using sound of nature or virtual reality videos of natural scenery for decreasing anxiety before surgery

Comparison of unimodal, non-pharmacological, preoperative psychological prehabilitation intervention: Nature Soundscape Immersion and Virtual reality on preoperative anxiety and stress reduction- A randomised non inferiority trial. - NIL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/03/083359

Enrollment

120

Registered

2025-03-25

Start date

Unknown

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical Health Condition 2: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere

Interventions

Intervention1: Nature soundscape intervention: The NSI intervention will be explained to the group B, following they will receive a Nature soundscape immersion experience for 10 minutes. The NSI audio

Eligibility

Inclusion criteria

Inclusion criteria: Inclusion Criteria: Adults aged 18 to 70 years. Patients scheduled for first elective surgery under general anesthesia. Ability to understand and complete APAIS and VAS scales.

Exclusion criteria

Exclusion criteria: Exclusion Criteria: Patients with visual impairments (for VR group). Hearing impairments (for music group). Known psychiatric conditions affecting anxiety. Previous experience with VR or music therapy within 3 months before surgery. Patients on preoperative anxiolytics or sedative medications.

Design outcomes

Primary

Measure	Time frame
Preoperative Anxiety: Measured using the Amsterdam Preoperative Anxiety and Information Scale (APAIS). Scores range from 6 30, with higher scores indicating higher anxiety levels. This will be assessed immediately before the intervention and immediately after the intervention.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.	—

Secondary

Measure	Time frame
Perceived Stress: Assessed using a 10-point Visual Analogue Scale (VAS), where 0 indicates no stress and 10 indicates extreme stress. This will be assessed before and after the intervention.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Patient Satisfaction: Measured using a 10-point VAS to evaluate satisfaction with the anxiety-reducing intervention. This will be assessed postoperatively.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Patient Vitas: Heart rate and Blood pressure using the standard monitors.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Simulation Sickness score.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.	—

Measure

Time frame

Perceived Stress: Assessed using a 10-point Visual Analogue Scale (VAS), where 0 indicates no stress and 10 indicates extreme stress. This will be assessed before and after the intervention.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Patient Satisfaction: Measured using a 10-point VAS to evaluate satisfaction with the anxiety-reducing intervention. This will be assessed postoperatively.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Patient Vitas: Heart rate and Blood pressure using the standard monitors.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.;Simulation Sickness score.Timepoint: T0- Pre intervention, T1 Post-intervention, T2- Preoperative room, T3- Postoperative Recovery room.

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Countries

India

Contacts

Public ContactPrakash Gyandev Gondode

All India Institute of Medical Sciences, New Delhi

drprakash777@gmail.com8826434672

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026