Bone Marrow Cancer, Hematologic Cancer, Leukemia, Lymphoma, Multiple Myeloma
Conditions
Brief summary
This study seeks to determine if patients undergoing a bone marrow biopsy/aspiration (BMBA) procedure who receive distraction techniques have lower levels of distress and pain, and higher post-procedure satisfaction, compared to those receiving standard-of-care. Intervention 1 is guided meditation in a virtual reality (VR) headset. Intervention 2 is comprised of environmental changes to the room (via nature-themed decals) and music.
Detailed description
This study seeks to determine if patients undergoing a bone marrow biopsy/aspiration (BMBA) procedure who receive distraction techniques have lower levels of distress and pain, and higher post-procedure satisfaction, compared to those receiving standard-of-care. Intervention 1 is guided meditation in a virtual reality (VR) headset. Intervention 2 is comprised of environmental changes to the room (via nature-themed decals) and music.
Interventions
Patients will be provided with a wireless virtual reality headset that contains a guided meditation application. The application allows users to select their preferred music, visual setting, and a topic for meditation.
A nature themed wall mural decal will be installed in the procedure room and the in-room computer will play music from Pandora. A selection of suggested stations will be provided, with the option for outside selections.
Sponsors
Study design
Intervention model description
Two interventions will be trialed, each in parallel with a control group. The two phases will be done in sequence.
Eligibility
Inclusion criteria
* Provide signed and dated informed consent form * Willing to comply with all study procedures * Over 18 years of age * Prior history of at least 1 (one) BMBA at Jefferson outpatient oncology office within the past 2 (two) years * Visiting the Jefferson outpatient oncology office for a BMBA procedure during the study duration
Exclusion criteria
* Inability to read questions in English * Inability to answer questions autonomously * History of vertigo * Legal blindness in both eyes * Severe or profound hearing loss, or deafness
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distress score | Within 10 minutes pre-procedure | The primary outcome will be reported on a scale of 0-10, based on the National Comprehensive Cancer Network (NCCN) Distress Thermometer, 0 signifying no distress and 10 signifying extreme distress. This scale is standardly used with oncology patients to determine their distress levels-distress refers to an unpleasant experience of a mental, physical, social, or spiritual nature. It can affect the way you think, feel, or act. Distress may make it harder to cope with having cancer, its symptoms, or its treatment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Within 10 minutes pre-procedure | To assess patient pain scores related to their BMBA procedure. This will be measured through the 0-10 Numeric Pain Intensity Scale, 0 signifying no pain and 10 signifying the worst pain imaginable. |
| Patient satisfaction | Within 10 minutes post-procedure | To assess patient satisfaction with their procedure. This will be assessed through a patient satisfaction survey including Likert-type questions. |
Countries
United States