- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05742971
Virtual Reality; the Effect on Pain Reduction During an External Version. (VIREV)
Virtual Reality; the Effect on Pain Reduction During an External Version, a Randomised Controlled Trial
SUMMARY
Rationale: The use of an external cephalic version (ECV) to rotate the fetus from a non-cephalic to cephalic presentation reduces the rate of caesarean section by approximately two-thirds in term pregnancies with breech presentation. Reducing pain during external cephalic version can contribute to an increase in success rate and consequently reduce the number of cesarean sections. Literature about the effectivity of virtual reality (VR) on acute pain reduction seems promising.
Objective: The primary objective of this study is to explore the effect of VR on pain during ECV. Secondary objectives are the rate of successful ECV procedures and to explore tolerability, feasibility and patient satisfaction of VR use.
Study design: The study concerns a non-blinded, single centre, randomised controlled trial.
Study population: Eligible women who fulfill the inclusion criteria and are scheduled for an external cephalic version in the Zuyderland Medical Centre location Heerlen.
Intervention: The study population will be randomly divided into the intervention group (VR-group) or the standard care group. The intervention group can choose for an immersive guided relaxation VR experience or an interactive VR experience during the external version additional to the usual standard care. The participants randomised to the standard care group receive the usual standard care given during external version.
Main study parameters/endpoints: The primary outcome is pain measured on a numeric rating scale (NRS). A total of 42 patients have to be included in each group. This means that a total of 84 women will have to be included in the study.
Nature and extent of the burden and risks associated with participation, benefit and group relatedness: Each participating woman is asked to complete a questionnaire after using VR and the degree of pain perception is questioned on the basis of a 0-10 score (NRS). The study population experiences a very small medical risk when participating to this study. They can experience side-effects of VR for example dizziness or nausea and in rare cases epileptic insults.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Wassen, Dr
- Phone Number: 088-4596513
- Email: m.wassen@zuyderland.nl
Study Contact Backup
- Name: Steffani Pietermans
- Phone Number: 0655958512
- Email: s.pietermans@zuyderland.nl
Study Locations
-
-
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Heerlen, Netherlands, 6419 PC
- Recruiting
- Zuyderaland MC
-
Contact:
- M Wassen, Dr
- Phone Number: 088-4596513
- Email: m.wassen@zuyderland.nl
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Written and orally given informed consent
- 18 years and older
- Native Dutch speaker
- Singleton pregnancy in breech position
- Scheduled ECV
Exclusion Criteria:
- Contraindication for ECV
- Chronic pain patients defined as 'persistent or recurrent pain lasting longer than 3 months' [16]. The pain is not due to an obstetrical problem.
- Chronic use of pain medication (opioids)
- Alcohol or drug abuse
- Known car sickness
- Epileptic insults in previous history
- Psychotically seizures in previous history
- Claustrophobic
- Blindness
- History of mental illness
- Patients in strict isolation (MRSA)
- Age <18 years
- Twin pregnancy
- No native Dutch speaker
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: VR group
The intervention group can choose for an immersive guided relaxation VR experience or an interactive VR experience during the external version Immediately after the external version, a pain measurement is taken with regard to the pain during the ECV by means of the NRS score.
After the ECV procedure, participants of the VR-group receive a structured questionnaire in which tolerability, feasibility and satisfaction of VR use is evaluated.
|
The participants randomised into this group are offered a VR intervention during the external version for 5-10 minutes in addition to the standard care of an ECV.
The VR is performed through the Oculus Go VR glasses.
These women can choose for an immersive guided relaxation VR experience or an interactive VR experience (see descriptions below).
The ECV expert executing the ECV will register immediately after the ECV which option the patients has chosen.
Immediately after the external version, a pain measurement is taken with regard to the pain during the ECV by means of the NRS score.
After the ECV procedure, participants of the VR-group receive a structured questionnaire in which tolerability, feasibility and satisfaction of VR use is evaluated.
|
No Intervention: Standard care group
The participants randomised to the standard care group receive the usual standard care given during external version.Immediately after the external version, a pain measurement is taken with regard to the pain during the ECV by means of the NRS score.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of pain during ECV when using VR (VAS, visual analogue scale)
Time Frame: 15 minutes
|
pain score by VAS visual analogue scale minimum 0-maximum 10 (higher score is a worse outcome).
|
15 minutes
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Rate of successful ECV procedures
Time Frame: 15 minutes
|
15 minutes
|
Patient tolerability, feasibility and satisfaction of VR use (questionnaire)
Time Frame: 15 minutes
|
15 minutes
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: M Wassen, Dr, Zuyderland MC
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- NL-Z2019095
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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