The Effect of Preoperative Training With Virtual Reality on Anxiety, Readiness for Surgery and Recovery Process of Patients in Colorectal Cancer Surgery

The aim of the study is to determine the effect of The Effect of Preoperative Training with Virtual Reality on Anxiety, Readiness for Surgery and Recovery Process of Patients in Colorectal Cancer Surgery.

Research Hypotheses

In patients undergoing colorectal surgery:

H1 The comfort level of patients who received preoperative training using virtual reality is higher than that of patients who received training using written brochures and the control group.

H2. The anxiety level of patients who received preoperative education using the virtual reality method is lower than that of patients who received education via written brochures and the control group.

H3 The satisfaction level of patients who received preoperative education using the virtual reality method is lower than that of patients who received education via written brochures and the control group.

Study Overview

• Status: Recruiting
• Conditions: Anxiety, Surgical Preparation, and Recovery Process in Colorectal Cancer Surgery
• Intervention / Treatment: Device: Patients undergoing colorectal surgery will be trained using virtual reality glasses.

• Study Type: Interventional
• Enrollment (Estimated): 68
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Özkan Karadede, MsC; Phone Number: +905067705766; Email: ozkan.karadede@iuc.edu.tr

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye), 34090
    • Recruiting
    • Istanbul University-Cerrahpasa
    • Contact: Özkan Karadede, Msc; Phone Number: +905067705766

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Agreement to participate in the study, Ability to read and write in Turkish, Being conscious and communicative.

Exclusion Criteria:

Those with any psychiatric illness, Those diagnosed with an anxiety disorder and taking medication for anxiety, Those with active nausea, vomiting, or headache, Those with vision or hearing problems, Those with a history of seizures

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: control group
Experimental: virtual reality group; Patients undergoing colorectal surgery will be trained using virtual reality glasses.	Device: Patients undergoing colorectal surgery will be trained using virtual reality glasses.; Patients undergoing colorectal surgery will be trained using virtual reality glasses.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
(State Trait Anxiety Inventory I-II)	STAI I determines how an individual feels at a specific moment and under specific conditions. The State-Trait Anxiety Inventory (STAI II) determines how individuals generally feel in their current situation and conditions. Inventory items are scored between 1 and 4. High scores on the inventory indicate that the person has high levels of state and trait anxiety. Scores between 0 and 19 on the inventory indicate no anxiety, 20-39 points indicate mild anxiety, 40-59 points indicate moderate anxiety, and 60-80 points indicate severe anxiety.	24 hour
The Preparedness for Colorectal Cancer Surgery Questionnaire (PCSQ)	The scale determines whether the verbal and written information provided about the surgery prepares individuals for the surgery. The scale is a 4-point Likert scale ranging from positive to negative. The scale consists of a total of 24 items. The score that can be obtained from the scale ranges from 0 to 96. Item 24 on the scale is reverse-scored. The scale is evaluated by calculating the total score of the items. High scores indicate a high level of readiness.	24 hour
Recovery Quality-40 Survey (QoR-40)	The scale consists of a total of 40 items. It comprises five subscales: emotional state, physical comfort, patient support, physical independence, and pain. The scale is a 5-point Likert scale, and items are scored on a scale of 1 to 5. Subscale averages are obtained by summing the scores for each subscale, and the total survey score is obtained by summing all items. A higher score indicates that patients' physical and emotional well-being is at the expected level (good condition) post-surgery. A low score indicates that the patient's well-being post-surgery has been negatively affected.	24 hour

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cortisol Level	Cortisol, commonly known as the "stress hormone," is essential for life. When stress occurs, cortisol levels increase. Cortisol is secreted by the adrenal cortex in response to various stimuli. It enables the organism to adapt to its environment. Cortisol helps the organism defend against dangers by enhancing its homeostasis ability. Cortisol levels were measured using saliva samples taken at specified times.	24 hour
Number of Steps	A pedometer wristband was used to monitor the patient's daily physical activities and determine the number of steps taken.	24 hour

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa

Study record dates

Study Major Dates

• Study Start (Actual): May 5, 2025
• Primary Completion (Estimated): December 9, 2025
• Study Completion (Estimated): January 15, 2026

Study Registration Dates

• First Submitted: November 21, 2025
• First Submitted That Met QC Criteria: December 18, 2025
• First Posted (Actual): December 19, 2025

Study Record Updates

• Last Update Posted (Actual): December 19, 2025
• Last Update Submitted That Met QC Criteria: December 18, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: Anxiety; colorectal surgery; Surgical Preparation; Recovery Process
• Additional Relevant MeSH Terms: Mental Disorders; Anxiety Disorders
• Other Study ID Numbers: E-83045809-604.01-1017096

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: De-identified individual participant data (IPD) collected in this study will be shared with other researchers for scientific purposes. The data to be shared will include anonymized demographic characteristics, outcome measures, and variables used in the analyses, with no information that could directly or indirectly identify individual participants. Data will be made available after publication of the primary study results. Access to the data will be granted upon reasonable request, subject to submission of a written scientific proposal and confirmation of compliance with ethical standards. The data will be provided through a secure external data-sharing platform, and a link to the dataset will be made available in the ClinicalTrials.gov record when accessible.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No