NCT02969421

Brief Summary

Randomized controlled trial that compares methods of tenaculum placement during intrauterine device insertion and their effect on pain. The two methods being compared are slow tenaculum placement versus tenaculum placement at time of cough. Subjects will be asked to rate their pain using visual analog scale. Primary outcome measured is pain at time of tenaculum placement. Secondary outcomes are overall pain with intrauterine device insertion and provider satisfaction with tenaculum placement.

Trial Health

100
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
66

participants targeted

Target at P25-P50 for not_applicable pain

Timeline
Completed

Started Jan 2016

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 10, 2016

Completed
10 months until next milestone

First Submitted

Initial submission to the registry

November 17, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

November 21, 2016

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 23, 2017

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 23, 2017

Completed
2.1 years until next milestone

Results Posted

Study results publicly available

March 18, 2019

Completed
Last Updated

March 18, 2019

Status Verified

December 1, 2018

Enrollment Period

1.1 years

First QC Date

November 17, 2016

Results QC Date

May 14, 2018

Last Update Submit

December 6, 2018

Conditions

Outcome Measures

Primary Outcomes (1)

  • Pain With Tenaculum Placement

    Measured using 100-mm visual analog scale. Minimum value 0 meaning no pain and maximum value of 100 meaning worst imaginable pain.

    Directly after tenaculum placement

Secondary Outcomes (2)

  • Overall Pain With Intrauterine Device Insertion

    Directly after intrauterine device is placed

  • Provider Satisfaction With Tenaculum Placement

    Directly after tenaculum is placed

Study Arms (2)

Slow Tenaculum Placement

ACTIVE COMPARATOR

This group will have their tenaculum placed using the slow method

Other: Slow Tenaculum Placement of tenaculum

Cough Method

ACTIVE COMPARATOR

This group will have their tenaculum placed using the cough method

Other: Cough method for placement of tenaculum

Interventions

The intervention in this arm is the placement of tenaculum via cough method

Cough Method

The intervention in this arm is the placement of tenaculum via slow method

Slow Tenaculum Placement

Eligibility Criteria

Age18 Years - 55 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Women ages 18 years and older
  • Undergoing intrauterine device placement
  • English or Spanish speaking

You may not qualify if:

  • Primary language other than English or Spanish

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Lambert T, Truong T, Gray B. Pain perception with cervical tenaculum placement during intrauterine device insertion: a randomised controlled trial. BMJ Sex Reprod Health. 2020 Apr;46(2):126-131. doi: 10.1136/bmjsrh-2019-200376. Epub 2019 Oct 30.

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Limitations and Caveats

1. Non-blinded study 2. No gold standard for pain analysis 3. Lack of accountability for confounder of anxiety/use of anxiolytics

Results Point of Contact

Title
Tashima Lambert, MD
Organization
Duke University Medical Center

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 17, 2016

First Posted

November 21, 2016

Study Start

January 10, 2016

Primary Completion

February 23, 2017

Study Completion

February 23, 2017

Last Updated

March 18, 2019

Results First Posted

March 18, 2019

Record last verified: 2018-12