Restorative virtual environments for rehabilitation

REstorative Virtual Environments for REhabilitation: Does Virtual Nature Therapy enhance sleep on the Intensive Care Unit?

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN63077147

Enrollment

Registered

2014-06-27

Start date

2014-06-16

Completion date

Unknown

Last updated

2020-06-08

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

Conditions

Topic: Critical care

Interventions

Exposure to virtual nature therapy (VNT) will comprise: 1. Viewing the virtual reality scene (Virtual Wembury ? a virtual reality reconstruction of the South Devon coastal path) on a 3

including sun setting, sea wave motion and animal movements. B. Toggle view with 180 degree viewing motion. Patients will be able to toggle between different viewpoints and look around

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Patient in intensive care unit 2. Conscious and able to communicate 3. Aged over 18 years 4. RASS score 1 to +1 5. Considered unlikely to be discharged from critical care for 5 days Target Gender: Male & Female; Upper Age Limit 90 years ; Lower Age Limit 18 years

Exclusion criteria

Exclusion criteria: 1. Bilateral upper limb paralysis or limb loss preventing ability to use hand controller 2. Severe visual or hearing loss 3. Active delirium or psychosis at screening from RASS and CAMICU scor 4. Severe cognitive impairment including dementia or hepatic encephalopathy 5. Active infection or colonisation with multidrug resistant organism

Design outcomes

Primary

Measure	Time frame
Richard Campbell Sleep questionnaire; Timepoint(s): Each night of study participation	—

Secondary

Measure	Time frame
Secondary outcomes (where overnight is 20:00 ? 08:00): 1. Hours of sleep recorded by nursing staff. 2. Systolic blood pressures, pulse rate, respiratory rate recorded at hourly intervals overnight. 3. Arterial CO2 concentrations recorded at 2-4 hourly intervals (usual care) overnight, or End tidal CO2 concentrations if arterial line not in situ. 4. Presence of delirium, identified by a positive CAM-ICU or RASS score >2 or <-2 5. Pain scores overnight ? usual numerical rating scale 0-3. 6. Nausea, sickness and anti-emetic use 7. Qualitative patient feedback of factors affecting sleep and their perceptions of the VNT system. 8. Patient usage of VNT ? duration and type of activity, downloaded directly from embedded software within the VNT system.	—

Measure

Time frame

Secondary outcomes (where overnight is 20:00 ? 08:00): 1. Hours of sleep recorded by nursing staff. 2. Systolic blood pressures, pulse rate, respiratory rate recorded at hourly intervals overnight. 3. Arterial CO2 concentrations recorded at 2-4 hourly intervals (usual care) overnight, or End tidal CO2 concentrations if arterial line not in situ. 4. Presence of delirium, identified by a positive CAM-ICU or RASS score >2 or <-2 5. Pain scores overnight ? usual numerical rating scale 0-3. 6. Nausea, sickness and anti-emetic use 7. Qualitative patient feedback of factors affecting sleep and their perceptions of the VNT system. 8. Patient usage of VNT ? duration and type of activity, downloaded directly from embedded software within the VNT system.

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Countries

United Kingdom

Outcome results

None listed

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