The Use of Virtual Reality to Reduce Preoperative Anxiety in First-Time Sternotomy Patients: A Randomized Controlled Pilot Trial

2020 ◽  
Vol 95 (6) ◽  
pp. 1148-1157 ◽  
Author(s):  
Tina M. Hendricks ◽  
Claudia N. Gutierrez ◽  
John M. Stulak ◽  
Joseph A. Dearani ◽  
Jordan D. Miller
Keyword(s):  
Virtual Reality ◽  
Pilot Trial ◽  
Preoperative Anxiety ◽  
Randomized Controlled ◽  
First Time

Resource Use During Pediatric Venipuncture With Virtual Reality: Secondary Analysis of a Randomized Controlled Pilot Trial

2021 ◽  
Vol 11 (7) ◽  
pp. 775-778
Author(s):  
Therese L. Canares ◽  
Carisa Parrish ◽  
Christine Santos ◽  
Alia Badawi ◽  
Alyssa Stewart ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Resource Use ◽  
Pilot Trial ◽  
Secondary Analysis ◽  
Randomized Controlled

scholarly journals The Effect of Virtual Reality on Preoperative Anxiety: A Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 9 (10) ◽  
pp. 3151
Author(s):  
Chang-Hoon Koo ◽  
Jin-Woo Park ◽  
Jung-Hee Ryu ◽  
Sung-Hee Han
Keyword(s):  
Virtual Reality ◽  
Randomized Controlled Trials ◽  
Pediatric Patients ◽  
Meta Analysis ◽  
Random Effect Model ◽  
Preoperative Anxiety ◽  
Control Group ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Significant Difference

Virtual reality (VR), a technology that provides a stimulated sensory experience, has recently been implemented in various fields of medicine. Several studies have investigated the efficacy of VR on preoperative anxiety. The purpose of this meta-analysis was to validate whether VR could relieve preoperative anxiety in patients undergoing surgery. Electronic databases were searched to identify all randomized controlled trials (RCTs) investigating the effect of VR on preoperative anxiety. The primary outcome was defined as the preoperative anxiety scores. We estimated the effect size using the standard mean difference (SMD) with a 95% confidence interval (CI) using a random effect model. Ultimately, 10 RCTs, with a total of 813 patients, were included in the final analysis. Preoperative anxiety was significantly lower in the VR group than in the control group (SMD −0.64, 95% CI −1.08 to −0.20, p = 0.004). In a subgroup analysis, the preoperative anxiety scores were lower in the VR group than in the control group in pediatric patients (SMD −0.71, 95% CI −1.14 to −0.27, p = 0.002), whereas a significant difference was not observed between the two groups in adult patients (p = 0.226). The results of this meta-analysis indicated that VR could decrease preoperative anxiety, especially in pediatric patients.

scholarly journals Pediatric Coping during Venipuncture with Virtual Reality: A Randomized Controlled Pilot Trial (Preprint)

10.2196/26040 ◽  
2020 ◽  
Author(s):  
Therese Canares ◽  
Carisa Parrish ◽  
Christine Santos ◽  
Alia Badawi ◽  
Alyssa Stewart ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Pilot Trial ◽  
Randomized Controlled

scholarly journals Adaptive conjunctive cognitive training (ACCT) in virtual reality for chronic stroke patients: a randomized controlled pilot trial

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Martina Maier ◽  
Belén Rubio Ballester ◽  
Nuria Leiva Bañuelos ◽  
Esther Duarte Oller ◽  
Paul F. M. J. Verschure
Keyword(s):  
Virtual Reality ◽  
Cognitive Training ◽  
Pilot Trial ◽  
Chronic Stroke ◽  
Stroke Patients ◽  
Randomized Controlled

scholarly journals Pediatric Coping during Venipuncture with Virtual Reality: A Randomized Controlled Pilot Trial (Preprint)

2020 ◽  
Author(s):  
Therese Canares ◽  
Carisa Parrish ◽  
Christine Santos ◽  
Alia Badawi ◽  
Alyssa Stewart ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Clinical Outcomes ◽  
Reference Group ◽  
Short Form ◽  
Low Cost ◽  
Pilot Trial ◽  
Participation Rate ◽  
External Control ◽  
Medical Procedure ◽  
Randomized Controlled

BACKGROUND Virtual reality (VR) has shown promise to reduce children’s pain and anxiety during venipuncture, but these studies lack objective observations of pediatric coping. Notably, the process of capturing objective behavioral coping data can be labor and personnel intensive. OBJECTIVE The primary aims of this pilot trial were to assess the feasibility of conducting a trial of VR in a pediatric emergency department (PED) and the adherence to a protocol for observing coping during pediatric procedures. Secondarily, this study examined whether VR affects child and caregiver coping and distress during venipuncture in the PED. METHODS This stratified, randomized, controlled pilot trial compared coping and distress between VR engagement and child life (CL) support during painful procedures in the PED, in children ages 7-22 years. An external control (reference group) received no standardized support. Primary feasibility outcomes included rates of recruitment, rates of withdrawal from VR, and rates of completed Child Adult Medical Procedure Interaction Scale- Short Form (CAMPIS-SF) observations. Secondary clinical outcomes were applied to venipuncture procedures and included CAMPIS-SF coping and distress (range 0-1.0), pain and anxiety on a visual analogue scale (range 0-10), and cybersickness symptoms. RESULTS Overall recruitment was 93.0% (66/71), VR withdrawal was 26.7% (4/15), and of completed procedures 100% (63/63) CAMPIS-SF observations were completed. A total of 55 patients undergoing venipuncture in the PED were included in analyses of clinical outcomes: 15 patients (15 caregivers) randomized to VR, 20 patients (15 caregivers) randomized to CL, and 20 patients (17 caregivers) in the reference group. Patient coping differed across groups with higher coping in VR and CL than the reference group (P=0.05). There were no significant differences in distress and pain ratings for patients and caregivers between groups. Caregivers rated the lowest perceived anxiety in the CL group (P=0.03). There was no apparent change in cybersickness symptoms before and after VR use (P=0.37). CONCLUSIONS Real-time documentation of observed behaviors in patients and caregivers was feasible during medical procedures in which VR is utilized, particularly with availability of research staff. VR and CL both improved coping in children during venipuncture procedures. Given the high participation rate, future studies to evaluate the efficacy of VR are recommended to determine whether an off-the-shelf VR headset can be a low-cost and low-risk tool to improve children’s coping during venipuncture or other related procedures. CLINICALTRIAL NCT03686176

scholarly journals A Web-Based Serious Game for Health to Reduce Perioperative Anxiety and Pain in Children (CliniPup): Pilot Randomized Controlled Trial

10.2196/12431 ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. e12431 ◽  
Author(s):  
Connor Buffel ◽  
June van Aalst ◽  
Anne-Marie Bangels ◽  
Jaan Toelen ◽  
Karel Allegaert ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
User Experience ◽  
Ambulatory Surgery ◽  
Pilot Trial ◽  
Test Group ◽  
Preoperative Anxiety ◽  
Serious Game ◽  
Control Group ◽  
Adjunct Therapy ◽  
Randomized Controlled

Background As pediatric ambulatory surgeries are rising and existing methods to reduce perioperative anxiety and pain are lacking in this population, a serious game for health (SGH), CliniPup, was developed to address this unmet need. CliniPup was generated using the SERES framework for serious game development. Objective The goal of the research was to clinically evaluate CliniPup as an adjunct therapy to existing pharmacological interventions aimed at reducing perioperative anxiety and pain in children undergoing ambulatory surgery. Methods CliniPup was evaluated in a prospective randomized controlled pilot trial in 20 children aged 6 to 10 years who underwent elective surgery and their parents. Study participants were randomly assigned to the test (n=12) or control group (n=8). Children in the test group played CliniPup 2 days prior to surgery, and children in the control group received standard of care. On the day of surgery, pediatric anxiety was measured with the modified Yale Preoperative Anxiety Scale and parental anxiety was assessed with the State-Trait Anxiety Inventory. Pediatric postoperative pain was assessed by the Wong-Baker Faces Pain Rating Scale. Child and parent user experience and satisfaction were also evaluated in the test group using structured questionnaires. Results Despite the small sample, preoperative anxiety scores were significantly lower (P=.01) in children who played CliniPup prior to surgery compared to controls. Parental preoperative anxiety scores were also lower in the test group (P=.10) but did not reach significance. No significant differences were observed in postoperative pain scores between groups (P=.54). The evaluation of user experience and satisfaction revealed that both children and parents were satisfied with CliniPup and would recommend the game to peers. Conclusions Results of the pilot trial introduce CliniPup as a potentially effective and attractive adjunct therapy to reduce preoperative anxiety in children undergoing ambulatory surgery with a trend toward positive impact on parental preoperative anxiety. These results support the use of the SERES framework to generate an evidence-based SGH that results in positive health outcomes for patients. Based on these preliminary findings, we propose a research agenda to further develop and investigate this tool. Trial Registration ClinicalTrials.gov NCT03874442; https://clinicaltrials.gov/ct2/show/NCT03874442 (Archived by WebCite at http://www.webcitation.org/78KZab8qc)

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