168 Participants Needed

Coloring Therapy for Pain and Anxiety in Emergency Care

LM
LM
Overseen ByLauren Maloney, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Stony Brook University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether coloring activities can reduce pain and anxiety for patients waiting in the emergency department. The aim is to determine if coloring nature-themed or geometric designs, using activity books, or doodling on blank paper can make the often stressful wait times more bearable. The trial is open to patients experiencing pain and anxiety, specifically those reporting significant pain and able to communicate in English. This approach could provide a simple, low-cost way to improve the experience for patients under stress in emergency care settings. As an unphased trial, this study offers a unique opportunity to contribute to innovative research that could enhance patient comfort in emergency settings.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that coloring therapy is generally safe. Studies have found that coloring mandalas can reduce pain and anxiety in various situations, such as when burn patients undergo dressing changes. This suggests that coloring can be a calming activity.

For the Nature Coloring Packet, art healing and play therapy have effectively reduced pain and anxiety in children during medical procedures. This indicates that using art, like coloring, can be helpful without causing harm.

Regarding the Geometric Shape Coloring Packet, coloring geometric designs is often seen as a relaxing and stress-relieving activity. Many people use these books to unwind after stressful days.

Finally, for the Activity Book, combining coloring therapy with regular therapy has improved anxiety and depression. This means it can be a beneficial activity for mental health.

These findings support the idea that coloring activities are safe and can help with anxiety and pain, making them a low-risk option for stress relief.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores creative therapies for pain and anxiety relief in emergency care settings, which is quite different from traditional methods like medication or cognitive-behavioral therapy. This study investigates whether simple, accessible tools like coloring packets and activity books can offer a non-pharmacological option to ease discomfort and stress. These activities engage patients in a calming, distraction-based technique that may alleviate symptoms quickly and without the side effects associated with medication. The trial aims to find out if these creative interventions can provide effective, immediate relief, offering a fresh approach to patient care in high-stress environments like emergency rooms.

What evidence suggests that this trial's treatments could be effective for reducing pain and anxiety in emergency care?

Research has shown that coloring can help reduce anxiety and pain. This trial will compare different coloring activities to assess their effectiveness in emergency care settings. Participants may engage in coloring mandala patterns, detailed geometric designs, as part of the Geometric Shape Coloring Packet arm. Studies have found that these patterns can lower pain and anxiety levels, especially in burn patients, suggesting they might also be helpful in other situations, like waiting in an emergency room.

Another arm of this trial involves using adult coloring books, which have been shown to reduce anxiety in emergency room patients, with effects noticeable within two hours. Participants may also be assigned to the Nature Coloring Packet arm, where they will color nature-themed images. While specific data on this activity is limited, the calming effect of nature scenes is well-known in art therapy.

Overall, these findings suggest that coloring both nature and geometric designs, along with using activity books, could help manage anxiety and pain during long waits in emergency care settings.16789

Are You a Good Fit for This Trial?

This trial is for adults over 18 who can consent, speak English, and are not at risk of aggressive behavior. They must have mild anxiety (HADS-A Score > 6), be fully conscious (GCS of 15), and experience moderate pain (Triage Pain Score > 3) while waiting in the emergency department.

Inclusion Criteria

My pain level is above 3 on the pain scale.
Without concern for aggressive behavior
Hospital Anxiety and Depression Scale-Anxiety (HADS-A) Score > 6
See 4 more

Exclusion Criteria

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

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 hours

Intervention

Participants engage in art therapy activities, such as coloring nature-themed or geometric shapes, to assess effects on self-reported pain and anxiety scores

8 hours
1 visit (in-person)

Follow-up

Participants are monitored for changes in self-reported anxiety and pain scores after the art therapy intervention

8 hours

What Are the Treatments Tested in This Trial?

Interventions

  • Activity Book
  • Blank Paper and Pencil
  • Geometric Shape Coloring Packet
  • Nature Coloring Packet
Trial Overview The study tests if coloring nature or geometric shapes, doing activity books, or drawing on blank paper can lower self-reported pain and anxiety in patients awaiting treatment in the emergency room.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Active Control
Group I: Nature Coloring PacketExperimental Treatment1 Intervention
Group II: Geometric Shape Coloring PacketExperimental Treatment1 Intervention
Group III: Activity BookExperimental Treatment1 Intervention
Group IV: Blank Paper and PencilActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Stony Brook University

Lead Sponsor

Trials
225
Recruited
41,700+

Published Research Related to This Trial

Research over the past 25 years highlights the importance of education and emotional support for pediatric patients to reduce stress during hospital stays.
A preparatory coloring book can serve as an effective tool by providing factual information and allowing children to express their emotions, addressing their major fears during hospitalization.
Preparation book for hospitalized pediatric patients: content and design.Gross, PR.[2007]
This systematic literature review analyzed 27 studies from 2000 to 2017, highlighting the effectiveness of art therapy across various adult populations, including cancer patients, trauma survivors, and the elderly.
Art therapy shows potential benefits for diverse clinical groups, suggesting it can be a valuable therapeutic tool, but further research is needed to expand understanding and application in this field.
Effectiveness of Art Therapy With Adult Clients in 2018-What Progress Has Been Made?Regev, D., Cohen-Yatziv, L.[2020]
A randomized controlled trial involving 59 adult women with anxiety disorders showed that anthroposophic art therapy significantly reduced anxiety symptoms and improved quality of life, with effects lasting for at least 3 months after treatment.
Participants also experienced better emotion regulation, particularly in accepting emotions and taking goal-oriented actions, indicating that art therapy can be a beneficial intervention for managing anxiety.
The Effectiveness of Art Therapy for Anxiety in Adult Women: A Randomized Controlled Trial.Abbing, A., Baars, EW., de Sonneville, L., et al.[2023]

Citations

The effects of coloring therapy on patients with generalized ...Coloring therapy has been reported to have a positive effect on improving patient anxiety and depression. But there are no reported clinical ...
Randomized Controlled Trial of Adult Therapeutic Coloring ...Among ED patients, exposure to adult coloring books resulted in lower self-reported levels of anxiety at 2 hours compared to placebo. CME ...
3.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/31957143/
Randomized Controlled Trial of Adult Therapeutic Coloring ...Among ED patients, exposure to adult coloring books resulted in lower self-reported levels of anxiety at 2 hours compared to placebo.
Randomized Controlled Trial of Adult Therapeutic Coloring ...Conclusions: Among ED patients, exposure to adult coloring books resulted in lower self-reported levels of anxiety at 2 hours compared to placebo.
HOW DOES COLORING INFLUENCE MOOD, STRESS, ...These studies provide strong evidence for the benefits of art on reducing anxiety and stress. One type of art that has surged in popularity is the use of adult ...
Anxiety Coloring Book for Adults, Coloring ...ADEVIAN Coloring Book. Coloring book has been shown to promote relaxation, stress relief, Let's use it to unwind after a long day, enhance your focus.
The effect of adult coloring (mandala pattern) on pain and ...Mandala coloring can reduce pain and anxiety during dressing changes in burn patients. It can be used as adjuvant treatment.
Horror Coloring Books For Adults Relaxation, Spiral BoundAbout this item. Adult Coloring Book Spiral Bound Page One Sided Design Adult Coloring Book ... Safety Data Sheet · Terms of Use · Privacy Notice · California ...
Anxiety Relief Coloring Book for Adults - WalmartMindfulness Basics: Discover the basics of mindfulness and how coloring can help relieve anxiety. Beginner Meditations: Includes two beginner-friendly ...
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