Trial reportAnnals of medicine2023
Effects of visual aid on state anxiety, fear and stress level in patients undergoing endoscopy: a randomized controlled trial.
Trial report in Annals of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
State Anxiety Level in Patients Undergoing Upper Gastrointestinal Endoscopy
The Effect of Diaphragmatic Breathing Exercises Performed Prior to Diagnostic Gastroscopy on Anxiety, Fear, and Vital Signs in Adult Patients: A Randomized Controlled Trial
Who cites it
13 citing papers in PubMed, 18 citations in OpenAlex.
- Impact of music intervention on endoscopic retrograde cholangiopancreatography patients' pain, anxiety, and vital signs: a randomized controlled trial.Scientific reports · 2026Trial
- Pharmacodynamics study of remimazolam besylate in anxious patients undergoing gastroscopy: a biased-coin design up-and-down sequential allocation trial.BMC anesthesiology · 2025Trial
- Nurse-led preprocedural Valsalva maneuver training with a maximal expiratory pressure device during transesophageal echocardiography in South Korea: a quasi-experimental study.Journal of Korean biological nursing science · 2026Article
- Factors influencing the patient experience of gastrointestinal endoscopic ultrasound: a Swedish cross-sectional study.Surgical endoscopy · 2026Article
- Implementation of family-centered care in Pediatric Gastroscopy.Pakistan journal of medical sciences · 2026Article
- Application of Positional Nursing Combined with Positive Suggestion in Patients Undergoing Sedated Gastroscopy.Patient preference and adherence · 2026Article
- Limitations of Artificial Intelligence Generated Images for Hand Surgery Patient Education.Journal of hand surgery global online · 2025Article
- Perioperative care bundle versus conventional perioperative care in pediatric patients undergoing minimally invasive digestive endoscopy.Pakistan journal of medical sciences · 2025Article
- Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy.World journal of gastrointestinal surgery · 2024Article
- Risk factors for complications in patients undergoing gastrointestinal endoscopy under acupuncture anesthesia.Pakistan journal of medical sciences · 2024Article
- Do patients actually understand? An evaluation of the informed consent process for endoscopic procedures in rural Uganda.Surgical endoscopy · 2024Article
- Patient Anxiety in Endoscopy: A Comparative Analysis of Single vs. Dual Procedure Effects.Cureus · 2024Article
- Music Therapy as a Tool for Alleviating Anxiety and Pain in Patients Undergoing Gastrointestinal Endoscopy.Noise & healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe present study aimed to calculate the estimated size and confidence interval for the effects of adding visual aid to counselling on anxiety, stress and fear of patients undergoing upper gastrointestinal endoscopy. The secondary aim was to calculate confidence interval for endoscopy-related variables that predict which patients are likely to benefit from visual aids.
methodIn a randomized, single-blind, two arm, parallel group, superiority trial, 232 consecutive patients who were scheduled to undergo either gastroscopy or colonoscopy were randomly divided into two intervention groups; counselling with video of endoscopic procedure and counselling with no-video (
resultsOne-way ANCOVA showed that there was significant between group differences of anxiety, stress and fear after controlling for the effect of covariates. Planned contrasts revealed that counselling along with visual aid of endoscopy procedure significantly decreased anxiety [Mean difference at post; -4.26 (-4.47, -4.05),
conclusionThe increase in anxiety, acute stress and fear related to endoscopic procedures can be alleviated with psychological counselling coupled with visual aids before the procedure. Visual aid could lead to supplementary benefits in reducing anxiety scores.
trial registrationClinicalTrial.gov Number: NCT05241158. Registered 16/11/2022; https://clinicaltrials.gov/ct2/show/NCT05241158KEY MESSAGESCounselling along with visual aid of endoscopy procedure significantly decreased anxiety, stress and fear as compared to counselling alone.Male patients were less stressed after visual aid intervention as compared to female patients. Patients who had chronic GI symptoms were less stressed after visual aid intervention as compared to those who had acute GI symptoms. Patients who had concern over seniority of endoscopist were less stressed after visual aid intervention as compared to those who had no concerns over seniority.Satisfaction on briefing of endoscopy procedure was significant positive predictor of stress and fear.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.