Clinical trial NCT02165280: Guided IMagery and Patient Satisfaction (GIMPS) Following Urogynecological Surgery
Official title: Guided IMagery and Patient Satisfaction Following Urogynecological Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Pelvic Organ Prolapse
Keywords: Pelvic Organ Prolapse
Surgery
Lead sponsor: Loyola University
Sponsor class: OTHER
First posted: 2014-06-17
Enrollment: 44
Sex: FEMALE
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: We hypothesize that women who use GIM pre-operatively will feel more prepared for surgery, have less anxiety on the day of surgery and have higher satisfaction scores 6 weeks after surgery compared to women who undergo our routine pre-operative care.

Detailed description: Guided imagery (GIM) is a program of directed thoughts and suggestions that guide your imagination to a relaxed and focused state. In clinical settings, it was originally found effective in treating patients suffering primarily from emotional or psychological issues by using descriptive language and the five senses to help the patient visualize their desired change or outcome (1, 2). More recently, GIM has been incorporated into chemotherapy and surgical settings. While it has not been conclusively found to improve outcomes, patients who received GIM reported feeling less anxious, less nausea following chemotherapy, slightly shorter surgical recovery times and a higher quality of life (3-8). While these studies suggest exciting prospects for the incorporation of GIM into the normal pre-op routine, we believe that they have left out one integral piece of the puzzle. We have previously found that patients who feel "unprepared" for surgery have less post-operative satisfaction (9). We propose that the stress and anxiety of the unknown during a patient's surgical experience can make them feel unprepared for surgery. Therefore, the same techniques that have been previously shown to decrease these symptoms in chemotherapy treatment and surgery should help patients feel more prepared, and therefore more satisfied with their surgical experience. This key finding would give sufficient support for the incorporation of GIM into the pre-op routine of any surgical patient, and may prove to be a successful vehicle for increasing the overall satisfaction of any hospital's patient population.

Eligibility criteria: Inclusion Criteria:

* routine vaginal or laparoscopic surgery for pelvic organ prolapse planned ≥ 1 week from enrollment
* a planned overnight hospital stay
* commitment to listen to a 15 minute audio Compact Disc daily
* proficiency in English.

Exclusion Criteria:

* Not having routine vaginal or laparoscopic surgery for pelvic organ prolapse planned ≥ 1 week from enrollment
* Not a planned overnight hospital stay
* Unable to commitment to listen to a 15 minute audio Compact Disc daily
* Not proficiency in English.

Primary outcomes:
measure: Change in patient satisfaction with urogynecological surgery when using GIM (questionnaire)
timeFrame: 6 weeks
Secondary outcomes:
measure: Change in patient sense of preparedness when using GIM (questionnaire)
timeFrame: 6 weeks
measure: Change in patient anxiety about surgery when using GIM (questionnaire)
timeFrame: 6 week
Other outcomes:
Locations:
city: Maywood
country: United States
facility: Loyola University Medical Center
state: Illinois
Study officials:
affiliation: Loyola University
name: Elizabeth Mueller, MD
role: PRINCIPAL_INVESTIGATOR
References:
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