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Effect of Virtual Reality on Patients With Acute Pain After Thoracoscopic Surgery

Primary Purpose

Virtual Reality, Acute Postoperative Pain, Thoracic Surgery, Video-Assisted

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
2D-video glasses
3D-VR headsets
Sponsored by
Tianjin Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Virtual Reality

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The patient's age is ≥ 18, regardless of gender. Within one day after thoracoscopic surgery. The NRS of postoperative pain is ≥ four. Having specific internet knowledge and mobile phone reading and writing abilities. Patients voluntarily sign the informed consent form and are willing to complete the follow-up according to the trial protocol. Exclusion Criteria: Patients have severe cognitive disorders. Patients with previous diagnoses of epilepsy, dementia, migraine, or other neurological diseases may have difficulty using the VR headset. Patients are sensitive to light stimulation. Patients are without stereopsis or with severe hearing impairment. Patients with trauma to the eyes, face, or neck are not comfortable using VR headsets. Patients have severe heart, liver, kidney, blood, digestive, and nervous diseases. Patients previously used the VR headset but found it ineffective. Patients have a history of severe alcoholism, long-term heavy drinking, and symptoms of alcohol dependence. Patients have participated in any analgesic intervention study in the past week. Women have pregnancy plans during the follow-up period of the study. Patients and their families work in digital health or pharmaceutical companies for acute or chronic pain management. Patients cannot use electronic devices such as smartphones.

Sites / Locations

  • Tianjin Medical University General Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

No Intervention

Placebo Comparator

Experimental

Arm Label

Control group

Placebo group

VR group

Arm Description

Postoperative conventional analgesia was administered to patients in the control group.

Patients watched a 15-minute relaxation-based movie on 2D-video glasses along with receiving conventional analgesia.

Patients had to participate in 15-minute interactive games wearing 3D-VR headsets along with receiving conventional analgesia.

Outcomes

Primary Outcome Measures

Change in Pain intensity evaluating by the numerical rating scale (NRS)
The primary outcome was the change in pain intensity following the VR and video glasses intervention.

Secondary Outcome Measures

Pain-related interference on patients' mood by the brief pain inventory (BPI)
Secondary outcomes included the pain interference on their mood.
Pain-related interference on patients' sleep by the brief pain inventory (BPI)
Secondary outcomes included the pain interference on their sleep.
Pain-related interference on patients' daily life by the brief pain inventory (BPI)
Secondary outcomes included the pain interference on their daily life.
Pain-related interference on patients' interest in life by the brief pain inventory (BPI)
Secondary outcomes included the pain interference on their interest in life.
Pain-related interference on patients' walking ability by the brief pain inventory (BPI)
Secondary outcomes included the pain interference on their walking ability.
Patient satisfaction regarding the VR by the satisfaction evaluation form
Secondary outcomes included patient satisfaction regarding the VR intervention.

Full Information

First Posted
June 14, 2023
Last Updated
June 23, 2023
Sponsor
Tianjin Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT05926817
Brief Title
Effect of Virtual Reality on Patients With Acute Pain After Thoracoscopic Surgery
Official Title
Effect of Virtual Reality Intervention on Hospitalized Patients With Acute Pain After Thoracoscopic Surgery: A Randomized Clinical Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
October 19, 2021 (Actual)
Primary Completion Date
March 6, 2023 (Actual)
Study Completion Date
March 7, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Tianjin Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Immersive virtual reality (VR) as a non-pharmaceutical technology may deliver effective behavioral therapies for postsurgical patients with acute pain. To determine the analgesic effects of VR on patients after thoracoscopic surgery. The investigators conducted a randomized clinical trial to determine the postoperative effect of VR on pain relief in patients undergoing thoracoscopic surgery.
Detailed Description
Immersive virtual reality (VR) as a non-pharmaceutical technology may deliver effective behavioral therapies for postsurgical patients with acute pain. Patients in the VR group had to participate in 15-minute interactive games wearing 3D-VR headsets. VR intervention had functions for breath-relaxation and attention-concentration training. It instructed the patients to breathe deeply with the marine animal's swimming relaxation rhythm and to constantly switch the vision field by rotating their heads and necks to catch animals. Therefore, the investigators conducted a randomized clinical trial to determine the postoperative effect of VR on pain relief in patients undergoing thoracoscopic surgery.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Virtual Reality, Acute Postoperative Pain, Thoracic Surgery, Video-Assisted

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
45 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Control group
Arm Type
No Intervention
Arm Description
Postoperative conventional analgesia was administered to patients in the control group.
Arm Title
Placebo group
Arm Type
Placebo Comparator
Arm Description
Patients watched a 15-minute relaxation-based movie on 2D-video glasses along with receiving conventional analgesia.
Arm Title
VR group
Arm Type
Experimental
Arm Description
Patients had to participate in 15-minute interactive games wearing 3D-VR headsets along with receiving conventional analgesia.
Intervention Type
Device
Intervention Name(s)
2D-video glasses
Intervention Description
Patients in the placebo group watched a 15-minute relaxation-based movie on 2D-video glasses along with receiving conventional analgesia.
Intervention Type
Device
Intervention Name(s)
3D-VR headsets
Intervention Description
Patients in the VR group had to participate in 15-minute interactive games wearing 3D-VR headsets along with receiving conventional analgesia.
Primary Outcome Measure Information:
Title
Change in Pain intensity evaluating by the numerical rating scale (NRS)
Description
The primary outcome was the change in pain intensity following the VR and video glasses intervention.
Time Frame
Evaluating pain intensity among postoperative patients 10 minutes prior to and 30 minutes following the intervention
Secondary Outcome Measure Information:
Title
Pain-related interference on patients' mood by the brief pain inventory (BPI)
Description
Secondary outcomes included the pain interference on their mood.
Time Frame
The patients' pain interference was evaluated within 30 minutes of the intervention.
Title
Pain-related interference on patients' sleep by the brief pain inventory (BPI)
Description
Secondary outcomes included the pain interference on their sleep.
Time Frame
The patients' pain interference was evaluated within 30 minutes of the intervention.
Title
Pain-related interference on patients' daily life by the brief pain inventory (BPI)
Description
Secondary outcomes included the pain interference on their daily life.
Time Frame
The patients' pain interference was evaluated within 30 minutes of the intervention.
Title
Pain-related interference on patients' interest in life by the brief pain inventory (BPI)
Description
Secondary outcomes included the pain interference on their interest in life.
Time Frame
The patients' pain interference was evaluated within 30 minutes of the intervention.
Title
Pain-related interference on patients' walking ability by the brief pain inventory (BPI)
Description
Secondary outcomes included the pain interference on their walking ability.
Time Frame
The patients' pain interference was evaluated within 30 minutes of the intervention.
Title
Patient satisfaction regarding the VR by the satisfaction evaluation form
Description
Secondary outcomes included patient satisfaction regarding the VR intervention.
Time Frame
We assessed patient satisfaction with VR after the end of the third day of the VR intervention.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patient's age is ≥ 18, regardless of gender. Within one day after thoracoscopic surgery. The NRS of postoperative pain is ≥ four. Having specific internet knowledge and mobile phone reading and writing abilities. Patients voluntarily sign the informed consent form and are willing to complete the follow-up according to the trial protocol. Exclusion Criteria: Patients have severe cognitive disorders. Patients with previous diagnoses of epilepsy, dementia, migraine, or other neurological diseases may have difficulty using the VR headset. Patients are sensitive to light stimulation. Patients are without stereopsis or with severe hearing impairment. Patients with trauma to the eyes, face, or neck are not comfortable using VR headsets. Patients have severe heart, liver, kidney, blood, digestive, and nervous diseases. Patients previously used the VR headset but found it ineffective. Patients have a history of severe alcoholism, long-term heavy drinking, and symptoms of alcohol dependence. Patients have participated in any analgesic intervention study in the past week. Women have pregnancy plans during the follow-up period of the study. Patients and their families work in digital health or pharmaceutical companies for acute or chronic pain management. Patients cannot use electronic devices such as smartphones.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Song Xu
Organizational Affiliation
Tianjin Medical University General Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Tianjin Medical University General Hospital
City
Tianjin
ZIP/Postal Code
300052
Country
China

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Effect of Virtual Reality on Patients With Acute Pain After Thoracoscopic Surgery

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