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HypertensionNCT05196854

Clinical Hypnosis and Home Blood Pressure Monitoring in Children With Neurofibromatosis Type 1

A study testing Group 1. Standard Home Blood Pressure Measurement and Group 2. Hypnosis script prior to home blood pressure measurement in people with Hypertension and Neurofibromatosis 1, run by Murdoch Childrens Research Institute at 1 site in Australia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study has two primary objectives. The first is to determine if it is feasible and reliable for children and families with a diagnosis of Neurofibromatosis Type 1 (NF1) to use of blood pressure (BP) monitor at home. Read more about this study

Who is it for?
Ages 5 to 18 years
Conditions the study is for
Hypertension, Neurofibromatosis 1, Blood Pressure
What is being tested?
Group 1. Standard Home Blood Pressure Measurement and Group 2. Hypnosis script prior to home blood pressure measurement
Could I receive a placebo?
No, everyone receives an active treatment
How many people
54 participants
Where
1 siteAustralia
Study dates
25 May 2022to 24 Apr 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Is between the ages of 5 and 18 years old at enrolment.
  • Has a diagnosis of neurofibromatosis type 1(NF1), confirmed by a physician, and usually attends the NF clinic at The Royal Children's Hospital, Melbourne, Australia (RCH). Including children with known kidney and cardiac disease.
  • Primary residence and residential postal address in Victoria.
  • The child can sit quietly for 10-15 minutes at home to complete a blood pressure assessment.
  • Provide a signed and dated participant and/or parent guardian information and consent form and or has a legally acceptable representative capable of understanding the informed consent document and providing consent on the participant's behalf.
  • For inclusive diverse study group, Parent/caregiver who require an interpreter can be enrolled in this study. Only inhouse interpreter services able to be included,

Who cannot join

  • Has clinically significant cognitive impairment or attention disorder preventing ability to sit in a chair for 15 minutes
  • Has confirmed hypertension on previous testing
  • Parent/caregiver who require an interpreter and cannot upload BP and Heart rate (HR) values online independently will be excluded from the study.
  • Parent/caregiver requiring an interpreter, but the interpreter not present within the face-to-face appointment eg, phone interpreter services.

Trial locations and contacts

1 site in 1 country.

Australia1 site
  • Murdoch Children's Research Institute

    Parkville, Victoria, 3050

Other trials in Australia

About this study

Official title: Feasibility and Comparison Study of Home Blood Pressure Monitoring and Clinical Hypnosis in Children With Neurofibromatosis Type 1

This study has two primary objectives. The first is to determine if it is feasible and reliable for children and families with a diagnosis of Neurofibromatosis Type 1 (NF1) to use of blood pressure (BP) monitor at home.

The second is to determine if there is a difference between a child's measured home BP using standard instructions or using a clinical hypnosis script. This will be determined by a randomised control trial design.

Read more

Standard and hypnosis Home BP will be compared to the gold standard measurement of BP measured by a trained health care professional in clinic.

Children who participate will complete a clinic-based BP with a health care professional, then will be randomised into either the standard home BP measurement or using a hypnosis script prior to BP measurement.

Read the detailed description

Neurofibromatosis Type 1 (NF1) is a rare autosomal dominate genetic disorder that affects an estimated that 1 in 2500 people or 10000 Australians. NF1 affects multiple systems throughout the body. The prevalence of hypertension(HTN) in children and adolescents in the general population is approximately 3.5%. Children and adolescents with a diagnosis of NF1 have an increased incidence of HTN, and has been documented as high as 6.1% to 12%. This is two times higher than the general population.

Clinical adherence to the recommendation of recording annual blood pressure on patients has not been audited. The anecdotal experience of the authors is that most children do not have annual blood pressure (BP) measurements. With the increased uptake of telehealth following the COVID-19 pandemic, children and families may not be reviewed in person for significant periods of time as they prefer consultations over telehealth. As a result, children may miss having their annual blood pressure measured. As a young people with a diagnosis of NF1 have twice the risk of HTN, annual BP measurement is essential.

The American Academy Paediatrics guideline outlines the best practice for BP measurement to ensure true BP reading: The child should be seated in a quiet room for 3-5 minutes before measurement, with back supported and feet uncrossed on the floor. The blood pressure should be measured on the right arm, using the correct sized cuff. This should be completed by a trained clinician. As part of this study, all participants will have a manual sphygmomanometer in clinic-based BP taken on day of recruitment.

One of the primary objectives of this study is to determine if is feasible to use home blood pressure monitoring to screen children with NF1 for hypertension.

Clinical Hypnosis is used as a non-pharmacological technique for reducing procedural anxiety, distress and discomfort with patients. Hypnosis scripts have been successfully used as non-pharmacological adjuncts to reduce pain and anxiety in adult patients undergoing interventional radiological procedures, demonstrating that the benefits of hypnosis techniques can be accessible to patients with little or no training or preparation. Furthermore, healthcare workers who are not experts in hypnosis can be trained to deliver scripts effectively.

If a hypnosis script used while taking home blood pressure readings allows for a calm child and an equivalent clinic BP measure, hypnosis script and home BP monitoring could have greater application across the Royal Children's Hospital.

Therefore the second aim of the study is to see if there is a difference in a child's BP measurements comparing a standard home BP measurement or utilising a calming hypnosis script prior to home BP measurement. This will be compared to the gold standard clinic-based BP measurement completed by a trained professional. The child's self-reported level of anxiety using the Children's Anxiety Meter Scale (CAM-S) will be measured after every BP measurement. In addition, family's perceptions of the process of home BP monitoring will also be collected.

Being tested
Group 1. Standard Home Blood Pressure Measurement, Group 2. Hypnosis script prior to home blood pressure measurement
Keywords
Procedural Anxiety, Clinical Hypnosis, Neurofibromatosis, Hypertension, Blood pressure monitoring
Medical subject headings
Hypertension, Neurofibromatosis 1, Neurofibromatoses

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Group 1. Standard Home Blood Pressure MeasurementOther

    Measurement of Blood Pressure using Home blood pressure monitor

  • Group 2. Hypnosis script prior to home blood pressure measurementOther

    Pre-recorded clinical hypnosis script (approx 5 mins long) used prior to standard home blood pressure measurement. Clinical Hypnosis is used as a non-pharmacological technique for reducing procedural anxiety, distress and discomfort with patients.

Study groups in NCT05196854
Study groupRoleWhat they receive
Group 1: Standard Blood Pressure measurement at homeOtherStandard home blood pressure measurement at home
Receives: Other: Group 1. Standard Home Blood Pressure Measurement
Group 2. Hypnosis script prior to Home Blood Pressure measurementExperimentalParticipant listens to a pre-recorded hypnosis script (approx 5 mins long) prior to standard home blood pressure measurement.
Receives: Other: Group 2. Hypnosis script prior to home blood pressure measurement

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Day 1. Clinic-based manual sphygmomanometer blood pressure measurement

    Three measures of Systolic/diastolic reading (mmHg) using manual sphygmomanometer by trained professional. Following The American Academy Pediatrics guidelines for best practice for blood pressure (BP) measurement to ensure true BP reading.

    Measured: Day 1. Day of recruitment at the clinic appointment

  2. Day 1. Clinic-based automatic oscillometer blood pressure measurement

    One reading of systolic/diastolic reading (mmHg) using automatic oscillometer BP monitor by trained professional - Following The American Academy Pediatrics guidelines for best practice for blood pressure (BP) measurement to ensure true BP reading.

    Measured: Day 1. Day of recruitment at the clinic appointment

  3. Day 2 Home automatic oscillometer blood pressure measurement

    Daily measurement of systolic/diastolic (mmHg) home blood pressure(BP) reading (once only) using an automatic home oscillometer BP monitor measurement.

    Measured: Day 2 at home

  4. Day 3 Home automatic oscillometer blood pressure measurement

    Daily measurement of systolic/diastolic (mmHg) home blood pressure(BP) reading (once only) using an automatic home oscillometer BP monitor measurement.

    Measured: Day 3 at home

  5. Day 4 Home automatic oscillometer blood pressure measurement

    Daily measurement of systolic/diastolic (mmHg) home blood pressure(BP) reading (once only) using an automatic home oscillometer BP monitor measurement.

    Measured: Day 4 at home

Secondary outcomes (6)
  1. Day 1. Clinic-based Children's Anxiety Meter Scale (CAM-S)

    Measurement of participant's reported state of anxiety in clinic when completing BP measurement using Children's Anxiety Meter Scale (CAM-S).

    CAM-S is a state of anxiety patient reported measure. It is coded 0-10 across a vertical analogue scale.

    0 = calm, not nervous or worried 10 = very very nervous and worried

    Measured: Day1 in clinic

  2. Day 2,3 and 4 Daily Children's Anxiety Meter Scale (CAM-S) score

    Daily measure of the participants reported state of anxiety when completing BP measurement at home using Children's Anxiety Meter Scale (CAM-S).

    CAM-S is a state of anxiety patient reported measure. It is coded 0-10 across a vertical analogue scale.

    0 = calm, not nervous or worried 10 = very very nervous and worried

    Measured: Daily on Day 2, 3 and 4 at home.

  3. Day 2 Children's Anxiety Meter Scale (CAM-S) score

    Daily measure of the participants reported state of anxiety when completing BP measurement at home using Children's Anxiety Meter Scale (CAM-S).

    CAM-S is a state of anxiety patient reported measure. It is coded 0-10 across a vertical analogue scale.

    0 = calm, not nervous or worried 10 = very very nervous and worried

    Measured: Day 2 at home.

  4. Day 3 Daily Children's Anxiety Meter Scale (CAM-S) score

    Daily measure of the participants reported state of anxiety when completing BP measurement at home using Children's Anxiety Meter Scale (CAM-S).

    CAM-S is a state of anxiety patient reported measure. It is coded 0-10 across a vertical analogue scale.

    0 = calm, not nervous or worried 10 = very very nervous and worried

    Measured: Day 3 at home.

  5. Day 4 Children's Anxiety Meter Scale (CAM-S) score

    Daily measure of the participants reported state of anxiety when completing BP measurement at home using Children's Anxiety Meter Scale (CAM-S).

    CAM-S is a state of anxiety patient reported measure. It is coded 0-10 across a vertical analogue scale.

    0 = calm, not nervous or worried 10 = very very nervous and worried

    Measured: Day 4 at home.

  6. Day 4, Study specific survey of parents/caregivers perceptions

    Study specific survey. Likert scales used to assess parent/caregiver perception with ease of use of home BP monitor, timeliness to complete measures and interference with family life compared to attending hospital appointment, ease of receiving and returning equipment, and financial cost to attend hospital appointment.

    Data will be reported for each item individually, as the proportion of parents/caregivers who responded positively on the Likert scale, where higher scores indicate less favorable responses.

    Measured: Day 4 only

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jan 2022
  2. Study start25 May 2022
  3. Primary completion15 Mar 2023
  4. Study completion24 Apr 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomised Control Trial
Masking
None (open label)
Enrolment
54 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05196854
Sponsor's protocol ID
73244
Status last verified
Feb 2025
First submitted
21 Dec 2021
Last updated
24 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: The de-identified data set collected for this study will be available six months after publication of the primary outcome. The study protocol, analysis plan and consent forms will also be available. The data may obtained from the Murdoch children's Research institute by emailing gabriel.dabscheck@rch.org.au Prior to releasing any data the following are required: a data access agreement must be signed between relevant parties, the trial steering committee must see and approve the analysis plane describing how the data will be analysed, there must be and agreement around appropriate acknowledgement and and additional costs involve must be covered. Should the trial steering committee be unavailable, this role is delegated to the Murdoch children's Research Institute. Data will only be shared with a recognised research institution which has approved the proposed analysis plan.

Publications

  • Mackay JR, Glenning JP, Grantham BM, Clark K, Mynard JP, Olweny CN, Quinlan C, Dabscheck G. Feasibility of home blood pressure screening in the paediatric outpatient clinic setting. Arch Dis Child. 2025 Jun 19;110(7):551-555. doi: 10.1136/archdischild-2024-327391.

    PubMed 39814532
  • Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, Daniels SR, de Ferranti SD, Dionne JM, Falkner B, Flinn SK, Gidding SS, Goodwin C, Leu MG, Powers ME, Rea C, Samuels J, Simasek M, Thaker VV, Urbina EM; SUBCOMMITTEE ON SCREENING AND MANAGEMENT OF HIGH BLOOD PRESSURE IN CHILDREN. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017 Sep;140(3):e20171904. doi: 10.1542/peds.2017-1904. Epub 2017 Aug 21.

    PubMed 28827377

Questions about this trial

What is this clinical trial studying?

A study testing Group 1. Standard Home Blood Pressure Measurement and Group 2. Hypnosis script prior to home blood pressure measurement in people with Hypertension and Neurofibromatosis 1, run by Murdoch Childrens Research Institute at 1 site in Australia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Day 1. Clinic-based manual sphygmomanometer blood pressure measurement (time frame: Day 1. Day of recruitment at the clinic appointment). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05196854, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Feb 2025.

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