Anxiety, Otolaryngological Disease, Pain, Postoperative, Surgery
Conditions
Brief summary
This trial studies differences between a mindfulness and a gaming virtual reality (VR) experience as a means for preoperative anxiety management and postoperative pain management among patients after head and neck surgery. Investigators will assess differences in anxiety scores, pain scores, physiologic measures, and subjective patient experiences.
Detailed description
Optimal postoperative pain control after head and neck surgery is vital for recovery, and non-pharmacologic strategies to improve pain may help reduce narcotic use. Further, preoperative anxiety is common and can impact postoperative pain, analgesic requirements, and recovery. In addition to facilitating with postoperative pain control, VR may have a role in reducing preoperative anxiety. However, it is unclear whether different VR experiences may be more beneficial for different clinical applications. This study will evaluate if there are differences in preoperative anxiety and postoperative pain when utilizing different VR experiences. Patients undergoing head and neck surgery will be randomly allocated preoperatively to first participate in either a mindfulness or active gaming VR experience, and then postoperatively will crossover and participate in the other experience they did not utilize prior to surgery.
Interventions
DEVICEOculus Quest: TRIPP
This is a VR experience that focuses on meditation and mindfulness
DEVICEOculus Quest: Angry Birds
This is an active gaming VR experience that utilizes controllers to aim and launch objects at targets.
Sponsors
Oregon Health and Science University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients undergoing head and neck surgery * Are able to provide informed consent
Exclusion criteria
* Isolation precautions * Active eye discharge * Active nausea or vomiting * History of seizure, epilepsy, or hypersensitivity to flashing light * Expected to have wounds or wound care that prevent comfortable and safe use of the VR headset
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in patient-reported anxiety | baseline, and then 15 minutes later after VR use | Anxiety level will be obtained using a 100mm Visual Analogue Scale (VAS). Preoperative anxiety scores will be obtained prior to VR then immmediately after VR use to assess change in anxiety after each intervention. Score will range from 0 (no anxiety) to 100 (extremely anxious) |
| Change in patient-reported pain | baseline, and then 15 minutes later after VR use | Pain level will be obtained using a 100mm Visual Analogue Scale (VAS). Postoperative pain scores will be obtained prior to VR then immmediately after VR use to assess change in pain level after each intervention. Score will range from 0 (no pain) to 100 (worst pain imaginable) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in blood pressure | baseline, and then 15 minutes later after VR use | Blood pressure (mmHG) will be recorded prior to VR use and then after VR use to assess change in physiologic responses after each intervention. |
| Patient experience | 1 minute after use of VR | Patients will complete a short survey at the completion of their participation in each VR experience evaluating their experience using a 5-point Likert scale, with responses ranging from 1 (low satisfaction) to 5 (high satisfaction) |
| Change in heart rate | baseline, and then 15 minutes later after VR use | Heart rate (beats per minute \[bpm\]) will be recorded prior to VR use and then after VR use to assess change in physiologic responses after each intervention. |
Countries
United States
Outcome results
None listed