NCT06996340

Brief Summary

In vitro fertilization is the placement of embryos into the uterus with a catheter under ultrasound guidance after the fertilization of sperm and oocytes in a laboratory tube. In the literature, various nonpharmacological methods such as acupuncture, yoga, meditation, deep breathing exercises, massage, art therapy and mind/body therapy have been used to cope with stress, pain and anxiety in infertile women. However, no study has been found examining the effect of white noise during in vitro fertilization. The aim of this study is to determine the effect of white noise on pain, anxiety and comfort during in vitro fertilization. This research is a randomized controlled experimental study. The universe of the study will consist of women coming to the in vitro fertilization center at Ondokuz Mayıs University Health Application and Research Center. The sample size of the study was calculated using the G\*Power 3.1. 9.2 program, taking into account the data of the study by Fleury et al (2021). The post-procedure stress mean and standard deviation values of the experimental and control groups of the relevant study were used to calculate the effect size as 0.75. The minimum number of individuals to be included in the sample of this study was calculated using G\*Power 3.1. 9.2 as effect size: 0.75, α= 0.05, power: 0.95, and the sample size was determined as 94 women (experimental group: 47, control group: 47). The data of the study will be collected with the Introduction Form, Visual Analog Scale, Anxiety Rating Scale, and General Comfort Scale Short Form. The data of the study will be evaluated using the SPSS 24 deviation, median and minimum-maximum values will be given. Chi-square test, Student t test, ANOVA test for those with normal distribution, Mann-Whitney U and Kruskal Wallis tests for those who are not.

Trial Health

57
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
94

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2025

Shorter than P25 for not_applicable

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

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 3, 2025

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

May 21, 2025

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 30, 2025

Completed
3 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 2, 2025

Completed
13 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2025

Completed
Last Updated

May 30, 2025

Status Verified

May 1, 2025

Enrollment Period

3 months

First QC Date

May 21, 2025

Last Update Submit

May 29, 2025

Conditions

Outcome Measures

Primary Outcomes (3)

  • Pain

    Pain will be assessed with the Visual Analog Scale before and after the procedure.

    30 minutes before in vitro fertilization

  • Anxiety

    Will be evaluated with the Anxiety Assessment Scale.

    30 minutes before in vitro fertilization

  • Comfort

    It will be evaluated with the General Comfort Scale Short Form.

    30 minutes before in vitro fertilization

Secondary Outcomes (3)

  • Pain

    30 minutes after in vitro fertilization

  • Anxiety

    30 minutes after in vitro fertilization

  • Comfort

    30 minutes after in vitro fertilization

Study Arms (2)

White noise group:

EXPERIMENTAL

The woman who was taken to the gynecological table for invirto fertilization will be made to listen to white noise (rain and waterfall sound) with a Bluetooth headset at a range of 75-85 decibels during the procedure. Because, it covers all sound ranges that people can hear within the range of 75-85 decibels (Cho and Hwang, 2021; Lin et al, 2018).

Other: White noise group

Control group:

OTHER

The woman who was taken to the gynecological table for invirto fertilization was left to routine during the procedure.

Other: routine care

Interventions

The woman who was taken to the gynecological table for invirto fertilization will be made to listen to white noise (rain and waterfall sound) with a Bluetooth headset at a range of 75-85 decibels during the procedure. Because, it covers all sound ranges that people can hear within the range of 75-85 decibels (Cho and Hwang, 2021; Lin et al, 2018).

White noise group:

routine care

Control group:

Eligibility Criteria

Age18 Years - 35 Years
Sexfemale(Gender-based eligibility)
Gender Eligibility DetailsWomen between the ages of 18-35 will be included in the study.
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Women between the ages of 18-35,
  • Diagnosed with primary infertility,
  • Not diagnosed with a psychiatric disease,
  • Who can speak and understand Turkish,
  • Who are at least primary school graduates will be included in the study

You may not qualify if:

  • Women who have undergone oocyte pick-up within the last month,
  • Who have undergone intrauterine insemination within the last month,
  • Who have undergone embryo transfer within the last month,
  • Who have undergone any other pharmacological or non-pharmacological application that may reduce stress will be excluded.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ondokuz Mayıs University

Samsun, Atakum, 00550, Turkey (Türkiye)

RECRUITING

Related Publications (42)

  • Aba YA, Avci D, Guzel Y, Ozcelik SK, Gurtekin B. Effect of music therapy on the anxiety levels and pregnancy rate of women undergoing in vitro fertilization-embryo transfer: A randomized controlled trial. Appl Nurs Res. 2017 Aug;36:19-24. doi: 10.1016/j.apnr.2017.05.005. Epub 2017 May 22.

    PMID: 28720234BACKGROUND
  • Meier M, Wirz L, Dickinson P, Pruessner JC. Laughter yoga reduces the cortisol response to acute stress in healthy individuals. Stress. 2021 Jan;24(1):44-52. doi: 10.1080/10253890.2020.1766018. Epub 2020 May 26.

    PMID: 32393092BACKGROUND
  • Akimbekov NS, Razzaque MS. Laughter therapy: A humor-induced hormonal intervention to reduce stress and anxiety. Curr Res Physiol. 2021;4:135-138. doi: 10.1016/j.crphys.2021.04.002. Epub 2021 Apr 30.

  • Infertility Workup for the Women's Health Specialist: ACOG Committee Opinion, Number 781. Obstet Gynecol. 2019 Jun;133(6):e377-e384. doi: 10.1097/AOG.0000000000003271.

  • Assaysh-Oberg S, Borneskog C, Ternstrom E. Women's experience of infertility & treatment - A silent grief and failed care and support. Sex Reprod Healthc. 2023 Sep;37:100879. doi: 10.1016/j.srhc.2023.100879. Epub 2023 Jun 20.

  • Bayu D, Egata G, Kefale B, Jemere T. Determinants of Infertility among Married Women Attending Dessie Referral Hospital and Dr. Misganaw Gynecology and Obstetrics Clinic, Dessie, Ethiopia. Int J Reprod Med. 2020 Mar 27;2020:1540318. doi: 10.1155/2020/1540318. eCollection 2020.

  • Berghmans JM, Poley MJ, van der Ende J, Weber F, Van de Velde M, Adriaenssens P, Himpe D, Verhulst FC, Utens E. A Visual Analog Scale to assess anxiety in children during anesthesia induction (VAS-I): Results supporting its validity in a sample of day care surgery patients. Paediatr Anaesth. 2017 Sep;27(9):955-961. doi: 10.1111/pan.13206. Epub 2017 Jul 14.

  • Boivin J. How does stress, depression and anxiety affect patients undergoing treatment? Curr Opin Obstet Gynecol. 2019 Jun;31(3):195-199. doi: 10.1097/GCO.0000000000000539.

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    RESULT
  • Cho, M., Hwang, S. (2021). The effect of white noise on sleep in hospitalized patients: A randomized controlled trial. Korean Journal of Adult Nursing, 33(1), 44-55.

    RESULT
  • Çavuşoğlu, İ., 2017. Yardımcı Üreme Teknikleri. İnfertilite Hemşireliği El Kitabı, Demirci, N. ve Beji, N.K. (editörler). Nobel Tıp Kitabevi, İstanbul, 103-120.

    RESULT
  • Çıtlık, S. C., Çevik, S., Özden, G. (2018). Genel Konfor Ölçeği Kısa Formunun Türkçe geçerlik ve güvenirlik çalışması. Diyabet, Obezite ve Hipertansiyonda Hemşirelik Forumu Dergisi, 10(2), 16-22.

    RESULT
  • de Boer ML, Bondevik H, Solbraekke KN. Beyond pathology: women's lived experiences of melancholy and mourning in infertility treatment. Med Humanit. 2020 Sep;46(3):214-225. doi: 10.1136/medhum-2018-011586. Epub 2019 Jun 6.

  • Estes SJ, Huisingh CE, Chiuve SE, Petruski-Ivleva N, Missmer SA. Depression, Anxiety, and Self-Directed Violence in Women With Endometriosis: A Retrospective Matched-Cohort Study. Am J Epidemiol. 2021 May 4;190(5):843-852. doi: 10.1093/aje/kwaa249.

  • Fauser BC. Towards the global coverage of a unified registry of IVF outcomes. Reprod Biomed Online. 2019 Feb;38(2):133-137. doi: 10.1016/j.rbmo.2018.12.001. Epub 2018 Dec 14. No abstract available.

  • Fleury EAB, Approbato MS, Barbosa MA. Interactive Music Therapy on Stress Level Reduction in Women Submitted to IVF/ICSI. Prospective Randomized Study. JBRA Assist Reprod. 2021 Apr 27;25(2):209-214. doi: 10.5935/1518-0557.20200068.

  • Gönül, K., Arslan, H., 2019. İnfertilite tedavisi alan çiftlerin kullandıkları tamamlayıcı ve alternatif tıp uygulamaları. Cukurova Medical Journal, 44, 329-338.

    RESULT
  • Hudepohl NS, Smith K. Infertility and Its Association with Depression, Anxiety, and Emotional Distress: A Current Review, Advances in Psychiatry and Behavioral Health. 2022, 2(1), 119-132. https://doi.org/10.1016/j.ypsc.2022.05.005.

    RESULT
  • Kalhori F, Masoumi SZ, Shamsaei F, Mohammadi Y, Yavangi M. Effect of Mindfulness-Based Group Counseling on Depression in Infertile Women: Randomized Clinical Trial Study. Int J Fertil Steril. 2020 Apr;14(1):10-16. doi: 10.22074/ijfs.2020.5785. Epub 2020 Feb 25.

  • Khizroeva J, Nalli C, Bitsadze V, Lojacono A, Zatti S, Andreoli L, Tincani A, Shoenfeld Y, Makatsariya A. Infertility in women with systemic autoimmune diseases. Best Pract Res Clin Endocrinol Metab. 2019 Dec;33(6):101369. doi: 10.1016/j.beem.2019.101369. Epub 2019 Dec 2.

  • Kirca N, Pasinlioglu T. The effect of yoga on stress level in infertile women. Perspect Psychiatr Care. 2019 Apr;55(2):319-327. doi: 10.1111/ppc.12352. Epub 2019 Jan 18.

  • Kim M, Moon SH, Kim JE. Effects of psychological intervention for Korean infertile women under In Vitro Fertilization on infertility stress, depression, intimacy, sexual satisfaction and fatigue. Arch Psychiatr Nurs. 2020 Aug;34(4):211-217. doi: 10.1016/j.apnu.2020.05.001. Epub 2020 May 5.

  • Klimek L, Bergmann KC, Biedermann T, Bousquet J, Hellings P, Jung K, Merk H, Olze H, Schlenter W, Stock P, Ring J, Wagenmann M, Wehrmann W, Mosges R, Pfaar O. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Allergy and Clinical Immunology (DGAKI), ENT Section, in collaboration with the working group on Clinical Immunology, Allergology and Environmental Medicine of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNOKHC). Allergo J Int. 2017;26(1):16-24. doi: 10.1007/s40629-016-0006-7. Epub 2017 Jan 19.

  • Kolcaba KY. Holistic comfort: operationalizing the construct as a nurse-sensitive outcome. ANS Adv Nurs Sci. 1992 Sep;15(1):1-10. doi: 10.1097/00012272-199209000-00003.

  • Liang S, Chen Y, Wang Q, Chen H, Cui C, Xu X, Zhang Q, Zhang C. Prevalence and associated factors of infertility among 20-49 year old women in Henan Province, China. Reprod Health. 2021 Dec 20;18(1):254. doi: 10.1186/s12978-021-01298-2.

  • Lin LW, Weng SC, Wu HS, Tsai LJ, Lin YL, Yeh SH. The Effects of White Noise on Agitated Behaviors, Mental Status, and Activities of Daily Living in Older Adults With Dementia. J Nurs Res. 2018 Feb;26(1):2-9. doi: 10.1097/JNR.0000000000000211.

  • Malakcioglu C. Validity and Reliability of the Anxiety Assessment Scale: A New Three-dimensional Perspective. Medeni Med J. 2022 Jun 23;37(2):165-172. doi: 10.4274/MMJ.galenos.2022.75318.

  • Margan R, Margan MM, Fira-Mladinescu C, Putnoky S, Tuta-Sas I, Bagiu R, Popa ZL, Bernad E, Ciuca IM, Bratosin F, Miloicov-Bacean OC, Vlaicu B, Dobrescu A. Impact of Stress and Financials on Romanian Infertile Women Accessing Assisted Reproductive Treatment. Int J Environ Res Public Health. 2022 Mar 10;19(6):3256. doi: 10.3390/ijerph19063256.

  • Martinez-Pampliega A, Cormenzana S, Martin S, Navarro L. Marital functioning and treatment outcome in couples undergoing assisted reproduction. J Adv Nurs. 2019 Feb;75(2):338-347. doi: 10.1111/jan.13844. Epub 2018 Oct 7.

  • Mauri PA, Contini NN, Giliberti S, Barretta F, Consonni D, Negri M, Di Benedetto I. Intrapartum epidural analgesia and onset of lactation: a prospective study in an Italian birth centre. Matern Child Health J. 2015 Mar;19(3):511-8. doi: 10.1007/s10995-014-1532-x.

  • Nik Hazlina NH, Norhayati MN, Shaiful Bahari I, Nik Muhammad Arif NA. Worldwide prevalence, risk factors and psychological impact of infertility among women: a systematic review and meta-analysis. BMJ Open. 2022 Mar 30;12(3):e057132. doi: 10.1136/bmjopen-2021-057132.

  • Oh HR, Chung YJ, Do HJ. Group tele-art therapy intervention in women undergoing in vitro fertilization: A randomized control study. The Arts in Psychotherapy, 2024, 91, 102227. https://doi.org/10.1016/j.aip.2024.102227.

    RESULT
  • Ozturk A, Aba YA, Sik BA. The relationship between stigma, perceived social support and depression in infertile Turkish women undergoing in vitro fertilization-embryo transfer. Arch Psychiatr Nurs. 2021 Oct;35(5):434-440. doi: 10.1016/j.apnu.2021.05.009. Epub 2021 Jun 15.

  • Rooney KL, Domar AD. The relationship between stress and infertility. Dialogues Clin Neurosci. 2018 Mar;20(1):41-47. doi: 10.31887/DCNS.2018.20.1/klrooney.

  • Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of Infertility In Iran: A Systematic Review And Meta-Analysis. Urol J. 2020 Jun 23;17(4):338-345. doi: 10.22037/uj.v0i0.5610.

  • Sallem A, Essoussi H, Mustapha HB, Zaouali M, Ajina M. Impact of psychological stress on the outcomes of assisted reproduction in Tunisian infertile women. Pan Afr Med J. 2021 Dec 21;40:250. doi: 10.11604/pamj.2021.40.250.32207. eCollection 2021.

  • Sis Çelik, A., Kırca, N., 2018. İnfertil kadınların uyguladıkları tamamlayıcı ve destekleyici bakım uygulamaları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21, 178-188.

    RESULT
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  • Türkiye Nüfus ve Sağlık Araştırması (TNSA), 2018. https://hips.hacettepe.edu.tr/tr/2018_turkiye_nufus_ve_saglik_arastirmasi-55 (27.04.2022).

    RESULT
  • Word Health Organization 2023. İnfertility. https://www.who.int/publications/i/item/978920068315 (30.04.2023).

    RESULT
  • Zegers-Hochschild F, Adamson GD, Dyer S, Racowsky C, de Mouzon J, Sokol R, Rienzi L, Sunde A, Schmidt L, Cooke ID, Simpson JL, van der Poel S. The International Glossary on Infertility and Fertility Care, 2017. Hum Reprod. 2017 Sep 1;32(9):1786-1801. doi: 10.1093/humrep/dex234.

  • Zhang L, Shao H, Huo M, Chen J, Tao M, Liu Z. Prevalence and associated risk factors for anxiety and depression in infertile couples of ART treatment: a cross-sectional study. BMC Psychiatry. 2022 Sep 19;22(1):616. doi: 10.1186/s12888-022-04256-9.

MeSH Terms

Conditions

PainAnxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and SymptomsMental Disorders

Study Officials

  • Yasemin Sökmen, Asistant professor

    Ondokuz Mayıs University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Yasemin Sökmen, Asistant professor

CONTACT

Şevval Eda KAYA, Expert

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Masking Details
White noise group: The woman who was taken to the gynecological table for invirto fertilization will be made to listen to white noise (rain and waterfall sound) with a Bluetooth headset at a range of 75-85 decibels during the procedure. Because, it covers all sound ranges that people can hear within the range of 75-85 decibels (Cho and Hwang, 2021; Lin et al, 2018). Control group: The woman who was taken to the gynecological table for invirto fertilization was left to routine during the procedure.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: White noise group: The woman who was taken to the gynecological table for invirto fertilization will be made to listen to white noise (rain and waterfall sound) with a Bluetooth headset at a range of 75-85 decibels during the procedure. Because, it covers all sound ranges that people can hear within the range of 75-85 decibels (Cho and Hwang, 2021; Lin et al, 2018). Control group: The woman who was taken to the gynecological table for invirto fertilization was left to routine during the procedure.
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Asistant Professor

Study Record Dates

First Submitted

May 21, 2025

First Posted

May 30, 2025

Study Start

March 3, 2025

Primary Completion

June 2, 2025

Study Completion

June 15, 2025

Last Updated

May 30, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations