Rheumatoid Arthritis, Spondyloarthropathy, Systemic Lupus Erythematosus, Vasculitis
Conditions
Brief summary
The purpose is to study the use of virtual reality (VR) and biofeedback in rheumatology clinics to help manage chronic pain in patients with rheumatologic diseases. The objective is to know the usefulness of VR/biofeedback-based therapy in the clinic.
Interventions
The intervention uses a smart phone with a virtual reality app; a headset that connects to the phone and has goggles that contribute to the 3 dimensional, interactive, and surrounding aspects of the experience; headphones through which subjects hear calming sounds and guiding voices from the experience; an attached microphone that allows subjects to monitor their breathing and interact with their environment through their breath; and a heart rate monitor whose realtime data on variability has an affect on the virtual environment. The virtual reality experience guides subjects through deep breathing exercises. Subjects will attempt to match a certain slow breathing rate, and pulse and breathing rate will cause non-stressful changes to the environment.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients with Rheumatoid arthritis, Systemic Lupus Erythematosus, Seronegative Spondyloarthropathy, Myositis, Psoriatic Arthritis, vasculitis or other autoimmune conditions. * Patients must be on a stable regimen of medications. * Patients should have pain, measured at the time of entry using a Visual Analog scale, of \>5/10 at least 4 days in the last 30 days
Exclusion criteria
* Patients who are deemed by the study team to be unable to use the VR headset and follow instructions for any reason. * Patients who have a history of vertigo and/or dizziness * Patients with a history of seizure disorder
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported benefit of virtual reality-biofeedback experience | Within 10 minutes immediately after virtual reality experience completion | In interview, subjects are asked to describe their perception of the level of benefit of the Virtual Reality-Biofeedback experience |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Self-reported interest to try the virtual reality-biofeedback experience | Within 10 minutes immediately before virtual reality experience start | Patients who are consented and fit inclusion criteria are asked, in interview, if they would be interested in trying the virtual reality experience and providing a rationale for their choice. |
Countries
United States