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Not yet recruitingNCT07445399DRAWUpdated Sep 15, 2026

Drawing Therapy for pReoperative Anxiety in Waiting (DRAW)

An interventional study of warm color and cold color in Anesthesia and Anxiety, sponsored by Zhihong LU. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-15.

Primary conditionAnxiety Disorders(the registry's first term)UnverifiedIs this wrong?The registry often attaches Anxiety Disorders to studies about something else, and this study's title and listed conditions do not name it. No better condition is named, so the registry's term is kept.

Sponsored by Zhihong LU · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
272
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

This study will use a factorial design to compare the effects of different colors and shapes on patients' preoperative anxiety.

02

Conditions studied

  • Anesthesia
  • Anxiety

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Keywords

  • drawing
  • color
  • shape
  • anxiety
  • heart rate variability
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In context

Anxiety Disorders Unverified

7,201 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

This study's planned enrollment of 272 is above the median of 80 across 6,057 interventional studies indexed under Anxiety Disorders.

Browse Anxiety Disorders studies →

Lead sponsor

Zhihong LU is the lead sponsor of 17 studies on the registry; 7 are open to participants now.

Compared within Anxiety Disorders, the registry's first condition term, which may not be this study's main condition. Counted across the registry records on this site, refreshed daily. How we classify →

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Patients scheduled for elective surgery
  • age ≥18 yrs old

Exclusion criteria

Exclusion Criteria:

  • Frail patients who can not freely sit on the seat
  • Patients with difficulty in communication
  • Patients with color vision deficiency
  • Patients with injury or neurological dysfunction influencing function of hand
  • Patients with severe vision deficiency
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Single (Outcomes assessor)
Enrollment
272 participants (estimated)

Study arms

  • Experimental
    A

    warm color and sharp shape are shown to the patients

    Behavioral: warm color · Behavioral: sharp shape

  • Experimental
    B

    warm color and smooth shape are shown to the patients

    Behavioral: warm color · Behavioral: smooth shape

  • Experimental
    C

    cold color and sharp shape are shown to the patients

    Behavioral: cold color · Behavioral: sharp shape

  • Experimental
    D

    cold color and smooth shape are shown to the patients

    Behavioral: cold color · Behavioral: smooth shape

Interventions

  • Behavioralwarm color

    red and yellow color picture is used

  • Behavioralcold color

    blue and green color is used

  • Behavioralsharp shape

    triangle shaped picture is used

  • Behavioralsmooth shape

    circle and curve are used

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What researchers measure

Primary outcomes

  1. score of visual analogue scale (VAS) of anxiety

    The Visual Analog Scale for Anxiety (VAS-A) is a single-item, quick-assessment tool consisting of a 100-mm horizontal line anchored by "no anxiety" at the left end (0 mm) and "worst possible anxiety" at the right end (100 mm). Patients were instructed to mark the point that best represented their current level of anxiety.

    Time frame: at the end of intervention, approximately 10 minutes before start of anesthesia

Secondary outcomes

  1. heart rate

    Time frame: at the end of intervention, approximately 10 minutes before start of anesthesia

  2. score of State-Trait Anxiety Inventory-State (STAI-S)

    The State-Trait Anxiety Inventory-State (STAI-S) is a 20-item self-report questionnaire designed to assess transient or situational anxiety levels. Each item is rated on a 4-point Likert scale ranging from 1 ("not at all") to 4 ("very much so"), with total scores ranging from 20 to 80. Higher scores indicate higher levels of anxiety.

    Time frame: at the end of intervention, approximately 10 minutes before start of anesthesia

  3. score of visual analogue scale (VAS) of anxiety

    The Visual Analog Scale for Anxiety (VAS-A) is a single-item, quick-assessment tool consisting of a 100-mm horizontal line anchored by "no anxiety" at the left end (0 mm) and "worst possible anxiety" at the right end (100 mm). Patients were instructed to mark the point that best represented their current level of anxiety.

    Time frame: Before anesthesia induction, approximately 1 minute before start of anesthesia

  4. Engagement level during the painting task

    measured by a 0-10 subjective rating scale, 0 is not engaged, 10 is totally engaged

    Time frame: from start of painting to end of painting , approximately 10 minutes

  5. tachycardia

    heart rate over 100 beats per minute

    Time frame: from admitted into the operating room to start of anesthesia, at an average of 15 minutes

  6. hypertension

    systolic blood pressure increased by more than 20% of baseline. baseline blood pressure is measured in waiting area

    Time frame: from admitted into the operating room to start of anesthesia, at an average of 15 minutes

  7. Visual analogue score of sleep quality

    Visual analogue score of sleep quality is from 0 to 10, 0 is the worst quality, 10 is the best quality

    Time frame: at 24 hours after surgery

  8. Score of satisfaction to anesthesia

    Score of satisfaction to anesthesia is from 0 to 10, 0 is the worst quality and totally unsatisfied, 10 is the best quality and fully satisfied

    Time frame: at 24 hours after surgery

  9. score of visual analogue scale (VAS) of anxiety

    The Visual Analog Scale for Anxiety (VAS-A) is a single-item, quick-assessment tool consisting of a 100-mm horizontal line anchored by "no anxiety" at the left end (0 mm) and "worst possible anxiety" at the right end (100 mm). Patients were instructed to mark the point that best represented their current level of anxiety.

    Time frame: at 24 hours after the end of the surgery

Other outcomes

  1. Individual preferences for colors and shapes

    1, prefer curve and warm color; 2, prefer angle and warm color; 3, prefer curve and cold color; 4, prefer angle and cold color

    Time frame: before intervention, approximately 30 minutes before anesthesia

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Takemura Y, Kido K, Morozumi T, Sanuki T, Yao T, Mukai Y. Effects of Different Visual Color Stimuli on Stress Responses in Patients with Dental Phobia. J Clin Med. 2025 Sep 24;14(19):6745. doi: 10.3390/jcm14196745. PubMed 41095825 ↗
  • Liu Y, Chen XF. Impact of labiaplasty on psychological well-being and quality of life in Chinese women: Findings from a single-center retrospective study. Int J Gynaecol Obstet. 2025 Oct;171(1):423-430. doi: 10.1002/ijgo.70171. Epub 2025 Apr 18. PubMed 40249469 ↗
  • Eminovic S, Vincze G, Fink A, Fischerauer SF, Sadoghi P, Leithner A, Kamolz LP, Tscheliessnigg K, Bernhardt GA. Positive effect of colors and art in patient rooms on patient recovery after total hip or knee arthroplasty : A randomized controlled trial. Wien Klin Wochenschr. 2022 Mar;134(5-6):221-226. doi: 10.1007/s00508-021-01936-6. Epub 2021 Sep 7. PubMed 34491443 ↗
  • Zhou S, Wei L, Wang Z, Zhou Z, Hu S, Yan X, Hua W, Chen J. Effect of painting intervention based on Mandala-self theory on mood and physiological state in patients in preoperative waiting room. Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2021 Mar 28;46(3):293-299. doi: 10.11817/j.issn.1672-7347.2021.190795. Chinese, English. PubMed 33927077 ↗
  • Luis M, Doss R, Zayed B, Yacoub M. Effect of live oud music on physiological and psychological parameters in patients undergoing cardiac surgery. Glob Cardiol Sci Pract. 2019 Sep 20;2019(2):e201917. doi: 10.21542/gcsp.2019.17. PubMed 31799291 ↗
  • Vetter D, Barth J, Uyulmaz S, Uyulmaz S, Vonlanthen R, Belli G, Montorsi M, Bismuth H, Witt CM, Clavien PA. Effects of Art on Surgical Patients: A Systematic Review and Meta-analysis. Ann Surg. 2015 Nov;262(5):704-13. doi: 10.1097/SLA.0000000000001480. PubMed 26583656 ↗

Individual participant data

Plan to share: Yes — De-identified individual patient data will be available after publication with reasonable request to Dr. Zhihong Lu.

Supporting information: Study protocol

Time frame: after publication

Access criteria: with reasonable request to Dr. Zhihong Lu

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT07445399
Lead sponsor
Zhihong LU
Responsible party
Zhihong LU (Professor, Air Force Military Medical University, China) — Sponsor-investigator
First posted
Mar 3, 2026
Start date
Sep 30, 2026 (estimated)
Primary completion
Dec 30, 2026 (estimated)
Completion
Dec 30, 2026 (estimated)
Last update
Sep 15, 2026

Study contacts

Zhihong Lu
Contact
deerlu23@163.com
86-13891975018

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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