Anxiety, Pain
Conditions
Keywords
burn, pain, anxiety
Brief summary
The investigators propose to study the effects of virtual reality (VR) on patients' pain perception during burn wound care. Such variables include psychiatric diagnosis and standard pain coping (i.e. pain catastophizer vs. non-pain catastrophizer).Aims: The investigators intend to evaluate the use of virtual reality in pain distraction for burn patients undergoing burn wound care. To that end our aims are: 1) To determine if pain perception will be less during the portion of the procedure in which the patient is immersed in the VR session in comparison to the portion of wound care which will occur without VR immersion. 2) To determine if anticipatory anxiety will be less for the portion of wound care that includes the virtual reality in comparison to the portion without virtual reality. 3) To determine if current psychiatric diagnosis, especially acute stress disorder and depression, is related to higher pain perception and greater decrease in pain with the virtual reality distraction. 4) To determine if being a pain catastrophizer is related to higher pain perception and greater benefits from the
Interventions
OTHERVirtual Reality
Virtual reality (VR) gives patients an illusion of going into the 3-D computer generated environment/virtual world. During VR, the subject wears a head-mounted virtual reality helmet that positions two goggle-sized miniature LCD computer screens close to the subject's eyes. Position tracking devices keep the computer informed of changes in the patient's head location. An electro-magnetic head orientation device feeds the x, y, z coordinates of the patient's head to the computer, which can quickly change what the patient sees in virtual reality accordingly. The scenery in VR changes as the patient moves her head orientation (e.g., virtual objects in front of the patient in VR get closer as the patient, wearing the VR helmet, leans forward in the real world).
Sponsors
Weill Medical College of Cornell University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 12-100years * Minimum burn wound size of 2% total body surface area (TBSA) excluding head and dominant hand * Be able to sit upright independently in bed * Minimum pain rating of 4/10 on a Visual Analog Scale (only using the most painful extremity). * Able to consent to the study
Exclusion criteria
* Known history of motion sickness * Seizures * Migraines * Current psychosis, dementia, or delirium * Current blindness and/or deafness that significantly affects their ability to experience the VR
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain perception | immediate |
| anticipatory anxiety | immediate |
| current psychiatric diagnosis, is related to pain | immediate |
| pain catastrophizing is related to higher pain perception and greater benefits from the VR | immediate |
Countries
United States
Contacts
Primary ContactRoger W Yurt, MD FACS
Backup ContactAngela Rabbitts, RN MS
Outcome results
None listed