- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT07679022
Recovery With Virtual Reality for Stress and Pain (ReVRS)
Recovery With Virtual Reality for Stress & Pain (ReVRS)
Panoramica dello studio
Stato
Intervento / Trattamento
Descrizione dettagliata
Preoperative anxiety and postoperative pain may negatively affect patients' recovery after surgery. Virtual reality may provide a non-pharmacological method of distraction and relaxation, but its effect on perioperative anxiety and early postoperative recovery requires further evaluation.
This prospective, randomized, parallel-group controlled trial will include approximately 140 adults undergoing elective gynecological surgery. After providing informed consent, participants will be randomized in a 1:1 ratio to one of two groups:
- Virtual reality plus usual perioperative care.
- Usual perioperative care alone.
Participants assigned to the intervention group will use a virtual reality headset for approximately 10-20 minutes before surgery and view an immersive relaxation environment. The intervention may be discontinued at any time if the participant experiences discomfort, nausea, dizziness, anxiety, or other adverse symptoms.
The primary outcome is the change in preoperative anxiety from immediately before to immediately after the intervention period, assessed using the State-Trait Anxiety Inventory-State scale and/or a numerical rating scale for anxiety.
Secondary outcomes include quality of recovery measured with the Quality of Recovery-15 questionnaire, postoperative pain measured using a numerical rating scale, opioid consumption expressed as morphine milligram equivalents, postoperative nausea and vomiting, time spent in the postoperative care unit, and other indicators of early postoperative recovery. Follow-up assessments are planned at approximately 24 and 72 hours and on postoperative days 7 and 10.
The study will examine whether preoperative virtual reality reduces anxiety and whether any reduction is associated with improved postoperative recovery and reduced symptom burden.
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Pether Jildenstål, Professor
- Numero di telefono: +46 76-026 66 58
- Email: pether.jildenstal@med.lu.se
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Adulto
- Adulto più anziano
Accetta volontari sani
Descrizione
Inclusion Criteria:
- Adults aged 18 years or older.
- Scheduled to undergo elective gynecological surgery according to the study protocol at a participating center where virtual reality can be provided.
- Able and willing to provide informed consent for study participation, 1:1 randomization, and use of virtual reality.
Exclusion Criteria:
- Increased risk of adverse effects related to virtual reality, including pronounced motion sickness, claustrophobia, or photosensitive epilepsy.
- Active substance use disorder or active misuse of alcohol or illicit drugs.
- Severe chronic pain and/or regular preoperative opioid treatment, as defined in the study protocol.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Virtual Reality Plus Usual Care
Participants receive a preoperative virtual reality session in addition to usual perioperative care.
The session lasts approximately 10-20 minutes and is delivered in the waiting or preoperative area using calm nature or relaxation scenes intended to promote comfort and distraction.
|
A single preoperative virtual reality session lasting approximately 10-20 minutes, administered in the waiting or preoperative area.
Participants view calm nature, relaxation, or guided-breathing scenes using a virtual reality headset.
The intervention is intended to provide relaxation, comfort, and distraction before surgery.
|
|
Comparatore attivo: Usual Care
Participants receive usual perioperative care without virtual reality during the corresponding preoperative period.
|
Participants receive standard perioperative care according to local clinical routines.
No preoperative virtual reality session is provided during the corresponding intervention period.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Quality of Postoperative Recovery Measured With QoR-15
Lasso di tempo: 24 hours after surgery
|
Postoperative recovery will be assessed using the 15-item Quality of Recovery questionnaire (QoR-15).
The total score ranges from 0 to 150, with higher scores indicating better quality of recovery.
|
24 hours after surgery
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Change in Preoperative Anxiety
Lasso di tempo: From immediately before to immediately after the intervention, approximately 10-20 minutes
|
Anxiety will be assessed before and after the preoperative intervention period using the anxiety measure specified in the study protocol.
Higher scores indicate greater anxiety.
|
From immediately before to immediately after the intervention, approximately 10-20 minutes
|
|
Postoperative Pain Intensity
Lasso di tempo: Up to 72 hours after surgery
|
Postoperative pain will be assessed using a numerical rating scale from 0 to 10, where 0 indicates no pain and 10 indicates the worst imaginable pain.
|
Up to 72 hours after surgery
|
|
Postoperative Opioid Consumption
Lasso di tempo: During the first 24 hours after surgery
|
Total postoperative opioid consumption will be calculated and converted to intravenous morphine milligram equivalents.
|
During the first 24 hours after surgery
|
|
Incidence of Postoperative Nausea and Vomiting
Lasso di tempo: During the first 24 hours after surgery
|
Number and proportion of participants experiencing nausea, vomiting, or both during the postoperative period.
|
During the first 24 hours after surgery
|
|
Duration of Stay in the Post-Anesthesia Care Unit
Lasso di tempo: On the day of surgery
|
Time from admission to discharge from the post-anesthesia care unit.
|
On the day of surgery
|
|
Quality of Recovery at 72 Hours Measured With QoR-15
Lasso di tempo: 72 hours after surgery
|
Quality of postoperative recovery will be assessed using the 15-item Quality of Recovery questionnaire (QoR-15).
The total score ranges from 0 to 150, with higher scores indicating better quality of recovery.
|
72 hours after surgery
|
|
Quality of Recovery on Postoperative Day 7 Measured With QoR-15
Lasso di tempo: 7 days after surgery
|
Quality of postoperative recovery will be assessed using the 15-item Quality of Recovery questionnaire (QoR-15).
The total score ranges from 0 to 150, with higher scores indicating better quality of recovery.
|
7 days after surgery
|
|
Quality of Recovery on Postoperative Day 10 Measured With QoR-15
Lasso di tempo: 10 days after surgery
|
Quality of postoperative recovery will be assessed using the 15-item Quality of Recovery questionnaire (QoR-15).
The total score ranges from 0 to 150, with higher scores indicating better quality of recovery.
|
10 days after surgery
|
Collaboratori e investigatori
Sponsor
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Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- 2026-03077-01 (Altro identificatore: Swedish Ethical Review Authority)
Piano per i dati dei singoli partecipanti (IPD)
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Descrizione del piano IPD
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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