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CompletedNCT04812184Updated Oct 4, 2022Results posted

Adhesive Tape Placement on Patients' Masks in the Emergency Department Increases Compliance of Proper Face Mask Use

An interventional study of Tape Face Mask in Covid19, sponsored by Indiana University. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-04.

Sponsored by Indiana University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Apr 2020, registered Mar 2021).
Phase
Not applicable
Study type
Interventional
Enrollment
123
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Methods 123 patients were enrolled in a randomized controlled trial at Eskenazi Hospital from April 2020 until October 2020. We permitted patients to either use their own mask (due to low resources institutionally) or we provided a surgical/cloth mask (early on relied on donated cloth masks for patients). Patients were randomized to a control (no tape over the mask/nose) or to the intervention (placing tape over the bridge of the nose of the face mask). Patients were evaluated at 30- and 60- minute intervals to assess for proper mask usage.

Read the detailed description

Study Design and Setting:

This study is a randomized control trial at Eskenazi Hospital ED from April 2020 until October 2020. Eskenazi Hospital is a busy, urban, academic hospital, level 1 trauma center, in downtown Indianapolis. Here we serve a racially diverse, underserved population, with over 100,000 annual ED visits. This work was approved by the Indiana University Institutional Review Board (protocol #2004425945).

Selection of Participants:

All patients presenting to the ED were screened for enrollment in this study by trained research personnel. All patients are required to wear facial coverings while in the ED, and after screening patients based on the exclusion criteria provided below, patients were offered enrollment in the study. Patients were randomly identified by their bed location in the ED via a random number generator. Patients were excluded from the study for: (1) pregnant; (2) prisoner; (3) not English or Spanish speaking (currently a large cohort of ethnic Latino/Latina/Hispanic are utilizing the ED and we can use interpreters to interpret for enrollment); (4) intoxicated or decompensated psychiatric illness; (5) presenting to the ED with a life-threatening condition; (6) allergic to standard tape and/or tegaderm. Patient consent was obtained if an individual agreed to participate in the study.

Interventions:

All patients included in this study were approached and offered enrollment in a study for addressing PPE. The control arm consisted of no active intervention, with the treatment arm placing standard surgical tape over the bridge of the nose to adhere the top of the mask to the bridge of the nose, thereby creating a physical barrier from removing the mask from the face. Patients were reevaluated at 30 minutes and 60 minutes after enrollment to assess for proper mask compliance.

Measurements: Assuming 50% current compliance, 58 patients per arm were needed to have an 80% power to detect a 25% difference assuming a two-sided chi-square test and alpha = 0.05.

Outcomes:

The primary outcome of this trial is proper mask utilization upon reevaluation at 30 and 60 minutes, with the mask at/under the chin, meanwhile completely covering the mouth and nose). Secondary outcomes of this trial were comparing the primary demographic and visit related covariates on initial screening, including age, sex, race/ethnicity, past medical history, social history, chief complaint, and disposition (admission vs. discharge).

Analysis:

Patient demographics and characteristics were compared between the control and treatment groups. To test for differences between groups, Microsoft excel statistical package was utilized, and the Chi-square test was used for categorical variables and the Wilcoxon test for continuous variables.

02

Conditions studied

  • Covid19

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03

In context

COVID-19

7,774 studies on the registry are indexed under COVID-19; 482 are open to participants now.

This study's enrollment of 123 is above the median of 100 across 4,175 interventional studies indexed under COVID-19.

Browse COVID-19 studies →

Lead sponsor

Indiana University is the lead sponsor of 982 studies on the registry; 199 are open to participants now.

Of its 148 completed or terminated interventional studies of FDA-regulated products, 117 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • presenting to the emergency department during the covid-19 pandemic
  • older than 18 years of age

Exclusion criteria

Exclusion Criteria:

  • pregnant
  • prisoner
  • not english speaking
  • not intoxicated or decompensated psychiatric illness
  • not critically ill
  • not allergic to standard tape and/or tegaderm
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
123 participants (actual)

Study arms

  • Experimental
    Surgical Tape to bridge of nose

    placed a piece of tape to the bridge of the nose, adhering a face mask to the patient's face

    Device: Tape Face Mask

  • No intervention
    Standard of care

    Patients given a mask with no intervention to the mask

Interventions

  • DeviceTape Face Mask

    Adding tape to face mask

06

What researchers measure

Primary outcomes

  1. Proper Face Mask Use up to 60 Minutes

    The primary outcome of this trial is proper mask utilization upon reevaluation up to 60 minutes (with the mask at/under the chin, meanwhile completely covering the mouth and nose). At these time point a trained observer enters the room and observes the patient's face covering and its location on the face (correct, chin exposed, nose exposed, not on at all).

    Time frame: 60 minutes on Day 1

07

Results

Posted Oct 4, 2022

Participant flow

Patients presenting to the ED were screened for enrollment by trained research personnel when one of the study authors was working. This study was an open-label randomized control trial at Eskenazi Hospital ED from April 2020 to October 2020.

Participant flow — Overall Study
MilestoneSurgical Tape to Bridge of NoseStandard of Care
Started6063
Completed6063
Not completed00

Outcome measures

PrimaryProper Face Mask Use up to 60 Minutes

The primary outcome of this trial is proper mask utilization upon reevaluation up to 60 minutes (with the mask at/under the chin, meanwhile completely covering the mouth and nose). At these time point a trained observer enters the room and observes the patient's face covering and its location on the face (correct, chin exposed, nose exposed, not on at all).

Time frame:
60 minutes on Day 1
Reported as:
Count of participants · Participants
Proper Face Mask Use up to 60 Minutes
ParticipantsSurgical Tape to Bridge of NoseStandard of Care
Proper Face Mask Use up to 60 Minutes5852

Adverse events

Collected over within the single emergency department visit. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Surgical Tape to Bridge of Nose0/60 (0%)0/60 (0%)0/60 (0%)
Standard of Care0/63 (0%)0/63 (0%)0/63 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Surgical Tape to Bridge of NoseStandard of CareTotal
<=18 years000
Between 18 and 65 years57562
>=65 years35861
Age, Continuous
Age, Continuous(years)Surgical Tape to Bridge of NoseStandard of CareTotal
Median41 (30.5 to 55.3)42 (31.5 to 55)41 (31 to 55)
Sex: Female, Male
Sex: Female, Male(Participants)Surgical Tape to Bridge of NoseStandard of CareTotal
Female253661
Male352762
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Surgical Tape to Bridge of NoseStandard of CareTotal
American Indian or Alaska Native000
Asian213
Native Hawaiian or Other Pacific Islander000
Black or African American323567
White262450
More than one race000
Unknown or Not Reported033
Region of Enrollment
Region of Enrollment(participants)Surgical Tape to Bridge of NoseStandard of CareTotal
United States6063123
mask type
mask type(Participants)Surgical Tape to Bridge of NoseStandard of CareTotal
Home mask354681
Provided mask251742
08

Study locations

1 site
  • Eskenazi Hospital
    Indianapolis, Indiana 46077, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 9, 2021

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No — data available upon request

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2020 to primary completion in Oct 2020, 6 months.

Results were first posted in Oct 2022, 1 year 11 months after primary completion.

Of 1,295 non-industry interventional studies with no phase under COVID-19, half reached primary completion within 10 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 20. This study's 6 months is below that.

Counting every sponsor, half of 1,425 studies reached it within 9 months; a quarter within 3 and three quarters within 19.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 17, 2021
First posted
Mar 23, 2021
StartActual
Apr 1, 2020
Primary completionActual
Oct 30, 2020
CompletionActual
Oct 30, 2020
Results first posted
Oct 4, 2022
Last update
Oct 4, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04812184
Lead sponsor
Indiana University
Responsible party
Nicholas Pettit (Assistant Professor, Indiana University) — Principal investigator
First posted
Mar 23, 2021
Start date
Apr 1, 2020
Primary completion
Oct 30, 2020
Completion
Oct 30, 2020
Results posted
Oct 4, 2022
Last update
Oct 4, 2022

Study contacts

Nicholas Pettit
principal investigator · Indiana University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2022. You cannot join it, but the record below documents what was studied.

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