Trauma/Injury Problem
Conditions
Keywords
Ortho trauma. Virtual Reality. Pain. Anxiety
Brief summary
The treatment of postoperative pain after severe trauma is poorly understood, and it can lead to chronic pain, opiate drug addiction and elevated health care costs. The proposed project will be a randomized controlled trial to evaluate an innovative methodology for delivering clinical hypnosis (virtual reality hypnosis) for pain control as well as a more time-honored delivery system that uses audio recordings. The goal will be to reduce postoperative pain in a sample of patients hospitalized for the care of severe orthopedic trauma and other types trauma. This proposal will test innovative and low-risk approaches to reducing postoperative trauma pain that are designed to reduce pain, anxiety and other complications after surgery. The findings have the potential not only to reduce pain and suffering in patients who have suffered severe trauma but could be applicable to the millions of people who have surgery every year. Reducing addictive opiate-based medication and health care costs are both potential outcomes from this project.
Interventions
BEHAVIORALVirtual Reality Hypnosis
The patient receives virtual reality hypnosis daily.
BEHAVIORALAudio Hypnosis
Patient will listen to an Audio Hypnosis recording daily.
OTHERStandard treatment
Sponsors
National Institute of General Medical Sciences (NIGMS)
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Compliant and able to complete questionnaires * English speaking * Hospitalization for trauma orthopedic injuries * No history of psychiatric disorder * Not demonstrating delirium, psychosis or any form of Organic Brain Disorder * Able to communicate verbally * 18 years of age or older
Exclusion criteria
* Not capable of filling out study measures * Evidence of a traumatic brain injury or any other * Cognitive deficits that would impact decisional capacity to consent for the * study or complete measures * History of psychiatric disorder as evidenced in the RN and MD admission notes * Unable to communicate verbally * Extreme susceptibility to motion sickness * Seizure history * Non-English speaking * In isolation for infections such as Clostridium difficile
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Graphic Rating Scale (GRS) pain and anxiety Questionnaire | up to 10 days | Measures pain and anxiety |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tellegen Absorption Scale | 1 day (Once in the hospital) | consists of 34 true-false items that examines hypnotic susceptibility in individuals |
Other
| Measure | Time frame | Description |
|---|---|---|
| The Short Stanford Hypnotizability Scale (SSHS) | 1 day (Once in the hospital) | assesses hypnotizability with five items: moving hands together motor suggestion, a dream within hypnosis, age regression, a posthypnotic suggestion of a cough, and posthypnotic amnesia. |
| SF-36 | 1 day (Once in the hospital) | self-reported survey to measure health status and quality of life |
| Brief Symptom Inventory | 1 day (Once in the hospital) | self-reported instrument that measures the current overview of psychological symptoms and their intensity |
Countries
United States
Outcome results
None listed