The techniques and procedures we teach have been rigorously tested. Their benefit and outcomes are well documented in clinical trials with >125,000 patient visits:
- Patient satisfaction rankings improved significantly after training in a 2013 study.
- In a saturated market, patient satisfaction rankings increased at Comfort Talk® trained sites and decreased at untrained sites in a 2017 study.
- A 40% reduction in the claustrophobia non-completion rate in a large private practice MRI group translated into an annual savings of more than $120,000 in 2010.
- A 40% reduction in the claustrophobia non-completion rate was found again in 2014 in large university-based MRI centers. This translated into annual savings between $500,000 and 1 Mill. in 2016.
- Comfort Talk® trained sites had fewer no-shows.
- Comfort Talk® at the beginning of a procedure fundamentally alters the way pain and anxiety are processed. Patients having vascular and renal procedures, large core breast biopsies, or percutaneous tumor treatments had significantly less anxiety and pain.
- In a large prospective randomized study, patients undergoing endovascular catheterization procedures needed only half as much sedatives and analgesics- with many patients requiring no medications at all.
- Patients had more stable vital signs (fewer vasovagal reactions and blood pressure deviations) and fewer complications in-large scale prospective randomized trials.
- Room time in the catheterization suite was shortened by 17 minutes and in the breast biopsy suite by 7 minutes.
- Interventional radiology saved an average of $338 per case due to shorter procedure times, fewer complications, and faster recovery.
- Interpersonal and communication skills of radiology residents and fellows significantly improved.
Below are some of our articles and publications on which Comfort Talk ® is based:
Original Articles (Peer-Reviewed Publications)
Ajam A, Nguyen XV, Kelly RA, Ladapo JA, Lang EV. Effects of interpersonal skills oraining on MRI Operations in a saturated market: A randomized trial. J Am Coll Radiolog 2017, epub April 28
Norbash A, Yucel K, Yuh W, Doros G, Ajam A, Lang E, Pauker S, Mayr N. Effect of team training on improving MRI study completion rates and no show rates. J Magn Reson Imaging. 2016;44(4):1040-7
Lang EV, Yuh WT, Ajam A, Kelly R, Macadam L, Potts R, Mayr NA. Understanding patient satisfaction ratings for radiology services. AJR Am J Roentgenol. 2013;201(6):1190-5
Lang E, Tan G, Amihai I, Jensen MP. Analyzing acute procedural pain in clinical trials. Pain 2014 Jul;155(7):1365-73
Flory N, Lang EV. Distress in the waiting room. Radiology 2011; 260:166-173
Kadom N, Nguyen XV, Jenssen MP, Lang EV. Effects of patients’ affect on adverse procedural events during image-guided interventions. J Vasc Intervent Radiol 2017; epub Sept
Lang EV, Ward C, Laser E. Effect of team training on patients’ ability to complete MRI examinations. Acad Radiol 2010; 17:18-23
Lang EV, Berbaum KS, Lutgendorf S. Large core breast biopsy: Abnormal salivary cortisol profiles associated with uncertainty of diagnosis. Radiology 2009; 250:631-637
Lang EV, Berbaum KS, Pauker S, Faintuch S, Salazar GM, Lutgendorf SK, Laser E, Logan H, Spiegel, D. Beneficial effects of hypnosis and adverse effects of empathic attention during percutaneous tumor treatment: When being nice does not suffice. J Vasc Intervent Radiol 2008; 19:897-905
Lutgendorf SK, Lang EV, Berbaum KS, Russell D, Berbaum ML, Logan H, Benotsch EG, Schulz-Stubner S, Turesky M, Spiegel D. Effects of age on responsiveness to adjunct hypnotic analgesia during invasive medical procedures. Psychosom Med 2007; 69:191-199
Lang EV, Berbaum K, Faintuch S, Hatsiopoulou O, Halsey N, Li X, Berbaum M, Laser E, Baum J. Adjunctive self-hypnotic relaxation for outpatient medical procedures: A prospective randomized trial with women undergoing large core needle biopsy of the breast. Pain 2006; 126:155-164
Lang EV, Hatsiopoulou O, Koch T, Lutgendorf S, Kettenmann E, Logan H, Kaptchuk T. Can words hurt? Patient-provider interactions during invasive medical procedures. Pain 2005; 114:303-309.
Schupp C, Berbaum K, Berbaum M, Lang EV. Pain and anxiety during interventional radiological procedures. Effect of patients’ state anxiety at baseline and modulation by nonpharmacologic analgesia adjuncts. J Vasc Intervent Radiol, 2005; 16:1585-1592
Lang EV, Sood A, Anderson B, Kettenmann E, Armstrong E. Interpersonal and communication skills training for radiology trainees using a Rotating Peer Supervision Model (Microteaching). Acad Radiology, 2005; 12:901-908
Stinshoff VJ, Lang EV, Berbaum KS, Lutgendorf S, Logan H, Berbaum M. Effect of sex and gender on drug-seeking behavior during invasive medical procedures. Acad Radiol 2004: 11:390-397
Faintuch S, Lang EV, Rosen MP. Cost-effectiveness of self-hypnosis during outpatient interventional radiological procedures: Update and impact. SIIC (Sociedad Iboamerica de Informacion Cientifica) 2004 http://www.trabajosdistinguidos.com
Koch T, Lang EV, Hatsiopoulou O, Berbaum K, Anderson B. Adverse short-term effects of attention control treatment on hypnotizability. A challenge in designing controlled hypnosis trials. IJCEH (Int J Clin Exp Hypn) 2003; 51:357-368
Lang EV, Rosen M. Cost analysis of adjunct hypnosis for sedation during outpatient interventional procedures. Radiology 2002; 222: 375-82
Logan H, Sheffield D, Lutgendorf S, Lang EV. Predictors of pain during invasive medical procedures. J Pain 2002; 3: 211-217
Hatsiopoulou O, Lang EV. Assessing the needs: The use of a self-assessment questionnaire in Interventional Radiology. BMJ. Com. 24 Jan 2002
Lang EV, Laser E, Anderson B, Potter J, Hatsiopoulou O, Lutgendorf S, Logan H. Shaping the experience of behavior: Construct of an electronic teaching module in nonpharmacologic analgesia and anxiolysis. Acad Radiol 2002; 9: 1185-1193
Lang EV, Benotsch EG, Fick LJ, Lutgendorf S, Berbaum ML, Berbaum KS, Logan H, Spiegel D. Adjunctive nonpharmacologic analgesia for invasive medical procedures: A randomized trial. Excerpted from article in The Lancet 2000; 355:1486-1490 – and printed with commentary in Evidence-Based Nursing; 2001: 4:16
Morag E, Lieberman G, Shaffer K, Novelline R, Volkan K, Lang EV. Objective Structured Clinical Examination (OSCE) for medical students in radiology. Comparison with traditional clerkship evaluations. Acad Radiol 2001; 8:74-81
Benotsch EG, Lutgendorf SK, Watson DW, Fick LJ, Lang EV. Rapid anxiety assessment in medical patients: evidence for the validity of verbal anxiety ratings. Ann Behav Med 22; 2000:199-203
Fick LF, Lang EV, Benotsch EG, Logan H, Lutgendorf SK. Imagery content during nonpharmacologic analgesia in the procedure suite: Where your patients would rather be. Acad Radiol 1999; 6:457-463
Lang EV, Lutgendorf S, Logan H, Benotsch EG, Laser E, Spiegel D. Nonpharmacologic analgesia and anxiolysis for interventional radiological procedures. Seminars in Interventional Radiology 1999; 16: 113-123
Lang EV, Chen F, Fick LJ, Berbaum KS. Determinants of intravenous conscious sedation for arteriography. JVIR 1998, 9:407-412.
Lang EV, Berbaum KS. Educating interventional radiology personnel in nonpharmacologic analgesia: effect on patients’ pain perception. Acad Radiol, 1997; 4: 753-757
Lang EV, Laser E. Communicating with the Patient: Luxury or Necessity? Acad Radiol.1996; 3:786-788
Lang EV, Joyce JS, Spiegel D, Hamilton D, Lee KK. Self-hypnotic relaxation during interventional radiological procedures: Effects on pain perception and intravenous drug use. International J Clin & Exp Hypnosis 1996; 2:106-119
Lang EV, Hamilton D. Anodyne Imagery: an alternative to intravenous sedation in interventional radiology. AJR 1994;162:1221-1226
Lang EV. Managing distress, discomfort, and anxiety in imaging. Imaging Management 2010; 10:20-24
Flory N, Salazar GM, Lang EV. Hypnosis for acute distress management during medical procedures. Review. Int J Clin Exp Hypn. 2007; 55:303-17.
Hatsiopoulou O, Cohen RI, Lang EV. Postprocedure pain management of interventional radiology patients. J Vasc Interv Radiol. 2003 Nov;14(11):1373-85. Review.
Cyna AM, Lang EV. How words hurt. In Cyna AM, Andrew MI, Tan SGM, Smith AF (eds) Communication in Anaesthesia and Critical Care. Oxford University Press, Oxford 2011:30-37
Flory N, Lang EV. Hypnosis in interventional radiology and outpatient procedure settings. In Barrett D (ed) Hypnosis and Hypnotherapy. Praeger imprint’s Perspectives on Brain, Behavior, and Evolution Series of Greenwood Publishers, Westport, CT, 2010 Vol 2: 145-164
Salazar GMM, Faintuch S, Laser E, Lang EV. Hypnosis during invasive medical and surgical procedures. In Lynn, S, Kirsch I, Rhue (eds). Handbook of Clinical Hypnosis. American Psychological Association, 2010, 575-592
Lang EV. Procedural hypnosis. In Barabasz AF, Olness K, Boland R, Kahn S (eds) medical Hypnosis Primer. Routledge, Taylor and Francis Group, NY 2009; 87-90
Faintuch S, Salazar GMM, Lang EV. Nontraditional pain management for invasive medical procedures. In Ray C (ed) Pain management in Interventional Radiology. Cambridge University Press, Cambridge, New York, Melbourne, 2008
Flory N, Lang EV. Hypnosis in interventional radiology and outpatient procedure settings. In Barrett D (ed) Hypnosis and Hypnotherapy. Praeger imprint’s Perspectives on Brain, Behavior, and Evolution Series of Greenwood Publishers, Westport, C, 2008
Flory N, Lang EV. Practical hypnotic interventions during invasive cancer diagnosis and treatment. In Frankel M, Cohen L (guest eds) Integrative Medicine in Oncology. Hematology/Oncology Clinics of North America. 2008; 22: 709-725
Salazar GMM, Faintuch S, Laser E, Lang EV. Hypnosis during invasive medical and surgical procedures. In Lynn, S, Kirsch I, Rhue (eds). Handbook of Clinical Hypnosis. American Psychological Association, 2006
Salazar GMM, Faintuch S, Lang EV. Adjunctive hypnotic management of acute pain during invasive medical interventions. In: Audette J, Bailey A. eds. Integrative Pain Medicine: The Science and Practice of Complementary and Alternative Medicine in Pain Management, 2006
Sood A, Lang EV. Enhancing Interpersonal and Communication Skills in Interventional Radiology. Development of Training Programs for Fellows. In Workshop Handout Book 2005, Society of Cardiovascular and Interventional Radiology
Lang EV, Faintuch S. Non-pharmacologic analgesia for invasive medical procedures in the adult and pediatric populations. Syllabus Pediatric Sedation Course, Harvard Medical School, 2005
Lang EV, Porter DH. Analgesia and sedation for interventional radiological procedures. In Murphy TP, Benenati JF, Kaufman JA (eds) SCVIR Syllabus. Patient Care in Interventional Radiology. 1999:65-90
Lang EV, Laser E. Hypnosis in Radiology. In Temes R. Contemporary Medical Hypnosis: A Clinical Guide. Churchill Livingstone 1998, 95-105
Proceedings of Meetings
Lang EV, Berbaum K, Hatsiopoulou O, Halsey, N, Faintuch S, Berbaum M, Baum J. Effect of self-hypnotic relaxation on pain and anxiety associated with large core breast biopsy. In Department of the Army, US Army Medical and Materiel Command. The Department of Defense Breast Cancer Research Program Meeting Era of Hope 2005 Proceedings. Fort Detrick, MD 2005: 156-157
Lang EV, Berbaum K, Hatsiopoulou O, Halsey, N, Faintuch S, Berbaum M, Baum J. The wait for diagnosis is associated with increased stress in women after large core breast biopsy. In Department of the Army, US Army Medical and Materiel Command. The Department of Defense Breast Cancer Research Program Meeting Era of Hope 2005 Proceedings. Fort Detrick, MD 2005: 157
Lang E, Armstrong L. Using a rotating peer supervision model (microteaching) for teaching communication skills. Program in Negotiation at Harvard Law School and ESSEC IRENE International Conference: New Trends in negotiation teaching: Towards a trans-Atlantic network. Proceedings: 2005:15
Lang EV, Anderson B, Laser E. Development of an electronic teaching module in therapeutic communication skills. Harvard Medical School, Boston, MA. Proceedings of the Medical Education Day Oct 29, 2002. Harvard Medical School, Boston, MA: 2002: 38
Lang EV, Hatsiopoulou O, Baum J, Laser E, Barrett D. Self-hypnotic relaxation as an adjunct to local anesthesia during large-core breast biopsy. The Department of Defense Breast Cancer Research Program Meeting Era of Hope 2002. Proceedings Volume III, p 57-4. Also on http://cdmrp.army.mil/bcrp/era.