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Trial registered on ANZCTR
Registration number
ACTRN12614000385640
Ethics application status
Not yet submitted
Date submitted
10/03/2014
Date registered
9/04/2014
Date last updated
9/04/2014
Type of registration
Prospectively registered
Titles & IDs
Public title
The moderating influence of attentional bias on the efficacy of distraction vs mindfulness in an experimental pain task
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Scientific title
The moderating influence of attentional bias on the efficacy of distraction vs mindfulness in an experimental pain task
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Secondary ID [1]
284225
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Nil
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Universal Trial Number (UTN)
Nil
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pain
291338
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Condition category
Condition code
Musculoskeletal
291699
291699
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Brief Mindfulness: A 10-15 minute mindfulness exercise will be delivered in a laboratory setting. The exercise will teach undergraduate students to focus on mindfulness of breath and body scanning. Hence, they will learn to focus on internal sensations non-judgementally immediately before completing two acute experimental pain tasks.
Two water tanks manufactured by Thermoline Scientific Australia were used to conduct the cold pressor task. Each tank was comprised of a 20L circulating water bath chamber (model TLWB-30), immersion cooler (TIC-400) and a heat circulator (TU-3). In order to ensure participants initial arm temperature was controlled for, they were firstly asked to submerge their arm up to the elbow for 30 seconds in the warm tank, with a maintained temperature of 37degrees C ( plus or minus 0.5). Following this, they submerged the same arm up to the elbow into the tank of cold water, maintained at 5 degrees C(plus or minus 0.5). Research in the past indicates the cold pressor task produces the “Lewis Effect”, whereby pain is produced by vasodilation of the blood vessels due to warm water, quickly followed by vasoconstriction due to cold water.
A series of shocks a 0.5, 1.5 and 3.0 microamps will be administered and a pain rating will be recorded.
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Intervention code [1]
288931
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Other interventions
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Comparator / control treatment
Distraction: Another group will be given an audiotape of a sound array and asked to focus their attention on the different sounds that they can hear. They will practice this for a matched period of time (10-15 minutes) as the mindfulness group. Their pain will be assessed immediately after receiving the intervention.
The audiotape will play when the pain tasks are undertaken.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pain: Average pain ratings (on a visual analogue scale; VAS) observed in response to electric shocks and in response to the cold pressor task
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Assessment method [1]
291635
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Timepoint [1]
291635
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Immediately following completion of each acute experimental pain task
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Primary outcome [2]
291636
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Threshold: Time taken for the participant to report experiencing pain during the cold pressor task (We use a stopwatch)
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Assessment method [2]
291636
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Timepoint [2]
291636
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During the cold pressor task
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Primary outcome [3]
291637
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Pain-related distress: Ratings (0-10) of Subjective Units of Distress associated with pain, rated following task.
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Assessment method [3]
291637
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Timepoint [3]
291637
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Immediately following the acute experimental pain task
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Secondary outcome [1]
307209
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Hesitance: The time taken to emerge arm fully in the cold pressor task (we measure time using a stopwatch)
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Assessment method [1]
307209
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Timepoint [1]
307209
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During the cold pressor task
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Secondary outcome [2]
307210
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Tolerance: time that arm is left in the cold pressor task (max 4 minutes) (We use a stopwatch to measure time)
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Assessment method [2]
307210
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Timepoint [2]
307210
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During the cold pressor task
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Eligibility
Key inclusion criteria
Undergraduate psychology student
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Minimum age
18
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Cardiac problems
History of chronic pain
Current pain on a visual analogue scale of greater than 3 out of 10 (i.e. > 3/10)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants will be given a participant number upon recruitment and these numbers will be linked to a set of random numbers (1 and 2) and placed in sealed, opaque envelopes. Once the participant has consented to take part, their allocation will be revealed by the experimenter.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomizer.org
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Participants will all complete an assessment of attentional bias at baseline. On the basis of these scores, they will then be divided into a high and low attentional bias group in order to determine the potential moderating impact of attentional bias on the relative efficacy of mindfulness versus distraction
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
2 (attention bias) x 2 (Mindfulness vs distraction) AN(C)OVA
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
5/05/2014
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Actual
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Date of last participant enrolment
Anticipated
31/08/2014
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
125
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment postcode(s) [1]
7858
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2006 - The University Of Sydney
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Funding & Sponsors
Funding source category [1]
288851
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Self funded/Unfunded
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Name [1]
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Address [1]
288851
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Country [1]
288851
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Primary sponsor type
University
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Name
The University of Sydney
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Address
Parramatta Rd.
Camperdown
The University of Sydney
NSW 2006
Australia
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Country
Australia
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Secondary sponsor category [1]
287543
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None
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Name [1]
287543
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Address [1]
287543
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Country [1]
287543
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
290686
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The University of Sydney Human Research Ethics Committee
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Ethics committee address [1]
290686
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Jane Foss Russell Building City Rd The University of Sydney NSW 2037
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Ethics committee country [1]
290686
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Australia
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Date submitted for ethics approval [1]
290686
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10/03/2014
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Approval date [1]
290686
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Ethics approval number [1]
290686
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Summary
Brief summary
This study aims to examine the moderating impact of baseline attentional bias on the relative efficacy of two brief interventions: mindfulness vs distraction. Participants will have their attention biases towards painful stimuli assessed and will then be randomized to receive either distraction or mindfulness before completing two experimental pain tasks.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Louise Sharpe
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
46798
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Australia
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Phone
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61 2 93514558
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Jennifer Samson
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
46799
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Australia
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Phone
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61 293514558
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Fax
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Email
46799
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[email protected]
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Contact person for scientific queries
Name
46800
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Louise Sharpe
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Address
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Brennan MacCallum Building A18
The University of Sydney
NSW 2006
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Country
46800
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Australia
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Phone
46800
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61293514558
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Fax
46800
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Email
46800
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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