- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04464304
Virtual Reality for Postoperative Pain Management
Virtual Reality for Postoperative Pain Management After Head and Neck Surgery: A Randomized Controlled Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Management of postoperative pain after head and neck surgery is complex, and has received increased attention to improve patient recovery and quality of life. Narcotic analgesics are frequently utilized in postoperative pain management, but these have risks including nausea, sedation, constipation, and dependence. Multimodal analgesia can reduce narcotic use and improve recovery, but medical comorbidities may contraindicate the use of certain medications. Non-pharmacologic measures for postoperative pain control may provide novel and cost-effective strategies to confront this complex issue.
Patients undergoing head and neck surgery will be randomly allocated to participate in an immersive experience in VR, or to participate in a similar experience on a two-dimensional screen using a smartphone.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients who have undergone head and neck surgery with an average pain score of 3 or greater out of 10 during the 24 hours preceding the screening
- Are able to provide informed consent
- Are not in the intensive care unit (ICU)
Exclusion Criteria:
- Symptoms concerning for an active respiratory infection including fever, cough, and shortness of breath or confirmed respiratory infection
- Active eye discharge
- Active nausea or vomiting
- History of seizure, epilepsy, or hypersensitivity to flashing light
- History of motion sickness or vertigo
- Have wound dressings on the head or neck that prevent comfortable and safe use of the virtual reality headset
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Virtual Reality
Patients will be provided with a commercially-available VR device for use up to 15 minutes at bedside.
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Patients will participate in a game using VR.
|
Sham Comparator: Smartphone
Patients will be provided with a commercially-available smartphone device for use up to 15 minutes at bedside.
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Patients will participate in a similar game to the VR cohort, but will use a smartphone device.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in patient-reported pain scores
Time Frame: Up to 4 hours after intervention use
|
Pain scores will be obtained using an 11-point Numeric Rating Scale (NRS) prior to each intervention, immediately after the intervention, and then hourly up to 4 hours after the intervention to assess changes in pain scores after each intervention.
A score of 0 signifies no pain, and a score of 10 signifies the highest severity of pain.
|
Up to 4 hours after intervention use
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Opioid usage
Time Frame: Average 24 hours after intervention use
|
Opioid use after intervention will be documented, measured in average morphine milligram equivalents (MME).
|
Average 24 hours after intervention use
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Patient experience
Time Frame: Up to 4 hours after intervention use
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Patients will complete a short survey at the completion of their participation in the study evaluating their audiovisual experience using a 5-point Likert scale, with responses ranging from "1 = Strongly Disagree" to "5 = Strongly Agree."
|
Up to 4 hours after intervention use
|
Collaborators and Investigators
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 00020777
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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