Trial Outcomes & Findings for Nonpharmacologic Reduction of Periprocedural Distress and Drug Use (NCT NCT03328208)

NCT ID: NCT03328208

Last Updated: 2021-11-30

Results Overview

Feasibility defined as the ability to obtain complete on-site data sets from at least 90% of participants enrolled (with at least 40% from patients in the app group and at least 40% from patients in the control group).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

72 participants

Primary outcome timeframe

Duration of outpatient clinic visit (up to 2 hrs)

Results posted on

2021-11-30

Participant Flow

Participant milestones

Participant milestones
Measure
Comfort Talk® App Group
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Overall Study
STARTED
37
35
Overall Study
COMPLETED
37
35
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Nonpharmacologic Reduction of Periprocedural Distress and Drug Use

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Total
n=72 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
31 Participants
n=5 Participants
27 Participants
n=7 Participants
58 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
8 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Female
29 Participants
n=5 Participants
21 Participants
n=7 Participants
50 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
14 Participants
n=7 Participants
22 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
37 Participants
n=5 Participants
34 Participants
n=7 Participants
71 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
6 Participants
n=5 Participants
1 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
2 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
31 Participants
n=5 Participants
30 Participants
n=7 Participants
61 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Region of Enrollment
United States
37 participants
n=5 Participants
35 participants
n=7 Participants
72 participants
n=5 Participants
Pain
3.4 units on a scale
n=5 Participants
2.8 units on a scale
n=7 Participants
3.1 units on a scale
n=5 Participants
Anxiety
2.6 units on a scale
n=5 Participants
2.5 units on a scale
n=7 Participants
2.6 units on a scale
n=5 Participants

PRIMARY outcome

Timeframe: Duration of outpatient clinic visit (up to 2 hrs)

Population: Participants enrolled

Feasibility defined as the ability to obtain complete on-site data sets from at least 90% of participants enrolled (with at least 40% from patients in the app group and at least 40% from patients in the control group).

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Number of Participants With Complete On-Site Data Sets
37 Participants
35 Participants

SECONDARY outcome

Timeframe: Up to 150 days

Population: Number of participants within the cohort of the first 60 participants

Feasibility measure defined as the ability to enroll 60 participants by day 150 after initiation of recruitment in the clinic (=day 1). Outcome measure are numbers of office days from the start of enrollment

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=31 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=29 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Number of Days to Enroll 60 Participants
106 Days
106 Days

SECONDARY outcome

Timeframe: Up to 6 months

Follow-up feasibility defined as obtaining 38 packages of filled out diary cards (at least 16 from patients in the app group and at least 16 from patients in the control group)

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Number of Participants Returning Diary Card Packages
15 Participants
11 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 60 min

Anxiety as measured by self-report on a 0-10 scale with 0=no anxiety at all and 10=worst anxiety possible; change from the beginning to the end of the waiting room time

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Anxiety at the End of the Waiting Room Time (Change as Compared to Beginning of the Waiting Room Time)
-0.81 units on a scale
Interval -1.21 to -0.41
-0.66 units on a scale
Interval -1.16 to 0.16

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 60 min

Pain as measured by self-report on a 0-10 scale with 0=no pain at all and 10=worst pain possible; change from the beginning to the end of the waiting room time

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Pain the End of the Waiting Room Time (Change as Compared to Beginning of the Waiting Room Time)
-0.76 units on a scale
Interval -1.15 to -0.37
-0.26 units on a scale
Interval -0.56 to -0.05

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 120 min

Time course of pain as measured by self-report on a 0-10 scale with 0=no pain at all and 10=worst pain possible (average over 10 minute intervals)

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Pain During Dental Treatment
2.5 units on a scale
Standard Deviation 2.0
2.5 units on a scale
Standard Deviation 1.9

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 120 min

Time course of anxiety as measured by self-report on a 0-10 scale with 0=no anxiety at all and 10=worst anxiety possible (average over 10 minute intervals)

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Anxiety During Dental Treatment
2.2 units on a scale
Standard Deviation 2.1
2.0 units on a scale
Standard Deviation 1.7

OTHER_PRE_SPECIFIED outcome

Timeframe: 7 days

Population: Participants who returned their diary card packages

Average maximal daily anxiety as measured daily by self-report on a 0-10 scale with 0=no anxiety at all and 10=worst anxiety possible

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=15 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=11 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Average Maximal Anxiety During 1 Week After Dental Treatment
2.3 units on a scale
Standard Deviation 1.7
2.3 units on a scale
Standard Deviation 1.9

OTHER_PRE_SPECIFIED outcome

Timeframe: 7 days

Population: Participants who returned their diary card packages

Average of maximal daily pain as measured daily by self-report on a 0-10 scale with 0=no pain at all and 10=worst pain possible

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=15 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=11 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Average Maximal Pain During 1 Week After Treatment
2.9 units on a scale
Standard Deviation 1.4
3.1 units on a scale
Standard Deviation 1.2

OTHER_PRE_SPECIFIED outcome

Timeframe: 7 days

Population: All enrolled participants

Participants receiving new prescriptions for drugs at the end of their visit for the subsequent week (alone or in combination opioids, non-opioid analgesics, anxiolytics, muscle relaxants, triptan, and/or anticonvulsants)

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Number of Participants Receiving New Prescriptions for Drugs
8 participants
5 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Up to 3 hrs

Patient satisfaction on a questionnaire at the end of the outpatient clinic visit, modeled after Press Ganey and averaged over 7 domains and groups. Assessment on Likert Scales from 1 (worst)-5 (best)

Outcome measures

Outcome measures
Measure
Comfort Talk® App Group
n=37 Participants
Patients will receive a tablet preloaded with the Comfort Talk® app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. Upon departure, they will receive a download coupon for the app for home use. Comfort Talk® app: Test app
White Noise Group
n=35 Participants
Patients will receive a tablet preloaded with a white noise app in the dental waiting room on an intent-to-treat basis. They can listen as much or as little as they wish during waiting and during their dental treatment. White Noise app: White Noise app built to mimic appearance of Comfort Talk® test app
Patient Satisfaction
4.6 units on a scale
Interval 3.5 to 5.0
4.6 units on a scale
Interval 3.3 to 5.0

Adverse Events

Comfort Talk® App Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

White Noise Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elvira V. Lang, MD, CEO

Hypnalgesics, LLC

Phone: 6177349087

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place