Trial Outcomes & Findings for Relaxing Environment to Lower Anxiety During Onabotulinum Toxin Chemodenervation of the Bladder (NCT NCT06319898)

NCT ID: NCT06319898

Last Updated: 2025-04-22

Results Overview

The VAS for anxiety is a validated scale that ranges from 0-100mm. 0mm is equivalent to "no anxiety" and is located on the left. 100mm is equivalent to "extremely anxious" and is located on the right. The minimum clinically important difference for VAS anxiety is a change of 12mm on a 100mm scale.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

113 participants

Primary outcome timeframe

Baseline to Minute 30

Results posted on

2025-04-22

Participant Flow

Participant milestones

Participant milestones
Measure
Lavender Aromatherapy Sticker
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
Lavender aromatherapy, calming music and dim lighting
Procedure Team - no Intervention
No intervention in Procedure Room
Overall Study
STARTED
42
47
10
11
Overall Study
COMPLETED
40
40
10
11
Overall Study
NOT COMPLETED
2
7
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lavender Aromatherapy Sticker
n=40 Participants
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
n=40 Participants
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
n=10 Participants
Lavender aromatherapy Calming music Overhead lights off
Procedure Team - no Intervention
n=11 Participants
Non-aromatic No music playing Overhead lights on
Total
n=101 Participants
Total of all reporting groups
Age, Continuous
72.4 years
STANDARD_DEVIATION 11.6 • n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
69.1 years
STANDARD_DEVIATION 13.1 • n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
70.7 years
STANDARD_DEVIATION 12.4 • n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Sex: Female, Male
Female
40 Participants
n=40 Participants
40 Participants
n=40 Participants
9 Participants
n=10 Participants
10 Participants
n=11 Participants
99 Participants
n=101 Participants
Sex: Female, Male
Male
0 Participants
n=40 Participants
0 Participants
n=40 Participants
1 Participants
n=10 Participants
1 Participants
n=11 Participants
2 Participants
n=101 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
1 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Ethnicity (NIH/OMB)
Not Hispanic or Latino
38 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
40 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
78 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
1 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
Asian
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
Black or African American
4 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
7 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
11 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
White
35 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
33 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
68 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
More than one race
1 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
1 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Tobacco use
Never smoker
28 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
23 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
51 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Tobacco use
Former smoker
12 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
16 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
28 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Tobacco use
Current smoker
0 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
1 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
1 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Body mass index
29.6 kg/m^2
STANDARD_DEVIATION 6.7 • n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
30.9 kg/m^2
STANDARD_DEVIATION 7.6 • n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
30.2 kg/m^2
STANDARD_DEVIATION 7.1 • n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
First-time bladder chemodenervation experience
yes
9 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
8 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
17 Participants
n=80 Participants • This measurement was not collected on Procedure Team Members
First-time bladder chemodenervation experience
no
31 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
32 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
63 Participants
n=80 Participants • This measurement was not collected on Procedure Team Members
Anxiety diagnosis
yes
7 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
10 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
17 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Anxiety diagnosis
no
33 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
30 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
63 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Pain medication use
yes
10 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
13 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
23 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Pain medication use
no
30 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
27 Participants
n=40 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
0 Participants
This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
57 Participants
n=80 Participants • This measurement was not collected on Procedure Team Intervention - Relaxing Environment and Procedure Team - no Intervention Groups
Insurance type
Private
7 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
9 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
16 Participants
n=80 Participants • This measurement was not collected on Procedure Team Members
Insurance type
Medicare
31 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
29 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
60 Participants
n=80 Participants • This measurement was not collected on Procedure Team Members
Insurance type
Medicaid
2 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
2 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
0 Participants
This measurement was not collected on Procedure Team Members
4 Participants
n=80 Participants • This measurement was not collected on Procedure Team Members
Aromatherapy use
yes
11 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
17 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
4 Participants
n=10 Participants • This measurement was not collected on Procedure Team Members
3 Participants
n=11 Participants • This measurement was not collected on Procedure Team Members
35 Participants
n=101 Participants • This measurement was not collected on Procedure Team Members
Aromatherapy use
no
29 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
23 Participants
n=40 Participants • This measurement was not collected on Procedure Team Members
6 Participants
n=10 Participants • This measurement was not collected on Procedure Team Members
8 Participants
n=11 Participants • This measurement was not collected on Procedure Team Members
66 Participants
n=101 Participants • This measurement was not collected on Procedure Team Members
Years of Experience in current role
7.53 years
STANDARD_DEVIATION 9.24 • n=10 Participants • This measurement was not collected for the Subjects acquiring Procedure
10.41 years
STANDARD_DEVIATION 10.3 • n=11 Participants • This measurement was not collected for the Subjects acquiring Procedure
9.94 years
STANDARD_DEVIATION 9.98 • n=21 Participants • This measurement was not collected for the Subjects acquiring Procedure

PRIMARY outcome

Timeframe: Baseline to Minute 30

Population: This Measurement was not collected from Procedure Team Members

The VAS for anxiety is a validated scale that ranges from 0-100mm. 0mm is equivalent to "no anxiety" and is located on the left. 100mm is equivalent to "extremely anxious" and is located on the right. The minimum clinically important difference for VAS anxiety is a change of 12mm on a 100mm scale.

Outcome measures

Outcome measures
Measure
Lavender Aromatherapy Sticker
n=40 Participants
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
n=40 Participants
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
Lavender aromatherapy, calming music, and dim lighting
Procedure Team Control - no Intervention
No aromatherapy or music - lights were on
Mean Change in Visual Analog Scale (VAS) Anxiety Scores
-13.8 mm
Standard Deviation 18.1
-4.7 mm
Standard Deviation 14.7

SECONDARY outcome

Timeframe: Baseline to post-procedure up to 2 hours

Population: This measurement was not collected on Procedure Team Members

Pain during the chemodenervation procedure will be assessed using a visual analog scale for pain. The VAS for pain is a validated scale that ranges from 0-100mm12. 0mm is equivalent to "no pain" and is located on the left. 100mm is equivalent to "worst possible pain" and is located on the right. Subjects are asked to circle a number on the scale that corresponds to their level of pain during the procedure. Baseline scores will be collected on the day of the procedure in the research office after obtaining consent. Patients will then be asked to circle the pain scores that corresponded to the pain experienced during the procedure. This will be collected by study staff after the procedure once the patient is dressed.

Outcome measures

Outcome measures
Measure
Lavender Aromatherapy Sticker
n=40 Participants
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
n=40 Participants
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
Lavender aromatherapy, calming music, and dim lighting
Procedure Team Control - no Intervention
No aromatherapy or music - lights were on
Mean Change in Visual Analog Scale (VAS) Pain During the Chemodenervation Procedure
0.0 mm
Standard Deviation 23.4
3.7 mm
Standard Deviation 31.5

SECONDARY outcome

Timeframe: Baseline to post-procedure up to 2 hours

Population: This measurement was only collected for Procedure Team Members

Determine if the Relaxing Environment Package decreases procedure staff burnout based on Burnout Battery visual analog scale for healthcare worker burnout. This tool was created to assess the working energy states of healthcare providers and is correlated with the Maslach Burnout Inventory which is a validated 22 question survey regarding workplace burnout14. The clinic staff assigned to chemodenervation procedures as well as the physician performing the procedure will fill out the Burnout Battery VAS at the beginning and end of the clinic day. Providers are asked to circle the battery that represents their current energy level.

Outcome measures

Outcome measures
Measure
Lavender Aromatherapy Sticker
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
n=10 Participants
Lavender aromatherapy, calming music, and dim lighting
Procedure Team Control - no Intervention
n=11 Participants
No aromatherapy or music - lights were on
Procedure Staff Burnout Scores - Burnout Battery Visual Analog Scale for Healthcare Worker Burnout
-1.73 mm
Standard Deviation 1.78
1.31 mm
Standard Deviation 1.53

SECONDARY outcome

Timeframe: post procedure up to 2 hours

Population: This Measurement was not collected from Procedure Team Members

Patient satisfaction with their procedure experience will be assessed using a visual analog scale for patient satisfaction. The VAS for patient satisfaction is a validated scale ranging from 0-100mm. 0mm is equivalent to "no satisfaction" and 100mm is equivalent to "extreme satisfaction". Subjects are asked to circle a number that corresponds to their level of satisfaction with their procedure experience.

Outcome measures

Outcome measures
Measure
Lavender Aromatherapy Sticker
n=40 Participants
Lavender aromatherapy sticker on patient Calming music from Sirius station 68 (Spa) playing via overhead speakers Overhead lights off, two lanterns lit to provide dim lighting Avoid stirrup use
Control - no Intervention
n=40 Participants
Non-aromatic (placebo) sticker on patient No music playing Overhead lights on Stirrups used
Procedure Team Intervention - Relaxing Environment
Lavender aromatherapy, calming music, and dim lighting
Procedure Team Control - no Intervention
No aromatherapy or music - lights were on
Patient Satisfaction With Their Procedure Experience Scores
91.4 mm
Standard Deviation 16.5
89.3 mm
Standard Deviation 19.0

Adverse Events

Lavender Aromatherapy Sticker

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

Control - no Intervention

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

Procedure Team Intervention - Relaxing Environment

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

Procedure Team Control - no Intervention

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

Dr. Erin Franks

Atrium Health Wake Forest Baptist

Phone: 7043041160

Results disclosure agreements

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