Calming Alternatives Learned During MRI-Guided Breast Biopsy

Calming Alternatives Learned During MRI-Guided Breast Biopsy (CALM)

The proposed randomized study evaluates whether a controlled breathing intervention could be efficacious for reducing pain in the MRI-guided breast biopsy setting. Support for this intervention stems from experimental and clinical studies on the effects of controlled breathing on pain. Implementing a controlled breathing intervention during MRI-guided breast biopsy has the potential to provide effective pain management in this outpatient setting. The primary study objectives are to assess the feasibility, acceptability, and efficacy of a novel audio-recorded controlled breathing intervention for reducing breast and body pain in women undergoing MRI-guided breast biopsy. The secondary study objectives are to evaluate the effects of controlled breathing on measures of physiological reactivity (i.e., blood pressure and heart rate), pain catastrophizing, and self-efficacy for pain and anxiety.

Inclusion Criteria:

• Women undergoing MRI-guided core needle breast biopsy at the Duke Cancer Institute
• Ability to speak and read in English
• Age ≥ 18 years
• Ability to provide meaningful consent

Exclusion Criteria:

• Hearing impairment that is documented in the medical record that would limit the use of the guided intervention or music
• Cognitive impairment that is documented in the medical record or results in being unable to provide meaningful consent
• Undergoing IV-administered sedation