch University
90 South Street
Murdoch 6150 WA
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Country
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Australia
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Phone
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+61 8 458620032
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kathryn James
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Address
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School of Psychology and Exercise Science
Murdoch University
90 South Street
Murdoch 6150 WA
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Country
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Australia
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Phone
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+ 61 8 458620032
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kathryn James
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Address
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School of Psychology and Exercise Science
Murdoch University
90 South Street
Murdoch 6150 WA
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Country
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Australia
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Phone
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+61 8 458620032
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Fax
59892
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All patient and nurse pain and anxiety ratings, TAS-BF scores and demographic data can be shared.
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When will data be available (start and end dates)?
From 20/08/2021 until 5 years after publication
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Available to whom?
Qualified researchers
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Available for what types of analyses?
Researchers will need to contact the lead researcher to determine suitability
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How or where can data be obtained?
This study involved collection of data from human participants. Before the data set is shared, each participant will provide their written informed consent for data sharing to occur. An offer to share data collected from consenting participants with qualified researchers will be included in publications arising from this project.
Contact Kate James -
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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