Trial Outcomes & Findings for Comparing Brief Relaxation Period to Virtual Reality Period in Reducing Dental Anxiety Prior to Root Canal Treatment (NCT NCT05720897)

NCT ID: NCT05720897

Last Updated: 2024-09-19

Results Overview

STAI-S is a 20 item sub-scale questionnaire which measures subjective self-reported feelings of state anxiety. Responses for each item include four possible responses that range from "very much" to "not at all" and which correlate to a numerical value. Scores range from 20 to 80. A score of 45-80 indicates "high anxiety": 38-44 indicate "moderate anxiety": 20-37 indicate low or no anxiety.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

End of the appointment, approximately 90+ minutes after baseline

Results posted on

2024-09-19

Participant Flow

Participant milestones

Participant milestones
Measure
Auditory Alone Brief Relaxation
Participants randomized to this arm will receive earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm will receive earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants will listen to the recording prior to their dental procedure.
Relaxation Virtual Reality
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headsets and choose a scene of their liking to experience. Participants will choose from 11 different themed environments (such as savannah, beach, meadow, or space), and will experience the chosen virtual reality environment with accompanying music for 8 minutes. Participants will complete the virtual reality intervention prior to their dental procedure.
Overall Study
STARTED
30
30
Overall Study
COMPLETED
28
30
Overall Study
NOT COMPLETED
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Auditory Alone Brief Relaxation
Participants randomized to this arm will receive earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm will receive earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants will listen to the recording prior to their dental procedure.
Relaxation Virtual Reality
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headsets and choose a scene of their liking to experience. Participants will choose from 11 different themed environments (such as savannah, beach, meadow, or space), and will experience the chosen virtual reality environment with accompanying music for 8 minutes. Participants will complete the virtual reality intervention prior to their dental procedure.
Overall Study
Two patients did not complete Endodontic Treatment & there was technical VR difficulties for pts.
2
0

Baseline Characteristics

Comparing Brief Relaxation Period to Virtual Reality Period in Reducing Dental Anxiety Prior to Root Canal Treatment

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm will receive earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm will receive earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants will listen to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headsets and choose a scene of their liking to experience. Participants will choose from 11 different themed environments (such as savannah, beach, meadow, or space), and will experience the chosen virtual reality environment with accompanying music for 8 minutes. Participants will complete the virtual reality intervention prior to their dental procedure.
Total
n=58 Participants
Total of all reporting groups
Age, Customized
41.9 Years
n=5 Participants
45.9 Years
n=7 Participants
43.9 Years
n=5 Participants
Sex/Gender, Customized
Gender Identification · Male
10 Participants
n=5 Participants
16 Participants
n=7 Participants
26 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identification · Female
18 Participants
n=5 Participants
13 Participants
n=7 Participants
31 Participants
n=5 Participants
Sex/Gender, Customized
Gender Identification · Additional Identification
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
4 Participants
n=7 Participants
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=5 Participants
26 Participants
n=7 Participants
49 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=5 Participants
5 Participants
n=7 Participants
13 Participants
n=5 Participants
Race (NIH/OMB)
White
16 Participants
n=5 Participants
17 Participants
n=7 Participants
33 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=5 Participants
3 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
STAI-S
33.75 units on a scale
STANDARD_DEVIATION 9.87 • n=5 Participants
35.13 units on a scale
STANDARD_DEVIATION 10.64 • n=7 Participants
34.46 units on a scale
STANDARD_DEVIATION 10.21 • n=5 Participants
STAI-T
31.86 units on a scale
STANDARD_DEVIATION 10.94 • n=5 Participants
33.77 units on a scale
STANDARD_DEVIATION 10.22 • n=7 Participants
32.85 units on a scale
STANDARD_DEVIATION 10.52 • n=5 Participants
Visual Analogue Scale (VAS) for Anxiety
2.68 units on a scale
STANDARD_DEVIATION 2.44 • n=5 Participants
2.43 units on a scale
STANDARD_DEVIATION 2.05 • n=7 Participants
2.55 units on a scale
STANDARD_DEVIATION 2.23 • n=5 Participants
Systolic Blood Pressure
134.68 mmHg
STANDARD_DEVIATION 15.63 • n=5 Participants
131.90 mmHg
STANDARD_DEVIATION 16.81 • n=7 Participants
133.24 mmHg
STANDARD_DEVIATION 16.17 • n=5 Participants
Diastolic Blood Pressure
82.36 mmHg
STANDARD_DEVIATION 10.29 • n=5 Participants
81.83 mmHg
STANDARD_DEVIATION 10.65 • n=7 Participants
82.09 mmHg
STANDARD_DEVIATION 10.39 • n=5 Participants
Heart Rate
77.82 bpm
STANDARD_DEVIATION 11.53 • n=5 Participants
76.97 bpm
STANDARD_DEVIATION 11.89 • n=7 Participants
77.38 bpm
STANDARD_DEVIATION 11.62 • n=5 Participants

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

STAI-S is a 20 item sub-scale questionnaire which measures subjective self-reported feelings of state anxiety. Responses for each item include four possible responses that range from "very much" to "not at all" and which correlate to a numerical value. Scores range from 20 to 80. A score of 45-80 indicates "high anxiety": 38-44 indicate "moderate anxiety": 20-37 indicate low or no anxiety.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
State-Trait Anxiety Inventory State Sub-scale (STAI-S) Score at the End of the Appointment
27.39 units on a scale
Standard Deviation 7.84
29.37 units on a scale
Standard Deviation 9.0

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

The VAS will be a single question in which the participant is asked to assign and report a numerical value to the amount of anxiety one is feeling in the moment. It consists of a 10 point scale, with one symbolizing no anxiety and 10 symbolizing unbearable anxiety.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
Visual Analog Score (VAS) at the End of the Appointment
0.96 units on a scale
Standard Deviation 0.96
1.17 units on a scale
Standard Deviation 1.97

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

BP will be measured three times during the single study visit: at enrollment (prior to the assigned relaxation intervention), at the end of the assigned relaxation intervention, and at the end of the appointment.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
Systolic Blood Pressure (SBP) at the End of the Appointment
142.64 mmHg
Standard Deviation 20.03
137.47 mmHg
Standard Deviation 22.45

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

BP will be measured three times during the single study visit: at enrollment (prior to the assigned relaxation intervention), at the end of the assigned relaxation intervention, and at the end of the appointment.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
Diastolic Blood Pressure (DBP) at the End of the Appointment
90.00 mmHg
Standard Deviation 12.56
85.97 mmHg
Standard Deviation 15.48

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

HR will be measured three times during the single study visit: at enrollment (prior to the assigned relaxation intervention), at the end of the assigned relaxation intervention, and at the end of the appointment.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
Heart Rate (HR) at the End of the Appointment
72.89 bpm
Standard Deviation 9.09
72.17 bpm
Standard Deviation 10.90

PRIMARY outcome

Timeframe: End of the appointment, approximately 90+ minutes after baseline

STAI-T is a 20 item sub-scale questionnaire which measures subjective self-reported feelings of trait anxiety. Responses for each item include four possible responses that range from "not at all" to "very much" and which correlate to a numerical value. Scores range from 20 to 80. A score of 45-80 indicates "high anxiety": 38-44 indicate "moderate anxiety": 20-37 indicate low or no anxiety.

Outcome measures

Outcome measures
Measure
Auditory Alone Brief Relaxation
n=28 Participants
Participants randomized to this arm received earphones to listen to a guided brief relaxation recording, focusing on breathing and a body scan, prior to their dental procedure. Auditory Alone: Participants randomized to this arm received earphones to listen to an 8 minute guided brief relaxation recording, focusing on breathing and a body scan. Participants listened to the recording prior to their dental procedure.
Relaxation Virtual Reality
n=30 Participants
Participants will receive virtual reality headset and choose a scene of their liking to experience, prior to their dental procedure. Relaxation Virtual Reality: Participants randomized to this arm will receive will receive virtual reality headset and choose a scene of their liking to experience. Participants choose from 11 different themed environments (such as savannah, beach, meadow, or space), and experienced the chosen virtual reality environment for 8 minutes. Participants completed the virtual reality intervention prior to their dental procedure.
State-Trait Anxiety Inventory Trait Sub-scale (STAI-T) Score at the End of the Appointment
30.18 units on a scale
Standard Deviation 11.55
29.90 units on a scale
Standard Deviation 8.53

Adverse Events

Auditory Alone Brief Relaxation

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

Relaxation Virtual Reality

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

Stuart Schrader

Indiana University

Phone: 3172781409

Results disclosure agreements

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