scholarly journals Virtual Reality as a Measure to Reduce Stress of Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Design Trial

2020 ◽  
Author(s):  
Chaojin Chen ◽  
Liubing Chen ◽  
Ning Shen ◽  
Chenfang Luo ◽  
Ren Wang ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Group Intervention ◽  
Night Shift ◽  
Intervention Group ◽  
Working Environment ◽  
Control Group ◽  
Severe Deficiency ◽  
The Difference ◽  
Group Control Group ◽  
Night Shifts

Abstract Background: Because of the severe deficiency of global anesthesia workforce, anesthesiologists are forced to face work overload and more night shifts, which can disturbe the biological rhythm and cause major stress and depression, causing negative even devastating outcomes for both themselves and the patients eventually. Virtual reality (VR) as a new measure to reduce stress and pain for patients, has been widely used in biomedical fields.The purpose of the study is to evaluate the potential effectiveness of VR technology in reducing the stress of night-shift anesthesiologists.Methods: In this randomized controlled, cross-over design, single-center clinical trial, a total of 30 anesthesiologists are enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the routine night-shift group (control group) with a washout of 1 week. Anesthesiologists in the intervention group undergo VR immersion for twice while anesthesiologists in the control group will not watch VR videos during the night shift. The primary outcome is the difference between two groups about the score of NASA-TLX scale. Secondary outcomes include the score of CPSS, VAS and MFI-20 scales, satisfaction degree of the participants, heart rate (HR), blood pressure (BP), the incidence of arrhythmia as well as incidence of chest tightness, headache, palpitations.Discussion: It is unknown whether the use of VR technology during the night shift can reduce the stress of night-shift anesthesiologists. With the widely use of VR technology, a positive result of the trial could spur the hospital to apply the technology to reduce the stress of night shift doctors in every department as well as offer a relatively relaxed working environment.Trial registration: ChiCTR2000031025 on March 21, 2020.

scholarly journals The Use of Virtual Reality to Reduce Stress among Night-Shift Anesthesiologists: Study Protocol for a Cross-Over Trial

2021 ◽  
Author(s):  
Chaojin Chen ◽  
Liubing Chen ◽  
Ning Shen ◽  
Chenfang Luo ◽  
Ren Wang ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Perceived Stress ◽  
Group Intervention ◽  
Night Shift ◽  
Intervention Group ◽  
Working Environment ◽  
Control Group ◽  
Task Load ◽  
The Difference ◽  
Group Control Group

Abstract Background: Because of the lack of anesthesia workforce, anesthesiologists are forced to work overtime and more night shifts; this can disturb their biological rhythm and cause severe stress and depression, potentially leading to negative and even devastating outcomes for both themselves and patients. Virtual reality (VR), which is a new method to reduce stress and pain for patients, has been widely used in biomedical fields. The purpose of this study is to evaluate the potential effectiveness of VR technology in reducing stress among night-shift anesthesiologists.Methods: In this randomized controlled, crossover, single-center clinical trial, a total of 30 anesthesiologists will be enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the routine night-shift group (control group) with a washout of 1 week. Anesthesiologists in the intervention group will undergo VR immersion twice, while anesthesiologists in the control group will not watch VR videos during the night shift. The primary outcome will be the difference in the NASA Task Load Index (NASA-TLX) score between the two groups. Secondary outcomes will include the Chinese Perceived Stress Scale (CPSS), perceived stress scores (Visual Analogue Scale (VAS)) and Multidimensional Fatigue Inventory (MFI-20) scores; levels of satisfaction among the participants; incidence of arrhythmia; and incidence of chest tightness, headache, and palpitations.Discussion: It is unknown whether the use of VR technology during the night shift can reduce stress among anesthesiologists. With the widespread use of VR technology, a positive result in this trial could spur hospitals to apply VR technology to reduce stress among night-shift doctors in every department and provide a relatively relaxed working environment.Trial registration: ChiCTR2000031025

scholarly journals The use of virtual reality to reduce stress among night-shift anesthesiologists: study protocol for a crossover trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chaojin Chen ◽  
Liubing Chen ◽  
Ning Shen ◽  
Chenfang Luo ◽  
Ren Wang ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Virtual Reality ◽  
Perceived Stress ◽  
Group Intervention ◽  
Night Shift ◽  
Intervention Group ◽  
Working Environment ◽  
Control Group ◽  
Clinical Trial Registry ◽  
Task Load

Abstract Background Because of the lack of anesthesia workforce, anesthesiologists are forced to work overtime and more night shifts, which can disturb their biological rhythm and cause severe stress and depression, potentially leading to negative and even devastating outcomes for both themselves and patients. Virtual reality (VR), a new method to reduce stress and pain for patients, has been widely used in biomedical fields. The purpose of this study is to evaluate the potential effectiveness of VR technology in reducing stress among night-shift anesthesiologists. Methods In this randomized controlled, crossover, single-center clinical trial, a total of 30 anesthesiologists will be enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the routine night-shift group (control group) with a washout of 1 week. Anesthesiologists in the intervention group will undergo VR immersion twice, while anesthesiologists in the control group will not watch VR videos during the night shift. The primary outcome will be the difference in the NASA Task Load Index (NASA-TLX) score between the two groups. Secondary outcomes will include the Chinese Perceived Stress Scale (CPSS), perceived stress scores (visual analogue scale (VAS)), and Multidimensional Fatigue Inventory (MFI-20) scores; levels of satisfaction among the participants; incidence of arrhythmia; and incidence of chest tightness, headache, and palpitations. Discussion It is unknown whether the use of VR technology during the night shift can reduce stress among anesthesiologists. With the widespread use of VR technology, a positive result in this trial could spur hospitals to apply VR technology to reduce stress among night-shift doctors in every department and provide a relatively relaxed working environment. Trial registration Chinese Clinical Trial Registry ChiCTR2000031025. Registered on 21 March 2020

scholarly journals Improvement of Early Recognition of Attacks in Karate Kumite Due to Training in Virtual Reality

2019 ◽  
Vol 4 (2) ◽  
pp. 294-308 ◽  
Author(s):  
Katharina Petri ◽  
Nicole Bandow ◽  
Steffen Masik ◽  
Kerstin Witte
Keyword(s):  
Virtual Reality ◽  
Reaction Time ◽  
Repeated Measures ◽  
Group Intervention ◽  
Early Recognition ◽  
Intervention Group ◽  
Reaction Times ◽  
Control Group ◽  
Virtual Reality Training ◽  
Karate Athletes

In a Virtual Reality training, young karate athletes divided in two groups (intervention vs. control group) responded to attacks of a virtual opponent. For the analysis, the first reaction of the responding karate athletes was detected. From that point three reaction times were subtracted to analyze the attack of the virtual opponent at the time of the recognition of the real athlete. The attacks were divided into four movement stages. Analysis of Variance (ANOVAs) with repeated measures and estimation of effect sizes as well as Bonferroni post-hoc tests were applied to calculate interactions between time (PRE to POST), group (intervention vs. control) and reaction time (150 ms vs. 255 ms vs. 370 ms). We found significant effects for time and time x group interactions for the attacks Gyaku-Zuki and Kizami-Zuki as well as an effect for time x reaction time in Gyaku-Zuki (all p < 0.001), but no significant effects for time x group x reaction time in both attacks (p > 0.05). Paired t-tests showed significant improvements in attack recognition from PRE to POST for the intervention group, but not for the control group. At the pretest all athletes responded to late movement stages (extension of the pushing arm) while the intervention group responded to early movement stages (preparing steps and reduction of distance before the attack) at the posttest due to the Virtual Reality training. Early steps for the preparation of the attack and the reduction of distance seem to be important signals for attack recognition.

scholarly journals Virtual reality environment using a dome screen for procedural pain in young children during intravenous placement: A pilot randomized controlled trial

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256489
Author(s):  
Ha Ni Lee ◽  
Woori Bae ◽  
Joong Wan Park ◽  
Jae Yun Jung ◽  
Soyun Hwang ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Young Children ◽  
Controlled Trial ◽  
Intervention Group ◽  
Pediatric Emergency ◽  
Control Group ◽  
Blood Collection ◽  
Randomized Controlled ◽  
The Difference ◽  
Study Process

We assessed the feasibility and potential efficacy of a virtual reality (VR) environment using a dome screen as a distraction method in young children during intravenous (IV) placement in the pediatric emergency department. This randomized controlled pilot study enrolled children aged 2 to 6 years who underwent IV placement into either the intervention group or the control group. Children in the intervention group experienced VR using a dome screen during IV placement. The child’s pain intensity was measured using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale at four time points of IV placement: immediately after arrival to the blood collection room (base); immediately after the child laid down on the bed (preparation); when the tourniquet was applied (tourniquet); and the moment at which the needle penetrated the skin (venipuncture). The guardian’s satisfaction and rating of the child’s distress were assessed using a 5-point Likert-type questionnaire. We recruited 19 children (9 in the intervention group and 10 in the control group). Five children in the control group were excluded from the analysis because of missing video recordings (n = 3), failed first attempt at IV placement (n = 1), and the child’s refusal to lie on the bed during the procedure (n = 1). No side effects of VR were reported during the study period. Although the average FLACC scale score at each time point (preparation, tourniquet, venipuncture) was lower in the intervention group than the control group, the difference was not statistically significant (2.3, interquartile range [IQR]: 2.0–3.0; vs. 3.3, IQR: 2.7–6.7, P = 0.255). There were no statistically significant differences between the groups in the guardian’s satisfaction and anxiety or his/her rating of the child’s pain and anxiety. The guardians and emergency medical technicians reported satisfaction with the use of VR with a dome screen and considered it a useful distraction during the procedure. VR using a dome screen is a feasible distraction method for young children during IV placement. A larger clinical trial with further development of the VR environment and study process is required to adequately evaluate the efficacy of VR using a dome screen.

scholarly journals The VRIMM study: Virtual Reality for IMMunisation pain in young children—protocol for a randomised controlled trial

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038354
Author(s):  
Kirrily Ellerton ◽  
Harishan Tharmarajah ◽  
Rimma Medres ◽  
Lona Brown ◽  
David Ringelblum ◽  
...  
Keyword(s):  
General Practice ◽  
Virtual Reality ◽  
Standard Care ◽  
Controlled Trial ◽  
Intervention Group ◽  
Pain Scale ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
The Difference ◽  
Randomised Controlled

IntroductionPain caused by routine immunisations is distressing to children, their parents and those administering injections. If poorly managed, it can lead to anxiety about future medical procedures, needle phobia and avoidance of future vaccinations and other medical treatment. Several strategies, such as distraction, are used to manage the distress associated with routine immunisations. Virtual reality (VR), a technology which transports users into an immersive ‘virtual world’, has been used to manage pain and distress in various settings such as burns dressing changes and dental treatments. In this study, we aim to compare the effectiveness of VR to standard care in a general practice setting as a distraction technique to reduce pain and distress in 4-year-old children receiving routine immunisations.Methods and analysisThe study is a randomised controlled clinical trial comparing VR with standard care in 100 children receiving routine 4-year-old vaccination. Children attending a single general practice in metropolitan Melbourne, Australia will be allocated using blocked randomisation to either VR or standard care. Children in the intervention group will receive VR intervention prior to vaccination in addition to standard care; the control group will receive standard care. The primary outcome is the difference in the child’s self-rated pain scores between the VR intervention and control groups measured using The Faces Pain Scale-Revised. Secondary outcomes include another measure of self-rated pain (the Poker Chip Tool), parent/guardian and healthcare provider ratings of pain (standard 100 mm visual analogue scales) and adverse effects.Ethics and disseminationEthics approval has been obtained in Australia from the Royal Australian College of General Practitioners National Research and Evaluation Ethics Committee (NREEC 18-010). Recruitment commenced in July 2019. We plan to submit study findings for publication in a peer-reviewed journal and presentation at relevant conferences.Trial registration numberACTRN12618001363279.

scholarly journals The Use of LOTO (Lock-Out Tag-Out) For Preventing Occupational Accidents Among Heavy Equipment Mechanics

2017 ◽  
Vol 11 (2) ◽  
pp. 100
Author(s):  
Aprizal Satria Hanafi ◽  
Qomariyatus Sholihah
Keyword(s):  
Group Intervention ◽  
Intervention Group ◽  
Occupational Accidents ◽  
Control Group ◽  
Not Given ◽  
Heavy Equipment ◽  
Before And After ◽  
The Difference ◽  
And Control ◽  
Labeling System

Unlocked energy in the machine can cause heavy equipment to move suddenly, it can hit the mechanics that are working. LOTO devices are required in this case. LOTO is a locking and labeling system for energy sources so that occupational accidents can be prevented. This study aim to know the difference of occupational accident cases on heavy equipment mechanics before and after using LOTO devices. A quasy experiment approach was used to evaluate occupational accidents. This design uses two group, intervention group, and control group, 32 heavy equipment mechanics were given LOTO device and 32 heavy equipment mechanics were not given LOTO device.Based on pre-evaluation, evaluation 1, and evaluation 2  there is a decrease in the number of occupational accidents in the intervention group after given LOTO device. Statistical test showed there was a difference in occupational accidents before and after the use of LOTO device on heavy equipment mechanics based on type of accidents (beaten, p = 0.001), (falling, p = 0.005), (pinched, p = 0.001), (pressed, p = 0.001), (crushed, p = 0.000).LOTO devices proved to be effective in preventing and reducing the number of occupational accidents in the heavy equipment mechanics.

scholarly journals Effectiveness of Coping Strategies at Alleviating Cue-Induced Craving: a Pilot Study

2014 ◽  
Vol 11 (3) ◽  
pp. 173-178 ◽  
Author(s):  
Michelle Dicker ◽  
Mai Frandsen ◽  
Matthew A. Palmer ◽  
Stuart G. Ferguson
Keyword(s):  
Pilot Study ◽  
Coping Strategies ◽  
Group Intervention ◽  
Prolonged Exposure ◽  
Cue Reactivity ◽  
Intervention Group ◽  
Control Group ◽  
Smoking Cues ◽  
Before And After ◽  
The Difference

Introduction: Results from observational studies suggest that smoking-related cues play a role in triggering relapse. Coping strategies are among the most commonly used cessation strategies, but little is known about how they aid quitting.Aims: The aim of this pilot study was to evaluate the effect of a suite of selected coping techniques on alleviating cue-induced cravings.Methods: Thirty-seven daily smokers (Intervention: 20; Control: 17) participated in two laboratory cue-reactivity sessions, separated by approximately one week, during which craving was assessed before and after exposure to smoking-related cues. Following the first session, participants in the Intervention Group were taught a suite of coping strategies. During the second session, participants in the Intervention Group were encouraged to use these strategies.Results: Participants in the Intervention Group reported a slight decrease in craving following the acute exposure manipulation at the second session, compared to an increase in craving among participants in the Control Group. Intervention Group participants also reported a decrease in craving following prolonged exposure to the smoking cues (compared to an increase in craving among Control Group participants). In both cases, the difference between groups was more pronounced among smokers who responded to the cue-reactivity manipulation. The observed differences were not significant.Conclusions: The results of this pilot study suggest that coping techniques may be beneficial in alleviating both the initial spike in craving observed following acute cue exposure, and aid recovery during prolonged exposure. These findings need to be replicated in a larger study.

The Effect of Preoperative Video Based Pain Training on Postoperative Pain and Analgesic Use in Patients Undergoing Total Knee Arthroplasty: A Non-randomized Control Group Intervention Study

2020 ◽  
pp. 105477382098336
Author(s):  
Ceyda Su Gündüz ◽  
Nurcan Çalişkan
Keyword(s):  
Total Knee Arthroplasty ◽  
Postoperative Pain ◽  
Knee Arthroplasty ◽  
Group Intervention ◽  
Intervention Study ◽  
Intervention Group ◽  
Control Group ◽  
Total Knee ◽  
Randomized Control ◽  
Analgesic Use

This non-randomized control group intervention study was conducted to determine the effect of preoperative video based pain training on postoperative pain and analgesic use in patients undergoing total knee arthroplasty. During the study, the patients in the control ( n = 40) received routine care and the patients in the intervention group ( n = 40) received video based pain training. İt was determined that the mean postoperative pain scores of the intervention group were significantly lower and their pain management was better compared to the control group ( p < .05). The intervention group was found to use significantly less paracetamol on operation day compared to the control group ( p < .05). The intervention group was determined to benefit from non-pharmacological methods more than the control group did ( p < .05). Providing video based pain training to patients undergoing total knee arthroplasty is recommended since it reduces postoperative pain levels and increases the use of non-pharmacological pain control methods.

Walking for Better Outcomes and Recovery: The Effect of WALK-FOR in Preventing Hospital-Associated Functional Decline Among Older Adults

2019 ◽  
Vol 74 (10) ◽  
pp. 1664-1670 ◽  
Author(s):  
Yaniv Cohen ◽  
Anna Zisberg ◽  
Yehudit Chayat ◽  
Nurit Gur-Yaish ◽  
Efrat Gil ◽  
...  
Keyword(s):  
Older Adults ◽  
Group Intervention ◽  
Functional Decline ◽  
Intervention Group ◽  
Control Group ◽  
Community Mobility ◽  
Steps Per Day ◽  
Quasi Experimental ◽  
Activity Survey

Abstract Background In-hospital immobility of older adults is associated with hospital-associated functional decline (HAFD). This study examined the WALK-FOR program’s effects on HAFD prevention. Methods A quasi-experimental pre-post two-group (intervention group [IG] n = 188, control group [CG] n = 189) design was applied in two hospital internal medical units. On admission, patients reported pre-hospitalization functional status, which was assessed again at discharge and 1-month follow-up. Primary outcome was decline in basic activities of daily living (BADL), using the Modified Barthel Index. Secondary outcomes were decline in instrumental ADL (Lawton’s IADL scale) and community mobility (Yale Physical Activity Survey). All participants (75.1 ± 7 years old) were cognitively intact and ambulatory at admission. The WALK-FOR included a unit-tailored mobility program utilizing patient-and-staff education with a specific mobility goal (900 steps per day), measured by accelerometer. Results Decline in BADL occurred among 33% of the CG versus 23% of the IG (p = .02) at discharge, and among 43% of the CG versus 30% in the IG (p = .01) at 1-month follow-up. Similarly, 26% of the CG versus 15% of the IG declined in community mobility at 1-month follow-up (p = .01). Adjusted for major covariates, the intervention reduced the odds of decline in BADL by 41% (p = .05) at discharge and by 49% at 1-month follow-up (p = .01), and in community mobility by 63% (p = .02). There was no significant effect of the intervention on IADL decline (p = .19). Conclusions The WALK-FOR intervention is effective in reducing HAFD.

Effect of oral anticipatory guidance on oral health and oral hygiene practices in preschool children

2006 ◽  
Vol 30 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Débora Conçalves Farias ◽  
Soraya Coelho Leal ◽  
Orlando Ayrton de Toledo ◽  
Jorge Faber ◽  
Ann Cristina Barreto Bezerro
Keyword(s):  
Oral Health ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Intervention Group ◽  
Control Group ◽  
Health Habits ◽  
Hygiene Practices ◽  
Dental Office ◽  
And Gender ◽  
Group Control Group

Thirty children (6 to 18 months), enrolled in a dental program since birth, make up the intervention group. Control group consisted of thirty children who were of similar age and gender but had never been to a dental office. The presence of visible dental plaque and the performance of oral hygiene differed statistically between both groups. The dental program was effective in reducing visible dental plaque, and in establishing oral health habits among parents and young children.

Sign in / Sign up

Export Citation Format

Share Document