NCT05540106

Brief Summary

The objective of this research is to assess the effects of engaging in coloring activities on patients' self-reported pain and anxiety scores while they wait to be seen by a physician in an emergency department (ED). The current literature on patient visits in the ED highlights the significance of anxiety, stress, and frustration in patient experiences, especially when accounting for long wait times before the physician-patient encounter. The study will address this common problem by looking at the potential impact of nature-themed or geometric shape coloring activities on the ED patient experience as it relates to self-reported anxiety and pain scores. Given that long wait times are increasingly being reported across the country, this study may offer a possible meaningful low-budget, low-resource intervention which could be offered to patients.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
168

participants targeted

Target at P75+ for not_applicable anxiety

Timeline
19mo left

Started Aug 2023

Longer than P75 for not_applicable anxiety

Geographic Reach
1 country

1 active site

Status
recruiting

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress65%
Aug 2023Dec 2027

First Submitted

Initial submission to the registry

September 10, 2022

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 14, 2022

Completed
11 months until next milestone

Study Start

First participant enrolled

August 1, 2023

Completed
3.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2027

Last Updated

March 3, 2026

Status Verified

March 1, 2026

Enrollment Period

3.3 years

First QC Date

September 10, 2022

Last Update Submit

March 1, 2026

Conditions

Outcome Measures

Primary Outcomes (2)

  • Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score

    Change in self-reported Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score following art therapy intervention (0-21, 21 = most anxious)

    8 hours

  • Numerical Pain Score

    Change in self-reported numerical pain score following art therapy intervention (0-10, 10 = the worst pain)

    8 hours

Secondary Outcomes (2)

  • Color Selection

    8 hours

  • Patient impression of activities

    8 hours

Study Arms (4)

Blank Paper and Pencil

ACTIVE COMPARATOR
Behavioral: Blank Paper and Pencil

Nature Coloring Packet

EXPERIMENTAL
Behavioral: Nature Coloring Packet

Geometric Shape Coloring Packet

EXPERIMENTAL
Behavioral: Geometric Shape Coloring Packet

Activity Book

EXPERIMENTAL
Behavioral: Activity Book

Interventions

Coloring packet containing nature scenes

Nature Coloring Packet

Coloring packet containing geometric shapes

Geometric Shape Coloring Packet
Activity BookBEHAVIORAL

Pages containing word searches, connect the dots, etc.

Activity Book

Blank sheets of paper and a pencil.

Blank Paper and Pencil

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Triage Pain Score \> 3
  • Age \>18
  • Able to provide informed consent
  • English-speaking
  • without concern for aggressive behavior
  • Glasgow Coma Scale (GCS) of 15
  • Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score \> 6

You may not qualify if:

  • Concern for aggression risk, including active concern for suicidal or homicidal ideations
  • Glasgow Coma Scale (GCS) \<15
  • triage acuity requiring critical care evaluation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Stony Brook University Hospital

Stony Brook, New York, 11794, United States

RECRUITING

MeSH Terms

Conditions

Anxiety DisordersPain

Condition Hierarchy (Ancestors)

Mental DisordersNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: This is a randomized, four-armed prospective interventional study that will test the effect of nature-based coloring activities on patients' pain and anxiety scores during their ED visit. The study will consist of three intervention groups and one active control group.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Assistant Professor of Emergency Medicine

Study Record Dates

First Submitted

September 10, 2022

First Posted

September 14, 2022

Study Start

August 1, 2023

Primary Completion (Estimated)

December 1, 2026

Study Completion (Estimated)

December 1, 2027

Last Updated

March 3, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Locations